Source:http://linkedlifedata.com/resource/pubmed/id/18520293
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6 Suppl 2
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pubmed:dateCreated |
2008-6-3
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pubmed:abstractText |
Sunitinib, a small molecule, is a multitargeted receptor kinase inhibitor which targets the vascular endothelial growth factor receptor and platelet-derived growth factor receptor as well as several others. Initially approved for the treatment of renal cell carcinoma as well as imatinib-resistant gastrointestinal stromal tumors, the activity of sunitinib has been explored in several other solid tumors including non-small cell lung cancer (NSCLC). An initial phase II trial in 63 previously treated NSCLC patients using a dose of 50 mg daily 4 of 6 weeks showed a response rate of 11.1% and a stable disease rate of 26.8%. The median time to disease progression and overall survival was 12.0 and 23.4 weeks, respectively. The principal toxicities included fatigue, pain, myalgias, nausea/vomiting, and hypertension. Three hemorrhagic deaths were reported (two pulmonary and one central nervous system). After this trial was completed, a subsequent sequential cohort of 47 previously treated NSCLC patients were treated on a continuous dosing schedule of sunitinib at 37.5 mg daily. A response rate of 2.1% was reported with a stable disease rate of 19.X%. The median time to progression was 12.3 weeks with a median survival time of 38.1 week. Toxicities were, in general, less frequent and similar to those noted in the initial trial. Sunitinib is currently being evaluated in combination with a number of standard regimens commonly used in NSCLC as well as a maintenance drug after first-line platinum-based treatment of advanced NSCLC. Results of these trials are eagerly awaited and will help define the role of sunitinib in the therapeutic approach to NSCLC.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1556-1380
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S119-23
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pubmed:meshHeading |
pubmed-meshheading:18520293-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:18520293-Carcinoma, Non-Small-Cell Lung,
pubmed-meshheading:18520293-Dose-Response Relationship, Drug,
pubmed-meshheading:18520293-Drug Administration Schedule,
pubmed-meshheading:18520293-Female,
pubmed-meshheading:18520293-Humans,
pubmed-meshheading:18520293-Indoles,
pubmed-meshheading:18520293-Lung Neoplasms,
pubmed-meshheading:18520293-Male,
pubmed-meshheading:18520293-Maximum Tolerated Dose,
pubmed-meshheading:18520293-Neoplasm Staging,
pubmed-meshheading:18520293-Prognosis,
pubmed-meshheading:18520293-Pyrroles,
pubmed-meshheading:18520293-Risk Assessment,
pubmed-meshheading:18520293-Survival Analysis,
pubmed-meshheading:18520293-Treatment Outcome
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pubmed:year |
2008
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pubmed:articleTitle |
The current status and evolving role of sunitinib in non-small cell lung cancer.
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pubmed:affiliation |
Multidisciplinary Thoracic Oncology Program, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina 27599-7305, USA. socinski@med.unc.edu
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pubmed:publicationType |
Journal Article,
Review
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