Apatinib for recurrent/progressive glioblastoma multiforme: A salvage option

Purpose: The recurrent/progressive glioblastoma multiforme (GBM) carries a dismal prognosis and the definitive treatment strategy has not yet been established. This study aimed to assess the efficacy and safety of apatinib in recurrent/progressive GBM patients.Materials and methods: The clinical dat...

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Main Authors: Hong-Hong Zhang, Xiao-Jing Du, Mei-Ling Deng, Lie Zheng, Dun-Chen Yao, Zhi-Qiang Wang, Qun-Ying Yang, Shao-Xiong Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.969565/full
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author Hong-Hong Zhang
Hong-Hong Zhang
Xiao-Jing Du
Mei-Ling Deng
Lie Zheng
Dun-Chen Yao
Zhi-Qiang Wang
Qun-Ying Yang
Shao-Xiong Wu
author_facet Hong-Hong Zhang
Hong-Hong Zhang
Xiao-Jing Du
Mei-Ling Deng
Lie Zheng
Dun-Chen Yao
Zhi-Qiang Wang
Qun-Ying Yang
Shao-Xiong Wu
author_sort Hong-Hong Zhang
collection DOAJ
description Purpose: The recurrent/progressive glioblastoma multiforme (GBM) carries a dismal prognosis and the definitive treatment strategy has not yet been established. This study aimed to assess the efficacy and safety of apatinib in recurrent/progressive GBM patients.Materials and methods: The clinical data of 19 recurrent/progressive GBM patients who received apatinib treatment from November 2015 to December 2019 at Sun Yat-sen University Cancer Center were collected retrospectively in this study. Objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and treatment-related adverse events (AEs) were reviewed and assessed.Results: The overall ORR was 52.6%, and the DCR was 73.7%. Median PFS and OS were 5.1 and 10.4 months, respectively. The 6-month PFS and OS rates were 38.9% and 68.4%, respectively. The 12-month PFS and OS rates were 16.7% and 36.8%, respectively. The treatment-related toxicities were generally well-tolerated. The most common grade 3/4 AEs were hand-foot syndrome (36.8%) and hypertension (21.1%).Conclusion: Our study showed that apatinib therapy provided a better salvaging option for recurrent/progressive GBM patients and the toxicity was manageable.
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spelling doaj.art-39caa135a9d24098a43c03e4e09b8aed2022-12-22T04:01:00ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-08-011310.3389/fphar.2022.969565969565Apatinib for recurrent/progressive glioblastoma multiforme: A salvage optionHong-Hong Zhang0Hong-Hong Zhang1Xiao-Jing Du2Mei-Ling Deng3Lie Zheng4Dun-Chen Yao5Zhi-Qiang Wang6Qun-Ying Yang7Shao-Xiong Wu8Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaDepartment of Radiation Oncology, Xiang’an Hospital of Xiamen University, Cancer Research Center, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaDepartment of Medical Imaging, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaDepartment of Neurosurgery, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, ChinaPurpose: The recurrent/progressive glioblastoma multiforme (GBM) carries a dismal prognosis and the definitive treatment strategy has not yet been established. This study aimed to assess the efficacy and safety of apatinib in recurrent/progressive GBM patients.Materials and methods: The clinical data of 19 recurrent/progressive GBM patients who received apatinib treatment from November 2015 to December 2019 at Sun Yat-sen University Cancer Center were collected retrospectively in this study. Objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and treatment-related adverse events (AEs) were reviewed and assessed.Results: The overall ORR was 52.6%, and the DCR was 73.7%. Median PFS and OS were 5.1 and 10.4 months, respectively. The 6-month PFS and OS rates were 38.9% and 68.4%, respectively. The 12-month PFS and OS rates were 16.7% and 36.8%, respectively. The treatment-related toxicities were generally well-tolerated. The most common grade 3/4 AEs were hand-foot syndrome (36.8%) and hypertension (21.1%).Conclusion: Our study showed that apatinib therapy provided a better salvaging option for recurrent/progressive GBM patients and the toxicity was manageable.https://www.frontiersin.org/articles/10.3389/fphar.2022.969565/fullapatinibrecurrent/progressive glioblastoma multiformeefficacysafetyVEGFR
spellingShingle Hong-Hong Zhang
Hong-Hong Zhang
Xiao-Jing Du
Mei-Ling Deng
Lie Zheng
Dun-Chen Yao
Zhi-Qiang Wang
Qun-Ying Yang
Shao-Xiong Wu
Apatinib for recurrent/progressive glioblastoma multiforme: A salvage option
Frontiers in Pharmacology
apatinib
recurrent/progressive glioblastoma multiforme
efficacy
safety
VEGFR
title Apatinib for recurrent/progressive glioblastoma multiforme: A salvage option
title_full Apatinib for recurrent/progressive glioblastoma multiforme: A salvage option
title_fullStr Apatinib for recurrent/progressive glioblastoma multiforme: A salvage option
title_full_unstemmed Apatinib for recurrent/progressive glioblastoma multiforme: A salvage option
title_short Apatinib for recurrent/progressive glioblastoma multiforme: A salvage option
title_sort apatinib for recurrent progressive glioblastoma multiforme a salvage option
topic apatinib
recurrent/progressive glioblastoma multiforme
efficacy
safety
VEGFR
url https://www.frontiersin.org/articles/10.3389/fphar.2022.969565/full
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