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ORIGINAL ARTICLE Phase 2 Study of Sorafenib in Malignant Mesothelioma Previously Treated with Platinum-Containing Chemotherapy Sophie Papa, MRCP, PhD,*║ Sanjay Popat, FRCP, PhD,†‡ Riyaz Shah, FRCP, PhD,§ A. Toby Prevost, PhD,║ Rohit Lal, MRCP, PhD,* Blair McLennan, BAppSc,* Paul Cane, FRCPath,* Loic Lang-Lazdunski, MD,*║ Zaid Viney, MRCP, FRCR,* Joel T. Dunn, PhD,* Sally Barrington, FRCP, FRCR,*║ David Landau, MRCP,*║ and James Spicer, FRCP, PhD*║ of sorafenib compares favorably with that reported for other targeted Introduction: The incidence of mesothelioma is rising. First-line agents, and suggests moderate activity in this disease. cisplatin and pemetrexed confers a survival benefit, with a median progression-free survival (PFS) of 5.7 months. Sorafenib inhibits Key Words: Mesothelioma, Sorafenib. tyrosine kinases, including receptors for vascular endothelial growth (J Thorac Oncol. 2013;8: 783-787) factor, which are implicated in mesothelioma pathogenesis by pre- clinical and clinical data. Methods: Sorafenib, at 400 mg twice daily, was assessed in a sin- alignant mesothelioma is a disease of the mesothelial gle-arm multicenter phase 2 study, using Simon’s two-stage design. Msurfaces of pleural and peritoneal cavities. More than Eligible patients had received platinum combination chemotherapy 80% of cases are pleural, and there is an overwhelming rela- earlier. The primary endpoint was PFS at 6 months, with secondary tionship with exposure to asbestos.
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Jun 1, 2013
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