An open-label, multicentre safety study of vemurafenib in patients with BRAF


Journal

European journal of cancer (Oxford, England : 1990)
ISSN: 1879-0852
Titre abrégé: Eur J Cancer
Pays: England
ID NLM: 9005373

Informations de publication

Date de publication:
01 2019
Historique:
received: 22 08 2018
revised: 31 10 2018
accepted: 16 11 2018
pubmed: 24 12 2018
medline: 6 5 2020
entrez: 24 12 2018
Statut: ppublish

Résumé

The oncogenic BRAF inhibitor vemurafenib improves outcomes for patients with advanced BRAF In this open-label, multicentre study, patients with previously treated or untreated melanoma and the BRAF Between March 2011 and January 2013, 3224 patients were enrolled, and 3219 patients received ≥1 dose of vemurafenib (safety population); median follow-up time was 33.4 months. Vemurafenib's long-term benefits were confirmed, and no new safety signals identified. The prognostic index showed between-group differences in OS, with tight, non-overlapping confidence intervals. Validation in a pooled group of 666 vemurafenib-treated clinical trial patients revealed a similar pattern; the pattern was similar in 280 patients treated with vemurafenib plus cobimetinib. Final results from the vemurafenib safety study confirm vemurafenib's tolerability in BRAF

Sections du résumé

BACKGROUND
The oncogenic BRAF inhibitor vemurafenib improves outcomes for patients with advanced BRAF
PATIENTS AND METHODS
In this open-label, multicentre study, patients with previously treated or untreated melanoma and the BRAF
RESULTS
Between March 2011 and January 2013, 3224 patients were enrolled, and 3219 patients received ≥1 dose of vemurafenib (safety population); median follow-up time was 33.4 months. Vemurafenib's long-term benefits were confirmed, and no new safety signals identified. The prognostic index showed between-group differences in OS, with tight, non-overlapping confidence intervals. Validation in a pooled group of 666 vemurafenib-treated clinical trial patients revealed a similar pattern; the pattern was similar in 280 patients treated with vemurafenib plus cobimetinib.
CONCLUSIONS
Final results from the vemurafenib safety study confirm vemurafenib's tolerability in BRAF

Identifiants

pubmed: 30580112
pii: S0959-8049(18)31516-8
doi: 10.1016/j.ejca.2018.11.018
pii:
doi:

Substances chimiques

Antineoplastic Agents 0
Vemurafenib 207SMY3FQT
BRAF protein, human EC 2.7.11.1
Proto-Oncogene Proteins B-raf EC 2.7.11.1

Banques de données

ClinicalTrials.gov
['NCT01307397']

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

175-185

Informations de copyright

Copyright © 2018 Elsevier Ltd. All rights reserved.

Auteurs

James Larkin (J)

The Royal Marsden NHS Foundation Trust, London, UK. Electronic address: james.larkin@rmh.nhs.uk.

Michael P Brown (MP)

Cancer Clinical Trials Unit, Royal Adelaide Hospital, Centre for Cancer Biology, SA Pathology, University of South Australia, Adelaide, Australia; Discipline of Medicine, University of Adelaide, Adelaide, SA 5000, Australia.

Ana M Arance (AM)

Department of Medical Oncology, Hospital Clinic Barcelona, Barcelona, Spain.

Axel Hauschild (A)

Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Germany.

Paola Queirolo (P)

UOC Oncologia Medica, Istituto di Ricerca e Cura a Carattere Scientifico, San Martino-IST, Genova, Italy.

Michele Del Vecchio (MD)

Department of Medical Oncology, Fondazione Istituto di Ricerca e Cura a Carattere Scientifico, Istituto Nazionale dei Tumori, Milan, Italy.

Paolo A Ascierto (PA)

Istituto Nazionale Tumori Fondazione Pascale, Naples, Italy.

Ivana Krajsová (I)

Dermatovenerologická klinika, University Hospital Prague, Charles University, First Medical Faculty, Prague, Czech Republic.

Jacob Schachter (J)

Chaim Sheba Medical Centre, Oncology Institute, Ramat-Gan, Israel.

Bart Neyns (B)

Afdelingshoofd, Medische Oncologie, Brussels, Belgium.

Claus Garbe (C)

Department of Dermatology, University Medical Center, Tuebingen, Germany.

Vanna Chiarion Sileni (VC)

Istituto Oncologico Veneto, Padua, Italy.

Mario Mandalà (M)

Papa Giovanni XXIII Hospital, Bergamo, Italy.

Helen Gogas (H)

University of Athens, Athens, Greece.

Enrique Espinosa (E)

Hospital La Paz, Madrid, Spain.

Geke Hospers (G)

University Medical Centre Groningen, Groningen, the Netherlands.

Paul Lorigan (P)

Christie NHS Foundation Trust, Manchester, UK.

Marta Nyakas (M)

Oslo University Hospital, Oslo, Norway.

Alex Guminski (A)

Melanoma Institute Australia, Royal North Shore Hospital, University of Sydney, Sydney, Australia.

Gabriela Liszkay (G)

Department of Dermatooncology, National Institute of Oncology, Budapest, Hungary.

Piotr Rutkowski (P)

Maria Sklodowska-Curie Memorial Cancer Center, Institute of Oncology, Warsaw, Poland.

Wilson Miller (W)

McGill University, Segal Cancer Centre, Montreal, Quebec, Canada.

Margarita Donica (M)

F. Hoffmann-La Roche Ltd, Basel, Switzerland.

Martina Makrutzki (M)

F. Hoffmann-La Roche Ltd, Basel, Switzerland.

Christian Blank (C)

The Netherlands Cancer Institute, Amsterdam, the Netherlands. Electronic address: c.blank@nki.nl.

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Classifications MeSH