Long-term Outcomes of Oral Vinorelbine in Advanced, Progressive Desmoid Fibromatosis and Influence of


Journal

Clinical cancer research : an official journal of the American Association for Cancer Research
ISSN: 1557-3265
Titre abrégé: Clin Cancer Res
Pays: United States
ID NLM: 9502500

Informations de publication

Date de publication:
01 12 2020
Historique:
received: 13 05 2020
revised: 15 07 2020
accepted: 28 08 2020
pubmed: 3 9 2020
medline: 15 12 2021
entrez: 3 9 2020
Statut: ppublish

Résumé

Desmoid-type fibromatosis (DF) are locally aggressive neoplasms, with a need for effective systemic treatment in case of progression to avoid the short- and long-term complications of local treatments. We retrospectively analyzed the outcomes of adult patients with DF treated with oral vinorelbine (90 mg once weekly) at Gustave Roussy Cancer Institute (Villejuif, Paris, France). Only patients with documented progressive disease according to RECIST v1.1 for more than 3 months (±2 weeks) before treatment initiation were included. From 2009 to 2019, 90 out of 438 patients with DF were eligible for this analysis. Vinorelbine was given alone in 56 patients (62%), or concomitantly with endocrine therapy in 34 patients, for a median duration of 6.7 months. A partial response was observed in 29% and stable disease in another 57%. With a median follow-up of 52.4 months, the median time to treatment failure (TTF) was not reached. Progression-free rates at 6 and 12 months were 88.7% and 77.5%, respectively. Concomitant endocrine therapy was associated with longer TTF in women [HR, 2.16; 95% confidence interval (CI), 1.06-4.37; Oral vinorelbine is an effective, affordable, and well-tolerated regimen in patients with advanced, progressive DF. Prolonged activity was observed in patients with tumors harboring

Identifiants

pubmed: 32873570
pii: 1078-0432.CCR-20-1847
doi: 10.1158/1078-0432.CCR-20-1847
doi:

Substances chimiques

Antineoplastic Agents, Phytogenic 0
Biomarkers, Tumor 0
CTNNB1 protein, human 0
beta Catenin 0
Vinorelbine Q6C979R91Y

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6277-6283

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

©2020 American Association for Cancer Research.

Références

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Auteurs

Olivier Mir (O)

Department of Ambulatory Cancer Care, Gustave Roussy Cancer Institute, Villejuif, Paris, France. olivier.mir@gustaveroussy.fr.

Charles Honoré (C)

Department of Surgery, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Ali N Chamseddine (AN)

Department of International Patients Care, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Julien Dômont (J)

Department of Cancer Medicine, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Sarah N Dumont (SN)

Department of Cancer Medicine, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Andrea Cavalcanti (A)

Department of Surgery, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Matthieu Faron (M)

Department of Surgery, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Françoise Rimareix (F)

Department of Surgery, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Leila Haddag-Miliani (L)

Department of Medical Imaging, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Cécile Le Péchoux (C)

Department of Radiation Oncology, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Antonin Levy (A)

Department of Radiation Oncology, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Charles Court (C)

Department of Orthopedic Surgery, Kremlin-Bicêtre Teaching Hospital, Université Paris Saclay, Le Kremlin-Bicêtre, Paris, France.

Sylvain Briand (S)

Department of Orthopedic Surgery, Kremlin-Bicêtre Teaching Hospital, Université Paris Saclay, Le Kremlin-Bicêtre, Paris, France.

Elie Fadel (E)

Department of Thoracic Surgery, Marie Lannelongue Teaching Hospital, Université Paris Saclay, Le Plessis-Robinson, Paris, France.

Olaf Mercier (O)

Department of Thoracic Surgery, Marie Lannelongue Teaching Hospital, Université Paris Saclay, Le Plessis-Robinson, Paris, France.

Arnaud Bayle (A)

Department of Ambulatory Cancer Care, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Anaïs Brunet (A)

Department of Biology and Pathology, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Carine Ngo (C)

Department of Biology and Pathology, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Etienne Rouleau (E)

Department of Biology and Pathology, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Julien Adam (J)

Department of Biology and Pathology, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

Axel Le Cesne (A)

Department of International Patients Care, Gustave Roussy Cancer Institute, Villejuif, Paris, France.

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