Long-term Outcomes of Oral Vinorelbine in Advanced, Progressive Desmoid Fibromatosis and Influence of
Administration, Oral
Adolescent
Adult
Aged
Antineoplastic Agents, Phytogenic
/ administration & dosage
Biomarkers, Tumor
/ genetics
Female
Fibromatosis, Aggressive
/ drug therapy
Follow-Up Studies
Humans
Male
Middle Aged
Mutation
Prognosis
Response Evaluation Criteria in Solid Tumors
Retrospective Studies
Survival Rate
Vinorelbine
/ administration & dosage
Young Adult
beta Catenin
/ genetics
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
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
6277-6283Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
©2020 American Association for Cancer Research.
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