Outcomes of Patients with Metastatic Melanoma Treated with Molecularly Targeted Agents in Phase I Clinical Trials.

Autor: Blanco Codesido, Montserrat, Tesainer Brunetto, Andre, Frentzas, Sophia, Moreno Garcia, Victor, Papadatos-Pastos, Dionysis, Pedersen, Joanna Vitfell, Trani, Leonardo, Puglisi, Martina, Molife, L. Rhoda, Banerji, Udai
Předmět:
Zdroj: Oncology; 2011, Vol. 81 Issue 2, p135-140, 6p
Abstrakt: Introduction: First-line treatment options utilizing chemotherapy and cytokine-based treatments for patients with metastatic melanoma (MM) are unsatisfactory. We analyzed the clinical outcomes of patients with MM treated in phase I trials of novel agents. We hypothesized that patients included in phase I clinical trials did not have worse outcomes than with the chemotherapy and cytokine-based first-line treatment. Methods: Data of patients with MM treated at The Drug Development Unit between 2004 and 2010 were collected. The response rate (RR) and time to progression (TTP) for first-line therapy were compared to those of phase I trial therapy. Patients acted as their own controls for statistical analyses. Results: Sixty-five patients were treated in 31 phase I trials. First-line treatment included dacarbazine or temozolomide in 58 (89%) cases and interferon-α in 5 patients (8%) and cisplatin-based treatment in 2 patients (3%). There was no significant difference in either the RR (11 vs. 14%, p = 0.87) or TTP (90 vs. 53 days, p = 0.15) in patients treated with first-line treatment versus phase I treatment, respectively. Conclusion: Phase I clinical trials of molecularly targeted agents show clinical activity that is not dissimilar to that of treatment with existing chemotherapy and cytokine-based treatment. Copyright © 2011 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index