Dabrafenib plus trametinib treatment in patients with anaplastic thyroid carcinoma: an Argentinian experience

Autor: Fernanda Bueno, Anabella Smulever, Inés Califano, Jorgelina Guerra, Andrés Del Grecco, Juan Manuel Carrera, Raúl Giglio, Manglio Rizzo, Alejo Lingua, Ana Voogd, María del Carmen Negueruela, Erika Abelleira, Fabian Pitoia
Rok vydání: 2023
Předmět:
Zdroj: Endocrine. 80:134-141
ISSN: 1559-0100
DOI: 10.1007/s12020-022-03295-2
Popis: To present our real-life experience with dabrafenib and trametinib (D-T) treatment in patients with BRAF V600E-mutated ATC in Argentina.We included five patients from four different hospitals. The median age was 70 years, and 60% were male. The performance status at diagnosis was grade 0 in 60% and grade 2 in 40% of patients. Four patients could undergo total thyroidectomy; in one of them, surgical treatment was amenable due to the indication of D-T as neoadjuvant therapy. From the total cohort, the best response to treatment was complete response in 40%, partial response in 20%, and stable disease in 20%. The median duration of response was 20 weeks, ranging from 16 to 92 weeks. All patients experienced at least one adverse event (AE). Grade ≥3 AEs were observed in two (40%) patients. They were upper gastrointestinal bleeding and subclavian vein thrombosis. The median follow-up was 20 weeks (range: 16 to 92).This report contributes to illustrate the feasibility and effectiveness of D-T treatment in five patients with loco-regionally advanced and metastatic BRAF V600E-mutated ATC in a real-life setting. A multidisciplinary approach and rapid molecular-tailored testing are essential to begin this therapeutic option.
Databáze: OpenAIRE