| Autor: |
Isabelle Borget, Yann Godbert, Abir Al Ghuzlan, Martin Schlumberger, Renaud Ciappuccini, Marie-Eve Garcia, Aurélie Schiazza, Christophe Sajous, Sarah Betrian, Georges Lion, Livia Lamartina, Emilie Bouvier-Morel, Nadège Anizan, Marie Terroir-Cassou-Mounat, Stéphane Bardet, David Taïeb, Danielle Benisvy, Ludovic Lacroix, Claire Bournaud, Marie Attard, Slimane Zerdoud, Christine Do Cao, Sophie Leboulleux |
| Rok vydání: |
2023 |
| DOI: |
10.1158/1078-0432.c.6641715 |
| Popis: |
Purpose:To evaluate the efficacy and safety of dabrafenib-trametinib-131I for the treatment of radioactive iodine refractory metastatic differentiated thyroid cancer (DTC) with a BRAF p.V600E mutation.Patients and Methods:A prospective phase II trial including patients with RECIST progression within 18 months and no lesion > 3 cm. Following a baseline recombinant human (rh)TSH-stimulated diagnostic whole-body scan (dc1-WBS), dabrafenib and trametinib were given for 42 days. A second rhTSH-stimulated dc WBS (dc2-WBS) was done at day 28 and 131I (5.5 GBq–150 mCi after rhTSH) was administered at day 35. Primary endpoint was the 6-month RECIST objective response rate. In case of partial response (PR) at 6 or 12 months, a second treatment course could be given. Among 24 enrolled patients, 21 were evaluable at 6 months.Results:Abnormal 131I uptake was present on 5%, 65%, and 95% of the dc1-WBS, dc2-WBS, and post-therapy scans, respectively. At 6 months, PR was achieved in 38%, stable disease in 52%, and progressive disease (PD) in 10%. Ten patients received a second treatment course: one complete response and 6 PRs were observed at 6 months. The median progression-free survival (PFS) was not reached. The 12- and 24-month PFS were 82% and 68%, respectively. One death due to PD occurred at 24 months. Adverse events (AE) occurred in 96% of the patients, with 10 grade 3–4 AEs in 7 patients.Conclusions:Dabrafenib-trametinib is effective in BRAF p.V600E-mutated DTC patients for restoring 131I uptake with PR observed 6 months after 131I administration in 38% of the patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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