Combination toceranib and lomustine shows frequent high grade toxicities when used for treatment of non-resectable or recurrent mast cell tumours in dogs: A European multicentre study

Autor: David Argyle, S. Murphy, Paolo Buracco, Spela Bavcar, P. De Fornel, Michael Kessler, Johannes Hirschberger, J. P. de Vos
Jazyk: angličtina
Rok vydání: 2017
Předmět:
medicine.medical_specialty
Poor prognosis
Indoles
Skin Neoplasms
Toceranib
040301 veterinary sciences
Prednisolone
Mast cell tumour
Canine
0403 veterinary science
03 medical and health sciences
Dogs
0302 clinical medicine
Lomustine
Antineoplastic Combined Chemotherapy Protocols
Canine
Mast cell tumour
Toceranib
Palladia
Lomustine
Adverse events

Animals
Medicine
Pyrroles
Dog Diseases
Mast Cells
Prospective Studies
Prospective cohort study
Adverse effect
Antineoplastic Agents
Alkylating

Objective response
General Veterinary
Palladia
business.industry
Receptor Protein-Tyrosine Kinases
04 agricultural and veterinary sciences
Mast cell
Surgery
Europe
medicine.anatomical_structure
030220 oncology & carcinogenesis
Adverse events
Animal Science and Zoology
Neoplasm Recurrence
Local

business
medicine.drug
Zdroj: Bavcar, S, De Vos, J, Kessler, M, De Fornel, P, Buracco, P, Murphy, S, Hirschberger, J & Argyle, D 2017, ' Combination toceranib and lomustine shows frequent high grade toxicities when used for treatment of non-resectable or recurrent mast cell tumours in dogs: A European multicentre study ', The Veterinary Journal, vol. 224, pp. 1-6 . https://doi.org/10.1016/j.tvjl.2017.04.010
Popis: Mast cell tumours (MCTs) in dogs can present in a variety of forms. Non-resectable, recurrent or metastatic MCTs usually carry a poor prognosis and present a therapeutic challenge. Both toceranib and lomustine have shown single agent activity against MCTs in dogs. In this study, 10 dogs with advanced MCTs were enrolled prospectively and treated with toceranib (median dose 2.7 mg/kg orally every other day), lomustine (median dose 60 mg/m2 orally every 3 weeks) and prednisolone (1 mg/kg orally every other day, alternating with toceranib). Severe adverse events (SAEs), requiring alterations in the protocol, occurred in all dogs. The objective response rate was 50%. Three dogs died or were euthanased due to SAEs and therefore enrolment of new dogs was discontinued prematurely. A long term response (> 1 year) was observed in two dogs. Modifications of the protocol are required for future prospective studies.
Databáze: OpenAIRE