Phase II study of continuous daily sunitinib dosing in patients with previously treated advanced non-small cell lung cancer

  • S. Novello
  • , G. V. Scagliotti
  • , R. Rosell
  • , M. A. Socinski
  • , J. Brahmer
  • , J. Atkins
  • , C. Pallares
  • , R. Burgess
  • , L. Tye
  • , P. Selaru
  • , E. Wang
  • , R. Chao
  • , R. Govindan

Research output: Contribution to journalArticlepeer-review

128 Scopus citations

Abstract

Background: Sunitinib malate (SUTENT) has promising single-agent activity given on Schedule 4/2 (4 weeks on treatment followed by 2 weeks off treatment) in advanced non-small cell lung cancer (NSCLC).Methods:We examined the activity of sunitinib on a continuous daily dosing (CDD) schedule in an open-label, multicentre phase II study in patients with previously treated, advanced NSCLC. Patients 18 years with stage IIIB/IV NSCLC after failure with platinum-based chemotherapy, received sunitinib 37.5 mg per day. The primary end point was objective response rate (ORR). Secondary end points included progression-free survival (PFS), overall survival (OS), 1-year survival rate, and safety.Results:Of 47 patients receiving sunitinib, one patient achieved a confirmed partial response (ORR 2.1% (95% confidence interval (CI) 0.1, 11.3)) and 11 (23.4%) had stable disease (SD) 8 weeks. Five patients had SD6 months. Median PFS was 11.9 weeks (95% CI 8.6, 14.1) and median OS was 37.1 weeks (95% CI 31.1, 69.7). The 1-year survival probability was 38.4% (95% CI 24.2, 52.5). Treatment was generally well tolerated.Conclusions:The safety profile and time-to-event analyses, albeit relatively low response rate of 2%, suggest single-agent sunitinib on a CDD schedule may be a potential therapeutic agent for patients with advanced, refractory NSCLC.

Original languageEnglish
Pages (from-to)1543-1548
Number of pages6
JournalBritish Journal of Cancer
Volume101
Issue number9
DOIs
StatePublished - Nov 3 2009

Keywords

  • Non-small cell lung cancer
  • Phase II
  • Sunitinib
  • Tyrosine kinase inhibitor

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