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Comprehensive overview of the efficacy and safety of sorafenib in advanced or metastatic renal cell carcinoma after a first tyrosine kinase inhibitor
Afonso, F. J; Anido, U; Fernández-Calvo, O; Vázquez-Estévez, S; León, L; Lázaro, M; Ramos, M; Antón-Aparicio, L.
Afiliación
  • Afonso, F. J; Complexo Hospitalario Arquitecto Marcide. Ferrol. Spain
  • Anido, U; Complexo Hospitalario Universitario de Santiago. Santiago de Compostela. Spain
  • Fernández-Calvo, O; Complexo Hospitalario Universitariode Ourense. Ourense. Spain
  • Vázquez-Estévez, S; Hospital Lucus Augusti. Lugo. Spain
  • León, L; Complexo Hospitalario Universitario de Santiago. Santiago de Compostela. Spain
  • Lázaro, M; Complexo Hospitalario Univeresitario. Vigo. Spain
  • Ramos, M; Centro Oncológico de Galicia. A Coruña. Spain
  • Antón-Aparicio, L; Complexo Hospitalario Universitario A Coruña. A Coruña. Spain
Clin. transl. oncol. (Print) ; 15(6): 425-433, jun. 2013. tab, ilus
Article en En | IBECS | ID: ibc-127384
Biblioteca responsable: ES1.1
Ubicación: BNCS
ABSTRACT
We performed a literature search that shed light on the signaling pathways involved in the sorafenib activity as first- or subsequent-line treatment, taking into account its toxicity profile. Sorafenib appears to have better tolerability when compared with other agents in the same indication. Cross-resistance between tyrosine kinase inhibitors (TKIs) may be limited, even after failure with a previous VEGFR inhibitor, but the optimal sequence with TKIs remains to be determined. Randomized trials of second-line treatment options have showed either modest or no differences in terms of progression-free and overall survival (OS). Direct comparison between sorafenib and axitinib demonstrated differences in terms of PFS in favor of axitinib, but not in terms of OS as second-line treatment. In contrast, a phase III study showed a benefit in OS, favoring sorafenib when compared with temsirolimus. In conclusion, after using other VEGF inhibitor such as sunitinib, sorafenib is active and safe for the treatment of patients with advanced or metastatic RCC (AU)
Asunto(s)
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Colección: 06-national / ES Base de datos: IBECS Asunto principal: Proteínas Tirosina Quinasas Tipo de estudio: Clinical_trials / Overview / Systematic_reviews Límite: Female / Humans / Male Idioma: En Revista: Clin. transl. oncol. (Print) Año: 2013 Tipo del documento: Article
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Colección: 06-national / ES Base de datos: IBECS Asunto principal: Proteínas Tirosina Quinasas Tipo de estudio: Clinical_trials / Overview / Systematic_reviews Límite: Female / Humans / Male Idioma: En Revista: Clin. transl. oncol. (Print) Año: 2013 Tipo del documento: Article