PMID- 21324953 OWN - NLM STAT- MEDLINE DCOM- 20111123 LR - 20220330 IS - 1569-8041 (Electronic) IS - 0923-7534 (Linking) VI - 22 IP - 8 DP - 2011 Aug TI - Final results of the European Advanced Renal Cell Carcinoma Sorafenib (EU-ARCCS) expanded-access study: a large open-label study in diverse community settings. PG - 1812-23 LID - 10.1093/annonc/mdq651 [doi] AB - BACKGROUND: The European Advanced Renal Cell Carcinoma Sorafenib (EU-ARCCS) expanded-access study provided sorafenib to advanced renal cell carcinoma (RCC) patients in whom previous systemic therapy had failed. The study assessed the safety and use of sorafenib for the treatment of advanced RCC in a large community-based patient population across 11 countries in Europe. PATIENTS AND METHODS: EU-ARCCS was a single-arm, open-label trial of sorafenib in advanced RCC patients. End points included safety, time to progression, progression-free survival (PFS), and disease control rate (DCR). Subgroup analyses included age, Eastern Cooperative Oncology Group performance status, histology, prior therapy, and number and sites of metastases. RESULTS: About 1159 advanced RCC patients were enrolled. Most patients (94%) experienced drug-related adverse events (AEs) of any grade, with the most common grade >/=3 AEs including hand-foot skin reaction (13%), diarrhea (7%), fatigue (7%), hypertension (6%), and rash/desquamation (5%). The incidence of AEs in the subgroups was similar to that in the overall population. Median PFS was 6.6 months; DCR at >/=8 and >/=12 weeks was 85% and 78%, respectively. CONCLUSIONS: The sorafenib safety profile in European community-based practice settings was similar to that reported in clinical trials. The heterogeneous advanced RCC patient population in EU-ARCCS permitted assessment of sorafenib in important subpopulations of advanced RCC patients. FAU - Beck, J AU - Beck J AD - Johannes Gutenberg University Medical Center, Mainz, Germany. FAU - Procopio, G AU - Procopio G FAU - Bajetta, E AU - Bajetta E FAU - Keilholz, U AU - Keilholz U FAU - Negrier, S AU - Negrier S FAU - Szczylik, C AU - Szczylik C FAU - Bokemeyer, C AU - Bokemeyer C FAU - Bracarda, S AU - Bracarda S FAU - Richel, D J AU - Richel DJ FAU - Staehler, M AU - Staehler M FAU - Strauss, U P AU - Strauss UP FAU - Mersmann, S AU - Mersmann S FAU - Burock, K AU - Burock K FAU - Escudier, B AU - Escudier B LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110215 PL - England TA - Ann Oncol JT - Annals of oncology : official journal of the European Society for Medical Oncology JID - 9007735 RN - 0 (Antineoplastic Agents) RN - 0 (Benzenesulfonates) RN - 0 (Phenylurea Compounds) RN - 0 (Pyridines) RN - 25X51I8RD4 (Niacinamide) RN - 9ZOQ3TZI87 (Sorafenib) SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/administration & dosage/*adverse effects/therapeutic use MH - Benzenesulfonates/administration & dosage/*adverse effects/therapeutic use MH - Carcinoma, Renal Cell/*drug therapy MH - *Compassionate Use Trials MH - Disease-Free Survival MH - Europe MH - Female MH - Humans MH - Kidney Neoplasms/*drug therapy MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Niacinamide/analogs & derivatives MH - Phenylurea Compounds MH - Pyridines/administration & dosage/*adverse effects/therapeutic use MH - Sorafenib MH - Treatment Outcome EDAT- 2011/02/18 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/02/18 06:00 PHST- 2011/02/18 06:00 [entrez] PHST- 2011/02/18 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - S0923-7534(19)38382-6 [pii] AID - 10.1093/annonc/mdq651 [doi] PST - ppublish SO - Ann Oncol. 2011 Aug;22(8):1812-23. doi: 10.1093/annonc/mdq651. Epub 2011 Feb 15.