PMID- 22285181 OWN - NLM STAT- MEDLINE DCOM- 20120501 LR - 20181201 IS - 1879-0852 (Electronic) IS - 0959-8049 (Linking) VI - 48 IP - 4 DP - 2012 Mar TI - Phase I trial to investigate the safety, pharmacokinetics and efficacy of sorafenib combined with docetaxel in patients with advanced refractory solid tumours. PG - 465-74 LID - 10.1016/j.ejca.2011.12.026 [doi] AB - AIM: The safety, pharmacokinetics and efficacy of sorafenib plus docetaxel in patients with advanced refractory cancer were investigated in a phase I, dose-escalation trial. METHODS: Twenty-seven patients in four cohorts received docetaxel on day 1 (cohorts 1 and 4: 75 mg/m2; cohorts 2 and 3: 100 mg/m2) plus sorafenib on days 2-19 (cohorts 1 and 2: 200 mg twice-daily (bid); cohorts 3 and 4: 400 mg bid) in 21-day cycles. RESULTS: Most common adverse events (AEs) (grade 3-5) included neutropenia (89%), leucopaenia (81%), hand-foot skin reaction (30%) and fatigue (30%). The most common drug-related AEs leading to dose reduction/interruption or permanent discontinuation were dermatologic (41%), gastrointestinal (26%) and constitutional (22%). Coadministration of sorafenib altered the pharmacokinetics of docetaxel. On average, docetaxel area under the concentration-time curve (AUC)(0-24) increased by 5% (cohort 1), 54% (cohort 2), 36% (Cohort 3) and 80% (cohort 4) with docetaxel plus sorafenib, while C(max) increased by 16-32%, independent of sorafenib/docetaxel doses. Three of 25 evaluable patients (11%) had partial responses; 14 (52%) had stable disease. CONCLUSION: Dose-limiting dermatologic AEs were more common than expected for either therapy alone. A starting dose of docetaxel 75 mg/m2 plus sorafenib 400mg bid (with dose reductions for dermatological toxicities) is proposed for phase II. CI - Copyright A(c) 2012 Elsevier Ltd. All rights reserved. FAU - Awada, Ahmad AU - Awada A AD - Jules Bordet Institute, Universite Libre de Bruxelles, Brussels, Belgium. ahmad.awada@bordet.be FAU - Hendlisz, Alain AU - Hendlisz A FAU - Christensen, Olaf AU - Christensen O FAU - Lathia, Chetan D AU - Lathia CD FAU - Bartholomeus, Sylvie AU - Bartholomeus S FAU - Lebrun, Fabienne AU - Lebrun F FAU - de Valeriola, Dominique AU - de Valeriola D FAU - Brendel, Erich AU - Brendel E FAU - Radtke, Martin AU - Radtke M FAU - Delaunoit, Thierry AU - Delaunoit T FAU - Piccart-Gebhart, Martine AU - Piccart-Gebhart M FAU - Gil, Thierry AU - Gil T LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120127 PL - England TA - Eur J Cancer JT - European journal of cancer (Oxford, England : 1990) JID - 9005373 RN - 0 (Benzenesulfonates) RN - 0 (Phenylurea Compounds) RN - 0 (Pyridines) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) RN - 25X51I8RD4 (Niacinamide) RN - 9ZOQ3TZI87 (Sorafenib) SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/*adverse effects/*pharmacokinetics/*therapeutic use MH - Benzenesulfonates/*administration & dosage/adverse effects/pharmacokinetics MH - Cohort Studies MH - Disease Progression MH - Docetaxel MH - Drug Administration Schedule MH - Drug Resistance, Neoplasm/drug effects MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neoplasms/*drug therapy/pathology MH - Niacinamide/analogs & derivatives MH - Phenylurea Compounds MH - Pyridines/*administration & dosage/adverse effects/pharmacokinetics MH - Sorafenib MH - Taxoids/*administration & dosage/adverse effects/pharmacokinetics MH - Treatment Outcome EDAT- 2012/01/31 06:00 MHDA- 2012/05/02 06:00 CRDT- 2012/01/31 06:00 PHST- 2011/04/18 00:00 [received] PHST- 2011/12/20 00:00 [revised] PHST- 2011/12/22 00:00 [accepted] PHST- 2012/01/31 06:00 [entrez] PHST- 2012/01/31 06:00 [pubmed] PHST- 2012/05/02 06:00 [medline] AID - S0959-8049(11)01075-6 [pii] AID - 10.1016/j.ejca.2011.12.026 [doi] PST - ppublish SO - Eur J Cancer. 2012 Mar;48(4):465-74. doi: 10.1016/j.ejca.2011.12.026. Epub 2012 Jan 27.