PMID- 27604635 OWN - NLM STAT- MEDLINE DCOM- 20180104 LR - 20220318 IS - 1573-0646 (Electronic) IS - 0167-6997 (Linking) VI - 34 IP - 6 DP - 2016 Dec TI - A retrospective analysis of 14 consecutive Chinese patients with unresectable or metastatic alveolar soft part sarcoma treated with sunitinib. PG - 701-706 AB - Background The study was aim to assess the efficacy and safety of sunitinib on 14 Chinese patients with locally unresectable or metastatic Alveolar Soft Part Sarcoma (ASPS) at two institutions retrospectively. Methods Patients were treated with 37.5 mg of sunitinib once daily continuously without a scheduled off-treatment period. Dose holds or reductions were recommended for grade 3 AEs but were required for grade 4 AEs. Restarting treatment of sunitinib was allowed when AEs returned back to grade 1 or disappeared. The treatment was continued until progression disease (PD), unacceptable toxicity or death. Results From January 2011 to December 2015, 14 patients with unresectable or metastatic ASPS received sunitinib treatment. Among them, 4 patients achieved partial remission (PR), and 10 patients achieved stable disease (SD). Median progression free survival (PFS) was 41.0 months (95 % CI: 7.7 to 74.4 month). Median overall survival (OS) was not reached. The 1- and 4-year OS rates were 90.0 % and 60.0 % respectively. Two patients with primarily unresectable ASPS received complete surgical resection after neoadjuvant treatment of sunitinib. The majority of toxicities encountered were grade 1 or 2 and manageable. The most common adverse events (AEs) were bleeding (35.7 %), hair & skin color change (37.5 %) and mucositis (28.6 %). Conclusions Sunitinib is effective in locally unresectable or metastatic ASPS with a good safety profile. Neoadjuvant treatment with sunitinib improves the chance of resection for patients with locally advanced ASPS. FAU - Li, Ting AU - Li T AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Wang, Lei AU - Wang L AD - Department of Medical Oncology, Kashgar Prefecture Second People's Hospital, XinJiang, China. FAU - Wang, Huijie AU - Wang H AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhang, Shujuan AU - Zhang S AD - Department of Medical Oncology, Kashgar Prefecture Second People's Hospital, XinJiang, China. FAU - Atikan Kawuli AU - Atikan Kawuli AD - Department of Medical Oncology, Kashgar Prefecture Second People's Hospital, XinJiang, China. FAU - Zhang, Xiaowei AU - Zhang X AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Luo, Zhiguo AU - Luo Z AD - Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. luozhiguo88@aliyun.com. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. luozhiguo88@aliyun.com. AD - Department of Medical Oncology, Kashgar Prefecture Second People's Hospital, XinJiang, China. luozhiguo88@aliyun.com. FAU - Wang, Chunmeng AU - Wang C AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. cmwang1975@163.com. AD - Department of Gastric Cancer and Soft Tissue Sarcomas, Fudan University Shanghai Cancer Center, Shanghai, China. cmwang1975@163.com. LA - eng PT - Journal Article DEP - 20160908 PL - United States TA - Invest New Drugs JT - Investigational new drugs JID - 8309330 RN - 0 (Antineoplastic Agents) RN - 0 (Indoles) RN - 0 (Pyrroles) RN - V99T50803M (Sunitinib) SB - IM MH - Adolescent MH - Adult MH - Antineoplastic Agents/*therapeutic use MH - Bone Neoplasms/*drug therapy/secondary MH - China MH - Female MH - Follow-Up Studies MH - Humans MH - Indoles/*therapeutic use MH - Lung Neoplasms/*drug therapy/secondary MH - Lymphatic Metastasis MH - Male MH - Neoadjuvant Therapy MH - Prognosis MH - Pyrroles/*therapeutic use MH - Retrospective Studies MH - Sarcoma, Alveolar Soft Part/*drug therapy/pathology MH - Sunitinib MH - Survival Rate MH - Young Adult OTO - NOTNLM OT - Alveolar soft part sarcoma OT - Sunitinib OT - Target therapy EDAT- 2016/09/09 06:00 MHDA- 2018/01/05 06:00 CRDT- 2016/09/09 06:00 PHST- 2016/07/02 00:00 [received] PHST- 2016/09/02 00:00 [accepted] PHST- 2016/09/09 06:00 [pubmed] PHST- 2018/01/05 06:00 [medline] PHST- 2016/09/09 06:00 [entrez] AID - 10.1007/s10637-016-0390-3 [pii] AID - 10.1007/s10637-016-0390-3 [doi] PST - ppublish SO - Invest New Drugs. 2016 Dec;34(6):701-706. doi: 10.1007/s10637-016-0390-3. Epub 2016 Sep 8.