PMID- 28668864 OWN - NLM STAT- MEDLINE DCOM- 20170829 LR - 20221207 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 37 IP - 7 DP - 2017 Jul TI - Axitinib for Gemcitabine-refractory Advanced Biliary Tract Cancer: Report of 5 Cases. PG - 3711-3715 AB - BACKGROUND/AIM: Vascular endothelial growth factor receptor (VEGFR) has been identified as a treatment target for biliary tract cancer (BTC) and axitinib is a selective inhibitor of vascular endothelial growth factor receptor (VEGFR)-1/2/3. This study was conducted as a preliminary evaluation of the safety and efficacy of axitinib for patients with advanced BTC. PATIENTS AND METHODS: Patients refractory to gemcitabine-based regimens were administered axitinib at the dose of 5 mg twice daily. RESULTS: Five patients (3 male and 2 female) with a median age of 68 years were enrolled. Although 3 patients developed treatment-related grade 3/4 adverse events (AEs), none of these patients required discontinuation of the protocol treatment due to the AEs. Partial response (PR) was achieved in 1 patient, with a 67% reduction. The response was classified as stable disease (SD) in 3 patients and as progressive disease (PD) in 1 patient. Overall survival (OS) and progression-free survival (PFS) ranged from 2.0 to 19.9 months and 1.5 to 7.4 months, respectively. CONCLUSION: This preliminary study suggested that axitinib is well-tolerated and might exert promising activity in patients with BTC. CI - Copyright(c) 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Okano, Naohiro AU - Okano N AD - Department of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan naohiro-okano@ks.kyorin-u.ac.jp. FAU - Kasuga, Akiyoshi AU - Kasuga A AD - Department of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan. FAU - Kawai, Kirio AU - Kawai K AD - Department of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan. FAU - Kobayashi, Takaaki AU - Kobayashi T AD - Department of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan. FAU - Naruge, Daisuke AU - Naruge D AD - Department of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan. FAU - Nagashima, Fumio AU - Nagashima F AD - Department of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan. FAU - Furuse, Junji AU - Furuse J AD - Department of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan. LA - eng PT - Case Reports PT - Clinical Trial PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Antineoplastic Agents) RN - 0 (Imidazoles) RN - 0 (Indazoles) RN - 0 (Protein Kinase Inhibitors) RN - 0W860991D6 (Deoxycytidine) RN - C9LVQ0YUXG (Axitinib) RN - 0 (Gemcitabine) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - Axitinib MH - Biliary Tract Neoplasms/diagnostic imaging/*drug therapy/pathology MH - Deoxycytidine/adverse effects/analogs & derivatives/therapeutic use MH - Drug Resistance, Neoplasm MH - Female MH - Humans MH - Imidazoles/adverse effects/*therapeutic use MH - Indazoles/adverse effects/*therapeutic use MH - Lymph Nodes/diagnostic imaging/pathology MH - Lymphatic Metastasis/diagnostic imaging/pathology MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Protein Kinase Inhibitors/adverse effects/*therapeutic use MH - Tomography, X-Ray Computed MH - Treatment Outcome MH - Tumor Burden/drug effects MH - Gemcitabine OTO - NOTNLM OT - Biliary tract cancer OT - axitinib OT - chemotherapy OT - gemcitabine OT - vascular endothelial growth factor EDAT- 2017/07/03 06:00 MHDA- 2017/08/30 06:00 CRDT- 2017/07/03 06:00 PHST- 2017/04/24 00:00 [received] PHST- 2017/05/22 00:00 [revised] PHST- 2017/05/23 00:00 [accepted] PHST- 2017/07/03 06:00 [entrez] PHST- 2017/07/03 06:00 [pubmed] PHST- 2017/08/30 06:00 [medline] AID - 37/7/3711 [pii] AID - 10.21873/anticanres.11743 [doi] PST - ppublish SO - Anticancer Res. 2017 Jul;37(7):3711-3715. doi: 10.21873/anticanres.11743.