PMID- 28969086 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 38 DP - 2017 Sep 8 TI - Efficacy and safety of Apatinib in stage IV sarcomas: experience of a major sarcoma center in China. PG - 64471-64480 LID - 10.18632/oncotarget.16293 [doi] AB - PURPOSE: This study was conducted to review the efficacy and safety of Apatinib in stage IV sarcoma patients who failed previous chemotherapy. MATERIALS AND METHODS: The clinical information on 16 patients with stage IV sarcomas who failed in prior chemotherapy and subsequently received Apatinib treatment was collected. Apatinib was given 500mg/daily and 4 weeks as a cycle. All patients had at least one measurable extracranial tumor according to Response Evaluation Criteria In Solid Tumors 1.0 criteria. Progression free survival (PFS), overall survival (OS), objective response rate (ORR), disease control rate (DCR) and treatment-related adverse effects (AEs) were reviewed and evaluated. RESULTS: Patients was administered Apatinib for 0 to 9 cycles with the median of 3.2 cycles. Median follow-up time was 8.4 months (1 to 12 months). Ten of 16 patients received at least 1 complete cycle of Apatinib treatment were eligible for the efficacy analysis. The median PFS was 8.84 months. Two patients achieved partial response (PR) and 6 patients achieved stable disease (SD). Two patients were evaluated as progression disease (PD) and one patient died of disease progression. The ORR was 20.0% (2/10) and the DCR was 80.0% (8/10). The most common grade 3/4 treatment-related AEs were hypertension (18.7%), hand-foot syndrome (12.5%) and proteinuria (6.3%). No drug-related severe AEs occurred. CONCLUSION: CApatinib treatment in this exploratory study exhibited objective efficacy and manageable toxicity in stage IV sarcoma patients who failed in chemotherapy. This result supports future random controlled trial to further define Apatinib activity in stage IV sarcomas. FAU - Li, Feng AU - Li F AD - Department of Bone and Soft Tissue Tumor, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. AD - National Clinical Research Center of Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. FAU - Liao, Zhichao AU - Liao Z AD - Department of Bone and Soft Tissue Tumor, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. AD - National Clinical Research Center of Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. FAU - Zhao, Jun AU - Zhao J AD - Department of Bone and Soft Tissue Tumor, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. AD - National Clinical Research Center of Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. FAU - Zhao, Gang AU - Zhao G AD - National Clinical Research Center of Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. AD - Department of Pathology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. FAU - Li, Xubin AU - Li X AD - National Clinical Research Center of Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. AD - Department of Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. FAU - Du, Xiaoling AU - Du X AD - Department of Diagnostics, Tianjin Medical University, Tianjin, People's Republic of China. FAU - Yang, Yun AU - Yang Y AD - Department of Bone and Soft Tissue Tumor, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. AD - National Clinical Research Center of Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. FAU - Yang, Jilong AU - Yang J AD - Department of Bone and Soft Tissue Tumor, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. AD - National Clinical Research Center of Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China. LA - eng PT - Journal Article DEP - 20170316 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5610018 OTO - NOTNLM OT - Apatinib OT - clinical benefit response OT - efficacy OT - progression free survival OT - sarcoma COIS- CONFLICTS OF INTEREST The authors declare that they have no conflict of interest. EDAT- 2017/10/04 06:00 MHDA- 2017/10/04 06:01 PMCR- 2017/09/08 CRDT- 2017/10/04 06:00 PHST- 2016/10/06 00:00 [received] PHST- 2017/03/01 00:00 [accepted] PHST- 2017/10/04 06:00 [entrez] PHST- 2017/10/04 06:00 [pubmed] PHST- 2017/10/04 06:01 [medline] PHST- 2017/09/08 00:00 [pmc-release] AID - 16293 [pii] AID - 10.18632/oncotarget.16293 [doi] PST - epublish SO - Oncotarget. 2017 Mar 16;8(38):64471-64480. doi: 10.18632/oncotarget.16293. eCollection 2017 Sep 8.