PMID- 30105512 OWN - NLM STAT- MEDLINE DCOM- 20181106 LR - 20211204 IS - 1432-1335 (Electronic) IS - 0171-5216 (Linking) VI - 144 IP - 11 DP - 2018 Nov TI - Middle East observational study in metastatic soft tissue sarcoma: an epidemiological study on the treatment patterns (MOON). PG - 2219-2229 LID - 10.1007/s00432-018-2713-6 [doi] AB - PURPOSE: Soft tissue sarcomas (STS) are a heterogeneous group of rare mesenchymal neoplasms, accounting for < 1% of all newly diagnosed malignancies. These tumors can occur in almost any anatomic site though they most frequently occur in the extremities. The objective of the study was to describe the epidemiology, treatment paradigm, and real-world outcomes in the clinical management of metastatic STS (mSTS) in the Middle East and North Africa (MEA) region. METHODS: MOON was an observational, multicenter, retrospective patient chart review study which included 200 patients with mSTS in the final analysis. The primary objective of the study is exploratory, so it is presented using descriptive statistics. RESULTS: At the time of presentation, 62.0% patients had metastatic disease, 27.5% had received only their primary diagnosis and 10.0% had experienced a local recurrence. The most frequent STS localizations were lower extremities (74%), trunk (28.5%) and upper extremities (10.5%). Primary tumor was staged as T2b in the majority (60%) of patients. Surgical treatment was performed most often for the primary disease, whereas radiation therapy and chemotherapy were predominantly administered with palliative intent. A total of 38 patients received treatment with pazopanib. Thirteen adverse events (AEs) were attributed to pazopanib in eight patients. CONCLUSION: Adult patients treated for STS have al most equal gender ratio and mostly are middle aged. The majority of patients have metastatic disease and disease progression, and half of the patients died from the disease during the period of evaluation. This study obtained real-life data on the clinical management of STS in MEA countries which could be shared with the medical community. FAU - Memon, Muhammad A AU - Memon MA AD - Medical Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. memon@kfshrc.edu.sa. FAU - Karaca, Burcak AU - Karaca B AD - Ege University, Izmir, Turkey. FAU - Aboelhassan, Rasha AU - Aboelhassan R AD - Nasser Institute for Research and Treatment, Cairo, Egypt. FAU - Barsoum, Mohsen AU - Barsoum M AD - National Cancer Institute Cairo University, Giza, Egypt. FAU - Erman, Mustafa AU - Erman M AD - Hacettepe University, Ankara, Turkey. FAU - Basaran, Mert AU - Basaran M AD - Istanbul University, Istanbul, Turkey. FAU - Sevinc, Alper AU - Sevinc A AD - Department of Medical Oncology, Medical Park Gaziantep Hospital, Gaziantep, Turkey. FAU - Hanene, Djedi AU - Hanene D AD - Anticancer Center, Annaba, Algeria. FAU - Slader, Cassandra AU - Slader C AD - Novartis Pharma AG, Basel, Switzerland. FAU - Pilipovic, Virginia AU - Pilipovic V AD - Novartis Pharma AG, Basel, Switzerland. FAU - Esma, Kerboua AU - Esma K AD - Centre Pierre et Marie Curie, Alger, Algeria. FAU - Kamel, Bouzid AU - Kamel B AD - Centre Pierre et Marie Curie, Alger, Algeria. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20180813 PL - Germany TA - J Cancer Res Clin Oncol JT - Journal of cancer research and clinical oncology JID - 7902060 RN - 0 (Indazoles) RN - 0 (Pyrimidines) RN - 0 (Sulfonamides) RN - 7RN5DR86CK (pazopanib) SB - IM MH - Adult MH - Africa, Northern/epidemiology MH - Aged MH - Aged, 80 and over MH - Drug Therapy/methods/statistics & numerical data MH - Female MH - Humans MH - Indazoles MH - Male MH - Middle Aged MH - Middle East/epidemiology MH - Neoplasm Metastasis MH - Pyrimidines/adverse effects/therapeutic use MH - Radiotherapy/methods/statistics & numerical data MH - Retrospective Studies MH - Sarcoma/*epidemiology/pathology/*therapy MH - Sulfonamides/adverse effects/therapeutic use MH - Surgical Procedures, Operative/methods/statistics & numerical data OTO - NOTNLM OT - Epidemiological study OT - Middle East OT - Pazopanib OT - Real-world outcomes OT - Soft tissue sarcomas EDAT- 2018/08/15 06:00 MHDA- 2018/11/07 06:00 CRDT- 2018/08/15 06:00 PHST- 2018/06/07 00:00 [received] PHST- 2018/07/17 00:00 [accepted] PHST- 2018/08/15 06:00 [pubmed] PHST- 2018/11/07 06:00 [medline] PHST- 2018/08/15 06:00 [entrez] AID - 10.1007/s00432-018-2713-6 [pii] AID - 10.1007/s00432-018-2713-6 [doi] PST - ppublish SO - J Cancer Res Clin Oncol. 2018 Nov;144(11):2219-2229. doi: 10.1007/s00432-018-2713-6. Epub 2018 Aug 13.