PMID- 31162772 OWN - NLM STAT- MEDLINE DCOM- 20201123 LR - 20201123 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 41 IP - 8 DP - 2019 Aug TI - Efficacy and toxicity of sorafenib in the treatment of advanced medullary thyroid carcinoma: A systematic review and meta-analysis. PG - 2823-2829 LID - 10.1002/hed.25832 [doi] AB - INTRODUCTION: The aim of this study is to investigate and summarize the treatment efficacy and adverse effects (AEs) of sorafenib in the treatment of metastatic medullary thyroid carcinomas (MTCs). METHODS: We included studies reporting the treatment efficacy or drug toxicity of sorafenib as a single therapeutic agent in MTCs. Pooled incidence and its 95% confidence interval (CI) for complete response, partial response (PR), stable disease (SD), and sorafenib-related AEs were calculated using random-effect model. RESULTS: Eight trials with 101 metastatic MTCs were included for meta-analyses. The overall PR and SD were 21% (95% CI = 9-33) and 58% (95% CI = 41-75), respectively. Hand-foot syndrome, diarrhea, alopecia, mucositis, skin rash, fatigue, and hypertension were the most commonly observed AEs. CONCLUSION: Our results show that sorafenib treatment has a modest effect and might be a candidate treatment in patients with metastatic MTCs who have failed other therapeutic regimens. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Vuong, Huy Gia AU - Vuong HG AUID- ORCID: 0000-0001-6213-765X AD - Department of Pathology, University of Yamanashi, Chuo, Yamanashi, Japan. FAU - Ho, An Thi Nhat AU - Ho ATN AD - Department of Medicine, Medstar Harbor Hospital, Baltimore, Maryland. FAU - Tran, Thao T K AU - Tran TTK AD - Faculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam. FAU - Capdevila, Jaume AU - Capdevila J AD - Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain. FAU - Benekli, Mustafa AU - Benekli M AD - Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey. FAU - Nakazawa, Tadao AU - Nakazawa T AD - Department of Pathology, University of Yamanashi, Chuo, Yamanashi, Japan. FAU - Katoh, Ryohei AU - Katoh R AD - Department of Pathology, University of Yamanashi, Chuo, Yamanashi, Japan. FAU - Kondo, Tetsuo AU - Kondo T AD - Department of Pathology, University of Yamanashi, Chuo, Yamanashi, Japan. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20190604 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - 0 (Antineoplastic Agents) RN - 9ZOQ3TZI87 (Sorafenib) RN - Thyroid cancer, medullary SB - IM MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - Carcinoma, Neuroendocrine/*drug therapy/secondary MH - Humans MH - Sorafenib/adverse effects/*therapeutic use MH - Thyroid Neoplasms/*drug therapy/secondary OTO - NOTNLM OT - VEGFR OT - adverse effect OT - drug toxicity OT - medullary thyroid carcinoma OT - partial response OT - sorafenib OT - stable disease OT - targeted therapy EDAT- 2019/06/05 06:00 MHDA- 2020/11/24 06:00 CRDT- 2019/06/05 06:00 PHST- 2018/11/15 00:00 [received] PHST- 2019/03/03 00:00 [revised] PHST- 2019/05/22 00:00 [accepted] PHST- 2019/06/05 06:00 [pubmed] PHST- 2020/11/24 06:00 [medline] PHST- 2019/06/05 06:00 [entrez] AID - 10.1002/hed.25832 [doi] PST - ppublish SO - Head Neck. 2019 Aug;41(8):2823-2829. doi: 10.1002/hed.25832. Epub 2019 Jun 4.