Sunitinib malate for metastatic castration-resistant prostate cancer following docetaxel-based chemotherapy.

Published

Journal Article

BACKGROUND: Systemic therapy options are limited for metastatic castration-resistant prostate cancer (CRPC) patients who progress following docetaxel (Taxotere). This phase II trial evaluated sunitinib malate in patients with progressing metastatic CRPC following prior docetaxel. PATIENTS AND METHODS: Patients with metastatic CRPC progressing following one to two chemotherapy regimens including docetaxel were included. The primary end point was progression-free survival (PFS) per radiographic and clinical evaluations. Oral sunitinib was administered 50 mg/day 4-weeks on followed by 2-weeks off per cycle up to a maximum of eight cycles or until clinical progression or intolerable toxicity. RESULTS: Thirty-six patients with a median age of 69.5 years were accrued. The median PFS was 19.4 weeks with a 12-week PFS of 75.8%. Four patients (12.1%) had a > or =50% prostate-specific antigen (PSA) decline and seven (21.2%) had a > or =30% PSA decline. Two of 18 patients (11.1%) with measurable disease demonstrated 30% declines by RECIST and eight (44.4%) displayed some shrinkage. A decline in pain score > or =2 points occurred in 13.6% of 22 assessable patients. Drug discontinuation due to toxic effects occurred in 52.8% of patients. CONCLUSION: Sunitinib malate demonstrated promising activity in metastatic CRPC progressing after prior docetaxel.

Full Text

Duke Authors

Cited Authors

  • Sonpavde, G; Periman, PO; Bernold, D; Weckstein, D; Fleming, MT; Galsky, MD; Berry, WR; Zhan, F; Boehm, KA; Asmar, L; Hutson, TE

Published Date

  • February 2010

Published In

Volume / Issue

  • 21 / 2

Start / End Page

  • 319 - 324

PubMed ID

  • 19633050

Pubmed Central ID

  • 19633050

Electronic International Standard Serial Number (EISSN)

  • 1569-8041

Digital Object Identifier (DOI)

  • 10.1093/annonc/mdp323

Language

  • eng

Conference Location

  • England