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Phase II trial of lenalidomide in patients with metastatic renal cell carcinoma
Authors:Premal H. Patel  G. Varuni Kondagunta  Lawrence Schwartz  Nicole Ishill  Jennifer Bacik  John DeLuca  Paul Russo  Robert J. Motzer
Affiliation:(1) Genitourinary Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA;(2) Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA;(3) Department of Biostatistics, Epidemiology and Statistics, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA;(4) Department of Surgery, Urologic Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA;(5) Genitourinary Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA
Abstract:Summary Lenalidomide (CC-5013) is a structural derivative of thalidomide, with antiangiogenic and immunomodulatory effects. Fourteen patients with metastatic renal cell carcinoma (RCC) were enrolled on a phase 2 trial of lenalidomide administered orally at 25 mg daily for 21 days followed by a rest period of 7 days. The best response was stable disease in eight patients (57%) of the 14 evaluable patients. Toxicities included fatigue, hyperglycemia, dyspnea, and myelosuppression with decreased hemoglobin, lymphopenia, and neutropenia. Lenalidomide is tolerable, but no objective responses were observed in this clinical trial.
Keywords:Renal cell carcinoma  Lenalidomide  Thalidomide  CC-5013  Phase II
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