Balancing Prolonged Survival with QoL Using Low-dose Pazopanib Maintenance: A Comparison with the PALETTE Study

Anticancer Res. 2016 Jun;36(6):2893-7.

Abstract

Background: A consensus has not been reached regarding the optimal pazopanib dosing schedule, which we determined in patients who received pazopanib at our Institution.

Patients and methods: Twenty-five patients who were prescribed pazopanib between 2012 and 2015 were included in this retrospective analysis.

Results: The median progression-free survival (PFS) time was 7.7 months. This time (various doses) was similar to that achieved by high-dose pazopanib in the PALETTE study. The log-rank test revealed no significant differences in the PFS times between the low- and high-dose pazopanib groups, with the majority of patients receiving a dose of 400 mg, indicating that controlling the side-effects might be more critical than administering higher doses.

Conclusion: Pazopanib should be started from a low dose with careful increase to avoid pazopanib-related side-effects, which is necessary to provide a balance between the life-prolonging effects of pazopanib and quality of life (QoL) of patients.

Keywords: Pazopanib; dose; quality of life; side effect; soft tissue sarcoma.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Angiogenesis Inhibitors / therapeutic use*
  • Female
  • Histiocytoma, Malignant Fibrous / drug therapy*
  • Histiocytoma, Malignant Fibrous / mortality
  • Histiocytoma, Malignant Fibrous / psychology
  • Humans
  • Indazoles
  • Male
  • Middle Aged
  • Pyrimidines / administration & dosage
  • Pyrimidines / adverse effects
  • Pyrimidines / therapeutic use*
  • Quality of Life*
  • Retrospective Studies
  • Sarcoma / drug therapy*
  • Sarcoma / mortality
  • Sarcoma / psychology
  • Sulfonamides / administration & dosage
  • Sulfonamides / adverse effects
  • Sulfonamides / therapeutic use*

Substances

  • Angiogenesis Inhibitors
  • Indazoles
  • Pyrimidines
  • Sulfonamides
  • pazopanib