Efficacy and Safety of the Oral Multikinase Regorafenib in Metastatic Colorectal Cancer

Oncology. 2017;93(6):354-358. doi: 10.1159/000479112. Epub 2017 Sep 6.

Abstract

Background/aim: A clinical trial demonstrated that treatment with oral multikinase regorafenib improved overall survival (OS), progression-free survival (PFS), and disease control [García-Alfonso et al.: J Clin Transl Oncol 2016;18:1072-1081; Bertocchi et al.: J Chemother 2017;29:102-105]. In this study, we aimed to evaluate its effectiveness in Italian patients with hormone-refractory metastatic castration-resistant prostate cancer (mCRPC) progressing after chemotherapy with docetaxel plus prednisone.

Materials and methods: 60 patients were enrolled. OS has been assessed as the primary endpoint while PFS, quality of life, safety, and response rate represented secondary endpoints.

Results: A modest tolerability was observed in our group showing a manageable toxicity profile and a modest objective response rate. It was associated with stable disease. A significant correlation between quality of life and OS was also noticed.

Conclusions: Regorafenib has been proven to be an effective and well-tolerated therapeutic option in patients with mCRPC progressing after docetaxel plus prednisone treatment.

Keywords: Adenocarcinoma; Chemotherapy; Metastatic colorectal cancer; Quality of life; Regorafenib.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Colorectal Neoplasms / drug therapy*
  • Disease-Free Survival
  • Docetaxel
  • Female
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Phenylurea Compounds / adverse effects*
  • Phenylurea Compounds / therapeutic use*
  • Prednisone / administration & dosage
  • Prostatic Neoplasms, Castration-Resistant / drug therapy
  • Pyridines / adverse effects*
  • Pyridines / therapeutic use*
  • Quality of Life
  • Retrospective Studies
  • Taxoids / administration & dosage
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Phenylurea Compounds
  • Pyridines
  • Taxoids
  • Docetaxel
  • regorafenib
  • Prednisone