Mapping the literature: Role of trabectedin as a new chemotherapy option in advanced pretreated soft tissue sarcoma

Axel Le Cesne, J. Domont, A. Cioffi, S. Bonvalot, P. Terrier, I. Ray-Coquard, V. Alfaro, C. Lebedinsky, P. Santabarbara, J. Y. Blay

    Résultats de recherche: Contribution à un journalArticle 'review'Revue par des pairs

    15 Citations (Scopus)

    Résumé

    This bibliographic review evaluated phase II clinical trials aimed at the identification of antitumor activity of single agents in soft tissue sarcoma (STS) after failure of standard-of-care therapy including anthracyclines and ifosfamide. A total of 63 articles (on anthracyclines, ifosfamide, trabectedin and 27 investigational agents) were included (data from 1979 to 2008). Trabectedin is the most extensively studied agent in patients with STS after failure of anthracyclines and ifosfamide (457 patients), followed by ifosfamide (412), cisplatin (144), temozolomide (137), docetaxel (114), gemcitabine (112), etoposide (95) and doxorubicin (59). Dacarbazine and the remaining investigational agents have usually been tested in 50 or fewer patients, with vastly negative results not warranting further investigation. Methodological limitations are identified in the majority of the reviewed phase II studies, including small sample size, single-institution studies, lack of independent review of the antitumor responses and inadequate description of previous therapies/agents. However, all trabectedin studies fulfilled these methodological characteristics relevant for a phase II trial. A phase II randomized trial confirmed the results of 3 prior nonrandomized studies and, therefore, trabectedin is currently considered an important new option to control advanced sarcomas in patients with STS following failure of all conventional treatments.

    langue originaleAnglais
    Pages (de - à)403-421
    Nombre de pages19
    journalDrugs of Today
    Volume45
    Numéro de publication6
    Les DOIs
    étatPublié - 1 juin 2009

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