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Hargrave, Darren R; Bouffet, Eric; Tabori, Uri; Broniscer, Alberto; Cohen, Kenneth J; Hansford, Jordan R; Geoerger, Birgit; Hingorani, Pooja; Dunkel, Ira J; Russo, Mark W; Tseng, Lillian; Dasgupta, Kohinoor; Gasal, Eduard; Whitlock, James A; Kieran, Mark W
Clinical cancer research, 12/2019, Letnik: 25, Številka: 24Journal Article
Pediatric low-grade glioma (pLGG) is the most prevalent childhood brain tumor. Patients with V600 mutation-positive pLGG may benefit from treatment with dabrafenib. Part 2 of a phase I/IIa study, open-label study (NCT01677741) explores the activity and safety of dabrafenib treatment in these patients. Patients ages 1 to <18 years who had V600-mutant solid tumors (≥1 evaluable lesion) with recurrent, refractory, or progressive disease after ≥1 standard therapy were treated with oral dabrafenib 3.0 to 5.25 mg/kg/day (part 1) or at the recommended phase II dose (RP2D; part 2). Primary objectives were to determine the RP2D (part 1, results presented in a companion paper) and assess clinical activity (part 2). Here, we report the clinical activity, including objective response rates (ORRs) using Response Assessment in Neuro-Oncology criteria and safety across parts 1 and 2. Overall, 32 patients with pLGG were enrolled (part 1, = 15; part 2, = 17). Minimum follow-up was 26.2 months. Among all patients, the ORR was 44% 95% confidence interval (CI), 26-62 by independent review. The 1-year progression-free survival rate was 85% (95% CI, 64-94). Treatment-related adverse events (AE) were reported in 29 patients (91%); the most common was fatigue (34%). Grade 3/4 treatment-related AEs were reported in 9 patients (28%). Dabrafenib demonstrated meaningful clinical activity and acceptable tolerability in patients with V600-mutant pLGG.
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Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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