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The potential of sunitinib as a therapy in ovarian cancer
Umberto Leone Roberti Maggiore1, Mario Valenzano Menada, Pier Luigi Venturini
1University of Genoa, San Martino Hospital and National Institute for Cancer Research, Department of Obstetrics and Gynecology , Largo R. Benzi 1, 16132 Genoa , Italy +01139 010511525 ; +01139 010511525 ; simone.ferrero@unige.it.
Introduction:
Sunitinib malate (SU11248; Sutent®; Pfizer, Inc., New York) is a multi-kinase inhibitor currently approved for use in advanced renal cell carcinoma (RCC), imatinib-resistant/-intolerant gastrointestinal stromal tumours and progressive, well-differentiated pancreatic neuroendocrine tumours in patients with unresectable, locally advanced or metastatic disease.
Areas Covered:
This article describes the mechanism of action and of the pharmacokinetics of sunitinib; further, it summarizes Phase I and II trials on the clinical efficacy, tolerability and safety of this agent in the setting of ovarian cancer (OC) treatment.
Expert Opinion:
On the basis of the current literature, sunitinib has shown modest antitumour activity and acceptable toxicity. Studies investigating the impact of horizontal and vertical combinations should represent a priority of future research. Although clinical Phase II trials on the use of sunitinib in the treatment of OC demonstrated an acceptable profile of AEs, a greater comprehension of the toxicity of this compound is recommended.
Insights
Sunitinib malate, a multi-kinase inhibitor, shows modest antitumor activity and acceptable toxicity in ovarian cancer treatment. Future research should explore combinations and further evaluate sunitinib
Area of Science:
- Oncology
- Pharmacology
Background:
- Sunitinib malate (SU11248) is an approved multi-kinase inhibitor for advanced renal cell carcinoma, gastrointestinal stromal tumors, and pancreatic neuroendocrine tumors.
- This review focuses on sunitinib's application in ovarian cancer treatment.
Purpose of the Study:
- To describe the mechanism of action and pharmacokinetics of sunitinib.
- To summarize clinical trial data on sunitinib's efficacy, tolerability, and safety in ovarian cancer.
Main Methods:
- Review of existing literature on sunitinib.
- Summary of Phase I and II clinical trials for ovarian cancer.
Main Results:
- Sunitinib demonstrates modest antitumor activity in ovarian cancer.
- The agent exhibits an acceptable safety and tolerability profile in Phase II trials.
Conclusions:
- Further research into sunitinib combinations (horizontal and vertical) is warranted.
- Enhanced understanding of sunitinib's toxicity in ovarian cancer is recommended.
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