Most Read Articles
19 Sep 2018
In advanced-stage, newly diagnosed classical, CD30-positive Hodgkin lymphoma (HL), front-line therapy has resulted in durable remission rates in up to 70–90% of patients, although approximately 25–30% of advanced stage HL patients are refractory or relapse following first-line treatment with ABVD (adriamycin, bleomycin, vinblastine, dacarbazine) chemotherapy.1–3 The standard of care for patients with relapsed or refractory (r/r) classical HL is salvage therapy using second-line high-dose chemotherapy (HDCT), followed by autologous haematopoietic stem cell transplant (ASCT) in eligible patients, which can induce a complete remission (CR) in about 50% of patients.4 Nevertheless, the prognosis of patients who relapse after the salvage HDCT/ASCT is exceedingly poor, with a median survival duration of approximately 1.2 years.5
Elaine Soliven, 28 Jun 2019
Adjuvant treatment with ipilimumab significantly improved overall survival (OS) among patients with resected high-risk melanoma compared with high-dose interferon-α2b (HDI*), according to final results of the North American Intergroup E1609** trial presented at ASCO 2019.
Audrey Abella, 14 Jun 2019
The taxane-based TPEx regimen demonstrated encouraging overall survival (OS) benefit for recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC) compared with the fluorouracil (5FU)-based EXTREME regimen, according to the results of the TPExtreme* trial presented at ASCO 2019.
Elaine Soliven, 18 Jun 2019
Neoadjuvant treatment with trastuzumab emtansine (T-DM1) plus pertuzumab led to an elevated risk of 3-year event-free survival (EFS) events in patients with HER2-positive breast cancer, according to a secondary analysis of the KRISTINE* trial presented at ASCO 2019.

Neoadjuvant axitinib in renal cell carcinoma tied to reduced body weight, skeletal muscle

17 Oct 2017

Use of axitinib in the neoadjuvant setting appears to result in weight loss, with notable reductions in skeletal muscle and subcutaneous adipose tissue in patients with localized renal cell carcinoma, a recent study has shown.

Furthermore, there was a trend toward a lower neoadjuvant axitinib response rate in the presence of sarcopenia.

The study included 23 patients who underwent nephrectomy following 12 weeks of treatment with oral axitinib. All patients completed computed tomography scans at baseline, after 7 weeks of treatment and at treatment completion at 12 weeks.

The primary outcome of interest was change in body compartment composition. Secondary outcomes were development of new-onset sarcopenia and changes in body weight.

Of the patients, 19 (82.6 percent) lost weight at 12 weeks, with a median weight loss of 4.5 kg (p<0.001). There were seven patients (30.4 percent) who had sarcopenia at baseline, and five more patients who developed the condition during treatment.

Reductions were also seen in skeletal muscle (median, 2.9 cm2/m2; p<0.001), visceral adipose tissue (median, 4.9 cm2/m2; p=0.132) and subcutaneous adipose tissue (1.0 cm2/m2; p=0.043).

A partial response to treatment was reported for 10 of the 16 patients (62.5 percent) without baseline sarcopenia vs only one of the seven patients (14.3 percent) with baseline pretreatment sarcopenia (p=0.069).

According to researchers, the lower response rates to axitinib in the sarcopenic group may be partially explained by the presence of elevated vascular endothelial growth factor A levels in patients with cancer-related weight loss.

Larger studies evaluating the use of neoadjuvant axitinib in renal cell carcinoma are needed to confirm the current findings and to investigate the association between baseline sarcopenia and response to targeted therapy, researchers added.

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Most Read Articles
19 Sep 2018
In advanced-stage, newly diagnosed classical, CD30-positive Hodgkin lymphoma (HL), front-line therapy has resulted in durable remission rates in up to 70–90% of patients, although approximately 25–30% of advanced stage HL patients are refractory or relapse following first-line treatment with ABVD (adriamycin, bleomycin, vinblastine, dacarbazine) chemotherapy.1–3 The standard of care for patients with relapsed or refractory (r/r) classical HL is salvage therapy using second-line high-dose chemotherapy (HDCT), followed by autologous haematopoietic stem cell transplant (ASCT) in eligible patients, which can induce a complete remission (CR) in about 50% of patients.4 Nevertheless, the prognosis of patients who relapse after the salvage HDCT/ASCT is exceedingly poor, with a median survival duration of approximately 1.2 years.5
Elaine Soliven, 28 Jun 2019
Adjuvant treatment with ipilimumab significantly improved overall survival (OS) among patients with resected high-risk melanoma compared with high-dose interferon-α2b (HDI*), according to final results of the North American Intergroup E1609** trial presented at ASCO 2019.
Audrey Abella, 14 Jun 2019
The taxane-based TPEx regimen demonstrated encouraging overall survival (OS) benefit for recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC) compared with the fluorouracil (5FU)-based EXTREME regimen, according to the results of the TPExtreme* trial presented at ASCO 2019.
Elaine Soliven, 18 Jun 2019
Neoadjuvant treatment with trastuzumab emtansine (T-DM1) plus pertuzumab led to an elevated risk of 3-year event-free survival (EFS) events in patients with HER2-positive breast cancer, according to a secondary analysis of the KRISTINE* trial presented at ASCO 2019.