Efficacy of BGJ398, a Fibroblast Growth Factor Receptor 1-3 Inhibitor, in Patients with Previously Treated Advanced Urothelial Carcinoma with FGFR3 Alterations

BGJ398, a potent and selective pan-FGFR antagonist, was prospectively evaluated in patients with metastatic urothelial carcinoma bearing a diverse array of alterations. Patients ( = 67) who were unable to receive platinum chemotherapy were enrolled. The majority (70.1%) had received two or more prio...

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Veröffentlicht in:Cancer discovery 2018-07, Vol.8 (7), p.812-821
Hauptverfasser: Pal, Sumanta K, Rosenberg, Jonathan E, Hoffman-Censits, Jean H, Berger, Raanan, Quinn, David I, Galsky, Matthew D, Wolf, Juergen, Dittrich, Christian, Keam, Bhumsuk, Delord, Jean-Pierre, Schellens, Jan H M, Gravis, Gwenaelle, Medioni, Jacques, Maroto, Pablo, Sriuranpong, Virote, Charoentum, Chaiyut, Burris, Howard A, Grünwald, Viktor, Petrylak, Daniel, Vaishampayan, Ulka, Gez, Eliahu, De Giorgi, Ugo, Lee, Jae-Lyun, Voortman, Jens, Gupta, Sumati, Sharma, Sunil, Mortazavi, Amir, Vaughn, David J, Isaacs, Randi, Parker, Katie, Chen, Xueying, Yu, Kun, Porter, Dale, Graus Porta, Diana, Bajorin, Dean F
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container_end_page 821
container_issue 7
container_start_page 812
container_title Cancer discovery
container_volume 8
creator Pal, Sumanta K
Rosenberg, Jonathan E
Hoffman-Censits, Jean H
Berger, Raanan
Quinn, David I
Galsky, Matthew D
Wolf, Juergen
Dittrich, Christian
Keam, Bhumsuk
Delord, Jean-Pierre
Schellens, Jan H M
Gravis, Gwenaelle
Medioni, Jacques
Maroto, Pablo
Sriuranpong, Virote
Charoentum, Chaiyut
Burris, Howard A
Grünwald, Viktor
Petrylak, Daniel
Vaishampayan, Ulka
Gez, Eliahu
De Giorgi, Ugo
Lee, Jae-Lyun
Voortman, Jens
Gupta, Sumati
Sharma, Sunil
Mortazavi, Amir
Vaughn, David J
Isaacs, Randi
Parker, Katie
Chen, Xueying
Yu, Kun
Porter, Dale
Graus Porta, Diana
Bajorin, Dean F
description BGJ398, a potent and selective pan-FGFR antagonist, was prospectively evaluated in patients with metastatic urothelial carcinoma bearing a diverse array of alterations. Patients ( = 67) who were unable to receive platinum chemotherapy were enrolled. The majority (70.1%) had received two or more prior antineoplastic therapies. BGJ398 was administered orally at 125 mg/day on a 3 weeks on, 1 week off schedule until unacceptable toxicity or progression. The primary endpoint was the response rate. Among 67 patients treated, an overall response rate of 25.4% was observed and an additional 38.8% of patients had disease stabilization, translating to a disease control rate of 64.2%. The most common treatment-emergent toxicities were hyperphosphatemia, elevated creatinine, fatigue, constipation, and decreased appetite. Further examination of BGJ398 in this disease setting is warranted. BJG398 is active in patients with alterations in , resulting in both reductions in tumor volume and stabilization of disease. Our data highlight putative mechanisms of resistance to the agent, which may be useful in following disease status. .
doi_str_mv 10.1158/2159-8290.CD-18-0229
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Rosenberg, Jonathan E ; Hoffman-Censits, Jean H ; Berger, Raanan ; Quinn, David I ; Galsky, Matthew D ; Wolf, Juergen ; Dittrich, Christian ; Keam, Bhumsuk ; Delord, Jean-Pierre ; Schellens, Jan H M ; Gravis, Gwenaelle ; Medioni, Jacques ; Maroto, Pablo ; Sriuranpong, Virote ; Charoentum, Chaiyut ; Burris, Howard A ; Grünwald, Viktor ; Petrylak, Daniel ; Vaishampayan, Ulka ; Gez, Eliahu ; De Giorgi, Ugo ; Lee, Jae-Lyun ; Voortman, Jens ; Gupta, Sumati ; Sharma, Sunil ; Mortazavi, Amir ; Vaughn, David J ; Isaacs, Randi ; Parker, Katie ; Chen, Xueying ; Yu, Kun ; Porter, Dale ; Graus Porta, Diana ; Bajorin, Dean F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-8ed7d396485a807f2f0cf969d574a14ee42fccbd6ee50dbb82b213495b4422d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Administration, Oral</topic><topic>Aged</topic><topic>Antineoplastic Agents - administration &amp; 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identifier ISSN: 2159-8274
ispartof Cancer discovery, 2018-07, Vol.8 (7), p.812-821
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language eng
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research
subjects Administration, Oral
Aged
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Female
Humans
Male
Middle Aged
Mutation
Phenylurea Compounds - administration & dosage
Phenylurea Compounds - adverse effects
Phenylurea Compounds - pharmacology
Phenylurea Compounds - therapeutic use
Pyrimidines - administration & dosage
Pyrimidines - adverse effects
Pyrimidines - pharmacology
Pyrimidines - therapeutic use
Receptor, Fibroblast Growth Factor, Type 1 - antagonists & inhibitors
Receptor, Fibroblast Growth Factor, Type 3 - antagonists & inhibitors
Receptor, Fibroblast Growth Factor, Type 3 - genetics
Treatment Outcome
Urologic Neoplasms - drug therapy
Urologic Neoplasms - metabolism
title Efficacy of BGJ398, a Fibroblast Growth Factor Receptor 1-3 Inhibitor, in Patients with Previously Treated Advanced Urothelial Carcinoma with FGFR3 Alterations
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