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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Cancer+Chemother+Pharmacol 2014 ; 74 (3): 465-71 Nephropedia Template TP
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Phase Ib study of dovitinib in combination with gemcitabine plus cisplatin or gemcitabine plus carboplatin in patients with advanced solid tumors #MMPMID25023489
Cancer Chemother Pharmacol 2014[Sep]; 74 (3): 465-71 PMID25023489show ga
Purpose: Dovitinib is a small molecule kinase inhibitor with activity against the fibroblast growth factor and vascular endothelial growth factor receptor families. The purpose of this phase Ib study was to define the recommended phase 2 dose of the combinations of gemcitabine and cisplatin or gemcitabine and carboplatin plus dovitinib. Methods: Patients with advanced solid tumors were enrolled in two parallel dose escalation arms (cisplatin- or carboplatin-based regimens). Treatment was administered with gemcitabine (1000 mg/m2 on days 1 and 8), cisplatin (70 mg/m2) or carboplatin (AUC 5) on day 1, and dovitinib (orally on days 1-5, 8-12 and 15-19), every 21 days. The starting dose of dovitinib was 300 mg and was dose escalated in successive cohorts using 3+3 dose escalation rules. Results: Fourteen patients with advanced solid tumors were enrolled, 5 to the cisplatin arm and 9 to the carboplatin arm. Patients enrolled in the cisplatin arm received a median of 2 cycles of treatment (range, 1-5) and patients enrolled in the carboplatin arm received a median of 1 cycle of treatment (range, 1-4). There were no protocol-defined dose-limiting toxicities in the cisplatin arm. However, the cohort was closed due to the need for frequent dose delays and/or reductions and two patients experiencing severe thromboembolic events. There were two dose-limiting toxicities in the carboplatin arm at the starting dose level of dovitinib (both prolonged neutropenia) and the dose of dovitinib was de-escalated to 200 mg. Two additional dose-limiting toxicities (prolonged neutropenia and febrile neutropenia) occurred in the lower dose cohort and the study was closed. No patients achieved an objective response to treatment. Conclusions: Dovitinib in combination with gemcitabine plus cisplatin or gemcitabine plus carboplatin was poorly tolerated due to myelosuppression.