Open Access

A single-center experience of sorafenib monotherapy in patients with advanced intrahepatic cholangiocarcinoma

  • Authors:
    • Ting‑Ting Pan
    • Wei Wang
    • Wei‑Dong Jia
    • Ge‑Liang Xu
  • View Affiliations

  • Published online on: March 13, 2017     https://doi.org/10.3892/ol.2017.5847
  • Pages: 2957-2964
  • Copyright: © Pan et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Patients with advanced intrahepatic cholangiocarcinoma (ICC) have a poor prognosis and the therapeutic options available for treating ICC are limited. Sorafenib, a multikinase inhibitor of vascular endothelial growth factor receptor 2 and 3, platelet derived growth factor receptor‑β, B‑Raf proto‑oncogene, serine/threonine kinase and C‑Raf proto‑oncogene, serine/threonine kinase, is a novel reference standard for the treatment of advanced hepatocellular carcinoma. Sorafenib has previously been demonstrated to exhibit significant antitumor activity in various cholangiocarcinoma cell lines and in xenograft ICC models. The present study aimed to assess the efficacy and safety of sorafenib as a single‑agent treatment in patients with advanced ICC. Eligible patients were administere no prior therapy for metastatic or unresectable disease. Sorafenib was administered orally at a dose of 400 mg twice daily continuously. The primary endpoint was considered as the disease control rate (DCR) at 12 weeks. Secondary endpoints included time to progression (TTP), progression‑free survival (PFS), overall survival (OS), duration of treatment (DOT) and the adverse event profile. A total of 15 patients were enrolled in the present study, with a median DOT of 3.2 months (range, 1.5‑30 months). A total of 4 patients achieved a partial response and 7 patients achieved stable disease, with a DCR of 73.3%. The median OS time was 5.7 months [95% confidence interval (CI), 5.0‑6.4], the PFS time was 5.5 months (95% CI, 3.9‑7.1) and the median TTP was 3.2 months (range, 1.5‑29 months). The most common toxicity was a skin rash, which w1as observed in 5 patients (33.3%). Grade 3 hand‑foot syndrome was observed in 1 patient (6.7%), which required treatment termination. The results of the present study suggest that sorafenib monotherapy may exhibit promising anticancer activity in patients with advanced ICC and that it has a manageable toxicity profile.
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May-2017
Volume 13 Issue 5

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Pan TT, Wang W, Jia WD and Xu GL: A single-center experience of sorafenib monotherapy in patients with advanced intrahepatic cholangiocarcinoma. Oncol Lett 13: 2957-2964, 2017.
APA
Pan, T., Wang, W., Jia, W., & Xu, G. (2017). A single-center experience of sorafenib monotherapy in patients with advanced intrahepatic cholangiocarcinoma. Oncology Letters, 13, 2957-2964. https://doi.org/10.3892/ol.2017.5847
MLA
Pan, T., Wang, W., Jia, W., Xu, G."A single-center experience of sorafenib monotherapy in patients with advanced intrahepatic cholangiocarcinoma". Oncology Letters 13.5 (2017): 2957-2964.
Chicago
Pan, T., Wang, W., Jia, W., Xu, G."A single-center experience of sorafenib monotherapy in patients with advanced intrahepatic cholangiocarcinoma". Oncology Letters 13, no. 5 (2017): 2957-2964. https://doi.org/10.3892/ol.2017.5847