Direkt zum Inhalt
  1. Publizieren |
  2. Suche |
  3. Browsen |
  4. Neuzugänge rss |
  5. Open Access |
  6. Rechtsfragen |
  7. EnglishCookie löschen - von nun an wird die Spracheinstellung Ihres Browsers verwendet.

EFFECTS: an expanded access program of everolimus for patients with subependymal giant cell astrocytoma associated with tuberous sclerosis complex

Fogarasi, Andras ; De Waele, Liesbeth ; Bartalini, Gabriella ; Jozwiak, Sergiusz ; Laforgia, Nicola ; Verhelst, Helene ; Petrak, Borivoj ; Pedespan, Jean-Michel ; Witt, Olaf ; Castellana, Ramon ; Crippa, Stefania ; Gislimberti, Gabriella ; Gyorsok, Zsuzsanna

In: BMC Neurology, 16 (2016), Nr. 126. S. 1-9. ISSN 1471-2377

[thumbnail of 12883_2016_Article_658.pdf]
Vorschau
PDF, Englisch
Download (558kB) | Lizenz: Creative Commons LizenzvertragEFFECTS: an expanded access program of everolimus for patients with subependymal giant cell astrocytoma associated with tuberous sclerosis complex von Fogarasi, Andras ; De Waele, Liesbeth ; Bartalini, Gabriella ; Jozwiak, Sergiusz ; Laforgia, Nicola ; Verhelst, Helene ; Petrak, Borivoj ; Pedespan, Jean-Michel ; Witt, Olaf ; Castellana, Ramon ; Crippa, Stefania ; Gislimberti, Gabriella ; Gyorsok, Zsuzsanna steht unter einer Creative Commons Namensnennung 3.0 Deutschland

Zitieren von Dokumenten: Bitte verwenden Sie für Zitate nicht die URL in der Adresszeile Ihres Webbrowsers, sondern entweder die angegebene DOI, URN oder die persistente URL, deren langfristige Verfügbarkeit wir garantieren. [mehr ...]

Abstract

Background: Everolimus, a mammalian target of rapamycin (mTOR) inhibitor, has been shown to be effective and safe in the treatment of subependymal giant cell astrocytoma (SEGA) associated with tuberous sclerosis complex (TSC). The Everolimus For Fast Expanded aCcess in TSC SEGA (EFFECTS) study was designed to provide everolimus access to patients with SEGA associated with TSC and to mainly assess the safety and also efficacy of everolimus in a real-world setting. Methods: EFFECTS was a phase 3b, open-label, noncomparative, multicenter, expanded access study. Eligible patients were ≥ 3 years of age, with a definite diagnosis of TSC, and with at least one SEGA lesion identified by MRI or CT scan. Patients received once daily everolimus (dose adjusted to attain a trough level of 5-15 ng/mL). Safety evaluation was the primary objective and included collection of adverse events (AEs) and serious AEs, with their severity and relationship to everolimus. Efficacy evaluation, which was the secondary objective, was based on the best overall response as per medical judgment. Results: Of the 120 patients enrolled, 100 (83.3%) completed the study. Median age of patients was 11 years (range, 1-47). Median daily dose of everolimus was 5.82 mg (range, 2.0–11.8). Median duration of exposure was 56.5 weeks (range, 0.3–130). The overall incidence of AEs was 74.2%. Aphthous stomatitis (18 [15.0%]), pyrexia (18 [15.0%]), bronchitis (11 [9.2%]), and stomatitis (10 [8.3%]) were the most common AEs reported. Overall, 25 patients had grade 3 AEs; most frequent was stomatitis (4 [3.3%]). Grade 4 AEs were reported in three (2.5%) patients. A total of 62 (51.7%) patients had suspected drug-related AEs, of which 15 (12.5%) were of grade 3 or 4. In eight (6.7%) patients, AEs led to drug discontinuation. With regard to efficacy, 81 (67.5%) patients had a partial response, 35 (29.2%) had a stable disease, and one (0.8%) had progressive disease. The response was unknown in three (2.5%) patients. Conclusion: This study confirms the acceptable safety profile of everolimus in patients with SEGA associated with TSC in a real-world setting. The results further support the efficacy of everolimus in the treatment of SEGA associated with TSC. (EudraCT: 2010-022583-13)

Dokumententyp: Artikel
Titel der Zeitschrift: BMC Neurology
Band: 16
Nummer: 126
Verlag: BioMed Central; Springer
Ort der Veröffentlichung: London; Berlin; Heidelberg
Erstellungsdatum: 18 Aug. 2016 12:43
Erscheinungsjahr: 2016
ISSN: 1471-2377
Seitenbereich: S. 1-9
Institute/Einrichtungen: Zentrale und Sonstige Einrichtungen > Deutsches Krebsforschungszentrum
Medizinische Fakultät Heidelberg und Uniklinikum > Universitätskinderklinik
DDC-Sachgruppe: 610 Medizin
Leitlinien | Häufige Fragen | Kontakt | Impressum |
OA-LogoDINI-Zertifikat 2013Logo der Open-Archives-Initiative