World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc
Journal website http://www.wjon.org

Original Article

Volume 5, Number 1, February 2014, pages 24-32


Advanced Thyroid Cancer Patients in Phase I Clinical Trials: Outcome Assessment and Literature Review

Figure

Figure 1.
Figure 1. Overall survival measured from Phase I study enrollment until death.

Tables

Table 1. Baseline Characteristics
 
Age
  Median (range)56 (21-81)
Sex (no, %)
  Female15 (46.8)
  Male17 (53.1)
Ethnicity (no, %)
  White11 (34.3)
  Hispanic14 (43.7)
  Other7 (21.8)
ECOG performance status (no, %)
  015 (46.8)
  ≥117 (53.1)
Tumor histology (no, %)
  Papillary12 (37.5)
  Follicular6 (18.7)
  Medullary9 (28.1)
  Anaplastic5 (15.6)
No of metastatic sites (no, %)
  112 (37.5)
  210 (31.3)
  ≥310 (31.3)
Site of metastases (no, %)
  Lung22 (68.7)
  Bone12 (37.5)
  Lymph node10 (31.2)
  Liver7 (21.8)
  Mediastinum7 (21.8)
No of prior systemic treatments (no, %)
  06 (18.7)
  118 (56.2)
  ≥28 (25)
Type of prior treatment (no, %)
  Thyroidectomy32 (100)
  Iodine-13121 (65.6)
  Chemotherapy19 (59.3)
  Biological10 (31.2)
Type of Phase I trial (no, %)
  Single biological agent24 (75.0)
  Combination biological therapy6 (18.7)
  Combination of Chemotherapy and biological agent2 (6.2)
Reason to come off study (no, %)
  Progression20 (62.5)
  Toxicity5 (15.6)
  Patient preference/Other7 (21.8)
Treatment on progression (no, %)
  Another trial13 (40.6)
  Off trial treatment8 (25.0)
  No treatment/supportive care7 ( 21.8)
  Unknown4 (12.5)

 

Table 2. Patients With Partial Responses or Stable Disease
 
Phase I Drug targetTumor typeBest responseDuration of response in Phase I trial (weeks)Duration of response on prior therapy (weeks)
Abbreviations: MTD: Maximally tolerated dose; PTC: Papillary thyroid cancer; MTC: Medullary thyroid cancer; ATC: Anaplastic thyroid cancer; FTC: Follicular thyroid cancer; PR: Partial response; SD: Stable disease; HDAC: Histone deacetylase; VEGFR: Vascular endothelial growth factor receptor; EGFR: Epidermal growth factor receptor; HER2: Human epidermal growth factor receptor 2; mTOR: Mammalian target of rapamycin; IGF-IR: Insulin-like growth factor receptor; NA: Not available)
HDACPTCPR1966
VEGFRMTCPR728
EGFRATCSD9NA
HDACPTCSD2420
HDACMTCSD3522
mTORMTCSD33NA
EGFR/HER2MTCSD2514
EGFR/HER2MTCSD1416
EGFR/HER2MTCSD3018
mTORFTCSD2015
EGFRATCSD174
EGFRPTCSD169
VEGFRPTCSD42NA
VEGFRFTCSD486
MicrotubuleMTCSD1210
VEGFPTCSD920
IGF-IRFTCSD2922
IGF-IRMTCSD3616
EGFRMTCSD2414