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FDG and FLT-PET for Early measurement of response to 37.5 mg daily sunitinib therapy in metastatic renal cell carcinoma

Overview of attention for article published in Cancer Imaging, September 2015
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Title
FDG and FLT-PET for Early measurement of response to 37.5 mg daily sunitinib therapy in metastatic renal cell carcinoma
Published in
Cancer Imaging, September 2015
DOI 10.1186/s40644-015-0049-x
Pubmed ID
Authors

Kevin P. Horn, Jeffrey T. Yap, Neeraj Agarwal, Kathryn A. Morton, Dan J. Kadrmas, Britney Beardmore, Regan I. Butterfield, Kenneth Boucher, John M. Hoffman

Abstract

Metastatic renal cell carcinoma has a poor prognosis and an intrinsic resistance to standard treatment. Sunitinib is an oral receptor tyrosine kinase inhibitor that has been used as a first-line targeted therapy in metastatic renal cell carcinoma. While computed tomography (CT) is currently the gold standard for response assessment in oncological trials, numerous studies have shown that positron emission tomography (PET) imaging can provide information predictive of tumor response to treatment earlier than the typical interval for standard of care follow-up CT imaging. In this exploratory study we sought to characterize early tumor response in patients with metastatic renal cell carcinoma treated with continuous daily 37.5 mg sunitinib therapy. Twenty patients underwent dynamic acquisition positron emission tomography (PET) imaging using (18) F-fluorodeoxyglucose (FDG) and (18) F-fluorothymidine (FLT) at baseline and early in treatment (after 1, 2, 3 or 4 weeks) with 37.5 mg continuous daily dosing of sunitinib. Semi-quantitative analyses were performed to characterize the tumor metabolic (FDG) and proliferative (FLT) responses to treatment. Proliferative responses were observed in 9/19 patients and occurred in 2 patients at one week (the earliest interval evaluated) after the initiation of therapy. A metabolic response was observed in 5/19 patients, however this was not observed until after two weeks of therapy were completed. Metabolic progression was observed in 2/19 patients and proliferative progression was observed in 1/19 patients. Baseline FDG-PET tumor maximum standardized uptake values correlated inversely with overall survival (p = 0.0036). Conversely, baseline (18) F-fluorothymidine PET imaging did not have prognostic value (p = 0.56) but showed a greater early response rate at 1-2 weeks after initiating therapy. While preliminary in nature, these results show an immediate and sustained proliferative response followed by a delayed metabolic response beginning after two weeks in metastatic renal cell carcinoma treated with a continuous daily dose of 37.5 mg sunitinib. The results provide evidence of tumor response to lower-dose sunitinib while also supporting the inclusion of PET imaging as a tool for early assessment in oncological clinical trials. ID: NCT00694096.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 56 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Tunisia 1 2%
Switzerland 1 2%
Unknown 54 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 18%
Student > Master 8 14%
Other 7 13%
Student > Bachelor 6 11%
Student > Ph. D. Student 4 7%
Other 7 13%
Unknown 14 25%
Readers by discipline Count As %
Medicine and Dentistry 23 41%
Biochemistry, Genetics and Molecular Biology 5 9%
Nursing and Health Professions 3 5%
Agricultural and Biological Sciences 2 4%
Psychology 2 4%
Other 3 5%
Unknown 18 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 September 2015.
All research outputs
#20,656,161
of 25,373,627 outputs
Outputs from Cancer Imaging
#445
of 674 outputs
Outputs of similar age
#203,282
of 276,999 outputs
Outputs of similar age from Cancer Imaging
#8
of 15 outputs
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