Three individuals with melanoma, medullary thyroid cancer and triple damaging breast cancer had tumor biopsies for pharmacodynamic assessment of target inhibition deacetylase inhibitor and downstream pathway modulation.
Both patients with papillary renal carcinoma who had received no prior systemic therapy had a PR of more than 48 and 12 months, respectively. SD was observed in 22 patients. Cabozantinib is an oral, potent tyrosine kinase inhibitor that blocks c MET, VEGFR2, AXL. KIT, TIE2, FLT3, and RET signaling. In the RIP Tag2 transgenic mouse model Dinaciclib of pancreatic neuroendocrine carcinoma, selective inhibition of VEGF reduced tumor growth but increased invasion, whereas treatment with cabozantinib decreased tumor growth, invasion, and metastasis leading to increased survival. Cabozantinib was administered on two different schedules of days 1?5 or continuously on a daily basis. Fifty five patients were treated at 13 different dose levels. DLTs included one report each of grade 3 palmar/plantar erythema, grade 3 AST, alanine aminotransferase and lipase elevations, as well as grade 2 and 3 mucositis.
The preliminary results from a cohort of patients with castration resistant prostate cancer were presented at the 2011 Annual Meeting of the American Society of Clinical Oncology. Accrual was halted at 168 and patients were unblinded due to high rates of observed clinical activity.
Objective tumor shrinkage occurred in 84% of patients. The overall response rate at week 12 was 5%. Prostate specific antigen changes were not related to clinical activity. The overall disease control rate at 12 weeks was 71%.
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