WEDNESDAY, July 2 (HealthDay News) -- An experimental drug that
inhibits tumor blood vessel formation slows the progression of
metastatic thyroid cancer in some patients, an international study
finds.
Of the 93 patients with rapidly progressing cancer, 49 had a
positive response to treatment with motesanib diphosphate. Of those
49 patients, 14 percent had their tumors shrink and 35 had their
tumors stabilize for more than 24 weeks. Median progression-free
survival was about 40 weeks.
Genetic analysis of 25 patients revealed that drug response was
better in those with a mutation known as BRAF V600E in their tumors
than in those without the mutation. Further research into this
genetic connection is needed, the researchers said.
"Finding that patients whose tumors bear a particular mutation
were more likely to respond to the drug is an example of where we
would like to head in our research," study author Dr. Steven I.
Sherman, chairman and professor of the department of endocrine
neoplasia and hormonal disorders at the University of Texas M.D.
Anderson Cancer Center, said in a prepared statement.
"This is the first of the various thyroid cancer trials to
identify specific mutations that might allow us to individualize or
personalize therapy," he said.
The study, published in the July 3 issue of the
New England Journal of Medicine, was funded by drug maker
Amgen Inc.
Motesanib diphosphate -- a VEGF inhibitor -- targets a protein
called vascular endothelial growth factor (VEGF), which plays a
critical role in the formation of new blood vessels that allow
tumors to grow and spread.
Currently, there are few treatment options for metastatic
thyroid cancer.
"There is no standard accepted chemotherapy for advanced
metastatic differentiated thyroid cancer, and response rates have
typically been 25 percent or less," Sherman said. "Most patients
are not treated with systemic chemotherapy, because the limited
benefit rarely justifies the side effects. Treatment of thyroid
cancer has been a completely unmet need."
More information
The American Cancer Society has more about
thyroid cancer.