251. Hypertension as a predictive biomarker in patients with advanced non-small-cell lung cancer treated with apatinib
- Author
-
Wei-Ping Xie, Ying-Ming Zhang, Shencun Fang, Wen Huang, and Hai-Tao Zhang
- Subjects
0301 basic medicine ,Oncology ,medicine.medical_specialty ,Multivariate analysis ,business.industry ,Proportional hazards model ,medicine.disease ,Vascular endothelial growth factor ,03 medical and health sciences ,chemistry.chemical_compound ,030104 developmental biology ,0302 clinical medicine ,Blood pressure ,chemistry ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,Biomarker (medicine) ,Pharmacology (medical) ,Apatinib ,business ,Lung cancer ,Adverse effect - Abstract
Background Hypertension (HTN) is a common adverse event of the vascular endothelial growth factor pathway inhibitor apatinib. This study was conducted to evaluate the association of apatinib-induced HTN with clinical outcomes in patients with advanced non-small-cell lung cancer (NSCLC). Methods We retrospectively analyzed 110 consecutive patients with advanced NSCLC who were treated with apatinib from August 2014 to January 2018. All patients were classified as normotensive or hypertensive based on blood pressure measurements after initiating therapy. Therapeutic response, progression-free survival (PFS), and overall survival (OS) were evaluated. Univariate and multivariate analyses were performed using the Cox proportional hazards method. Results A total of 46 patients (42%) were diagnosed with HTN. The median PFS for the hypertensive and normotensive groups were 5.6 months and 4.2 months, respectively (P=0.0027). The median OS times for the hypertensive and normotensive groups were 9.9 months and 7.8 months, respectively (P=0.005). Thirty percent of patients who experienced HTN showed partial response to apatinib as compared with 6.3% of non-hypertensive patients (P=0.002). HTN was independently associated with improved PFS and OS on both univariate and multivariate analyses. Conclusion Apatinib-induced HTN may be an inexpensive, valid, and easily measurable biomarker for apatinib antitumor efficacy in patients with advanced NSCLC.
- Published
- 2019
- Full Text
- View/download PDF