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Renal function in patients receiving streptozocin for locally advanced or metastatic digestive neuroendocrine tumours: results of the Streptotox-FFCD 0906 study
- Source :
- Clinics and Research in Hepatology and Gastroenterology, Clinics and Research in Hepatology and Gastroenterology, 2021, 45 (5), pp.101572. ⟨10.1016/j.clinre.2020.10.014⟩, Clinics and Research in Hepatology and Gastroenterology, Elsevier, 2021, 45 (5), pp.101572. ⟨10.1016/j.clinre.2020.10.014⟩
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
Abstract
- Introduction Streptozocin can impair renal function. The purpose of this study was to evaluate the evolution of renal function in patients receiving this anti-mitotic for the treatment of locally advanced/metastatic digestive well differentiated neuroendocrine tumours. Methods A prospective and a retrospective cohort of patients with normal baseline renal function were analysed. The primary endpoint was the incidence of a decrease in the estimated glomerular filtration rate ≥ 25% during treatment. Secondary endpoints were the evaluation of glomerular filtration rate changes, the impact of combined nephrotoxic treatments, other toxicities, compliance, and the objective response rate. Results After screening 142 patients, 27 were included in the prospective and 84 in the retrospective cohort. A decrease in estimated glomerular filtration rate ≥ 25% was observed in 32 patients (30%): respectively four (15.4%) and 28 patients (34.1%) among respectively 26 and 82 patients with numerous measures (P = 0.0097). Altogether, 39 patients (35%) experienced grade 1–2 renal toxicity, while no grade 3−4 occurred in the prospective and 1 occurred in the retrospective cohort. Renal toxicity was more frequent in the retrospective cohort with a less careful follow up. As best responses, objective response was achieved in 27% of patients with pancreatic primary tumours, disease control in 78.9% of patients with pancreatic primary tumours, in 87% of those with small bowel tumours and in 72.7% of patients with other primary locations. Conclusions Strongly recommended for pancreatic NET, streptozocin is associated with frequent mild renal toxicity but low occurrence of renal impairment in patients with baseline normal renal function and under adequate hydration.
- Subjects :
- medicine.medical_specialty
[SDV]Life Sciences [q-bio]
Locally advanced
Renal function
Digestive System Neoplasms
Kidney
Gastroenterology
Streptozocin
Nephrotoxicity
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Clinical endpoint
Humans
030212 general & internal medicine
Prospective Studies
ComputingMilieux_MISCELLANEOUS
Retrospective Studies
Hepatology
business.industry
Incidence (epidemiology)
Retrospective cohort study
3. Good health
[SDV] Life Sciences [q-bio]
Neuroendocrine Tumors
Treatment Outcome
030220 oncology & carcinogenesis
Toxicity
business
Subjects
Details
- Language :
- English
- ISSN :
- 22107401 and 2210741X
- Database :
- OpenAIRE
- Journal :
- Clinics and Research in Hepatology and Gastroenterology, Clinics and Research in Hepatology and Gastroenterology, 2021, 45 (5), pp.101572. ⟨10.1016/j.clinre.2020.10.014⟩, Clinics and Research in Hepatology and Gastroenterology, Elsevier, 2021, 45 (5), pp.101572. ⟨10.1016/j.clinre.2020.10.014⟩
- Accession number :
- edsair.doi.dedup.....8e4ef5251bf40921ddc568e32623a457