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Published in: BMC Cancer 1/2018

Open Access 01-12-2018 | Case report

Apatinib treatment for KIT- and KDR-amplified angiosarcoma: a case report

Authors: Lishu Yang, Lizhu Liu, Bo Han, Wei Han, Meng Zhao

Published in: BMC Cancer | Issue 1/2018

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Abstract

Background

Metastatic or relapsed angiosarcoma has a poor prognosis and the efficacy of conventional chemotherapy is often limited. Apatinib, a novel tyrosine kinase inhibitor (TKI) targeting vascular endothelial growth factor receptor-2 (VEGFR2), has been approved for the treatment of advanced gastric cancer.

Case presentation

Herein, we report a patient with advanced angiosarcoma, who received apatinib at a daily dose of 250 to 725 mg, resulting in a partial response for three months, which may be related to Kinase Insert Domain Receptor (KDR) gene amplification.

Conclusion

Our experience reported here indicated that apatinib may be a useful therapeutic option for treatment of patients with advanced angiosarcoma.
Literature
1.
go back to reference Li J, Zhao X, Chen L, et al. Safety and pharmacokinetics of novel selective vascular endothelial growth factor receptor-2 inhibitor YN968D1 in patients with advanced malignancies. BMC Cancer. 2010;10:529.CrossRefPubMedPubMedCentral Li J, Zhao X, Chen L, et al. Safety and pharmacokinetics of novel selective vascular endothelial growth factor receptor-2 inhibitor YN968D1 in patients with advanced malignancies. BMC Cancer. 2010;10:529.CrossRefPubMedPubMedCentral
2.
go back to reference Ravi V, Sanford EM, Wang WL, et al. Antitumor response of VEGFR2- and VEGFR3-amplified Angiosarcoma to Pazopanib. J Natl Compr Cancer Netw. 2016;14:499–502.CrossRef Ravi V, Sanford EM, Wang WL, et al. Antitumor response of VEGFR2- and VEGFR3-amplified Angiosarcoma to Pazopanib. J Natl Compr Cancer Netw. 2016;14:499–502.CrossRef
3.
go back to reference Minor DR, Kashani-Sabet M, Garrido M, O'Day SJ, Hamid O, Bastian BC. Sunitinib therapy for melanoma patients with KIT mutations. Clin Cancer Res. 2012;18:1457–63.CrossRefPubMed Minor DR, Kashani-Sabet M, Garrido M, O'Day SJ, Hamid O, Bastian BC. Sunitinib therapy for melanoma patients with KIT mutations. Clin Cancer Res. 2012;18:1457–63.CrossRefPubMed
4.
go back to reference Ganjoo KN, Villalobos VM, Kamaya A, et al. A multicenter phase II study of pazopanib in patients with advanced gastrointestinal stromal tumors (GIST) following failure of at least imatinib and sunitinib. Ann Oncol. 2014;25:236–40.CrossRefPubMedPubMedCentral Ganjoo KN, Villalobos VM, Kamaya A, et al. A multicenter phase II study of pazopanib in patients with advanced gastrointestinal stromal tumors (GIST) following failure of at least imatinib and sunitinib. Ann Oncol. 2014;25:236–40.CrossRefPubMedPubMedCentral
5.
go back to reference Joensuu H, Puputti M, Sihto H, Tynninen O, Nupponen NN. Amplification of genes encoding KIT, PDGFRalpha and VEGFR2 receptor tyrosine kinases is frequent in glioblastoma multiforme. J Pathol. 2005;207:224–31.CrossRefPubMed Joensuu H, Puputti M, Sihto H, Tynninen O, Nupponen NN. Amplification of genes encoding KIT, PDGFRalpha and VEGFR2 receptor tyrosine kinases is frequent in glioblastoma multiforme. J Pathol. 2005;207:224–31.CrossRefPubMed
7.
go back to reference Antonescu CR, Yoshida A, Guo T, et al. KDR activating mutations in human angiosarcomas are sensitive to specific kinase inhibitors. Cancer Res. 2009;69:7175–9.CrossRefPubMedPubMedCentral Antonescu CR, Yoshida A, Guo T, et al. KDR activating mutations in human angiosarcomas are sensitive to specific kinase inhibitors. Cancer Res. 2009;69:7175–9.CrossRefPubMedPubMedCentral
8.
9.
go back to reference Agulnik M, Yarber JL, Okuno SH, et al. An open-label, multicenter, phase II study of bevacizumab for the treatment of angiosarcoma and epithelioid hemangioendotheliomas. Ann Oncol. 2013;24:257–63.CrossRefPubMed Agulnik M, Yarber JL, Okuno SH, et al. An open-label, multicenter, phase II study of bevacizumab for the treatment of angiosarcoma and epithelioid hemangioendotheliomas. Ann Oncol. 2013;24:257–63.CrossRefPubMed
10.
go back to reference Fata F, O'Reilly E, Ilson D, et al. Paclitaxel in the treatment of patients with angiosarcoma of the scalp or face. Cancer. 1999;86:2034–7.CrossRefPubMed Fata F, O'Reilly E, Ilson D, et al. Paclitaxel in the treatment of patients with angiosarcoma of the scalp or face. Cancer. 1999;86:2034–7.CrossRefPubMed
11.
go back to reference Fury MG, Antonescu CR, Van Zee KJ, Brennan MF, Maki RG. A 14-year retrospective review of angiosarcoma: clinical characteristics, prognostic factors, and treatment outcomes with surgery and chemotherapy. Cancer J. 2005;11:241–7.CrossRefPubMed Fury MG, Antonescu CR, Van Zee KJ, Brennan MF, Maki RG. A 14-year retrospective review of angiosarcoma: clinical characteristics, prognostic factors, and treatment outcomes with surgery and chemotherapy. Cancer J. 2005;11:241–7.CrossRefPubMed
12.
go back to reference Margaret von Mehren, R. Lor Randall and Robert S. Benjamin: Systemic Therapy Agents and Regimens with Activity in Soft Tissue Sarcoma Subtypes. NCCN Clinical Practice Guidelines in Oncology; Soft Tissue Sarcoma. Version 2.2016. SARC-F 1-2 OF 6. Accessed 4 Apr 2016. Margaret von Mehren, R. Lor Randall and Robert S. Benjamin: Systemic Therapy Agents and Regimens with Activity in Soft Tissue Sarcoma Subtypes. NCCN Clinical Practice Guidelines in Oncology; Soft Tissue Sarcoma. Version 2.2016. SARC-F 1-2 OF 6. Accessed 4 Apr 2016.
13.
go back to reference Jussila L, Alitalo K. Vascular growth factors and lymphangiogenesis. Physiol Rev. 2002;82:673–700.CrossRefPubMed Jussila L, Alitalo K. Vascular growth factors and lymphangiogenesis. Physiol Rev. 2002;82:673–700.CrossRefPubMed
14.
go back to reference Park MS, Ravi V, Araujo DM. Inhibiting the VEGF-VEGFR pathway in angiosarcoma, epithelioid hemangioendothelioma, and hemangiopericytoma/solitary fibrous tumor. Curr Opin Oncol. 2010;22:351–5.CrossRefPubMed Park MS, Ravi V, Araujo DM. Inhibiting the VEGF-VEGFR pathway in angiosarcoma, epithelioid hemangioendothelioma, and hemangiopericytoma/solitary fibrous tumor. Curr Opin Oncol. 2010;22:351–5.CrossRefPubMed
15.
go back to reference Cabeza M, Moilanen A. Design of reserve networks and the persistence of biodiversity. Trends Ecol Evol. 2001;16:242–8.CrossRefPubMed Cabeza M, Moilanen A. Design of reserve networks and the persistence of biodiversity. Trends Ecol Evol. 2001;16:242–8.CrossRefPubMed
16.
go back to reference Li J, Qin S, Xu J, et al. Randomized, double-blind, placebo-controlled phase iii trial of apatinib in patients with chemotherapy-refractory advanced or metastatic adenocarcinoma of the stomach or gastroesophageal junction. J Clin Oncol. 2016;34:1448–54.CrossRefPubMed Li J, Qin S, Xu J, et al. Randomized, double-blind, placebo-controlled phase iii trial of apatinib in patients with chemotherapy-refractory advanced or metastatic adenocarcinoma of the stomach or gastroesophageal junction. J Clin Oncol. 2016;34:1448–54.CrossRefPubMed
18.
go back to reference Subbiah V, Meric-Bernstam F, Mills GB, et al. Next generation sequencing analysis of platinum refractory advanced germ cell tumor sensitive to Sunitinib (Sutent(R)) a VEGFR2/PDGFRbeta/c-kit/ FLT3/RET/CSF1R inhibitor in a phase II trial. J Hematol Oncol. 2014;7:52.CrossRefPubMedPubMedCentral Subbiah V, Meric-Bernstam F, Mills GB, et al. Next generation sequencing analysis of platinum refractory advanced germ cell tumor sensitive to Sunitinib (Sutent(R)) a VEGFR2/PDGFRbeta/c-kit/ FLT3/RET/CSF1R inhibitor in a phase II trial. J Hematol Oncol. 2014;7:52.CrossRefPubMedPubMedCentral
19.
go back to reference Shu T, Quan HT, Xie CY. YN968D1 is a novel and selective inhibitor of vascular endothelial growth factor receptor-2 tyrosine kinase with potent activity in vitro and in vivo. Cancer Sci. 2011;102:1374–80. Shu T, Quan HT, Xie CY. YN968D1 is a novel and selective inhibitor of vascular endothelial growth factor receptor-2 tyrosine kinase with potent activity in vitro and in vivo. Cancer Sci. 2011;102:1374–80.
Metadata
Title
Apatinib treatment for KIT- and KDR-amplified angiosarcoma: a case report
Authors
Lishu Yang
Lizhu Liu
Bo Han
Wei Han
Meng Zhao
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2018
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/s12885-018-4523-2

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