The potential of sunitinib as a therapy in ovarian cancer

Expert Opin Investig Drugs. 2013 Dec;22(12):1671-86. doi: 10.1517/13543784.2013.841138. Epub 2013 Sep 26.

Abstract

Introduction: Sunitinib malate (SU11248; Sutent®; Pfizer, Inc., New York) is a multi-kinase inhibitor currently approved for use in advanced renal cell carcinoma (RCC), imatinib-resistant/-intolerant gastrointestinal stromal tumours and progressive, well-differentiated pancreatic neuroendocrine tumours in patients with unresectable, locally advanced or metastatic disease.

Areas covered: This article describes the mechanism of action and of the pharmacokinetics of sunitinib; further, it summarizes Phase I and II trials on the clinical efficacy, tolerability and safety of this agent in the setting of ovarian cancer (OC) treatment.

Expert opinion: On the basis of the current literature, sunitinib has shown modest antitumour activity and acceptable toxicity. Studies investigating the impact of horizontal and vertical combinations should represent a priority of future research. Although clinical Phase II trials on the use of sunitinib in the treatment of OC demonstrated an acceptable profile of AEs, a greater comprehension of the toxicity of this compound is recommended.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma, Clear Cell / drug therapy*
  • Animals
  • Drug Approval
  • Drug Resistance, Neoplasm
  • Female
  • Humans
  • Indoles / pharmacology
  • Indoles / therapeutic use*
  • Ovarian Neoplasms / drug therapy*
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use*
  • Pyrroles / pharmacology
  • Pyrroles / therapeutic use*
  • Sunitinib

Substances

  • Indoles
  • Protein Kinase Inhibitors
  • Pyrroles
  • Sunitinib