Hand–foot syndrome in sorafenib and lenvatinib treatment for advanced thyroid cancer
Authors' conclusion
HFS was a frequent adverse event during both lenvatinib and sorafenib therapy, with a higher frequency and toxicity grade during sorafenib treatment. HFS was the most frequent reason for drug reduction or discontinuation in patient treated with sorafenib. Early diagnosis of HFS is important to allow early intervention, possibly in a multidisciplinary setting, and to avoid treatment discontinuation, which is highly relevant to obtain the maximum effectiveness of systemic therapy.
Study context
- Population
- Patients with advanced thyroid cancer treated with multikinase inhibitors
- Participants
- 239 patients
- Exposure
- Sorafenib vs lenvatinib
- Sorafenibn = 74
- Lenvatinibn = 165
- Outcome
- Occurrence and clinical impact of hand-foot syndrome (HFS)
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Sorafenib | Lenvatinib |
|---|---|---|
| Latency from drug start to HFS appearance | median 27 days | median 2.9 months |
Association of hand-foot syndrome (HFS) with therapy duration
- HFS occurrence significantly associated with longer duration of therapy in both groups
Safety
G3/G4 HFS toxicity among patients with HFS
Dose reduction due to HFS
- G3/G4 HFS toxicity among patients with HFS: denominators: 35 sorafenib, 43 lenvatinib
Original publication
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