Endocrine oncology

Hand–foot syndrome in sorafenib and lenvatinib treatment for advanced thyroid cancer

Eur Thyroid JPublished Retrospective cohort study

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

HFS occurrence

Observational data: associations, not effects.

Further findings

OutcomeSorafenibLenvatinib
Latency from drug start to HFS appearancemedian 27 daysmedian 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

Hand–foot syndrome in sorafenib and lenvatinib treatment for advanced thyroid cancer. Eur Thyroid J. Published 29 July 2024. doi:10.1530/etj-24-0009

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