http://dx.doi.org/10.1007/s10637-009-9347-0
scopus: cited 6 times
web of science: cited 4 times
Pharmacogenetics of telatinib, a VEGFR-2 and VEGFR-3 tyrosine kinase inhibitor, used in patients with solid tumors
February 2011
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Summary: Purpose Telatinib is an orally active small-molecule tyrosine kinase inhibitor of kinase insert domain receptor (KDR; VEGFR-2) and fms-related tyrosine kinase 4 (FLT4; VEGFR-3). This study aims at the identification of relationships between single nucleotide polymorphisms (SNPs) in genes encoding for transporter proteins and pharmacokinetic parameters in order to clarify the significant interpatient variability in drug exposure. In addition, the potential relationship between target receptor polymorphisms and toxicity of telatinib is explored. Methods Blood samples from 33 patients enrolled in a phase I dose-escalation study of telatinib were analyzed. For correlation with dose normalized AUC(0-12), ATP-binding cassette (ABC) B1 (ABCB1), ABCC1, and ABCG2 were the genes selected. For correlation with telatinib toxicity, selected genes were the drug target genes KDR and FLT4. Results No association between dose normalized AUC(0-12) and drug transporter protein polymorphisms was observed. In addition, no association between toxicity and KDR or FLT4 genotype or haplotype was seen. Conclusions Our pharmacogenetic analysis could not reveal a correlation between relevant gene polymorphisms and clinical and pharmacokinetic observations of telatinib.
- adult
- article
- female
- human
- male
- aged
- disease severity
- priority journal
- controlled study
- gene frequency
- genetic association
- single nucleotide polymorphism
- area under the curve
- clinical article
- unclassified drug
- haplotype
- multicenter study
- genetic linkage
- colorectal cancer
- hypertension
- dose response
- cancer chemotherapy
- drug dose escalation
- melanoma
- genetic code
- gene targeting
- soft tissue sarcoma
- breast cancer resistance protein
- multiple cycle treatment
- vasculotropin receptor 2
- cancer classification
- dosage schedule comparison
- ABC transporter
- drug exposure
- phase 1 clinical trial
- solid tumor
- carcinoma
- ovary cancer
- esophagus cancer
- time to maximum plasma concentration
- ABC transporter A1
- ABC transporter C1
- adrenal cancer
- bile duct
- genetic selection
- pharmacogenetics;
- telatinib
- vasculotropin receptor 3
- toxicity
- telatinib
- patient
- polymorphism
- study
- association
- cancer
- treatment
- pharmacokinetic
- grade
- pharmacogenetic
- side effects
- phase
- p-value
- receptor
- parameter
- number
- genotype
- transporter
- target