ŘIHÁČEK, Michal, Iveta SELINGEROVÁ, Ivo KOCÁK, Ilona KOCÁKOVÁ, Eva ŘIHÁČKOVÁ, Dalibor VALÍK and Jaroslav ŠTĚRBA. Sunitinib-Induced Elevation of Mean Corpuscular Volume (MCV)-Exploring Its Possible Clinical Relevance in Cancer Patients. CURRENT ONCOLOGY. Basel: MDPI, 2022, vol. 29, No 6, p. 4138-4147. ISSN 1198-0052. Available from: https://dx.doi.org/10.3390/curroncol29060330.
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Basic information
Original name Sunitinib-Induced Elevation of Mean Corpuscular Volume (MCV)-Exploring Its Possible Clinical Relevance in Cancer Patients
Authors ŘIHÁČEK, Michal (203 Czech Republic, guarantor, belonging to the institution), Iveta SELINGEROVÁ (203 Czech Republic, belonging to the institution), Ivo KOCÁK (203 Czech Republic, belonging to the institution), Ilona KOCÁKOVÁ (203 Czech Republic), Eva ŘIHÁČKOVÁ (203 Czech Republic, belonging to the institution), Dalibor VALÍK (203 Czech Republic, belonging to the institution) and Jaroslav ŠTĚRBA (203 Czech Republic, belonging to the institution).
Edition CURRENT ONCOLOGY, Basel, MDPI, 2022, 1198-0052.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.600
RIV identification code RIV/00216224:14110/22:00125957
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3390/curroncol29060330
UT WoS 000816104700001
Keywords in English sunitinib; mean corpuscular volume; MCV; toxicity
Tags 14110211, 14110321, 14110512, 14110516, 14110616, 14110811, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 10/1/2023 15:02.
Abstract
Sunitinib is a broad-spectrum multitargeted tyrosine kinase inhibitor mainly used as second-line therapy for non-resectable gastrointestinal stromal or first-line treatment option of metastatic renal cell carcinoma (mRCC), and as an “off-label” option in pediatric oncology. It has been previously reported that sunitinib elevates the mean corpuscular volume of erythrocytes (MCV) in treated subjects. The aim of this study was to assess time-dependent changes of this effect and evaluate its possible clinical relevance. In this study, 179 adult and 21 pediatric patients with solid tumors treated with sunitinib were retrospectively analyzed. The laboratory and treatment-related data were collected for each treatment period. The regression model with a broken-line relationship was used to fit time dependence of the MCV. In the adult group, the MCV was increasing during the first 21.6 weeks (median) of treatment in a median level of 99.8 fL, where it stabilized. MCV increase was faster in the patients who suffered from treatment-related adverse events (21.3 vs. 24.6 weeks, p = 0.010). In the pediatric cohort, the MCV dynamics were similar to adults. In conclusion, MCV changes during sunitinib treatment in pediatric and adult patients may be of clinical utility in monitoring sunitinib treatment course.
Links
MUNI/A/1427/2021, interní kód MUName: Personalizovaná léčba v dětské onkologii: na cestě k „liquid dynamic medicine“ a „N-of-1 clinical trials“
Investor: Masaryk University
90125, large research infrastructuresName: BBMRI-CZ III
90128, large research infrastructuresName: CZECRIN III
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