Treatment for taxane‐resistant cutaneous angiosarcoma: A multicenter study of 50 Japanese cases

Author:

Fujimura Taku1ORCID,Maekawa Takeo2ORCID,Kato Hiroshi3ORCID,Ito Takamichi4ORCID,Matsushita Shigeto5ORCID,Yoshino Koji67,Fujisawa Yasuhiro89,Ishizuki Shoichiro8,Segawa Kojiro1,Yamamoto Jun1,Hashimoto Akira1,Kambayashi Yumi1ORCID,Asano Yoshihide1

Affiliation:

1. Department of Dermatology Tohoku University Graduate School of Medicine Sendai Japan

2. Department of Dermatology Jichi Medical University Shimotsuke Japan

3. Department of Geriatric and Environmental Dermatology Nagoya City University Graduate School of Medical Sciences Nagoya Japan

4. Department of Dermatology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan

5. Department of Dermato‐Oncology/Dermatology National Hospital Organization Kagoshima Medical Center Kagoshima Japan

6. Department of Dermato‐Oncology/Dermatology Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo Japan

7. Department of Dermato‐Oncology/Dermatology Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital Tokyo Japan

8. Department of Dermatology University of Tsukuba Tsukuba Japan

9. Department of Dermatology University of Ehime Matsuyama Japan

Abstract

AbstractCutaneous angiosarcoma (CAS) is a rare and highly aggressive type of vascular tumor. Although chemoradiotherapy with taxanes is recognized as a first‐line therapy for CAS, second‐line therapy for CAS remains controversial. From the above findings, the efficacy and safety profiles of taxane‐switch (change paclitaxel to docetaxel or vise), eribulin methylate, and pazopanib regimens in second‐line chemotherapy were evaluated retrospectively in 50 Japanese taxane‐resistant CAS patients. Although there was no significant difference in progression‐free survival (P = 0.3528) among the regimens, the incidence of all adverse events (AEs) (P = 0.0386), as well as severe G3 or more AEs (P = 0.0477) was significantly higher in the eribulin methylate group and pazopanib group than in the taxane‐switch group. The present data suggest that switching to another taxane should be considered for the treatment of taxane‐resistant CAS in second‐line therapy based on the safety profiles.

Publisher

Wiley

Subject

Dermatology,General Medicine

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