Concurrent preoperative eribulin and radiation for resectable retroperitoneal liposarcoma: a phase 1B study
2024

Eribulin and Radiation for Liposarcoma Treatment

Sample size: 15 publication 10 minutes Evidence: moderate

Author Information

Author(s): Davis Lara, Zhu Limin, Mayo Skye C., Latour Emile, Park Byung, Huang Wei, Moloney Brendan, Davis Jessica L., Wakeman Kristina, Sheppard Brett, Billingsley Kevin G., Vetto John, Valenzuela Cristian D., Eil Robert L., Rocha Flavio, Hung Arthur, Ryan Christopher W.

Primary Institution: Oregon Health & Science University

Hypothesis

Can preoperative eribulin combined with radiation improve outcomes for patients with resectable retroperitoneal liposarcoma?

Conclusion

The combination of preoperative eribulin and radiation is safe and shows promise for treating resectable retroperitoneal liposarcoma.

Supporting Evidence

  • Four patients treated at the starting dose level had no dose-limiting toxicities.
  • The recommended phase 2 dose was established as eribulin 1.4 mg/m2 and IMRT 50.4 Gy.
  • Median recurrence-free survival was 30.4 months.
  • Median overall survival was 54.1 months.
  • 81.8% of patients achieved R0 resection.

Takeaway

This study tested a new treatment for a type of cancer called liposarcoma, and it found that combining two therapies is safe and might help patients live longer without their cancer coming back.

Methodology

Patients received preoperative intensity-modulated radiation therapy with escalating doses of eribulin in an open-label dose-finding study.

Potential Biases

Potential bias due to the open-label design and small sample size.

Limitations

The study had a small sample size and limited number of events, which may affect the reliability of the results.

Participant Demographics

The study included 15 patients, with a median age of 63.9 years, and 46.7% were female.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI 12.0-NR for recurrence-free survival; 95% CI 9.5-NR for overall survival.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5397300

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