Effects of cabozantinib (thyroid cancer): A Synthesis of Findings from 25 Studies
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- Effects of cabozantinib (thyroid cancer)
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Major Research Findings
Cabozantinib is an oral, multi-targeted tyrosine kinase inhibitor used to treat thyroid cancer. 3 , 12 , 24 , 9 , 15 , 16 These studies demonstrate that cabozantinib is effective in treating advanced metastatic medullary thyroid cancer, particularly in patients with the RET M918T mutation. 12 Cabozantinib is believed to inhibit angiogenesis and suppress cancer cell growth by blocking receptor tyrosine kinases such as VEGFR2, MET, and RET. 12 Compared to other tyrosine kinase inhibitors used to treat thyroid cancer, cabozantinib has been reported to prolong progression-free survival (PFS) and inhibit tumor growth. 10 Additionally, cabozantinib shows promise in treating advanced, radioiodine-refractory differentiated thyroid cancer. 5 , 25 Cabozantinib should not be taken with food; patients should eat at least 2 hours before or 1 hour after administration. 17 The dosage of cabozantinib may need to be adjusted for patients with impaired liver or kidney function. 1 Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Animal studies have shown that cabozantinib causes birth defects and reduced fertility in both males and females, making it unsuitable for pregnant women or those trying to conceive. 24 Male partners should also practice contraception. 24
Benefits and Risks
Benefit Summary
Cabozantinib has the potential to be effective in treating advanced metastatic medullary thyroid cancer, especially in patients with the RET M918T mutation. 12 Cabozantinib also shows promise in treating advanced, radioiodine-refractory differentiated thyroid cancer. 5 , 25
Risk Summary
Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Animal studies have shown that cabozantinib causes birth defects and reduced fertility in both males and females, making it unsuitable for pregnant women or those trying to conceive. 24 Male partners should also practice contraception. 24
Comparison Between Studies
Commonalities
Multiple studies indicate that cabozantinib is effective in treating advanced metastatic medullary thyroid cancer. 12 , 24 , 9 , 15 These studies also agree that cabozantinib inhibits angiogenesis and suppresses cancer cell growth by blocking receptor tyrosine kinases such as VEGFR2, MET, and RET. 12 Additionally, cabozantinib has been reported to prolong progression-free survival (PFS) and inhibit tumor growth compared to other tyrosine kinase inhibitors used to treat thyroid cancer. 10
Differences
The effectiveness of cabozantinib is more pronounced in patients with the RET M918T mutation. 12 Cabozantinib also shows promise in treating advanced, radioiodine-refractory differentiated thyroid cancer. 5 , 25 Cabozantinib should not be taken with food; patients should eat at least 2 hours before or 1 hour after administration. 17 The dosage of cabozantinib may need to be adjusted for patients with impaired liver or kidney function. 1 Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Animal studies have shown that cabozantinib causes birth defects and reduced fertility in both males and females, making it unsuitable for pregnant women or those trying to conceive. 24 Male partners should also practice contraception. 24
Consistency and Inconsistencies in the Results
Multiple studies indicate that cabozantinib is effective in treating advanced metastatic medullary thyroid cancer. 12 , 24 , 9 , 15 However, there are conflicting findings regarding its effectiveness in treating advanced radioiodine-refractory differentiated thyroid cancer. 5 , 25 Cabozantinib should not be taken with food; patients should eat at least 2 hours before or 1 hour after administration. 17 The dosage of cabozantinib may need to be adjusted for patients with impaired liver or kidney function. 1 Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Animal studies have shown that cabozantinib causes birth defects and reduced fertility in both males and females, making it unsuitable for pregnant women or those trying to conceive. 24 Male partners should also practice contraception. 24
Real-World Application Notes
Cabozantinib has the potential to be effective in treating advanced metastatic medullary thyroid cancer, especially in patients with the RET M918T mutation. 12 Cabozantinib also shows promise in treating advanced, radioiodine-refractory differentiated thyroid cancer. 5 , 25 Cabozantinib should not be taken with food; patients should eat at least 2 hours before or 1 hour after administration. 17 The dosage of cabozantinib may need to be adjusted for patients with impaired liver or kidney function. 1 Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Cabozantinib should not be used by pregnant women or those trying to conceive. Male partners should also practice contraception. 24
Limitations of Current Research
Cabozantinib's effectiveness requires further investigation. 24 , 5 Cabozantinib also shows promise in treating advanced, radioiodine-refractory differentiated thyroid cancer. 5 , 25 Cabozantinib should not be taken with food; patients should eat at least 2 hours before or 1 hour after administration. 17 The dosage of cabozantinib may need to be adjusted for patients with impaired liver or kidney function. 1 Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Cabozantinib should not be used by pregnant women or those trying to conceive. Male partners should also practice contraception. 24
Future Research Directions
Cabozantinib's effectiveness requires further investigation. 24 , 5 Cabozantinib also shows promise in treating advanced, radioiodine-refractory differentiated thyroid cancer. 5 , 25 Cabozantinib should not be taken with food; patients should eat at least 2 hours before or 1 hour after administration. 17 The dosage of cabozantinib may need to be adjusted for patients with impaired liver or kidney function. 1 Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Cabozantinib should not be used by pregnant women or those trying to conceive. Male partners should also practice contraception. 24
Conclusion
Cabozantinib has the potential to be effective in treating advanced metastatic medullary thyroid cancer, especially in patients with the RET M918T mutation. 12 Cabozantinib also shows promise in treating advanced, radioiodine-refractory differentiated thyroid cancer. 5 , 25 Cabozantinib should not be taken with food; patients should eat at least 2 hours before or 1 hour after administration. 17 The dosage of cabozantinib may need to be adjusted for patients with impaired liver or kidney function. 1 Side effects of cabozantinib include diarrhea, hand-foot syndrome, weight loss, decreased appetite, nausea, fatigue, dysgeusia, hair color changes, and hypertension. 12 , 4 , 24 Cabozantinib interacts with CYP3A4 and P-glycoprotein, so caution is advised when using it concurrently with other medications. 24 Cabozantinib should not be used by pregnant women or those trying to conceive. Male partners should also practice contraception. 24 If you are considering cabozantinib treatment, it's important to discuss the potential benefits and risks with your doctor to determine if it is the right option for you. 24
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