- « Previous
- Clinical Pharmacology
- Next »
Panretin
Clinical Pharmacology
Panretin
In Study 1, a total of 268 patients were entered from centers in the U.S. and Canada. Patients were treated topically three to four times a day with either Panretin® gel or a matching vehicle gel for a minimum of 12 weeks, followed by an open-label phase in patients who had not yet progressed on Panretin® gel. Responses during the double-blind phase are shown in Table 1. Responses to Panretin® gel were seen in both previously untreated patients and in patients with prior systemic and/or topical KS treatment. A total of 72 patients responded to Panretin® gel during the randomized or crossover portions of the study. At a median duration of monitoring of 16 weeks, only 15% of the 72 patients had relapsed. Panretin® gel would not be expected to affect development of new lesions in untreated areas and these were seen in about 50% of patients, at similar rates in treated and untreated patients, responders and non-responders. The patients' assessment of their overall satisfaction with the drug effect on all treated lesions significantly favored Panretin® gel.
Study 2 was an international study with a planned enrollment of 270 patients. Patients were treated topically twice a day with Panretin® gel or a matching vehicle for 12 weeks. The study was stopped early because of positive interim results in the initial 82 patient data set. Results of the study are shown in Table 1. Responses to Panretin® gel were seen both in previously untreated patients and in patients with prior systemic and/or topical KS treatment.
TABLE 1: Summary of Tumor Responses
| STUDY 1 | STUDY 2 | |||
| Panretin® Gel N= 134 | Vehicle Gel N= 134 | Panretin® Gel N= 36 | Vehicle Gel N= 46 | |
| Modified ACTG Response
(index lesions) | 34% PR 1% CR | 16% PR p= 0.0012 | 36% PR | 7% PR |
| Physician's Global/
Subjective Assessment (all treated lesions) | 19% PR | 4% PR p= 0.00014 | 47% PR | 11% PR |
| Beneficial Response
Photographs (index lesions only) | 15% | 4% p= 0.0026 | 19% | 2% |
In the clinical trials, responses were seen as early as two (2) weeks; most patients, however, required four (4) to eight (8) weeks of treatment, and some patients did not experience significant improvement until 14 or more weeks of treatment. The cumulative percentage of patients who achieved a response was less than 1% at 2 weeks, 10% at 4 weeks, and 28% at 8 weeks.
Generic Name: Alitretinoin
- « Previous
- Clinical Pharmacology
- Next »
Cancer
Get the latest treatment options.
Cancer and Exercise
Resting to conserve energy may not be the best remedy for fatigue during radiation therapy. See more WebMD Videos »
