Table III. Biologic end points associated with clinical parameters.
Proof of mechanism endpoints | r value | p value |
---|---|---|
End point in tumor biopsies | ||
Decreased p-ERK with sorafenib therapy versus bevacizumab single agents | 0.02 | |
Decreased CD31 count with bevacizumab therapy versus sorafenib single agents | 0.05 | |
Decreased pERK at 2 weeks with increased circulating VEGF levels at 2 weeksa | −0.60 | 0.024 |
Decreased pERK at 2 weeks with increased circulating VEGF levels at 6 weeks | −0.63 | 0.050 |
Dynamic imaging end points | ||
Reduced PET activity in patients with PR or S.D. > 4 cycles versus PD | 0.047 | |
Increased vascular perfusion (Ktrans) on DCE-MRIa at 2 weeks with increased VEGF in tumor biopsies at 6 weeks | 0.72 | 0.042 |
Increased vascular permeability (Kep) on DCE-MRI at 6 weeks with increased tumor CD31 at 2 weeksa | 0.75 | 0.02 |
Increased vascular permeability (Kep) with sorafenib treatment, first versus later | 0.01 | |
Decreased PET activity at 6 weeks with PR or S.D. versus PD | 0.047 | |
Biological end points associated with disease behavior | ||
Decreased p-ERK in tumor with regression/necrosis in post-treatment biopsy | 0.011 | |
Decreased p-AKT in tumor with regression/necrosis in post-treatment biopsy | 0.015 | |
Increased cleaved PARP with greater number of treatment cycles | 0.59 | 0.0072 |
Increased cleaved caspase 3 at 6 weeks with increased number of cycles of therapy | 0.50 | 0.030 |
Decreased Ki67 at 6 weeks with increased number of cycles of therapy | −0.70 | 0.016 |
Biologic end points associated with number of cycles of treatment | ||
Lower cleaved PARP at base line | −0.45 | 0.053 |
Lower p-VEGFR2 at base line | −0.45 | 0.053 |
Decreased PET activity at 2 weeksa | −0.41 | 0.044 |
a Two-week analyses were done with pooled data from both monotherapy groups to maintain analytic power.