Review Article

Stomatitis and VEGFR-Tyrosine Kinase Inhibitors (VR-TKIs): A Review of Current Literature in 4369 Patients

Table 2

Report on all papers about sorafenib and stomatitis.

AuthorsYearNeoplasiaCases
number
Stomatitis (%)Stomatitis
grade 1%
Stomatitis grade 2%Stomatitis grade 3%Stomatitis grade 4%

(1)Cho et al. [45]2013Advanced hepatocellular carcinoma
A: sorafenib 400 mg twice daily
A: 99A: 4 (4%)Not reportedNot reported

(2)Chrisoulidou et al. [46]2015Refractory thyroid cancer
Sorafenib 400 mg was given orally twice daily continuously, sunitinib 50 mg was given once daily on a 4 weeks of treatment followed by 2-week intervals without therapy, and vandetanib 300 mg was given once daily
A: 24A: 13 (54%)A: 12 (50%)A: 1 (4.16%)

(3)Grignani et al. [47]2015Unresectable high-grade osteosarcoma progressing after standard treatment
400 mg sorafenib twice a day together with 5 mg everolimus once a day
A: 38A: 20 (52.63%)Not reportedNot reported

(4)Hainsworth et al. [48]2015Stage III/IV epithelial ovarian cancer
A: paclitaxel 175 mg/m2, 1–3 h IV infusion/carboplatin AUC 6.0, 20 min IV infusion/sorafenib 400 mg PO BID
A: 43A: 16 (37%)Oral mucositis
A: 16 (37%)
A: 0

(5)Hainsworth et al. [49]2013Phase II
Sorafenib 200 mg PO BID and everolimus 35 mg PO once weekly
A: 75A: 10 (13.3%)Mucositis/stomatitis: 10/14%
Mucositis/stomatitis: 2/3%
Mucositis/stomatitis: 0
Mucositis/stomatitis: 0

(6)Lee et al. [6]2009Retrospective study
A: sorafenib 400 mg twice daily for RCC and HCC
B: sunitinib 50 mg daily, consisting of 4 weeks of treatment followed by a 2-week rest period in cycles of 6 weeks for RCC and GIST
A: 109
B: 119
A: 28 (26%)
B: 43 (36%)
Not reportedNot reported

(7)Marschner et al. [33]2017mRCC
A: sorafenib
B: sunitinib
A: 25
B: 152
A: 3 (12.0%)
B: 29 (23.2%)
A: 2 (8%)
B: 27 (17.7%)
A: 1 (4.0%)
B: 2 (1.6%)

(8)Meyer et al. [50]2017Unresectable HCC
A: sorafenib 660 mg
A: 157A: 41 (26%)A: 36 (23%)A: 5 (3%)

(9)Porta et al. [51]2011mRCC
A: sunitinib
B: sorafenib
A: 85
B: 60
A: 50 (58.8%)
B: 16 (26.7%)
A: 48 (56.4%)
B: 16 (26.7%)
A: 2 (2.4%)
B: 0

(10)Richly et al. [52]2006Refractory solid tumors
A: sorafenib 100 mg + doxorubicin
B: sorafenib 200 mg + doxorubicin
C: sorafenib 400 mg + doxorubicin
D: sorafenib 400 mg + doxorubicin
A: 6
B: 6
C: 12
D: 10
TOT 11 (32%)Not reportedA: 3 (50%)
B: -
C: 6 (50%)
D: 2 (20%)

(11)Schwartzberg et al. [53]2013Advanced breast cancer
A: sorafenib (400 mg, twice daily)
A: 79A: 27 (34.1%)A: 17 (21.5%)A: 10 (12.65%)

(12)Shacham-Shmueli et al. [54]2012Advanced solid tumors
A: sorafenib 100 mg BID (50 mg tablets) + infusion regimen
B: sorafenib 200 mg BID (50 mg tablets) + infusion regimen
C: sorafenib 400 mg BID (50 mg tablets) + infusion regimen
D: sorafenib 400 mg BID (50 mg tablets) + bolus A regimen
E: sorafenib 400 mg BID (200 mg tablets) + infusion regimen
F: sorafenib 400 mg BID (200 mg tablets) + bolus B regimen
A: 10
B: 7
C: 6
D: 9
E: 6
F: 9
A: -
B: -
C: -
D: 3 (33%)
E: -
F: -
Not reportedA: -
B: -
C: -
D: 3 (33%)
E: -
F: -

(13)Sho et al. [55]2017Advanced hepatocellular carcinoma
A: 250 mg/m2 of 5-FU and sorafenib 800 mg daily
B: 350 mg/m2 of 5-FU and sorafenib 800 mg daily
C: 450 mg/m2 of 5-FU and sorafenib 800 mg daily
A: 3
B: 3
C: 6
A: 0
B: 1
C: 3
A: 0
B: 1
C: 2
A: -
B: -
C: 1

(14)Ueda et al. [56]2013Metastatic renal cell carcinoma
A: axitinib
B: sorafenib

A: 359
B: 355

A: 54 (15.04%)
B: 44 (12.39%)

A: 49 (13.64%)
B: 43 (12.11%)

A: 5 (1.39%)
B: 1 (0.28%)

(15)Williamson et al. [57]2010Advanced and metastatic squamous cell carcinoma of the head and neck
A: sorafenib orally at 400 mg twice daily on continuous basis in 28-day cycles
A: 41A: 2 (4.9%)Not reportedA: 2

(16)Zhao et al. [44]2013Locally advanced clear cell renal carcinoma
A: sorafenib 400 mg orally twice daily for 4-week cycle
B: sunitinib 50 mg orally daily for a 6-week cycle
A: 20
B: 23
A: 8 (40%)
B: 7 (30%)
Not reportedNot reported

Total1218250 (20.52%)

Total with grade830174 (20.96%)155 (18.67%)19 (2,28%)

Total not reporting grade26660 (22.55%)Not reportedNot reported

Total reporting only grade >212216 (13.11%)Not reported16 (13.11%)

Note. Cho et al. (2013) [45], Grignani et al. (2015) [47], Lee et al. (2009) [6], and Zhao et al. (2013) [44] did not report the grade of stomatitis; Richly et al. (2006) [52], Shacham-Shmueli et al. (2012) [54], and Williamson et al. (2010) [57] reported the incidence rates limited to grade 3 and grade 4 treatment-related toxicities; for this reason, data about cases of stomatitis and stomatitis grades 1 and 2 are lower than real.