J 2012

Skin toxicity and efficacy of sunitinib and sorafenib in metastatic renal cell carcinoma: a national registry-based study

POPRACH, Alexandr, Tomáš PAVLÍK, Bohuslav MELICHAR, Igor PUZANOV, Ladislav DUŠEK et. al.

Basic information

Original name

Skin toxicity and efficacy of sunitinib and sorafenib in metastatic renal cell carcinoma: a national registry-based study

Authors

POPRACH, Alexandr (203 Czech Republic), Tomáš PAVLÍK (203 Czech Republic, belonging to the institution), Bohuslav MELICHAR (203 Czech Republic), Igor PUZANOV (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Zbyněk BORTLÍČEK (203 Czech Republic, belonging to the institution), Rostislav VYZULA (203 Czech Republic, guarantor), Jitka ABRAHÁMOVÁ (203 Czech Republic) and Tomáš BÜCHLER (203 Czech Republic)

Edition

Annals of Oncology, 2012, 0923-7534

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 7.384

RIV identification code

RIV/00216224:14110/12:00062517

Organization unit

Faculty of Medicine

UT WoS

000311642100021

Keywords in English

hand–foot syndrome; rash; renal cell cancer; sorafenib; sunitinib; survival
Změněno: 22/4/2013 23:42, Ing. Mgr. Věra Pospíšilíková

Abstract

V originále

Background: A retrospective, registry-based analysis to assess the outcomes of metastatic renal cell cancer (mRCC) patients treated with sunitinib and sorafenib who developed dermatologic adverse events was performed. Patients and Methods: Data on mRCC patients treated with sunitinib or sorafenib were obtained from the Czech Clinical Registry of Renal Cell Cancer Patients. Outcomes of patients who developed hand–foot syndrome (HFS) of any grade and/or grade 3/4 rash during the treatment were compared with patients without HFS and no, mild, or moderate rash. Results: The cohort included 705 patients treated with sunitinib and 365 patients treated with sorafenib. For sunitinib, the median overall survival (OS) was 43.0 months versus 31.0 months (P = 0.027) and median progression-free survival (PFS) 20.8 months versus 11.1 months (P = 0.007) for patients with versus without dermatologic toxicity, respectively. For sorafenib, the median OS and PFS were 27.9 and 24.6 months (P = 0.244), and 12.2 and 8.8 months (P = 0.050), respectively. In multivariable Cox regression, the skin toxicity was significantly associated with longer OS in the sunitinib cohort. Conclusion: The presence of skin toxicity is associated with improved OS and PFS in patients with mRCC treated with sunitinib.