2012
Objective response and time to progression on sequential treatment with sunitinib and sorafenib in metastatic renal cell carcinoma
BÜCHLER, Tomáš; Tomáš PAVLÍK; Zbyněk BORTLÍČEK; Alexandr POPRACH; Rostislav VYZULA et al.Základní údaje
Originální název
Objective response and time to progression on sequential treatment with sunitinib and sorafenib in metastatic renal cell carcinoma
Autoři
BÜCHLER, Tomáš; Tomáš PAVLÍK; Zbyněk BORTLÍČEK; Alexandr POPRACH; Rostislav VYZULA; Jitka ABRAHÁMOVÁ a Bohuslav MELICHAR
Vydání
Medical Oncology, 2012, 1357-0560
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Česká republika
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 2.147
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/12:00062519
Organizační jednotka
Lékařská fakulta
UT WoS
Klíčová slova anglicky
Sunitinib; Sorafenib; Renal cell carcinoma; Response
Změněno: 22. 4. 2013 18:49, Ing. Mgr. Věra Pospíšilíková
Anotace
V originále
Patients with metastatic renal cell carcinoma (mRCC) are often treated sequentially with targeted agents, although the optimal strategy is not known. A retrospective, registry-based study has been carried out to assess correlation between clinical response and progression-free survival in patients with mRCC treated sequentially with tyrosine-kinase inhibitors (TKIs) sunitinib and sorafenib. Data on 218 mRCC patients treated with sunitinib and sorafenib who completed therapy with both TKIs were obtained from a database of mRCC patients. Standard nonparametric methods were used to assess correlation between response, PFS and length of treatment on the two agents. A strong correlation between responses to firstversus second TKI was observed (p\0.001). No significant association was noted between the duration of therapy with the two TKIs (p = 0.056), although there was a weak statistically significant correlation between progression- free survival times in the subgroup patients who discontinued treatment because of disease progression. In conclusion, the duration of response on first TKI is of limited value in selecting mRCC patients for sequential TKI therapy. There is a strong correlation between the types of tumour response on the first- versus the second TKI.