J 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

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.