J 2014

Clinical and laboratory prognostic factors in patients with metastatic renal cell carcinoma treated with sunitinib and sorafenib after progression on cytokines

POPRACH, A.; Tomáš PAVLÍK; B. MELICHAR; K. KUBACKOVA; Zbyněk BORTLÍČEK et. al.

Základní údaje

Originální název

Clinical and laboratory prognostic factors in patients with metastatic renal cell carcinoma treated with sunitinib and sorafenib after progression on cytokines

Autoři

POPRACH, A. (203 Česká republika); Tomáš PAVLÍK (203 Česká republika, domácí); B. MELICHAR (203 Česká republika); K. KUBACKOVA (203 Česká republika); Zbyněk BORTLÍČEK (203 Česká republika, domácí); M. SVOBODA (203 Česká republika); R. LAKOMY (203 Česká republika); R. VYZULA (203 Česká republika); I. KISS (203 Česká republika); Ladislav DUŠEK (203 Česká republika, garant, domácí) a T. BUEHLER (203 Česká republika)

Vydání

UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS, New York, ELSEVIER SCIENCE INC. 2014, 1078-1439

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.768

Kód RIV

RIV/00216224:14110/14:00075662

Organizační jednotka

Lékařská fakulta

UT WoS

000335422300017

EID Scopus

2-s2.0-84899493581

Klíčová slova anglicky

renal cell carcinoma; prognosis; survival; sunitinib; sorafenib

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 9. 6. 2014 14:17, Soňa Böhmová

Anotace

V originále

Objectives: The aim of this retrospective study was to analyze prognostic factors in patients with metastatic renal cell carcinoma treated with tyrosine kinase inhibitors (TKIs) sunitinib or sorafenib after progression on cytokine therapy. Materials and methods: A national database of patients treated with targeted agents was used as the data source. A total of 319 patients treated with sunitinib (n = 181) or sorafenib (n = 138) after progression on cytokine therapy were analyzed. Results: Prognostic factors significantly associated with poor overall survival in a multivariable Cox model included the time from diagnosis to the start of treatment with TKIs <1 year, increased neutrophil counts, increased lactate dehydrogenase, and Eastern Oncology Cooperative Group performance status 2 or higher. The parameters showing statistically significant association with progression-free survival included time from diagnosis to the beginning of treatment with TKI <1 year, increased lactate dehydrogenase, and Eastern Oncology Cooperative Group performance status 2 or higher. We have also validated the International Metastatic Renal Cell Carcinoma Database Consortium prognostic model in our cohort of patients. Conclusion: We demonstrate that the International Database Consortium prognostic model performs well for European patients treated with TKIs, including sunitinib or sorafenib, after progression on cytokines and suggest that a reduction from original 6 down to 4 parameters is possible.