LAKOMÝ, Radek, Alexandr POPRACH, Zbyněk BORTLÍČEK, B. MELICHAR, Renata CHLOUPKOVÁ, Rostislav VYZULA, M. ZEMANOVA, K. KOPECKOVA, Marek SVOBODA, Ondřej SLABÝ, Igor KISS, H. STUDENTOVA, Jaroslav JURÁČEK, O. FIALA, J. KOPECKY, J. FINEK, Ladislav DUŠEK, Karel HEJDUK and T. BUCHLER. Utilization and efficacy of second-line targeted therapy in metastatic renal cell carcinoma: data from a national registry. BMC Cancer. London: BioMed Central, 2017, vol. 17, No 880, p. 1-8. ISSN 1471-2407. Available from: https://dx.doi.org/10.1186/s12885-017-3901-5.
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Basic information
Original name Utilization and efficacy of second-line targeted therapy in metastatic renal cell carcinoma: data from a national registry
Authors LAKOMÝ, Radek (203 Czech Republic, guarantor, belonging to the institution), Alexandr POPRACH (203 Czech Republic, belonging to the institution), Zbyněk BORTLÍČEK (203 Czech Republic, belonging to the institution), B. MELICHAR (203 Czech Republic), Renata CHLOUPKOVÁ (203 Czech Republic, belonging to the institution), Rostislav VYZULA (203 Czech Republic, belonging to the institution), M. ZEMANOVA (203 Czech Republic), K. KOPECKOVA (203 Czech Republic), Marek SVOBODA (203 Czech Republic, belonging to the institution), Ondřej SLABÝ (203 Czech Republic, belonging to the institution), Igor KISS (203 Czech Republic, belonging to the institution), H. STUDENTOVA (203 Czech Republic), Jaroslav JURÁČEK (203 Czech Republic, belonging to the institution), O. FIALA (203 Czech Republic), J. KOPECKY (203 Czech Republic), J. FINEK (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Karel HEJDUK (203 Czech Republic, belonging to the institution) and T. BUCHLER (203 Czech Republic).
Edition BMC Cancer, London, BioMed Central, 2017, 1471-2407.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.288
RIV identification code RIV/00216224:14110/17:00095691
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1186/s12885-017-3901-5
UT WoS 000418719700004
Keywords in English Renal cell carcinoma; Therapy; Sunitinib; Sorafenib; Everolimus; Pazopanib
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 26/4/2021 13:40.
Abstract
Background: It is well known that patient characteristics and survival outcomes in randomized trials may not necessarily be similar to those in real-life clinical practice. The aim of the present study was to analyse second line treatment strategies in the real-world practice and to estimate the outcomes of patients treated with second-line targeted therapy for metastatic renal cell carcinoma (mRCC). Methods: This is a retrospective, registry-based study using data from the national registry of targeted therapies for mRCC. The RENIS registry contains data on 3049 patients who started the therapy with at least one targeted agent before 31 December, 2014. Of these patients, 1029 had a record of at least two different targeted therapies and sufficient data for analysis. Survival analysis was carried out using the Kaplan-Meier method. Statistical significance of differences in survival between subgroups was assessed using the log-rank test. Results: The median overall survival from the start of second-line treatment was 17.0 months (95% confidence interval [CI] 14.5-19.5 months), 17.1 months (95% CI 14.5-19.8), and 15.4 months (95% CI 11.0-19.7) for second-line everolimus, sorafenib, and sunitinib, respectively. Patients receiving second-line everolimus were older at the start of second-line treatment, more likely to have metachronous disease, and less likely to be previously treated with cytokines or to continue to third-line treatment than patients treated with second-line sunitinib or sorafenib. Progression-free survival (PFS) correlated with PFS on first-line treatment only for everolimus. Conclusions: In this retrospective study, no significant differences in survival were observed between the cohorts treated with different second-line agents including everolimus, sorafenib, and sunitinib.
Links
ED1.1.00/02.0068, research and development projectName: CEITEC - central european institute of technology
NT13547, research and development projectName: Studium mikroRNA a genů asociovaných s procesem epiteliálně-mezenchymální tranzice jako potenciálních markerů pro predikci rizika a časný záchyt metastazování u pacientů s renálním karcinomem
NV15-34678A, research and development projectName: Molekulární prognostické a prediktivní faktory u pacientů s metastatickým renálním karcinomem léčených tyrozinkinázovými inhibitory
90004, large research infrastructuresName: BBMRI-CZ
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