POPRACH, Alexandr, Kristína RUMANOVÁ, Radek LAKOMÝ, Renata CHLOUPKOVÁ, Michal STANÍK, Tomáš POKRIVČÁK, Igor KISS, Ondřej SLABÝ, Hana STUDENTOVA, Bohuslav MELICHAR, Jaroslav JURÁČEK, Ondrej FIALA, Jindrich KOPECKY, Katerina KOPECKOVA, Milada ZEMANOVA and Tomáš BÜCHLER. Tyrosine kinase inhibitors in the first-line treatment for metastatic nonclear cell renal carcinoma: A retrospective analysis of a national database. UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS. New York: ELSEVIER SCIENCE INC., 2019, vol. 37, No 4, p. „294e1“-„294e8“, 8 pp. ISSN 1078-1439. Available from: https://dx.doi.org/10.1016/j.urolonc.2018.12.017.
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Basic information
Original name Tyrosine kinase inhibitors in the first-line treatment for metastatic nonclear cell renal carcinoma: A retrospective analysis of a national database
Authors POPRACH, Alexandr (203 Czech Republic, belonging to the institution), Kristína RUMANOVÁ (703 Slovakia, belonging to the institution), Radek LAKOMÝ (203 Czech Republic, belonging to the institution), Renata CHLOUPKOVÁ (203 Czech Republic, belonging to the institution), Michal STANÍK (703 Slovakia, belonging to the institution), Tomáš POKRIVČÁK (703 Slovakia, belonging to the institution), Igor KISS (203 Czech Republic, belonging to the institution), Ondřej SLABÝ (203 Czech Republic, belonging to the institution), Hana STUDENTOVA (203 Czech Republic), Bohuslav MELICHAR (203 Czech Republic), Jaroslav JURÁČEK (203 Czech Republic, belonging to the institution), Ondrej FIALA (203 Czech Republic), Jindrich KOPECKY (203 Czech Republic), Katerina KOPECKOVA (203 Czech Republic), Milada ZEMANOVA (203 Czech Republic) and Tomáš BÜCHLER (203 Czech Republic).
Edition UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS, New York, ELSEVIER SCIENCE INC. 2019, 1078-1439.
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: 2.882
RIV identification code RIV/00216224:14110/19:00108580
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.urolonc.2018.12.017
UT WoS 000462158500019
Keywords in English Nonclear cell renal carcinoma; Targeted therapy; Sunitinib; Pazopanib
Tags 14110811, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 11/5/2020 10:51.
Abstract
Background: Nonclear cell renal cell carcinoma (nccRCC) is a heterogeneous group of primary kidney tumors. The aim of the present retrospective study was to analyze outcomes of patients with nccRCC treated with tyrosine-kinase inhibitors (TKIs) based on a national registry. Methods: The registry contained evaluable data of 93 nccRCC patients treated with first-line TKIs, including 87 patients with papillary renal cell carcinoma (RCC) and 6 patients with chromophobe RCC. The control cohort consisted of 1,788 patients with clear-cell RCC treated with firstline TKIs. Multivariable Cox proportional hazard model was used to evaluate the effect of potential prognostic factors on the survival measures. Results: Median progression-free survival was 11.8 and 6.5 months in the clear cell renal cell carcinoma and nccRCC patients, respectively (P = 0.018), and median overall survival was 33.2 and 22.0 months, respectively (P = 0.007). In the multivariate analysis, independent factors associated with inferior progression-free survival included high tumor grade, worse Memorial Sloan Kettering Cancer Center risk group, absence of nephrectomy, and sunitinib (as opposed to pazopanib) as first-line targeted therapy. Independent predictors of inferior overall survival included nonclear cell histology, tumor grade, worse Memorial Sloan Kettering Cancer Center risk group, absence of nephrectomy, older age, and sunitinib as first-line targeted therapy. Conclusions: The present retrospective, registry-based study confirms that patients with nccRCC treated with TKIs have worse clinical outcomes compared to clear cell renal cell carcinoma patients with similar baseline characteristics. (C) 2018 Elsevier Inc. All rights reserved.
Links
NV15-34678A, research and development projectName: Molekulární prognostické a prediktivní faktory u pacientů s metastatickým renálním karcinomem léčených tyrozinkinázovými inhibitory
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