J 2020

Outcomes According to MSKCC Risk Score with Focus on the Intermediate-Risk Group in Metastatic Renal Cell Carcinoma Patients Treated with First-Line Sunitinib: A Retrospective Analysis of 2390 Patients

FIALA, Ondrej, Jindrich FINEK, Alexandr POPRACH, Bohuslav MELICHAR, Jindrich KOPECKY et. al.

Basic information

Original name

Outcomes According to MSKCC Risk Score with Focus on the Intermediate-Risk Group in Metastatic Renal Cell Carcinoma Patients Treated with First-Line Sunitinib: A Retrospective Analysis of 2390 Patients

Authors

FIALA, Ondrej (203 Czech Republic, guarantor), Jindrich FINEK (203 Czech Republic), Alexandr POPRACH (203 Czech Republic, belonging to the institution), Bohuslav MELICHAR (203 Czech Republic), Jindrich KOPECKY (203 Czech Republic), Milada ZEMANOVA (203 Czech Republic), Katerina KOPECKOVA (203 Czech Republic), Tomas MLCOCH (203 Czech Republic), Tomáš DOLEŽAL (203 Czech Republic, belonging to the institution), Lenka CAPKOVA (203 Czech Republic) and Tomas BUCHLER (203 Czech Republic)

Edition

Cancers, BASEL, MDPI, 2020, 2072-6694

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 6.639

RIV identification code

RIV/00216224:14110/20:00118607

Organization unit

Faculty of Medicine

UT WoS

000535587400038

Keywords in English

renal cell carcinoma; Memorial Sloan-Kettering Cancer Center risk; sunitinib; first line; outcome

Tags

International impact, Reviewed
Změněno: 17/7/2020 10:45, Mgr. Tereza Miškechová

Abstract

V originále

Background: The Memorial Sloan-Kettering Cancer Center (MSKCC) prognostic model has been widely used for the prediction of the outcome of metastatic renal cell carcinoma (mRCC) patients treated with systemic therapies, however, data from large studies are limited. This study aimed at the evaluation of the impact of the MSKCC score on the outcomes in mRCC patients treated with first-line sunitinib, with a focus on the intermediate-risk group. Methods: Clinical data from 2390 mRCC patients were analysed retrospectively. Progression-free survival (PFS), overall survival (OS), and objective response rate (ORR) were analysed according to the MSKCC risk score. Results: ORR, median PFS, and OS for patients with one risk factor were 26.7%, 10.1, and 28.2 months versus 18.7%, 6.2, and 16.2 months, respectively, for those with two risk factors (ORR: p = 0.001, PFS: p < 0.001, OS: p < 0.001). ORR, median PFS, and OS were 33.0%, 17.0, and 44.7 months versus 24.1%, 9.0, and 24.1 months versus 13.4%, 4.5, and 9.5 months in the favourable-, intermediate-, and poor-risk groups, respectively (ORR: p < 0.001, PFS: p < 0.001, OS: p < 0.001). Conclusions: The results of the present retrospective study demonstrate the suitability of the MSKCC model in mRCC patients treated with first-line sunitinib and suggest different outcomes between patients with one or two risk factors.

Links

NV19-08-00250, research and development project
Name: Proteotypová klasifikace renálního karcinomu ve vztahu k prognóze a terapeutické odpovědi
Investor: Ministry of Health of the CR