RICHTER, Igor, Alexandr POPRACH, Anezka ZEMANKOVA, Tomas BUCHLER, Jiri BARTOS, Vladimir SAMAL, Hana STUDENTOVA, Aneta ROZSYPALOVA, Josef DVORAK, Ondrej BROM and Bohuslav MELICHAR. Patients with metastatic renal cell carcinoma treated with cabozantinib in the Czech Republic: analysis of four cancer centers. Biomedical Papers, Olomouc: Palacky University. Olomouc: Palacky University, 2022, vol. 166, No 1, p. 97-104. ISSN 1213-8118. Available from: https://dx.doi.org/10.5507/bp.2020.055.
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Basic information
Original name Patients with metastatic renal cell carcinoma treated with cabozantinib in the Czech Republic: analysis of four cancer centers
Authors RICHTER, Igor (203 Czech Republic, guarantor), Alexandr POPRACH (203 Czech Republic, belonging to the institution), Anezka ZEMANKOVA (203 Czech Republic), Tomas BUCHLER (203 Czech Republic), Jiri BARTOS (203 Czech Republic), Vladimir SAMAL (203 Czech Republic), Hana STUDENTOVA (203 Czech Republic), Aneta ROZSYPALOVA (203 Czech Republic), Josef DVORAK (203 Czech Republic), Ondrej BROM (203 Czech Republic) and Bohuslav MELICHAR (203 Czech Republic).
Edition Biomedical Papers, Olomouc: Palacky University, Olomouc, Palacky University, 2022, 1213-8118.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 0.900
RIV identification code RIV/00216224:14110/22:00128267
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5507/bp.2020.055
UT WoS 000731338900001
Keywords in English cabozantinib; metastases; renal cell carcinoma; toxicity
Tags 14110811, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 25/1/2023 11:07.
Abstract
Aim. The aim of this study was to retrospectively analyze treatment outcomes and tolerance in patients in whom cabozantinib was used after previous targeted therapy. Patients and Methods. Cabozantinib was administered in dose 60 mg/day, a subset of patients received initial dose of 40 mg/day. The treatment was administered until to progression or unacceptable toxicity. CT scans were assessed according to the RECIST 1.1 and toxicity of treatment was assessed based on the CTCAE (version 4). Kaplan-Meier analysis was used to calculate progression free survival (PFS) and overall survival (OS). We performed a multivariate analysis of risk factors for treatment outcomes (PFS, OS) by Cox regression analysis. All statistics were evaluated at the significance level alpha = 0.05. Results. 54 patients with metastatic renal cell carcinoma (mRCC) were evaluated. Median PFS in all patients treated with cabozantinib was 9.3 months (95% CI 5.3 - 13.3). One-year survival was 85.2% (95% CI 72.9 - 93.4%). Treatment response was observed in 45.9% of cases, including one complete remission. Cox regression analysis demonstrated that presence of subsequent treatment was the only factor with a significant effect on OS (P=0.008). Adverse events occurred in 88.9% of patients, grade 3 - 4 in 46.3%. Conclusion. The analysis of our cohort of patients treated with cabozantinib in the second or higher lines of treatment showed that cabozantinib represents an effective and safe therapy and contributes to longer survival of our mRCC patients
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