POPRACH, Alexandr, Igor KISS, Michal STANÍK, Tamara BARUSOVA, Lenka POSPISILOVA, Ondrej FIALA, Jindrich KOPECKY, Igor RICHTER, Bohuslav MELICHAR, Hana STUDENTOVA, Radek LAKOMÝ, Miloš HOLÁNEK, Aneta ROZSYPALOVA, Anezka ZEMANKOVA, Marek SVOBODA and Tomas BUCHLER. Impact of Immunotherapy on Real-World Survival Outcomes in Metastatic Renal Cell Carcinoma. Targeted Oncology. Dordrecht: Springer, 2023, vol. 18, November 2023, p. 893-903. ISSN 1776-2596. Available from: https://dx.doi.org/10.1007/s11523-023-01013-0.
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Basic information
Original name Impact of Immunotherapy on Real-World Survival Outcomes in Metastatic Renal Cell Carcinoma
Authors POPRACH, Alexandr (203 Czech Republic, belonging to the institution), Igor KISS (203 Czech Republic, belonging to the institution), Michal STANÍK (703 Slovakia, belonging to the institution), Tamara BARUSOVA (203 Czech Republic), Lenka POSPISILOVA (203 Czech Republic), Ondrej FIALA (203 Czech Republic), Jindrich KOPECKY (203 Czech Republic), Igor RICHTER (203 Czech Republic), Bohuslav MELICHAR (203 Czech Republic), Hana STUDENTOVA (203 Czech Republic), Radek LAKOMÝ (203 Czech Republic, belonging to the institution), Miloš HOLÁNEK (203 Czech Republic, belonging to the institution), Aneta ROZSYPALOVA (203 Czech Republic), Anezka ZEMANKOVA (203 Czech Republic), Marek SVOBODA (203 Czech Republic, belonging to the institution) and Tomas BUCHLER (203 Czech Republic).
Edition Targeted Oncology, Dordrecht, Springer, 2023, 1776-2596.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher Netherlands
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 5.400 in 2022
RIV identification code RIV/00216224:14110/23:00134702
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s11523-023-01013-0
UT WoS 001104868200001
Keywords in English Renal Cell Carcinoma; Immunotherapy
Tags 14110811, 14110813, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 31/1/2024 12:17.
Abstract
Background Treatment options for metastatic renal cell carcinoma (mRCC) are rapidly expanding, and immunotherapy using checkpoint inhibitors is a first- or second-line option for most patients. Objective The objective of the present retrospective analysis was to explore the real-world impact of checkpoint inhibitor-based immunotherapy compared with therapy using other types of targeted therapies using a large real-world database. Methods RenIS, a registry of patients with mRCC was used as a data source. Outcomes were compared for cohorts treated with TKIs or mTOR inhibitors only [targeted therapy (TT) cohort] versus patients who received immunotherapy (IO) using a checkpoint inhibitor in any line of treatment (IO cohort). Data from a total of 1981 patients were extracted from the registry, including 1767 patients in the TT cohort and 214 patients in the IO cohort. Results The median overall survival from the initiation of first-line treatment was 24.5 months versus notreached (p < 0.001) in the TT cohort versus the IO cohort, respectively [HR 0.23, 95% CI (0.17-0.31), p < 0.001]. The probability of 5-year survival was 24.2 versus 67.9% in the TT cohort versus the IO cohort, respectively. Immunotherapy in any line of treatment was associated with a lower risk of death. Overall survival was superior for patients receiving immunotherapy as the first or second treatment line compared with patients treated with non-immunological targeted therapy. Conclusion In real-world patients with mRCC, immunotherapy is associated with significant survival benefit. The present retrospective analysis shows the real-world benefit of second-line immunotherapy in patients previously treated with tyrosine-kinase inhibitors.
Links
NU21-03-00539, research and development projectName: Vliv stresu endoplazmatického retikula na imunitní stav nádorů a účinnost imunoterapie při léčbě ovariálního a renálního karcinomu
Investor: Ministry of Health of the CR, The effect of endoplasmic reticulum stress on the immune status of tumors and the efficiency of immunotherapy in the treatment of ovarian and renal cell carcinoma, Subprogram 1 - standard
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