2024
Sex and survival outcomes in patients with renal cell carcinoma receiving first-line immune-based combinations
INCORVAIA, Lorena, Fernando Sabino Marques MONTEIRO, Francesco MASSARI, Se Hoon PARK, Giandomenico ROVIELLO et. al.Základní údaje
Originální název
Sex and survival outcomes in patients with renal cell carcinoma receiving first-line immune-based combinations
Autoři
INCORVAIA, Lorena, Fernando Sabino Marques MONTEIRO, Francesco MASSARI, Se Hoon PARK, Giandomenico ROVIELLO, Ondrej FIALA, Zin W MYINT, Jakub KUCHARZ, Javier MOLINA-CERRILLO, Daniele SANTINI, Thomas BUTTNER, Alexandr POPRACH (203 Česká republika, domácí), Jindrich KOPECKY, Annalisa ZEPPELLINI, Martin PICHLER, Tomas BUCHLER, Renate PICHLER, Gaetano FACCHINI, Andre Poisl FAY, Andrey SOARES, Ray MANNEH, Laura IEZZI, Zsofia KURONYA, Antonio RUSSO, Maria T BOURLON, Dipen BHUVA, Jawaher ANSARI, Ravindran KANESVARAN, Enrique GRANDE, Sebastiano BUTI a Matteo SANTONI
Vydání
Cancer immunology, immunotherapy, NEW YORK, SPRINGER, 2024, 0340-7004
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 5.800 v roce 2022
Organizační jednotka
Lékařská fakulta
UT WoS
001239361300007
Klíčová slova anglicky
ARON-1 study; Gender differences; Immunotherapy; Immune-based combinations; NCT05287464; Renal cell carcinoma
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 2. 7. 2024 08:25, Mgr. Tereza Miškechová
Anotace
V originále
Background There is an ongoing debate as to whether sex could be associated with immune checkpoint inhibitor (ICI) benefit. Existing literature data reveal contradictory results, and data on first-line immune combinations are lacking. Method This was a real-world, multicenter, international, observational study to determine the sex effects on the clinical outcomes in metastatic renal cell carcinoma (mRCC) patients treated with immuno-oncology combinations as first-line therapy. Results A total of 1827 mRCC patients from 71 cancer centers in 21 countries were included. The median OS was 38.7 months (95% CI 32.7-44.2) in the overall study population: 40.0 months (95% CI 32.7-51.6) in males and 38.7 months (95% CI 26.4-41.0) in females (p = 0.202). The median OS was higher in males vs. females in patients aged 18-49y (36.9 months, 95% CI 29.0-51.6, vs. 24.8 months, 95% CI 16.8-40.4, p = 0.426, with + 19% of 2y-OS rate, 72% vs. 53%, p = 0.006), in the clear cell histology subgroup (44.2 months, 95% CI 35.8-55.7, vs. 38.7 months, 95% CI 26.0-41.0, p = 0.047), and in patients with sarcomatoid differentiation (34.4 months, 95% CI 26.4-59.0, vs. 15.3 months, 95% CI 8.9-41.0, p < 0.001). Sex female was an independent negative prognostic factor in the sarcomatoid population (HR 1.72, 95% CI 1.15 - 2.57, p = 0.008). Conclusions Although the female's innate and adaptive immunity has been observed to be more active than the male's, women in the subgroup of clear cell histology, sarcomatoid differentiation, and those under 50 years of age showed shorter OS than males.