J 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.

Basic information

Original name

Sex and survival outcomes in patients with renal cell carcinoma receiving first-line immune-based combinations

Authors

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 Czech Republic, belonging to the institution), 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 and Matteo SANTONI

Edition

Cancer immunology, immunotherapy, NEW YORK, SPRINGER, 2024, 0340-7004

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 5.800 in 2022

Organization unit

Faculty of Medicine

UT WoS

001239361300007

Keywords in English

ARON-1 study; Gender differences; Immunotherapy; Immune-based combinations; NCT05287464; Renal cell carcinoma

Tags

Tags

International impact, Reviewed
Změněno: 2/7/2024 08:25, Mgr. Tereza Miškechová

Abstract

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.