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Efficacy of sunitinib in patients with metastatic or unresectable renal cell carcinoma and renal insufficiency

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F15%3A%230001064" target="_blank" >RIV/00064190:_____/15:#0001064 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/15:00083158 RIV/00216208:11110/15:10294524 RIV/00216208:11130/15:10294524 RIV/61989592:15110/15:33155455 and 4 more

  • Result on the web

    <a href="http://dx.doi.org/10.1016/j.ejca.2014.12.010" target="_blank" >http://dx.doi.org/10.1016/j.ejca.2014.12.010</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.ejca.2014.12.010" target="_blank" >10.1016/j.ejca.2014.12.010</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Efficacy of sunitinib in patients with metastatic or unresectable renal cell carcinoma and renal insufficiency

  • Original language description

    Aim: The aim of this retrospective, registry-based study was to analyse treatment outcomes in patients with metastatic renal cell carcinoma (mRCC) treated with sunitinib and renal insufficiency (RI). Methods: The cohort included 790 patients treated with sunitinib between 2006 and 2013. At the start of sunitinib therapy 22, 234, and 534 patients had severe (glomerular filtration rate [GFR] <30 ml/min/1.73 m(2)), moderate (GFR 30-60 ml/min/1.73 m(2)) or mild RI/normal renal function (GFR >60 ml/min/1.73 m(2)), respectively. Results: For the three groups defined above, median progression-free survival (PFS) (95% confidence interval [CI]) was 5.3 months (0.1-18.5), 8.1 months (6.2-9.9) and 11.3 months (9.4-13.2) (p = 0.244), and median overall survival (OS) was 26.3 months (1.2-51.4), 21.2 months (13.2-29.1) and 26.3 months (22.6-29.9) (p = 0.443), respectively. The disease control rates were 45.5%, 56.4% and 59.2%, respectively (p = 0.374). No unexpected toxicity was reported in the patients with RI, but the treatment was more frequently discontinued because of adverse events and the duration of therapy was significantly shorter in these patients (p = 0.007). Conclusions: Duration of first-line targeted treatment for mRCC was significantly shorter for patients with RI, and may have translated into a trend to shorter PFS. These results highlight the need for optimal management of side-effects in patients with mRCC and RI.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

  • CEP classification

    FD - Oncology and haematology

  • OECD FORD branch

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2015

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    EUROPEAN JOURNAL OF CANCER

  • ISSN

    0959-8049

  • e-ISSN

  • Volume of the periodical

    51

  • Issue of the periodical within the volume

    4

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    7

  • Pages from-to

    507-513

  • UT code for WoS article

    000350915600008

  • EID of the result in the Scopus database