About: Efficacy of everolimus in second- and third-line therapy for metastatic renal cell carcinoma: A registry-based analysis     Goto   Sponge   NotDistinct   Permalink

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  • Objectives: The aim of the present study was to describe the efficacy and safety of everolimus in the treatment of metastatic renal cell carcinoma (mRCC) after administration of 1 vs. 2 prior tyrosine kinase inhibitors (TKIs). Patients and methods: A national renal information system database was used as the data source for the retrospective study. There were 483 patients who received everolimus as the second (n = 350) or the third (n = 112) targeted agent following TKIs. Results: Median progression-free survival (PFS) from the start of everolimus in the second or the third line of targeted therapy was 6.1 months for both subgroups (P = 0.863). Median total PFS from the start of the first targeted agent to progression on the third targeted agent for patients receiving 3 lines of therapy with TKI-TKI-everolimus (n = 112) and TKI-everolimus-TKI (n = 27) sequences was 28.3 months vs. 31.3 months, respectively (P = 0.16), and there was no significant difference in overall survival. PFS on everolimus was associated with PFS on previous TKIs in patients receiving 1 but not 2 previous TKIs. Only 13% of 352 patients starting targeted therapy for mRCC in 2010 had received 3 sequential targeted agents by the data cutoff in March 2013. Conclusion: PFS on everolimus correlated with PFS on TKIs in patients pretreated with 1 but not 2 TKIs. Everolimus can be deferred to the third line without loss of efficacy or increased toxicity. However, only a minority of patients with mRCC starting targeted treatment can be expected to receive third-line therapy. (C) 2014 Elsevier Inc. All rights reserved.
  • Objectives: The aim of the present study was to describe the efficacy and safety of everolimus in the treatment of metastatic renal cell carcinoma (mRCC) after administration of 1 vs. 2 prior tyrosine kinase inhibitors (TKIs). Patients and methods: A national renal information system database was used as the data source for the retrospective study. There were 483 patients who received everolimus as the second (n = 350) or the third (n = 112) targeted agent following TKIs. Results: Median progression-free survival (PFS) from the start of everolimus in the second or the third line of targeted therapy was 6.1 months for both subgroups (P = 0.863). Median total PFS from the start of the first targeted agent to progression on the third targeted agent for patients receiving 3 lines of therapy with TKI-TKI-everolimus (n = 112) and TKI-everolimus-TKI (n = 27) sequences was 28.3 months vs. 31.3 months, respectively (P = 0.16), and there was no significant difference in overall survival. PFS on everolimus was associated with PFS on previous TKIs in patients receiving 1 but not 2 previous TKIs. Only 13% of 352 patients starting targeted therapy for mRCC in 2010 had received 3 sequential targeted agents by the data cutoff in March 2013. Conclusion: PFS on everolimus correlated with PFS on TKIs in patients pretreated with 1 but not 2 TKIs. Everolimus can be deferred to the third line without loss of efficacy or increased toxicity. However, only a minority of patients with mRCC starting targeted treatment can be expected to receive third-line therapy. (C) 2014 Elsevier Inc. All rights reserved. (en)
Title
  • Efficacy of everolimus in second- and third-line therapy for metastatic renal cell carcinoma: A registry-based analysis
  • Efficacy of everolimus in second- and third-line therapy for metastatic renal cell carcinoma: A registry-based analysis (en)
skos:prefLabel
  • Efficacy of everolimus in second- and third-line therapy for metastatic renal cell carcinoma: A registry-based analysis
  • Efficacy of everolimus in second- and third-line therapy for metastatic renal cell carcinoma: A registry-based analysis (en)
skos:notation
  • RIV/61989592:15110/14:33150515!RIV15-MSM-15110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 5
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http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 13817
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/14:33150515
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Therapy; Tyrosine kinase inhibitors; Renal cell carcinoma; mTOR; Everolimus (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [F6B424472DFC]
http://linked.open...i/riv/nazevZdroje
  • Urologic Oncology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 32
http://linked.open...iv/tvurceVysledku
  • Bortlíček, Zbyněk
  • Dušek, Ladislav
  • Fiala, Ondřej
  • Kiss, Igor
  • Melichar, Bohuslav
  • Zemanová, Milada
  • Kubáčková, Kateřina
  • Vyzula, Rostislav
  • Buchler, Tomáš
  • Poprach, Alexandr
issn
  • 1078-1439
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.urolonc.2013.12.007
http://localhost/t...ganizacniJednotka
  • 15110
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