Prognostic value of type of prior TKI in pretreated metastatic renal cell carcinoma patients receiving nivolumab

被引:0
作者
Damassi, Alessandra [1 ]
Cremante, Malvina [1 ]
Signori, Alessio [2 ]
Rebuzzi, Sara Elena [3 ,4 ]
Malgeri, Andrea [5 ]
Napoli, Marilena Di [6 ]
Caffo, Orazio [7 ]
Vignani, Francesca [8 ]
Cavo, Alessia [9 ]
Roviello, Giandomenico [10 ]
Prati, Veronica [11 ]
Tudini, Marianna [12 ]
Atzori, Francesco [13 ]
Messina, Marco [14 ]
Morelli, Franco [15 ]
Prati, Giuseppe [16 ]
Nole, Franco [17 ]
Catalano, Fabio [1 ]
Murianni, Veronica [1 ]
Rescigno, Pasquale [18 ,19 ]
Banna, Giuseppe Luigi [20 ,21 ]
Fornarini, Giuseppe [1 ]
Buti, Sebastiano [22 ,23 ]
机构
[1] IRCCS Osped Policlin San Martino, Med Oncol Unit 1, I-16132 Genoa, Italy
[2] Univ Genoa, Sect Biostat, Dept Hlth Sci DISSAL, I-16132 Genoa, Italy
[3] Osped San Paolo, Med Oncol Unit, I-17100 Savona, Italy
[4] Univ Genoa, Dept Internal Md & Med Specialties DiMI, I-16132 Genoa, Italy
[5] Univ Campus Biomed Roma, Dept Med Oncol, I-00128 Rome, Italy
[6] Ist Ricovero & Cura Carattere Sci IRCCS Fdn G Pasc, Ist Ricovero & Cura Carattere Sci, Dept Urol & Gynecol, Ist Nazl Tumori, I-80131 Naples, Italy
[7] Osped Santa Chiara APSS, Dept Med Oncol, I-38100 Trento, Italy
[8] Ordine Mauriziano Hosp, Div Med Oncol, I-10128 Turin, Italy
[9] Villa Scassi Hosp, Oncol Unit, I-10128 Genoa, Italy
[10] Univ Firenze, Dept Hlth Sci, Sect Clin Pharmacol & Oncol, I-50139 Florence, Italy
[11] Osped Michele & Pietro Ferrero, Dept Gynecol Oncol, Azienda Sanit Locale CN2, I-12060 Verduno, Italy
[12] St Salvatore Hosp, Med Oncol, I-67100 Laquila, Italy
[13] Osped Sirai Carbonia, SSD Oncol Med, ASLSulcis, I-09013 Sirai, Italy
[14] Osped Civ ARNAS, Med Oncol, I-90127 Palermo, Italy
[15] IRCCS Casa Sollievo Sofferenza, Oncol Dept, Foggia, Italy
[16] IRCCS AUSL Reggio Emilia, Dept Oncol & Advances Technol, Reggio Emilia, Italy
[17] European Inst Oncol IRCCS, Med Oncol Div Urogenital Head Neck Tumors, IEO, I-20141 Milan, Italy
[18] Newcastle Univ, Translat & Clin Res Inst, Ctr Canc, Newcastle Upon Tyne NE7 7DN, England
[19] FPO IRCCS, Candiolo Canc Inst, I-10060 Candiolo, Italy
[20] Portsmouth Hosp Univ NHS Trust, Portsmouth PO6 3LY, England
[21] Univ Portsmouth, Fac Sci & Hlth, Sch Pharm & Biomed Sci, Portsmouth PO12UP, England
[22] Univ Hosp Parma, Med Oncol Unit, I-43126 Parma, Italy
[23] Univ Parma, Dept Med & Surg, I-43121 Parma, Italy
关键词
IMDC score; meet-URO score; metastatic renal cell carcinoma; nivolumab; treatment sequence; tyrosine kinase inhibitor; SUNITINIB;
D O I
暂无
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Aim: To define the prognostic significance of first-line TKI in mRCC patients receiving nivolumab.Materials and methods: A total of 571 mRCC patients who received >= second line nivolumab were included in this subanalysis. The correlation between prior TKI (sunitinib vs. pazopanib) and overall response rate (ORR), disease control rate, progression-free survival and overall survival were investigated. Additionally, the impact of TKI choice according to the International Metastatic RCC Database Consortium prognostic score was examined.Results: There was no significant difference between sunitinib and pazopanib groups in terms of mPFS, mOS, overall response rate and disease control rate. Moreover, no difference between sunitinib and pazopanib was found according to the International Metastatic RCC Database Consortium prognostic score.Conclusion: There is no conclusive evidence favoring pazopanib or sunitinib treatment before initiating nivolumab therapy in metastatic renal cell carcinoma patients.
引用
收藏
页码:1095 / 1103
页数:9
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