Cabozantinib Versus Sunitinib for Untreated Patients with Advanced Renal Cell Carcinoma of Intermediate or Poor Risk: Subgroup Analysis of the Alliance A031203 CABOSUN trial

被引:18
作者
George, Daniel J. [1 ]
Hessel, Colin [2 ]
Halabi, Susan [3 ,4 ]
Michaelson, M. Dror [5 ]
Hahn, Olwen [6 ]
Walsh, Meghara [7 ]
Picus, Joel [8 ]
Small, Eric J. [9 ]
Dakhil, Shaker [10 ]
Feldman, Darren R. [11 ]
Mangeshkar, Milan [2 ]
Scheffold, Christian [2 ]
Morris, Michael J. [11 ]
Choueiri, Toni K. [7 ]
机构
[1] Duke Univ, Med Ctr, Duke Canc Inst, Durham, NC USA
[2] Exelixis Inc, Alameda, CA USA
[3] Duke Univ, Alliance Stat & Data Ctr, Durham, NC USA
[4] Duke Univ, Dept Biostat & Bioinformat, Durham, NC USA
[5] Massachusetts Gen Hosp, Ctr Canc, Boston, MA 02114 USA
[6] Alliance Protocol Operat Off, Chicago, IL USA
[7] Dana Farber Partners CancerCare, Boston, MA USA
[8] Washington Univ, Siteman Canc Ctr, Sch Med, St Louis, MO USA
[9] UCSF Helen Diller Family Comprehens Canc Ctr, San Francisco, CA USA
[10] Univ Kansas Wichita, Wichita, KS USA
[11] Memorial Sloan Kettering Canc Ctr, New York, NY USA
关键词
THERAPY;
D O I
10.1634/theoncologist.2019-0316
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cabozantinib treatment prolonged progression-free survival (PFS) and improved objective response rate (ORR) compared with sunitinib in patients with advanced renal cell carcinoma (RCC) of intermediate or poor risk by International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) criteria in the phase II CABOSUN trial (NCT01835158). In the trial, 157 patients were randomized 1:1 to receive cabozantinib or sunitinib, stratified by IMDC risk group and presence of bone metastases. Here, PFS and ORR, both determined by independent radiology committee (IRC), were analyzed by subgroups of baseline characteristics. Cabozantinib treatment was generally associated with improved PFS and ORR versus sunitinib across subgroups, including in groups defined by IMDC risk group, bone metastases, age, and tumor burden. Clinical trial identification number. NCT01835158.
引用
收藏
页码:1497 / 1501
页数:5
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