Characterizing the outcomes of metastatic papillary renal cell carcinoma

被引:37
作者
Wells, John Connor [1 ,2 ]
Donskov, Frede [3 ]
Fraccon, Anna P. [4 ]
Pasini, Felice [5 ]
Bjarnason, Georg A. [6 ]
Beuselinck, Benoit [7 ]
Knox, Jennifer J. [8 ]
Rha, Sun Young [9 ]
Agarwal, Neeraj [10 ]
Bowman, Isaac Alex [11 ]
Lee, Jae-Lyun [12 ]
Pal, Sumanta K. [13 ]
Srinivas, Sandy [14 ]
Ernst, Douglas Scott [15 ]
Vaishampayan, Ulka N. [16 ]
Wood, Lori A. [17 ]
Simpson, Robin [17 ]
De Velasco, Guillermo [18 ]
Choueiri, Toni K. [18 ]
Heng, Daniel Y. C. [1 ]
机构
[1] Univ Calgary, Tom Baker Canc Ctr, Calgary, AB, Canada
[2] Queens Univ, Kingston, ON, Canada
[3] Aarhus Univ Hosp, Aarhus, Denmark
[4] Casa Cura Pederzoli, Peschiera Del Garda, Italy
[5] Osped Santa Maria Misericordia, Med Oncol Dept, Rovigo, Italy
[6] Sunnybrook Odette Canc Ctr, Toronto, ON, Canada
[7] Univ Hosp Leuven, Leuven, Belgium
[8] Princess Margaret Hosp, Toronto, ON, Canada
[9] Yonsei Univ, Coll Med, Seoul, South Korea
[10] Univ Utah, Huntsman Canc Inst, Salt Lake City, UT USA
[11] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX 75390 USA
[12] Univ Ulsan, Coll Med, Asan Med Ctr, Seoul, South Korea
[13] City Hope Comprehens Canc Ctr, Duarte, CA USA
[14] Stanford Canc Ctr, Stanford, CA USA
[15] London Hlth Sci Ctr, London, ON, Canada
[16] Karmanos Canc Inst, Detroit, MI USA
[17] Queen Elizabeth 2 Hlth Sci Ctr, Halifax, NS, Canada
[18] Dana Farber Canc Inst, Boston, MA USA
来源
CANCER MEDICINE | 2017年 / 6卷 / 05期
关键词
Metastatic renal cell carcinoma; outcomes; papillary; response rate; survival; targeted therapy; PHASE-II; OPEN-LABEL; SUNITINIB; SURVIVAL; TRIAL; EVEROLIMUS; NONCLEAR; EFFICACY; TYPE-1; MULTICENTER;
D O I
10.1002/cam4.1048
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Outcomes of metastatic papillary renal cell carcinoma (pRCC) patients are poorly characterized in the era of targeted therapy. A total of 5474 patients with metastatic renal cell carcinoma (mRCC) in the International mRCC Database Consortium (IMDC) were retrospectively analyzed. Outcomes were compared between clear cell (ccRCC; n = 5008) and papillary patients (n = 466), and recorded type I and type II papillary patients (n = 30 and n = 165, respectively). Overall survival (OS), progression-free survival (PFS), and overall response rate (ORR) favored ccRCC over pRCC. OS was 8 months longer in ccRCC patients and the hazard ratio of death was 0.71 for ccRCC patients. No differences in PFS or ORR were detected between type I and II PRCC in this limited dataset. The median OS for type I pRCC was 20.0 months while the median OS for type II was 12.6 months (P = 0.096). The IMDC prognostic model was able to stratify pRCC patients into favorable risk (OS = 34.1 months), intermediate risk (OS = 17.0 months), and poor-risk groups (OS = 6.0 months). pRCC patient outcomes were inferior to ccRCC, even after controlling for IMDC prognostic factors. The IMDC prognostic model was able to effectively stratify pRCC patients.
引用
收藏
页码:902 / 909
页数:8
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