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Outcomes According to MSKCC Risk Score with Focus on the Intermediate-Risk Group in Metastatic Renal Cell Carcinoma Patients Treated with First-Line Sunitinib: A Retrospective Analysis of 2390 Patients

O. Fiala, J. Finek, A. Poprach, B. Melichar, J. Kopecký, M. Zemanova, K. Kopeckova, T. Mlcoch, T. Dolezal, L. Capkova, T. Buchler,

. 2020 ; 12 (4) : . [pub] 20200327

Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc20019414

Grantová podpora
National Sustainability Program I (NPU I) Nr. LO1503 undefined <span style="color:gray;font-size:10px;">undefined</span>
LO1503 Ministerstvo Školství, Mládeže a Tělovýchovy
Progres Q39 Univerzita Karlova v Praze
CZ.02.1.01/0.0/0.0/17_048/0007280 European Regional Development Fund
NV19-08-00250 Ministerstvo Zdravotnictví Ceské Republiky
Nº856620 Horizon 2020

BACKGROUND: The Memorial Sloan-Kettering Cancer Center (MSKCC) prognostic model has been widely used for the prediction of the outcome of metastatic renal cell carcinoma (mRCC) patients treated with systemic therapies, however, data from large studies are limited. This study aimed at the evaluation of the impact of the MSKCC score on the outcomes in mRCC patients treated with first-line sunitinib, with a focus on the intermediate-risk group. METHODS: Clinical data from 2390 mRCC patients were analysed retrospectively. Progression-free survival (PFS), overall survival (OS), and objective response rate (ORR) were analysed according to the MSKCC risk score. RESULTS: ORR, median PFS, and OS for patients with one risk factor were 26.7%, 10.1, and 28.2 months versus 18.7%, 6.2, and 16.2 months, respectively, for those with two risk factors (ORR: p = 0.001, PFS: p < 0.001, OS: p < 0.001). ORR, median PFS, and OS were 33.0%, 17.0, and 44.7 months versus 24.1%, 9.0, and 24.1 months versus 13.4%, 4.5, and 9.5 months in the favourable-, intermediate-, and poor-risk groups, respectively (ORR: p < 0.001, PFS: p < 0.001, OS: p < 0.001). CONCLUSIONS: The results of the present retrospective study demonstrate the suitability of the MSKCC model in mRCC patients treated with first-line sunitinib and suggest different outcomes between patients with one or two risk factors.

Department of Comprehensive Cancer Care Masaryk Memorial Cancer Institute Zluty kopec 7 656 53 Brno Czech Republic Department of Comprehensive Cancer Care Faculty of Medicine Masaryk University Kamenice 5 625 00 Brno Czech Republic

Department of Oncology 1st Faculty of Medicine Charles University and General University Hospital U Nemocnice 499 2 128 08 Prague Czech Republic

Department of Oncology 1st Faculty of Medicine Charles University and Thomayer University Hospital Videnska 800 140 59 Prague Czech Republic

Department of Oncology 2nd Faculty of Medicine Charles University and Motol University Hospital 5 Uvalu 84 150 06 Prague Czech Republic

Department of Oncology and Radiotherapeutics Faculty of Medicine and University Hospital in Pilsen Charles University alej Svobody 80 304 60 Pilsen Czech Republic

Department of Oncology and Radiotherapeutics Faculty of Medicine and University Hospital in Pilsen Charles University alej Svobody 80 304 60 Pilsen Czech Republic Biomedical Center Faculty of Medicine in Pilsen Charles University alej Svobody 76 304 60 Pilsen Czech Republic

Department of Oncology Palacky University Medical School and Teaching Hospital 1 P Pavlova 6 775 20 Olomouc Czech Republic

Department of Oncology University Hospital in Hradec Králové Sokolská 581 50005 Hradec Králové Czech Republic

Institute of Biostatistics and Analyses Ltd Poštovská 68 3 602 00 Brno Czech Republic

Institute of Health Economics and Technology Assessment Vaclavska 316 12 120 00 Prague Czech Republic

Institute of Health Economics and Technology Assessment Vaclavska 316 12 120 00 Prague Czech Republic Faculty of Medicine Masaryk University Department of Pharmacology Kamenice 753 5 625 00 Brno Czech Republic

Citace poskytuje Crossref.org

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$a BACKGROUND: The Memorial Sloan-Kettering Cancer Center (MSKCC) prognostic model has been widely used for the prediction of the outcome of metastatic renal cell carcinoma (mRCC) patients treated with systemic therapies, however, data from large studies are limited. This study aimed at the evaluation of the impact of the MSKCC score on the outcomes in mRCC patients treated with first-line sunitinib, with a focus on the intermediate-risk group. METHODS: Clinical data from 2390 mRCC patients were analysed retrospectively. Progression-free survival (PFS), overall survival (OS), and objective response rate (ORR) were analysed according to the MSKCC risk score. RESULTS: ORR, median PFS, and OS for patients with one risk factor were 26.7%, 10.1, and 28.2 months versus 18.7%, 6.2, and 16.2 months, respectively, for those with two risk factors (ORR: p = 0.001, PFS: p < 0.001, OS: p < 0.001). ORR, median PFS, and OS were 33.0%, 17.0, and 44.7 months versus 24.1%, 9.0, and 24.1 months versus 13.4%, 4.5, and 9.5 months in the favourable-, intermediate-, and poor-risk groups, respectively (ORR: p < 0.001, PFS: p < 0.001, OS: p < 0.001). CONCLUSIONS: The results of the present retrospective study demonstrate the suitability of the MSKCC model in mRCC patients treated with first-line sunitinib and suggest different outcomes between patients with one or two risk factors.
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