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External validation of a red cell-based blood prognostic score in patients with metastatic renal cell carcinoma treated with first-line immunotherapy combinations

M. Maffezzoli, M. Santoni, G. Mazzaschi, S. Rodella, E. Lai, M. Maruzzo, U. Basso, D. Bimbatti, R. Iacovelli, A. Anghelone, O. Fiala, SE. Rebuzzi, G. Fornarini, C. Lolli, F. Massari, M. Rosellini, V. Mollica, C. Nasso, A. Acunzo, EM. Silini, F....

. 2024 ; 41 (2) : 117-129. [pub] 20240216

Language English Country Netherlands

Document type Observational Study, Journal Article, Research Support, Non-U.S. Gov't

E-resources Online Full text

NLK ProQuest Central from 1998-01-01 to 1 year ago
Medline Complete (EBSCOhost) from 2011-01-01 to 1 year ago
Health & Medicine (ProQuest) from 1998-01-01 to 1 year ago

Immunotherapy combinations with tyrosine-kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs) had significantly improved outcomes of patients with mRCC. Predictive and prognostic factors are crucial to improve patients' counseling and management. The present study aimed to externally validate the prognostic value of a previously developed red cell-based score, including hemoglobin (Hb), mean corpuscular volume (MCV) and red cell distribution width (RDW), in patients with mRCC treated with first-line immunotherapy combinations (TKI plus ICI or ICI plus ICI). We performed a sub-analysis of a multicentre retrospective observational study (ARON-1 project) involving patients with mRCC treated with first-line immunotherapy combinations. Uni- and multivariable Cox regression models were used to assess the correlation between the red cell-based score and progression-free survival (PFS), and overall survival (OS). Logistic regression were used to estimate the correlation between the score and the objective response rate (ORR). The prognostic impact of the red cell-based score on PFS and OS was confirmed in the whole population regardless of the immunotherapy combination used [median PFS (mPFS): 17.4 vs 8.2 months, HR 0.66, 95% CI 0.47-0.94; median OS (mOS): 42.0 vs 17.3 months, HR 0.60, 95% CI 0.39-0.92; p < 0.001 for both]. We validated the prognostic significance of the red cell-based score in patients with mRCC treated with first-line immunotherapy combinations. The score is easy to use in daily clinical practice and it might improve patient counselling.

Biomedical Centre Faculty of Medicine in Pilsen Charles University Pilsen Czech Republic

Centre for Cancer Translational and Clinical Research Institute Newcastle University Newcastle Upon Tyne UK

Department of Diagnostic and Public Health Section of Pathology University of Verona Verona Italy

Department of Internal Medicine and Medical Specialties University of Genova Genoa Italy

Department of Medical Oncology IRCCS Istituto Romagnolo per lo Studio dei Tumori Dino Amadori Meldola Italy

Department of Medicine and Surgery Section of Radiology University of Parma Parma Italy

Department of Medicine and Surgery University of Parma Parma Italy

Department of Oncology and Radiotherapeutics Faculty of Medicine and University Hospital in Pilsen Charles University Pilsen Czech Republic

Department of Oncology Oncology Unit Istituto Oncologico Veneto IOV IRCCS Padua Italy

Department of Oncology Portsmouth Hospitals University NHS Trust Portsmouth UK

Faculty of Science and Health School of Pharmacy and Biomedical Sciences University of Portsmouth Portsmouth UK

Medical Oncology Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy

Medical Oncology IRCCS Azienda Ospedaliero Universitaria Di Bologna Bologna Italy

Medical Oncology Ospedale Santa Corona 17027 Pietra Ligure Italy

Medical Oncology Unit 1 IRCCS Ospedale Policlinico San Martino Genoa Italy

Medical Oncology Unit Ospedale San Paolo Savona Italy

Medical Oncology Unit University Hospital of Parma Via Gramsci 14 43126 Parma Italy

Oncology Unit Macerata Hospital 62100 Macerata Italy

Pathology Unit University Hospital of Parma Parma Italy

Section of biostatistics Department of Health Sciences University of Genova Genoa Italy

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