A critical appraisal of systemic treatment options for metastatic non-clear cell renal cell carcinoma
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A critical appraisal of systemic treatment options for metastatic non-clear cell renal cell carcinoma. / Ismail, Salima; Meskawi, Malek; Hansen, Jens; Bianchi, Marco; Tian, Zhe; Latour, Mathieu; Graefen, Markus; Montorsi, Francesco; Trinh, Quoc-Dien; Perrotte, Paul; Karakiewicz, Pierre I; Sun, Maxine.
In: CRIT REV ONCOL HEMAT, Vol. 90, No. 1, 01.04.2014, p. 49-57.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A critical appraisal of systemic treatment options for metastatic non-clear cell renal cell carcinoma
AU - Ismail, Salima
AU - Meskawi, Malek
AU - Hansen, Jens
AU - Bianchi, Marco
AU - Tian, Zhe
AU - Latour, Mathieu
AU - Graefen, Markus
AU - Montorsi, Francesco
AU - Trinh, Quoc-Dien
AU - Perrotte, Paul
AU - Karakiewicz, Pierre I
AU - Sun, Maxine
N1 - Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
PY - 2014/4/1
Y1 - 2014/4/1
N2 - Current guidelines provide most support for the use of temsirolimus in first line therapy for metastatic non-clear cell renal cell carcinoma (nccRCC). However, this recommendation is based on scant level 2a evidence. The objective of this review is to examine the evidence supporting first line temsirolimus use in patients with metastatic nccRCC as well as alternative first line treatment options. Six studies, that assessed the efficacy of five agents qualified for inclusion. Among recognized treatment options for metastatic nccRCC, mean weighted progression free survival values of 7.9 months for temsirolimus vs. 7.3 for sunitinib vs. 8.5 months for sorafenib vs. ≈4.1 months for erlotinib were recorded based on data from 10, 74, 33 and 51 patients respectively. In conclusion, the data supporting first line temsirolimus for metastatic nccRCC are based on a small patient sample. Sunitinib's efficacy is similar to that of temsirolimus but is based on a bigger patient sample that originates from phase II studies.
AB - Current guidelines provide most support for the use of temsirolimus in first line therapy for metastatic non-clear cell renal cell carcinoma (nccRCC). However, this recommendation is based on scant level 2a evidence. The objective of this review is to examine the evidence supporting first line temsirolimus use in patients with metastatic nccRCC as well as alternative first line treatment options. Six studies, that assessed the efficacy of five agents qualified for inclusion. Among recognized treatment options for metastatic nccRCC, mean weighted progression free survival values of 7.9 months for temsirolimus vs. 7.3 for sunitinib vs. 8.5 months for sorafenib vs. ≈4.1 months for erlotinib were recorded based on data from 10, 74, 33 and 51 patients respectively. In conclusion, the data supporting first line temsirolimus for metastatic nccRCC are based on a small patient sample. Sunitinib's efficacy is similar to that of temsirolimus but is based on a bigger patient sample that originates from phase II studies.
KW - Antineoplastic Agents
KW - Carcinoma, Renal Cell
KW - Humans
KW - Kidney Neoplasms
KW - Molecular Targeted Therapy
U2 - 10.1016/j.critrevonc.2013.12.003
DO - 10.1016/j.critrevonc.2013.12.003
M3 - SCORING: Journal article
C2 - 24411587
VL - 90
SP - 49
EP - 57
JO - CRIT REV ONCOL HEMAT
JF - CRIT REV ONCOL HEMAT
SN - 1040-8428
IS - 1
ER -