Association between age and efficacy of first-line immunotherapy-based combination therapies for mRCC: a meta-analysis
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Association between age and efficacy of first-line immunotherapy-based combination therapies for mRCC: a meta-analysis. / Yanagisawa, Takafumi; Quhal, Fahad; Kawada, Tatsushi; Bekku, Kensuke; Laukhtina, Ekaterina; Rajwa, Pawel; von Deimling, Markus; Chlosta, Marcin; Pradere, Benjamin; Karakiewicz, Pierre I; Mori, Keiichiro; Kimura, Takahiro; Schmidinger, Manuela; Shariat, Shahrokh F.
In: IMMUNOTHERAPY-UK, Vol. 15, No. 15, 10.2023, p. 1309-1322.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Association between age and efficacy of first-line immunotherapy-based combination therapies for mRCC: a meta-analysis
AU - Yanagisawa, Takafumi
AU - Quhal, Fahad
AU - Kawada, Tatsushi
AU - Bekku, Kensuke
AU - Laukhtina, Ekaterina
AU - Rajwa, Pawel
AU - von Deimling, Markus
AU - Chlosta, Marcin
AU - Pradere, Benjamin
AU - Karakiewicz, Pierre I
AU - Mori, Keiichiro
AU - Kimura, Takahiro
AU - Schmidinger, Manuela
AU - Shariat, Shahrokh F
PY - 2023/10
Y1 - 2023/10
N2 - Aim: To compare the efficacy of first-line immune checkpoint inhibitor (ICI)-based combinations in metastatic renal cell carcinoma (mRCC) patients stratified by chronological age. Methods: According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, hazard ratios for overall survival (OS) from randomized controlled trials were synthesized. Results: Five RCTs were eligible for meta-analyses. ICI-based combinations significantly improved OS compared with sunitinib alone, both in younger (<65 years) and older (≥65 years) patients, whereas the OS benefit was significantly better in younger patients (p = 0.007). ICI-based combinations did not improve OS in patients aged ≥75 years. Treatment rankings showed age-related differential recommendations regarding improved OS. Conclusion: OS benefit from first-line ICI-based combinations was significantly greater in younger patients. Age-related differences could help enrich shared decision-making.
AB - Aim: To compare the efficacy of first-line immune checkpoint inhibitor (ICI)-based combinations in metastatic renal cell carcinoma (mRCC) patients stratified by chronological age. Methods: According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, hazard ratios for overall survival (OS) from randomized controlled trials were synthesized. Results: Five RCTs were eligible for meta-analyses. ICI-based combinations significantly improved OS compared with sunitinib alone, both in younger (<65 years) and older (≥65 years) patients, whereas the OS benefit was significantly better in younger patients (p = 0.007). ICI-based combinations did not improve OS in patients aged ≥75 years. Treatment rankings showed age-related differential recommendations regarding improved OS. Conclusion: OS benefit from first-line ICI-based combinations was significantly greater in younger patients. Age-related differences could help enrich shared decision-making.
U2 - 10.2217/imt-2023-0039
DO - 10.2217/imt-2023-0039
M3 - SCORING: Review article
C2 - 37694583
VL - 15
SP - 1309
EP - 1322
JO - IMMUNOTHERAPY-UK
JF - IMMUNOTHERAPY-UK
SN - 1750-743X
IS - 15
ER -