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真实世界中二线阿昔替尼治疗转移性肾细胞癌的经验:来自瑞典人群的分析。

Real-world experience of second-line axitinib in metastatic renal cell carcinoma: analysis of the Swedish population.

机构信息

Pfizer AB, 113 63 Stockholm, Sweden.

Fondazione Toscana Life Sciences, 53100 Siena, Italy.

出版信息

Future Oncol. 2024;20(20):1385-1392. doi: 10.1080/14796694.2024.2351352. Epub 2024 Jul 26.

DOI:10.1080/14796694.2024.2351352
PMID:39057291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11376413/
Abstract

Assess the time-to-treatment discontinuation (TTD) and overall survival (OS) in a Swedish metastatic renal cell carcinoma (mRCC) nationwide cohort who received second-line axitinib. Retrospective analysis of 110 patients with mRCC treated with second-line axitinib in Sweden (2012-2019). Patients included in the study received axitinib after mainly first-line sunitinib or pazopanib. The median (95% CI) TTD of patients who received second-line axitinib was 5.2 (3.7-6.1) months with 6 (5.5%) patients still receiving treatment at the time of analysis. Median (95% CI) OS was 12.2 (7.7-14.2) months. The results are consistent with previous findings in mRCC and add to the evidence demonstrating efficacy of second-line axitinib, after failure of a prior anti-angiogenic therapy in a real-world setting. NCT04669366 (ClinicalTrials.gov).

摘要

评估在接受二线阿昔替尼治疗的瑞典转移性肾细胞癌(mRCC)全国队列中患者的治疗终止时间(TTD)和总生存期(OS)。对瑞典 110 例接受二线阿昔替尼治疗的 mRCC 患者(2012-2019 年)进行的回顾性分析。研究纳入的患者在接受二线阿昔替尼治疗前主要接受了一线舒尼替尼或帕唑帕尼治疗。接受二线阿昔替尼治疗的患者 TTD 的中位数(95%CI)为 5.2(3.7-6.1)个月,在分析时仍有 6(5.5%)例患者在接受治疗。中位(95%CI)OS 为 12.2(7.7-14.2)个月。这些结果与 mRCC 中的先前发现一致,并在真实环境中在前一种抗血管生成治疗失败后,增加了二线阿昔替尼疗效的证据。NCT04669366(ClinicalTrials.gov)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/11376413/1a504f8f72e1/IFON_A_2351352_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/11376413/b574c29b6a85/IFON_A_2351352_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/11376413/b20eea1a6a80/IFON_A_2351352_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/11376413/1a504f8f72e1/IFON_A_2351352_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/11376413/b574c29b6a85/IFON_A_2351352_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/11376413/b20eea1a6a80/IFON_A_2351352_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee2/11376413/1a504f8f72e1/IFON_A_2351352_F0003_C.jpg

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本文引用的文献

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Sci Rep. 2023 Nov 23;13(1):20629. doi: 10.1038/s41598-023-48087-4.
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Clin Genitourin Cancer. 2022 Feb;20(1):25-34. doi: 10.1016/j.clgc.2021.09.006. Epub 2021 Oct 20.
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Median time to progression with TKI-based therapy after failure of immuno-oncology therapy in metastatic kidney cancer: A systematic review and meta-analysis.免疫肿瘤治疗失败后,转移性肾细胞癌患者接受 TKI 为基础的治疗的中位无进展时间:系统评价和荟萃分析。
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A real-world data of Immune checkpoint inhibitors in solid tumors from India.印度实体瘤免疫检查点抑制剂的真实世界数据。
Cancer Med. 2021 Mar;10(5):1525-1534. doi: 10.1002/cam4.3617. Epub 2021 Feb 16.
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Comparisons of Real-World Time-to-Event End Points in Oncology Research.肿瘤学研究中真实世界事件发生时间终点的比较。
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