Evidence map›Paper›PMID 27027342›Full record

Observational studyOncotarget2016

Risk of recurrence and conditional survival in complete responders treated with TKIs plus or less locoregional therapies for metastatic renal cell carcinoma.

Daniele Santini, Matteo Santoni, Alessandro Conti, Giuseppe Procopio, Elena Verzoni, Luca Galli, Giuseppe di Lorenzo, Ugo De Giorgi, Delia De Lisi, Maurizio Nicodemo and 16 more

Abstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Daniele SantiniDepartment of Medical Oncology, Campus Bio-Medico University of Rome, Rome, Italy.
Matteo SantoniClinica di Oncologia Medica, Università Politecnica delle Marche, AOU Ospedali Riuniti, Ancona, Italy.
Alessandro ContiDipartimento di Scienze Cliniche Specialistiche ed Odontostomatologiche, Clinica di Urologia, AOU Ospedali Riuniti, Ancona, Italy.
Giuseppe ProcopioOncology Unit I, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy.
Elena VerzoniOncology Unit I, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy.
Luca GalliDivision of Medical Oncology II, Azienda Ospedaliero-Universitaria Pisana, Istituto Toscano Tumori, Pisa, Italy.
Giuseppe di LorenzoDepartment of Clinical Medicine, Medical Oncology Unit, Federico II University, Naples, Italy.
Ugo De GiorgiIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) - IRCCS, Meldola, Italy.
Delia De LisiDepartment of Medical Oncology, Campus Bio-Medico University of Rome, Rome, Italy.
Maurizio NicodemoSacro Cuore - Don Calabria Hospital, Negrar, Italy.
Marco MaruzzoMedical Oncology I, Istituto Oncologico Veneto IOV, IRCCS, Padova, Italy.
Francesco MassariMedical Oncology, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy.
Sebastiano ButiOncology Unit, University Hospital of Parma, Parma, Italy.
Emanuela AltobelliDepartment of Urology, Campus Bio-Medico University of Rome, Rome, Italy.
Elisa BiascoDivision of Medical Oncology II, Azienda Ospedaliero-Universitaria Pisana, Istituto Toscano Tumori, Pisa, Italy.
Riccardo RicottaNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan, Italy.
Camillo PortaIRCCS San Matteo University Hospital Foundation, Pavia, Italy.
Bruno VincenziDepartment of Medical Oncology, Campus Bio-Medico University of Rome, Rome, Italy.
Rocco PapaliaDepartment of Urology, Campus Bio-Medico University of Rome, Rome, Italy.
Paolo MarchettiMedical Oncology Unit Policlinico Sant'Andrea, Rome, Italy.
Luciano BurattiniClinica di Oncologia Medica, Università Politecnica delle Marche, AOU Ospedali Riuniti, Ancona, Italy.
Rossana BerardiClinica di Oncologia Medica, Università Politecnica delle Marche, AOU Ospedali Riuniti, Ancona, Italy.
Giovanni MutoDepartment of Urology, Campus Bio-Medico University of Rome, Rome, Italy.
Rodolfo MontironiSection of Pathological Anatomy, Polytechnic University of the Marche Region, School of Medicine, AOU Ospedali Riuniti, Ancona, Italy.
Stefano CascinuClinica di Oncologia Medica, Università Politecnica delle Marche, AOU Ospedali Riuniti, Ancona, Italy.
Giuseppe ToniniDepartment of Medical Oncology, Campus Bio-Medico University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe retrospectively analyzed the risk of recurrence and conditional Disease-Free Survival (cDFS) in 63 patients with complete remission during treatment with tirosin kinase inhibitor (TKI), alone or with local treatment in metastatic renal cell carcinoma.

results37% patients achieve CR with TKI alone, while 63% with additional loco-regional treatments. 49% patients recurred after CR, with a median Disease free survival of 28.2 months. Patients treated with multimodal approaches present lower rate of recurrence (40% vs 61%) and longer Disease free survival compared to patient treated with TKI alone (16.5 vs 41.9 months, p=0.039).Furthermore the rate of recurrence was higher in patients with brain (88%), pancreatic (71%) and bone metastasis (50%). Patients who continued TKI therapy after complete response had a longer disease free survival than patients who stopped therapy, although the difference was not significant (42.1 vs 25.1 months, p=0.254). 2y-cDFS was better in patients treated with multimodal treatment and who continued TKIs than the other patient arms.

conclusionsThe prognostic value of CR depends on the site where was obtained and how was obtained (with or without locoregional treatment). Cessation of TKI should be carefully considered in complete responder patients.

Indexed as

Neoplasm Recurrence, LocalAgedAntineoplastic AgentsCarcinoma, Renal CellChemotherapy, AdjuvantChi-Square DistributionDisease-Free SurvivalDisease ProgressionFemaleHumansItalyKaplan-Meier EstimateKidney NeoplasmsMaleMiddle AgedMolecular Targeted TherapyAntineoplastic AgentsProtein Kinase Inhibitorscomplete responder patientsconditional survivalrenal cell carcinomarisk of recurrencetirosin kinase inhibitor

Identifiers

PMID27027342
PMCPMC5078103

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.