Evidence map›Paper›PMID 28089416›Full record

ReviewUrologic oncology2017

Strategies to overcome therapeutic resistance in renal cell carcinoma.

Peter J Siska, Kathryn E Beckermann, W Kimryn Rathmell, Scott M Haake

Abstract readReview
In one paragraph

Review in Urologic oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

33 citing papers in PubMed.

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  20. Radiation induces dynamic changes to the T cell repertoire in renal cell carcinoma patients.Proceedings of the National Academy of Sciences of the United States of America · 2020
    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

4 authors.

Peter J Siska *Departments of Pathology, Microbiology, and Immunology, Vanderbilt Center for Immunobiology, Vanderbilt University Medical Center, 2220 Pierce Ave, PRB 646, Nashville, TN 37232. TEL: (615) 936-2003; FAX: (615) 343-7602. Peter.Siska@Vanderbilt.edu.
Kathryn E Beckermann *Division of Hematology and Oncology, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, 2220 Pierce Ave, PRB 646, Nashville, TN 37232. TEL: (615) 936-2003; FAX: (615) 343-7602. Katy.Beckermann@Vanderbilt.edu.
W Kimryn RathmellDivision of Hematology and Oncology, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, 2220 Pierce Ave, PRB 777, Nashville, TN 37232. TEL: (615) 322-4967; FAX: (615) 343-7602. Kimryn.Rathmell@Vanderbilt.edu.
Scott M HaakeDivision of Hematology and Oncology, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, 2220 Pierce Ave, PRB 777, Nashville, TN 37232. TEL: (615) 322-4967; FAX: (615) 343-7602. Scott.M.Haake@Vanderbilt.edu.

Funding

Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
Enhancing Translational Science via Prospective InvestigationK24CA172355 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RATHMELL, WENDY KIMRYN · 2013 to 2017
$870k
NCI NIH HHS K12 CA090625NCI NIH HHS K24 CA172355NCI NIH HHS L30 CA209667
6 · The paper itself

Abstract

backgroundRenal cell cancer (RCC) is a prevalent and lethal disease. At time of diagnosis, most patients present with localized disease. For these patients, the standard of care includes nephrectomy with close monitoring thereafter. While many patients will be cured, 5-year recurrence rates range from 30% to 60%. Furthermore, nearly one-third of patients present with metastatic disease at time of diagnosis. Metastatic disease is rarely curable and typically lethal. Cytotoxic chemotherapy and radiation alone are incapable of controlling the disease. Extensive effort was expended in the development of cytokine therapies but response rates remain low. Newer agents targeting angiogenesis and mTOR signaling emerged in the 2000s and revolutionized patient care. While these agents improve progression free survival, the development of resistance is nearly universal. A new era of immunotherapy is now emerging, led by the checkpoint inhibitors. However, therapeutic resistance remains a complex issue that is likely to persist. METHODS AND PURPOSE: In this review, we systematically evaluate preclinical research and clinical trials that address resistance to the primary RCC therapies, including anti-angiogenesis agents, mTOR inhibitors, and immunotherapies. As clear cell RCC is the most common adult kidney cancer and has been the focus of most studies, it will be the focus of this review.

Indexed as

Drug Resistance, NeoplasmAngiogenesis InhibitorsAntineoplastic AgentsCarcinoma, Renal CellClinical Trials as TopicCostimulatory and Inhibitory T-Cell ReceptorsCytotoxicity, ImmunologicDisease-Free SurvivalDisease ProgressionHumansImmunotherapyKidneyKidney NeoplasmsNeoplasm Recurrence, LocalNeovascularization, PathologicNephrectomyAngiogenesis InhibitorsAntineoplastic AgentsCostimulatory and Inhibitory T-Cell ReceptorsMTOR protein, humanProtein Kinase InhibitorsReceptors, Vascular Endothelial Growth FactorTOR Serine-Threonine KinasesAngiogenesisImmunotherapymTORRenal cell carcinomaResistance

Identifiers

PMID28089416
PMCPMC5318278

What OpenQuestion holds

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Registered trials

None linked

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.