Evidence map›Paper›PMID 30197417›Full record

Trial reportBritish journal of cancer2018

Outcomes based on prior therapy in the phase 3 METEOR trial of cabozantinib versus everolimus in advanced renal cell carcinoma.

Thomas Powles, Robert J Motzer, Bernard Escudier, Sumanta Pal, Christian Kollmannsberger, Joanna Pikiel, Howard Gurney, Sun Young Rha, Se Hoon Park, Poul F Geertsen and 8 more

Abstract readClinical Trial, Phase IIIComparative Study
In one paragraph

Trial report in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–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

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. SEOM SOGUG clinical guideline for treatment of kidney cancer (2022).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Cabozantinib in advanced renal cell carcinoma: A phase II, open-label, single-arm study of Japanese patients.International journal of urology : official journal of the Japanese Urological Association · 2020
    Trial
  6. Article
  7. Article
  8. Article
  9. AXL signaling in cancer: from molecular insights to targeted therapies.Signal transduction and targeted therapy · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Review
  17. Article
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  20. Review
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

18 authors.

Thomas PowlesBarts Cancer Institute, Cancer Research UK Experimental Cancer Medicine Centre, Queen Mary University of London, Royal Free NHS Trust, Queen Mary, University of London, London, E1 4NS, UK. thomas.powles@bartsandthelondon.nhs.uk.
Robert J MotzerMemorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Bernard EscudierGustave Roussy, 94 805, Villejuif Cedex, France.
Sumanta PalCity of Hope National Medical Center, Duarte, CA, 91010, USA.
Christian KollmannsbergerBritish Columbia Cancer Agency, BCCA Vancouver Cancer Centre, Vancouver, BC, V5Z 4E6, Canada.
Joanna PikielWojewodzkie Centrum Onkologii, 80-219, Gdańsk, Poland.
Howard GurneyMacquarie University and Westmead Hospital, Macquarie University, Sydney, NSW, 2109, Australia.
Sun Young RhaSeverance Hospital, Yonsei Cancer Center, Seodaemun-Gu, Seoul, 03722, South Korea.
Se Hoon ParkSamsung Medical Center, Seoul, South Korea.
Poul F GeertsenHerlev and Gentofte Hospital, Herlev Hospital, Copenhagen University, Herlev, Denmark.
Marine Gross-GoupilGroupe Hospitalier Saint André, 33000, Bordeaux, France.
Enrique GrandeHospital Universitario Ramón y Cajal, Ctra. Colmenar Viejo, km. 9,100, 28034, Madrid, Spain.
Cristina SuarezVall d'Hebron University Hospital and Institute of Oncology, Universitat Autònoma de Barcelona, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
David W MarkbyExelixis, Inc, South San Francisco, CA, 94080, USA.
Alan ArroyoExelixis, Inc, South San Francisco, CA, 94080, USA.
Mark DeanExelixis, Inc, South San Francisco, CA, 94080, USA.
Toni K ChoueiriDana-Farber Cancer Institute, Boston, MA, 02215, USA.ORCID http://orcid.org/0000-0002-9201-3217
Daniel GeorgeDuke University Medical Center, Durham, NC, 27710, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundIn the phase 3 METEOR trial, cabozantinib improved progression-free survival (PFS), objective response rate (ORR), and overall survival (OS) versus everolimus in patients with advanced renal cell carcinoma (RCC), after prior antiangiogenic therapy.

methodsOutcomes were evaluated for subgroups defined by prior therapy with sunitinib or pazopanib as the only prior VEGFR inhibitor, or prior anti-PD-1/PD-L1 therapy.

resultsFor the prior sunitinib subgroup (N = 267), median PFS for cabozantinib versus everolimus was 9.1 versus 3.7 months (HR 0.43, 95% CI 0.32-0.59), ORR was 16% versus 3%, and median OS was 21.4 versus 16.5 months (HR 0.66, 95% CI 0.47-0.93). For the prior pazopanib subgroup (N = 171), median PFS for cabozantinib versus everolimus was 7.4 versus 5.1 months (HR 0.67, 95% CI 0.45-0.99), ORR was 19% versus 4%, and median OS was 22.0 versus 17.5 months (HR 0.66, 95% CI 0.42-1.04). For prior anti-PD-1/PD-L1 therapy (N = 32), median PFS was not reached for cabozantinib versus 4.1 months for everolimus (HR 0.22, 95% CI 0.07-0.65), ORR was 22% versus 0%, and median OS was not reached versus 16.3 months (HR 0.56, 95% CI 0.21-1.52).

conclusionsCabozantinib was associated with improved clinical outcomes versus everolimus in patients with advanced RCC, irrespective of prior therapy, including checkpoint inhibitor therapy.

Indexed as

AdultAgedAged, 80 and overAngiogenesis InhibitorsAnilidesCarcinoma, Renal CellDisease-Free SurvivalEverolimusFemaleHumansIndazolesKidney NeoplasmsMaleMiddle AgedPyridinesPyrimidinesAngiogenesis InhibitorsAnilidescabozantinibEverolimusIndazolespazopanibPyridinesPyrimidinesSulfonamidesSunitinib

Identifiers

PMID30197417
PMCPMC6173766

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.