Evidence map›Paper›PMID 31601514›Full record

Trial reportClinical genitourinary cancer2019

COMPARZ Post Hoc Analysis: Characterizing Pazopanib Responders With Advanced Renal Cell Carcinoma.

Cora N Sternberg, Robert J Motzer, Thomas E Hutson, Toni K Choueiri, Christian Kollmannsberger, Georg A Bjarnason, Paul Nathan, Camillo Porta, Viktor Grünwald, Luca Dezzani and 2 more

Abstract readClinical Trial, Phase IIIEquivalence TrialMulticenter Study
In one paragraph

Trial report in Clinical genitourinary cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Observational
  7. Article
  8. Management of advanced kidney cancer: Kidney Cancer Research Network of Canada (KCRNC) consensus update 2021.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
  9. Cancers · 2021
    Review
  10. Article
  11. 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

12 authors.

Cora N SternbergWeill Cornell Medicine, Hematology/Oncology, New York, NY. Electronic address: cns9006@cornell.med.edu.
Robert J MotzerMemorial Sloan Kettering Cancer Center, New York, NY.
Thomas E HutsonTexas Oncology/Baylor Sammons Cancer Center, Dallas, TX.
Toni K ChoueiriDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Christian KollmannsbergerDivision of Medical Oncology, The University of British Columbia, BCCA Vancouver Cancer Centre, Vancouver, British Columbia, Canada.
Georg A BjarnasonDivision of Medical Oncology, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
Paul NathanDepartment of Medical Oncology, Mount Vernon Cancer Center, Northwood, United Kingdom.
Camillo PortaMedical Oncology, I.R.C.C.S. San Matteo University Hospital Foundation, Pavia, Italy.
Viktor GrünwaldUniversity Hospital Essen, West-German Cancer Center, Internal Medicine (Tumor research) and Clinic for Urology, Essen, Germany.
Luca DezzaniNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Jackie HanNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Nizar M TannirDepartment of Genitourinary Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.

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

backgroundThe phase III COMPARZ study showed noninferior efficacy of pazopanib versus sunitinib in advanced renal cell carcinoma. In this COMPARZ post hoc analysis we characterized pazopanib responders, patient subgroups with better outcomes, and the effect of dose modification on efficacy and safety. PATIENTS AND

methodsPatients were randomized to pazopanib 800 mg/d (n = 557) or sunitinib 50 mg/d, 4 weeks on/2 weeks off (n = 553). Secondary end points included time to complete response (CR)/partial response (PR); the proportion of patients with CR/PR ≥10 months and progression-free survival (PFS) ≥10 months; efficacy in patients with baseline metastasis; and logistic regression analyses of patient characteristics associated with CR/PR ≥10 months. Median PFS, objective response rate (ORR), and safety were evaluated in patients with or without dose reductions or interruptions lasting ≥7 days.

resultsMedian time to response was numerically shorter for patients treated with pazopanib versus sunitinib (11.9 vs. 17.4 weeks). Similar percentages of pazopanib and sunitinib patients had CR/PR ≥10 months (14% and 13%, respectively), and PFS ≥10 months (31% and 34%, respectively). For patients without versus with adverse event (AE)-related dose reductions, median PFS, median overall survival, and ORR were 7.3 versus 12.5 months, 21.7 versus 36.8 months, and 22% versus 42% (all P < .0001) for pazopanib, and 5.5 versus 13.8 months, 18.1 versus 38.0 months, and 16% versus 34% (all P < .0001) for sunitinib; results were similar for dose interruptions.

conclusionDose modifications when required because of AEs were associated with improved efficacy, suggesting that AEs might be used as a surrogate marker of adequate dosing for individual patients.

Indexed as

Carcinoma, Renal CellDrug Administration ScheduleFemaleHumansIndazolesKidney NeoplasmsLogistic ModelsMalePyrimidinesRandom AllocationSulfonamidesSunitinibSurvival AnalysisTreatment OutcomeIndazolespazopanibPyrimidinesSulfonamidesSunitinibFirst-lineSunitinibTyrosine kinase inhibitorVEGFVEGFR

Identifiers

PMID31601514
PMCPMC7518515

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.