Evidence map›Paper›PMID 31905816›Full record

ArticleCancers2019

Real-World Data on Cabozantinib in Previously Treated Patients with Metastatic Renal Cell Carcinoma: Focus on Sequences and Prognostic Factors.

Matteo Santoni, Daniel Y Heng, Sergio Bracarda, Giuseppe Procopio, Michele Milella, Camillo Porta, Marc R Matrana, Giacomo Cartenì, Simon J Crabb, Ugo De Giorgi and 39 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Treatments for renal cell carcinoma: NICE Pilot Treatment Pathways Appraisal.Health technology assessment (Winchester, England) · 2026
    Pooled it
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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

49 authors at 20 institutions in 6 countries.

Matteo SantoniOncology Unit, Macerata Hospital, via Santa Lucia 2, 62100 Macerata, Italy.
Daniel Y HengDivision of Medical Oncology, Department of Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, AB T2N 4N2, Canada.
Sergio BracardaMedical Oncology, Department of Oncology, AziendaOspedaliera S. Maria, 05100 Terni, Italy.
Giuseppe ProcopioDepartment of Medical Oncology, Istituto Nazionale deiTumori IRCCS, 20133 Milan, Italy.
Michele MilellaU.O.C. Oncology, AziendaOspedalieraUniversitariaIntegrata, University and Hospital Trust of Verona, 37126 Verona, Italy.
Camillo PortaDepartment of Internal Medicine and Therapeutics, University of Pavia and Division of Translational Oncology, IRCCS Istituti Clinici Scientifici Maugeri, 27100 Pavia, Italy.ORCID 0000-0003-2412-1563
Marc R MatranaDepartment of Internal Medicine, Hematology/Oncology, Ochsner Medical Center, New Orleans, LA 70121, USA.
Giacomo CartenìDepartment of Medical Oncology, AO "A. Cardarelli", 80131 Naples, Italy.
Simon J CrabbCancer Sciences Unit, University of Southampton, Southampton SO171BJ, UK.ORCID 0000-0003-3521-9064
Ugo De GiorgiDepartment of Medical Oncology, IstitutoScientifico Romagnolo per lo Studio e la CuradeiTumori (IRST) IRCCS, 47014 Meldola, Italy.ORCID 0000-0001-7520-2908
Umberto BassoDepartment of Medical Oncology, IstitutoOncologico Veneto (IOV) IRCCS, 35128 Padova, Italy.
Cristina MasiniMedical Oncology Unit, Arcispedale Santa Maria Nuova, IRCCS Reggio Emilia, 42123 Reggio Emilia, Italy.
Fabio CalabròSan Camillo-Forlanini Hospital, 00128 Rome, Italy.
Maria Giuseppa VitaleDepartment of Oncology and Haematology and Respiratory Disease, University Hospital, 41125 Modena, Italy.
Daniele SantiniDepartment of Medical Oncology, Campus Bio-Medico University of Rome, 00128 Rome, Italy.
Francesco MassariDivision of Oncology, S. Orsola-Malpighi Hospital, 40138 Bologna, Italy.ORCID 0000-0001-6476-6871
Luca GalliMedical Oncology Unit, Department of Translational Research and New Technologies in Medicine, University of Pisa, 56126 Pisa, Italy.
Giuseppe FornariniDepartment of Medical Oncology, Ospedale "S. Martino", 16132 Genova, Italy.
Riccardo RicottaNiguarda Cancer Center, Grande OspedaleMetropolitano Niguarda, 20162 Milan, Italy.
Sebastiano ButiMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0003-0876-0226
Paolo ZucaliHumanitas Clinical and Research Center, Humanitas Cancer Center, Rozzano, 20089 Milano, Italy.ORCID 0000-0002-2274-1702
Orazio CaffoMedical Oncology Department, Santa Chiara Hospital, Largo Medaglied'Oro, 38122 Trento, Italy.ORCID 0000-0001-7968-2531
Franco MorelliMedical Oncology Department, Casa SollievodellaSofferenza, VialeCappuccini 1, 71013 San Giovanni Rotondo, Italy.
Francesco CarrozzaOncology Unit, City Hospital, 48018 Faenza, Italy.
Angelo MartignettiDipartimentooncologicouslsud-esttoscana-area senese, LocalitàCampostaggias.n.c., 53036 Poggibonsi, Italy.
Alain GelibterMedical Oncology (B), Policlinico Umberto I, "Sapienza" University of Rome, 00128 Rome, Italy.
Roberto IacovelliMedical Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.ORCID 0000-0002-1750-2117
Alessandra MoscaMedical Oncology Unit, Maggiore dellaCarità University Hospital, University of Eastern Piedmont, 28100 Novara, Italy.
Francesco AtzoriMedical Oncology Unit, AziendaOspedalieroUniversitaria of Cagliari, 09124 Cagliari, Italy.
Nuno VauUrologic Oncology, Champalimaud Clinical Center, 1400-038 Lisbon, Portugal.
Lorena IncorvaiaDepartment of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, 90127 Palermo, Italy.
Cinzia OrtegaDepartment of Medical Oncology, Ospedale S. Lazzaro ASL CN2 Alba-Bra, 12051 Cuneo, Italy.
Marina ScarpelliUnited Hospitals, School of Medicine, Section of Pathological Anatomy, Polytechnic University of the Marche Region, Via Conca 71, I-60126 Ancona, Italy.
Antonio Lopez-BeltranDepartment of Pathology and Surgery, Faculty of Medicine, 14004 Cordoba, Spain.ORCID 0000-0003-3161-8164
Liang ChengDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0001-6049-5293
Vittorio PaolucciOncology Unit, Macerata Hospital, via Santa Lucia 2, 62100 Macerata, Italy.
Jeffrey GrahamDivision of Medical Oncology, Department of Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, AB T2N 4N2, Canada.
Erin PierceDepartment of Internal Medicine, Hematology/Oncology, Ochsner Medical Center, New Orleans, LA 70121, USA.
Sarah ScagliariniDepartment of Medical Oncology, AO "A. Cardarelli", 80131 Naples, Italy.
Pierangela SepeDepartment of Medical Oncology, Istituto Nazionale deiTumori IRCCS, 20133 Milan, Italy.
Elena VerzoniDepartment of Medical Oncology, Istituto Nazionale deiTumori IRCCS, 20133 Milan, Italy.
Sara MerlerU.O.C. Oncology, AziendaOspedalieraUniversitariaIntegrata, University and Hospital Trust of Verona, 37126 Verona, Italy.ORCID 0000-0002-8691-6284
Mimma RizzoDepartment of Internal Medicine and Therapeutics, University of Pavia and Division of Translational Oncology, IRCCS Istituti Clinici Scientifici Maugeri, 27100 Pavia, Italy.
Giulia SorgentoniOncology Unit, Macerata Hospital, via Santa Lucia 2, 62100 Macerata, Italy.
Alessandro ContiDepartment of Urology, Bressanone/Brixen hospital, via Dante 51, 39042 Bressanone BZ, Italy.
Francesco PivaDepartment of Specialistic Clinical and Odontostomatological Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
Alessia CimadamoreUnited Hospitals, School of Medicine, Section of Pathological Anatomy, Polytechnic University of the Marche Region, Via Conca 71, I-60126 Ancona, Italy.ORCID 0000-0001-5981-3514
Rodolfo MontironiUnited Hospitals, School of Medicine, Section of Pathological Anatomy, Polytechnic University of the Marche Region, Via Conca 71, I-60126 Ancona, Italy.ORCID 0000-0003-3938-610X
Nicola BattelliOncology Unit, Macerata Hospital, via Santa Lucia 2, 62100 Macerata, Italy.
Ospedale di MacerataFondazione IRCCS Istituto Nazionale dei Tumori · ITMarche Polytechnic University · ITAzienda Ospedaliera Universitaria Integrata Verona · ITOchsner Medical Center · USOspedale Antonio Cardarelli · ITUniversity of Calgary · CAUniversity of Pavia · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera S.Maria · ITAzienda Ospedaliero-Universitaria Cagliari · ITAzienda Sanitaria Locale CN2 · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCarlo Forlanini Hospital · ITCasa Sollievo della Sofferenza · ITChampalimaud Foundation · PTHumanitas University · ITIndiana University School of MedicineIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIstituto Oncologico Veneto · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cabozantinib is approved for the treatment of renal cell carcinoma (RCC). However, prognostic factors are still lacking in this context. The aim of this study was to evaluate prognostic factors in RCC patients treated with second- or third-line cabozantinib. A multicenter retrospective real-world study was conducted, involving 32 worldwide centers. A total of 237 patients with histologically confirmed clear-cell and non-clear-cell RCC who received cabozantinib as second- or third-line therapy for metastatic disease were included. We analyzed overall survival (OS), progression-free survival (PFS) and time-to-strategy failure (TTSF) using Kaplan-Meier curves. Cox proportional models were used at univariate and multivariate analyses.The median PFS and OS of cabozantinib were 7.76 months (95% CI 6.51-10.88) and 11.57 months (95% CI 10.90-not reached (NR)) as second-line and 11.38 months (95% CI 5.79-NR) and NR (95% CI 11.51-NR) as third-line therapy. The median TTSF and OS were 11.57 and 15.52 months with the sequence of cabozantinib-nivolumab and 25.64 months and NR with nivolumab-cabozantinib, respectively. The difference between these two sequences was statistically significant only in good-risk patients. In the second-line setting, hemoglobin (Hb) levels (HR= 2.39; 95% CI 1.24-4.60,

Indexed as

cabozantinibnivolumabprognosisreal-world datarenal cell carcinomatargeted therapy

Identifiers

PMID31905816
PMCPMC7016527
OpenAlexW2997000594

What OpenQuestion holds

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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.