Evidence map›Paper›PMID 34748099›Full record

ReviewCurrent oncology reports2021

Combination Therapy in Renal Cell Carcinoma: the Best Choice for Every Patient?

Ernesto Rossi, Melissa Bersanelli, Alain Jonathan Gelibter, Nicolò Borsellino, Claudia Caserta, Laura Doni, Marco Maruzzo, Alessandra Mosca, Carmela Pisano, Elena Verzoni and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in Current oncology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.4field-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

23 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. miR-378a-3p promotes renal cell carcinoma proliferation, migration, and invasion by targeting TOB2.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  18. Article
  19. Article
  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

11 authors at 11 institutions in 1 country.

Ernesto RossiMedical Oncology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy. ernestorossi.rm@gmail.com.
Melissa BersanelliMedicine and Surgery Department, University of Parma and Medical Oncology Unit, University Hospital of Parma, Parma, Italy.
Alain Jonathan GelibterMedical Oncology Unit B, "Sapienza" University of Rome, Policlinico Umberto I, Rome, Italy.
Nicolò BorsellinoMedical Oncology, Buccheri La Ferla - Fatebenefratelli Hospital, Palermo, Italy.
Claudia CasertaMedical and Translational Oncology, Azienda Ospedaliera Santa Maria, Terni, Italy.
Laura DoniMedical Oncology, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Marco MaruzzoMedical Oncology Unit 1, Department of Oncology, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Alessandra MoscaMultidisciplinary Outpatient Oncology Clinic, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy.
Carmela PisanoDepartment of Urology and Gynecology, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, Napoli, Italy.
Elena VerzoniMedical Oncology, Fondazione IRCCS Istituto Dei Tumori, Milan, Italy.
Paolo Andrea ZucaliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Agostino Gemelli University Polyclinic · ITAzienda Ospedaliera S.Maria · ITAzienda Ospedaliero-Universitaria Careggi · ITCandiolo Cancer Institute · ITFatebenefratelli Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITHumanitas University · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITIstituto Oncologico Veneto · ITPoliclinico Umberto I · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTherapeutic alternatives to treat metastatic renal cell carcinoma (mRCC) are increasing, and combination therapies, including antiangiogenic agents and tyrosine kinase/mTOR/immune checkpoint inhibitors, are identified as the gold standard driven by the results of recent clinical studies. Nevertheless, the real-world RCC population is very heterogeneous, with categories of patients not represented in the enrolled trial population who may not benefit more from these treatments. The purpose of this expert review is to assess the rationale on which tyrosine kinase alone may still be a viable first-line treatment option for some subgroups of patients with mRCC. RECENT

findingsThe first-line treatment with tyrosine kinase inhibitor monotherapy can still be considered an effective tool for addressing selected mRCCs, as highlighted by the successful outcome in a range of subjects such as favorable-risk patients, the ones suffering from autoimmune diseases, those with pancreatic or lung metastases, or previously undergoing organ transplantation and elderly subjects. Some selected categories of patients may still benefit from monotherapy with TKI, and smart sequential therapies can also be considered instead of a combination strategy. Tyrosine kinase inhibitors can also act as immune modulator agents, boosting the immune response to facilitate and potentiate the therapeutic effectiveness of subsequent immunotherapy.

Indexed as

Angiogenesis InhibitorsCarcinoma, Renal CellHumansProtein Kinase InhibitorsProtein-Tyrosine KinasesSurvival AnalysisAngiogenesis InhibitorsProtein Kinase InhibitorsProtein-Tyrosine KinasesAntiangiogenic factorsCombination therapyImmune checkpoint inhibitors (ICI)ImmunotherapymRCCTyrosine kinase inhibitors (TKI)

Identifiers

PMID34748099
PMCPMC8575734
OpenAlexW3212079076

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.