Evidence map›Paper›PMID 34771710›Full record

ReviewCancers2021

First-Line Treatment of Metastatic Clear Cell Renal Cell Carcinoma: What Are the Most Appropriate Combination Therapies?

Yann-Alexandre Vano, Sylvain Ladoire, Réza Elaidi, Slimane Dermeche, Jean-Christophe Eymard, Sabrina Falkowski, Marine Gross-Goupil, Gabriel Malouf, Bérangère Narciso, Christophe Sajous and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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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

13 authors at 12 institutions in 1 country.

Yann-Alexandre VanoGeorges Pompidou European Hospital, 75015 Paris, France.ORCID 0000-0002-9410-1368
Sylvain LadoireGeorges François Leclerc Centre, 21000 Dijon, France.
Réza ElaidiAssociation for the Research of Innovative Therapeutics in Cancerology (ARTIC), 75015 Paris, France.
Slimane DermechePaoli Calmettes Institute, 13009 Marseille, France.
Jean-Christophe EymardJean Godinot Institute, 51100 Reims, France.
Sabrina FalkowskiLimoges Polyclinic, 87000 Limoges, France.
Marine Gross-GoupilSaint André Hospital, Bordeaux University Hospital, 33000 Bordeaux, France.
Gabriel MaloufInstitute of Cancerology of Strasbourg (ICANS), 67200 Strasbourg, France.
Bérangère NarcisoTours University Hospital, 37000 Tours, France.
Christophe SajousLyon Civil Hospices Institute of Cancerology, Pierre Bénite, 69002 Lyon, France.ORCID 0000-0001-5725-0199
Sophie TartasLyon Civil Hospices Institute of Cancerology, Pierre Bénite, 69002 Lyon, France.
Eric VoogVictor Hugo Clinic, Inter-Regional Institute of Cancerology, 72000 Le Mans, France.
Alain RavaudBordeaux University Hospital, 33000 Bordeaux, France.
Hospices Civils de Lyon · FRAssociation pour la Recherche de Thérapeutiques Innovantes en Cancérologie · FRBordeaux Population Health · FRCentre Georges François Leclerc · FRClinique Victor Hugo · FRHôpital Européen Georges-Pompidou · FRHôpital Saint-André · FRInstitut de Cancérologie Strasbourg · FRInstitut Jean Godinot · FRInstitut Paoli-Calmettes · FRUniversité de Limoges · FRUniversité de Tours · FR

Funding

Celine Rouger of Medical Education Corpus Agency NAPfizer NA
6 · The paper itself

Abstract

The development of antiangiogenic treatments, followed by immune checkpoint inhibitors (ICI), has significantly changed the management of metastatic clear cell renal cell cancer. Several phase III trials show the superiority of combination therapy, dual immunotherapy (ICI-ICI) or ICI plus tyrosine kinase inhibitors (TKI) of the vascular endothelium growth factor (VEGF) over sunitinib monotherapy. The question is therefore what is the best combination for a given patient? A strategy based on the International Metastatic Database Consortium (IMDC) classification is currently recommended with pembrolizumab + axitinib, cabozantinib + nivolumab, and lenvatinib + pembrolizumab (for all patients) or nivolumab + ipilimumab (for patients with intermediate or poor risk), which are the first-line treatment standards of care. However, several issues remain unresolved and require further investigation, such as the PD-L1 status, the relevance of possible options based on the patient's profile, and consideration of second-line and subsequent treatments.

Indexed as

combinationsfirst-line treatmentimmunotherapymetastatic clear cell renal cell carcinomatyrosine kinase inhibitors

Identifiers

PMID34771710
PMCPMC8583335
OpenAlexW3211505627

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.