Evidence map›Paper›PMID 37369815›Full record

ArticleTargeted oncology2023

Global Real-World Outcomes of Patients Receiving Immuno-Oncology Combinations for Advanced Renal Cell Carcinoma: The ARON-1 Study.

Matteo Santoni, Francesco Massari, Zin W Myint, Roberto Iacovelli, Martin Pichler, Umberto Basso, Jindrich Kopecky, Jakub Kucharz, Sebastiano Buti, Mimma Rizzo and 46 more

Registry-linked trialOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Targeted oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05287464 (International Multicentric Study ARON-1), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% 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.

NCT05287464 recruitingnot on this map

International Multicentric Study ARON-1

TypeobservationalSponsorHospital of MacerataRan2022 to 2027Enrolled1,220ConditionsMetastatic Renal Cell Carcinoma (mRCC)Armspembrolizumab plus axitinib
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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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

56 authors at 20 institutions in 16 countries.

Matteo Santoni *Oncology Unit, Macerata Hospital, Via Santa Lucia 2, 62100, Macerata, Italy. mattymo@alice.it.ORCID 0000-0001-7340-6173
Francesco Massari *Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, Bologna, Italy.
Zin W MyintMarkey Cancer Center, University of Kentucky, Lexington, KY, 40536-0293, USA.
Roberto IacovelliOncologia Medica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Martin PichlerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Augenbruggerplatz 15, 8010, Graz, Austria.
Umberto BassoOncology 3 Unit, Department of Oncology, Istituto Oncologico Veneto IOV IRCCS, Padua, Italy.
Jindrich KopeckyDepartment of Clinical Oncology and Radiotherapy, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Jakub KucharzDepartment of Uro-oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Sebastiano ButiMedical Oncology Unit, Department of Medicine and Surgery, University Hospital of Parma, University of Parma, Parma, Italy.
Mimma RizzoDivision of Medical Oncology, A.O.U. Consorziale Policlinico di Bari, Piazza G. Cesare 11, 70124, Bari, Italy.
Luca GalliOncology Unit 2, University Hospital of Pisa, 56126, Pisa, Italy.
Thomas BüttnerDepartment of Urology, University Hospital Bonn (UKB), 53127, Bonn, Germany.
Ugo De GiorgiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Ravindran KanesvaranDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Ondřej FialaDepartment of Oncology and Radiotherapeutics, Faculty of Medicine, University Hospital in Pilsen, Charles University, Pilsen, Czech Republic.
Enrique GrandeDepartment of Medical Oncology, MD Anderson Cancer Center Madrid, Madrid, Spain.
Paolo Andrea ZucaliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Giuseppe FornariniIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Maria T BourlonHematology and Oncology Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Sarah ScagliariniUOC di Oncologia, Azienda Ospedaliera di Rilievo Nazionale Cardarelli di Napoli, Naples, Italy.
Javier Molina-CerrilloDepartment of Medical Oncology, Hospital Ramón y Cajal, Madrid, Spain.
Gaetano AurilioMedical Oncology Division of Urogenital and Head and Neck Tumours, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Marc R MatranaDepartment of Internal Medicine, Hematology/Oncology, Ochsner Medical Center, New Orleans, LA, USA.
Renate PichlerDepartment of Urology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Carlo CattriniDepartment of Medical Oncology, "Maggiore della Carità" University Hospital, 28100, Novara, Italy.
Tomas BüchlerDepartment of Oncology, First Faculty of Medicine, Charles University, Thomayer University Hospital, 14059, Prague, Czech Republic.
Emmanuel SerontDepartment of Medical Oncology, Centre Hospitalier de Jolimont, Haine Saint Paul, Belgium.
Fabio CalabròDepartment of Oncology, San Camillo Forlanini Hospital, Rome, Italy.
Alvaro PintoMedical Oncology Department, La Paz University Hospital, Madrid, Spain.
Rossana BerardiDepartment of Medical Oncology, Università Politecnica delle Marche, AOU Ospedali Riuniti delle Marche, Ancona, Italy.
Anca ZguraDepartment of Oncology-Radiotherapy, Prof. Dr. Alexandru Trestioreanu Institute of Oncology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Giulia MammoneDepartment of Radiological, Oncological and Anatomo-Pathological Science, "Sapienza" University of Rome, Viale Regina Elena 324, 00185, Rome, Italy.
Jawaher AnsariMedical Oncology, Tawam Hospital, Al Ain, United Arab Emirates.
Francesco AtzoriUnità di Oncologia Medica, Azienda Ospedaliero Universitaria di Cagliari, Cagliari, Italy.
Rita ChiariUOC Oncologia, Azienda Ospedaliera Ospedali Riuniti Marche Nord, Tuscany, Italy.
Aristotelis Bamias2nd Propaedeutic Department of Internal Medicine, School of Medicine, ATTIKON University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Orazio CaffoMedical Oncology Unit, Santa Chiara Hospital, Trento, Italy.
Giuseppe ProcopioDipartimento di Oncologia Medica, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Maria BassanelliMedical Oncology 1, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Sara MerlerSection of Oncology, Department of Medicine, University of Verona School of Medicine, Verona University Hospital Trust, Verona, Italy.
Carlo MessinaOncology Unit, A.R.N.A.S. Civico, Palermo, Italy.
Zsófia KüronyaDepartment of Genitourinary Medical Oncology and Clinical Pharmacology, National Institute of Oncology, Budapest, Hungary.
Alessandra MoscaOncology, Candiolo Cancer Institute, IRCCS-FPO, 10060, Turin, Italy.
Dipen BhuvaDepartment of Medical Oncology, Army Hospital Research and Referral, New Delhi, India.
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, Palermo, Italy.
Sara Elena RebuzziMedical Oncology, Ospedale San Paolo, 17100, Savona, Italy.
Giandomenico RovielloDepartment of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Viale Pieraccini 6, 50139, Florence, Italy.
Ignacio Ortego ZabalzaDepartment of Medical Oncology, MD Anderson Cancer Center Madrid, Madrid, Spain.
Alessandro RizzoStruttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico "Don Tonino Bello", I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco 65, 70124, Bari, Italy.
Veronica MollicaMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, Bologna, Italy.
Giulia SorgentoniOncology Unit, Macerata Hospital, Via Santa Lucia 2, 62100, Macerata, Italy.
Fernando Sabino M MonteiroLatin American Cooperative Oncology Group-LACOG, Porto Alegre, Brazil.
Rodolfo MontironiMolecular Medicine and Cell Therapy Foundation, Polytechnic University of the Marche Region, 60126, Ancona, Italy.
Nicola Battelli *Oncology Unit, Macerata Hospital, Via Santa Lucia 2, 62100, Macerata, Italy.
Camillo Porta *Division of Medical Oncology, A.O.U. Consorziale Policlinico di Bari, Piazza G. Cesare 11, 70124, Bari, Italy.
Ospedale di MacerataAzienda USL di Bologna · ITCharles University · CZMarche Polytechnic University · ITMD Anderson Cancer Center Madrid · ESAgostino Gemelli University Polyclinic · ITArmy Hospital Research and Referral · INAzienda di Rilievo Nazionale ed Alta Specializzazione · ITAzienda Ospedaliera Ospedale Maggiore · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Ospedaliero-Universitaria Cagliari · ITCandiolo Cancer Institute · ITCarlo Forlanini Hospital · ITCarol Davila University of Medicine and Pharmacy · ROChampalimaud Foundation · PTEuropean Institute of Oncology · ITHôpital de Jolimont · BEHospital Universitario La Paz · ESHospital Universitario Ramón y Cajal · ESHumanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmuno-oncology combinations have achieved survival benefits in patients with metastatic renal cell carcinoma (mRCC).

objectiveThe ARON-1 study (NCT05287464) was designed to globally collect real-world data on the use of immuno-combinations as first-line therapy for mRCC patients. PATIENTS AND

methodsPatients aged ≥ 18 years with a cytologically and/or histologically confirmed diagnosis of mRCC treated with first-line immuno-combination therapies were retrospectively included from 47 International Institutions from 16 countries. Patients were assessed for overall survival (OS), progression-free survival (PFS), and overall clinical benefit (OCB).

resultsA total of 729 patients were included; tumor histology was clear-cell RCC in 86% of cases; 313 patients received dual immuno-oncology (IO + IO) therapy while 416 were treated with IO-tyrosine kinase inhibitor (IO + TKI) combinations. In the overall study population, the median OS and PFS were 36.5 and 15.0 months, respectively. The median OS was longer with IO+TKI compared with IO+IO therapy in the 616 patients with intermediate/poor International mRCC Database Consortium (IMDC) risk criteria (55.7 vs 29.7 months; p = 0.045). OCB was 84% for IO+TKI and 72% for IO + IO combination (p < 0.001).

conclusionsOur study may suggest that immuno-oncology combinations are effective as first-line therapy in the mRCC real-world context, showing outcome differences between IO + IO and IO + TKI combinations in mRCC subpopulations. CLINICAL

trial registrationNCT05287464.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsHumansProgression-Free SurvivalProtein Kinase InhibitorsRetrospective StudiesProtein Kinase Inhibitors

Identifiers

PMID37369815
OpenAlexW4382198961

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Registered trials

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