Evidence map›Paper›PMID 38478923›Full record

ArticleThe oncologist2024

Efficacy, Safety, and Tolerability of Tivozanib in Heavily Pretreated Patients With Advanced Clear Cell Renal Cell Carcinoma.

Andrew C Johns, Matthew T Campbell, Mamie Gao, Andrew W Hahn, Zita Lim, Emily Wang, Jianjun Gao, Amishi Y Shah, Pavlos Msaouel, Nizar M Tannir

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

10 authors at 1 institution in 1 country.

Andrew C JohnsDivision of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-9821-8662
Matthew T CampbellDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Mamie GaoDepartment of Abdominal Imaging, University of Texas MD Anderson Cancer Center, Houston, Texas.
Andrew W HahnDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Zita LimDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Emily WangPharmacy Clinical Programs, University of Texas MD Anderson Cancer Center, Houston, Texas.
Jianjun GaoDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-6138-4472
Amishi Y ShahDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Pavlos MsaouelDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-6505-8308
Nizar M TannirDepartment of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-5559-8060
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Andrew Sabin Family Foundation KC200096P1NCI NIH HHS P30 CA016672United States Department of Defense
6 · The paper itself

Abstract

backgroundTivozanib has been approved as a third-line or later therapy for advanced renal cell carcinoma based on the TIVO-3 trial, which was conducted before immune checkpoint therapies (ICT), cabozantinib, and lenvatinib/everolimus became incorporated in the current sequential treatment paradigm for advanced clear cell RCC (ccRCC).

methodsWe performed a retrospective study of patients with advanced ccRCC treated with tivozanib at MD Anderson Cancer Center during 6/2021-7/2023. A blinded radiologist assessed tumor response by RECIST v1.1. We assessed overall response rate (ORR), clinical benefit rate (CBR) [percentage of all treated patients who achieved radiologic response or stable disease (SD) for ≥ 6 months], progression-free survival (PFS), overall survival (OS), and safety.

resultsOf 30 analyzed patients, 23% had performance status ≥ 2; 47% had International Metastatic RCC Database Consortium (IMDC) poor-risk disease. Median number of prior therapies was 4 (range 1-8). All patients received prior ICT, 87% cabozantinib and 60% lenvatinib ± everolimus. Of 26 evaluable patients, 2 patients had confirmed partial response (ORR 7.7%); 5 patients had SD for ≥ 6 months (CBR 23.3%). Median PFS was 3.8 months (range 0.7-13.9); median OS was 14.1 months (range 0.3-28.5). Fifteen patients (50%) had ≥ 1 treatment-related adverse event (TRAE). There were 6 grade ≥ 3 TRAEs [hypertension, congestive heart failure (3), mucositis, and GI perforation (grade 5)].

conclusionsIn this cohort of heavily pretreated patients with advanced ccRCC, tivozanib yielded a modest clinical benefit in a minority of patients who received prior ICT, cabozantinib, and lenvatinib ± everolimus. TRAEs were consistent with previously published reports.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsPhenylurea CompoundsQuinolinesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesPhenylurea CompoundsQuinolinestivozanibrenal cell carcinomasequencingtivozanibtyrosine kinase inhibitorVEGF blockade

Identifiers

PMID38478923
PMCPMC11224966
OpenAlexW4392738747

What OpenQuestion holds

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LicenceCC BY
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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.