Evidence map›Paper›PMID 38638242›Full record

ArticleTherapeutic advances in urology

Assessing the effectiveness and safety of lenvatinib and everolimus in advanced renal cell carcinoma: insights from the RELIEVE study's analysis of heavily pretreated patients.

Sebastiano Buti, Alessandro Olivari, Cristina Masini, Davide Bimbatti, Donata Sartori, Paola Ermacora, Carlo Cattrini, Maria Giuseppa Vitale, Ernesto Rossi, Claudia Mucciarini and 13 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

23 authors at 18 institutions in 1 country.

Sebastiano ButiDepartment of Medicine and Surgery, University Hospital of Parma, Parma, Italy Oncology Unit, University Hospital of Parma, Parma, Italy.ORCID https://orcid.org/0000-0003-0876-0226
Alessandro OlivariDepartment of Medicine and Surgery, University Hospital of Parma, 14 Gramsci Street, Parma, 43125, Italy Oncology Unit, University Hospital of Parma, Parma, Italy.ORCID https://orcid.org/0009-0000-2138-905X
Cristina MasiniOncology Unit, Clinical Cancer Centre AUSL-IRCCS di Reggio, Emilia, Italy.ORCID https://orcid.org/0000-0002-9926-8458
Davide BimbattiOncology Unit 1, Department of Oncology, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Donata SartoriOncologia Dolo-Mirano, AULSS3 Veneziana, Venezia, Italy.
Paola ErmacoraDepartment of Oncology, ASUFC Santa Maria Della Misericordia, Udine, Italy.
Carlo CattriniAzienda Ospedaliero-Universitaria 'Maggiore della Carità' - Università del Piemonte Orientale, Novara, Italy.ORCID https://orcid.org/0000-0003-4785-9480
Maria Giuseppa VitaleDepartment of Oncology and Hematology, University Hospital of Modena, Modena, Italy.
Ernesto RossiMedical Oncology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Claudia MucciariniMedical Oncology Unit, AUSL Modena, Ramazzini Hospital, Carpi, Italy.
Mimma RizzoAzienda Ospedaliera Universitaria Consorziale, Policlinico di Bari, Bari, Italy.ORCID https://orcid.org/0000-0001-7743-741X
Michele SisaniU.O.C. Oncologia Medica, USL Toscana sudest, Arezzo, Italy.
Matteo SantoniUOC Oncologia, Ospedale Generale Provinciale di Macerata, Macerata, Italy.
Giandomenico RovielloDepartment of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Firenze, Italy.
Veronica MollicaMedical Oncology, IRCCS - Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Vincenza ConteducaDepartment of Medical and Surgical Sciences, Unit of Medical Oncology and Biomolecular Therapy, University of Foggia, Policlinico Riuniti, Foggia, Italy.
Francesco GrilloneMedical Oncology Unit, Azienda Ospedaliera Universitaria "Mater-Domini" Policlinico di Catanzaro, Catanzaro, Italy.ORCID https://orcid.org/0009-0009-6010-7604
Marika CinauseroDepartment of Medicine (DAME), University of Udine, Udine, Italy.
Giuseppe PratiAzienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Francesco AtzoriUnità di Oncologia Medica, Azienda Ospedaliero Universitaria di Cagliari, Cagliari, Italy.
Marco StellatoMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Francesco MassariDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Melissa BersanelliUniversity Hospital of Parma, Parma, Italy.ORCID https://orcid.org/0000-0002-6527-6281
University of Parma · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda USL di Bologna · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliero-Universitaria Cagliari · ITAzienda Ospedaliero Universitario Mater Domini · ITAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITAzienda Usl 8 Arezzo · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Oncologico Veneto · ITIstituto Ramazzini · ITOspedale Santa Maria della Misericordia di Udine · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Florence · ITUniversity of Foggia · ITUniversity of Macerata · ITUniversity of Modena and Reggio Emilia · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The treatment of heavily pretreated patients with metastatic renal cell carcinoma (mRCC) represents an unmet medical need and is still challenging. Objectives: The primary objective was to assess the effectiveness of the lenvatinib plus everolimus combination and the secondary objective was the toxicity profile of this combination. Design: We conducted a longitudinal retrospective study examining mRCC patients pre-treated with one or more lines of therapy among different cancer centers in Italy. Methods: The study included patients who received the combination of lenvatinib plus everolimus as either a second-line treatment or beyond. We assessed progression-free survival (PFS), time to treatment failure (TTF), overall survival (OS), response rate (RR), and toxicity profile. In addition, we explored the potential relationship between treatment effectiveness and clinical and laboratory parameters. Results: In all, 33 patients were assessed, the median age was 60 years, 57% had an Eastern Cooperative Oncology Group performance status of 1-2 and. 63% received ⩾ 3 prior lines of therapy. 62% were 'intermediate risk' according to the International Metastatic Renal Cell Carcinoma Database Consortium and 30% were 'poor risk'. The RR was 42% (no complete response), 18% stable disease. Median OS was 11.2 months (95% CI 6.8-19.9), median PFS was 6.7 months (95% CI 0.6-30.8), and median TTF was 6.7 months (95% CI 4.8-16.6). A shorter OS was significantly associated with lymph node metastases ( Conclusion: Our findings suggest a clinically relevant effectiveness of lenvatinib plus everolimus combination with an acceptable toxicity profile for heavily pretreated patients with mRCC.

Indexed as

everolimusheavilylenvatinibmRCCpretreatedrenal cell carcinoma

Identifiers

PMID38638242
PMCPMC11025417
OpenAlexW4394896502

What OpenQuestion holds

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LicenceCC BY-NC
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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.