Evidence map›Paper›PMID 39565522›Full record

ReviewCurrent oncology reports2024

Tivozanib Monotherapy in the Frontline Setting for Patients with Metastatic Renal Cell Carcinoma and Favorable Prognosis.

Ricky Frazer, José Ángel Arranz, Sergio Vázquez Estévez, Omi Parikh, Laura-Maria Krabbe, Naveen S Vasudev, Christian Doehn, Norbert Marschner, Tom Waddell, Will Ince and 1 more

Erratum issuedAbstract readReview
In one paragraph

Review in Current oncology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Ricky FrazerVelindre Cancer Centre, Cardiff, CF14 2TL, UK. ricky.frazer@wales.nhs.uk.
José Ángel ArranzHospital General Universitario Gregorio Marañón, Madrid, Spain.
Sergio Vázquez EstévezHospital Universitario Lucus Augusti (HULA), Lugo, Spain.
Omi ParikhLancashire Teaching Hospitals NHS Foundation Trust, Chorley, UK.ORCID http://orcid.org/0000-0003-4181-7124
Laura-Maria KrabbeKlinik für Urologie, Vivantes Humboldt-Klinikum, Berlin, Germany.
Naveen S VasudevLeeds Institute of Medical Research at St James's, Leeds, UK.ORCID http://orcid.org/0000-0001-8470-7481
Christian DoehnUrologikum Lübeck, Lübeck, Germany.
Norbert MarschnerClinical Research Institute IOMEDICO, Freiburg, Germany.
Tom WaddellThe Christie NHS Foundation Trust, Manchester, UK.
Will InceDepartment of Oncology, Cambridge University NHS Foundation Trust, Cambridge, UK.ORCID http://orcid.org/0000-0002-2122-7760
Peter J GoebellUniklinik Erlangen, Urologische und Kinderurologische Klinik, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewIn this review, we discuss which patients with metastatic clear cell renal cell carcinoma (mRCC) may be most suitable for frontline tyrosine kinase inhibitor (TKI) monotherapy, a treatment option supported by emerging long-term efficacy data including overall survival and quality of life. We specifically focus on tivozanib, a potent and selective inhibitor of vascular endothelial growth factor receptor, which has comparable efficacy to other single-agent TKIs in frontline treatment for mRCC while exhibiting fewer off-target side effects. RECENT

findingsCombination therapy with TKIs and checkpoint inhibitors (CPIs) and CPI/CPI combination therapies, as well as TKI monotherapy are recommended frontline treatment options for mRCC. Treatment decisions are complex and based on several factors, including the patient's International Metastatic RCC Database Consortium risk status, age, comorbidities, and personal preferences related to response, tolerability, and quality of life. TKIs not only serve as backbone of most combination therapies for mRCC, but also remain a viable monotherapy option in the first-line setting for patients in favorable risk groups and those with contraindications to CPI combination therapies. Given that overall survival benefits have not yet been confirmed for CPI-containing combination regimens in favorable risk patients, we argue that frontline single-agent TKI treatment remains a standard of care option for these patients. This is supported by treatment guidelines, even in the era of TKI/CPI combination therapies.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesHumansPrognosisQuality of LifeReceptors, Vascular Endothelial Growth FactorPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesReceptors, Vascular Endothelial Growth FactortivozanibCheckpoint inhibitorsFavorable riskFirst-line treatmentMetastatic renal cell carcinomaTivozanibTyrosine kinase inhibitors

Identifiers

PMID39565522
PMCPMC11646210

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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.