Evidence map›Paper›PMID 41142037›Full record

ArticleEuropean urology open science2025

Real-life Use of Cabozantinib in Front-line therapy for Metastatic Renal Cell Carcinoma: The CabFRONT Study (Meet-URO 24).

Marco Stellato, Pierangela Sepe, Enrico Bronte, Vincenza Conteduca, Maria Cossu Rocca, Ugo De Giorgi, Marilena Di Napoli, Luca Galli, Lorena Incorvaia, Luca Lalli and 11 more

Abstract read
In one paragraph

Article in European urology open science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

21 authors.

Marco StellatoGenitourinary Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Pierangela SepeOncologia Medica, ASST Santi Paolo e Carlo, Milan, Italy.
Enrico BronteMedical Oncology Unit, Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy.
Vincenza ConteducaDepartment of Medical and Surgical Sciences, Unit of Medical Oncology and Biomolecular Therapy, University of Foggia, Policlinico Riuniti, Foggia, Italy.
Maria Cossu RoccaEuropean Institute of Oncology IRCCS, Milan, Italy.
Ugo De GiorgiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori Dino Amadori, Meldola, Italy.
Marilena Di NapoliDepartment of Urology and Gynecology, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, Naples, Italy.
Luca GalliOncology Unit 2, University Hospital of Pisa, Pisa, Italy.
Lorena IncorvaiaDepartment of Precision Medicine in Medical, Surgical and Critical Care, Section of Medical Oncology, University of Palermo, Palermo, Italy.
Luca LalliUnit of Traslational Immunology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Brigida Anna MaioranoOncology Unit, Foundation Casa Sollievo della Sofferenza IRCCS, San Giovanni Rotondo, Italy.
Marco MaruzzoOncology Unit 3, Istituto Oncologico Veneto IRCCS, Padua, Italy.
Alessia MennittoDepartment of Medical Oncology, University Hospital Maggiore della Carità, Novara, Italy.
Giandomenico RovielloDepartment of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Firenze, Italy.
Matteo SantoniUOC Oncologia, Ospedale Generale Provinciale di Macerata, Macerata, Italy.
Mariella SorarùOncology Unit, Camposampiero General Hospital, Padova, Italy.
Elisa ZanardiAcademic Unit of Medical Oncology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Paolo ZucaliDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Giuseppe ProcopioGenitourinary Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Elena VerzoniGenitourinary Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Meet-URO group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Cabozantinib remains the cornerstone for treatment of patients metastatic renal cell carcinoma (mRCC), whether pretreated with an immune-oncology (IO) agent and/or tyrosine kinase inhibitor, or treatment-naïve but ineligible for IO-based combinations. Methods: CabFRONT (Meet-URO 24) was a retrospective, observational, multicentre study of a real-life population of treatment-naïve patients with intermediate-risk or poor-risk mRCC treated with cabozantinib. Key findings and limitations: A total of 211 treatment- naïve patients with intermediate- or poor-risk mRCC according to the International Metastatic RCC Database Consortium criteria were included. At median follow-up of 50.4 mo (interquartile range 46.9-53.2), median progression-free survival (PFS) was 9.1 mo (interquartile range 7.4-10.4) and median overall survival (OS) was 19.8 mo (95% confidence interval [CI] 14.1-27.0). A reduced dose was not associated with significant differences in median OS (hazard ratio [HR] 1.08, 95% CI 0.77-1.52; Conclusions and clinical implications: Front-line cabozantinib was effective and safe in an unselected real-life population of patients with intermediate-risk or poor-risk mRCC. Cabozantinib could be a choice for patients who cannot receive IO-based combinations or a speculative option for individuals with "early progression" on adjuvant IO. Patient summary: We looked at outcomes for patients with metastatic kidney cancer treated with an inhibitor called cabozantinib in a large European population. We found that cabozantinib is active and safe, and that changes in the dose or treatment schedule because of side effects do not affect outcomes. Cabozantinib could be an option for patients who cannot receive immunotherapy for metastatic disease.

Indexed as

CabozantinibReal-world evidenceRenal cell carcinomaTreatment scheduleTyrosine kinase inhibitor

Identifiers

PMID41142037
PMCPMC12550166

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.