Journal of Korean Medical Science

  • 제33권51호
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  • Pages.325.1-325.10
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  • 2018
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  • 1011-8934(pISSN)
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  • 1598-6357(eISSN)
대한의학회 (Korean Acad Medical Sciences)
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Efficacy of First-Line Targeted Therapy in Real-World Korean Patients with Metastatic Renal Cell Carcinoma: Focus on Sunitinib and Pazopanib

  • Kim, Myung Soo (Department of Urology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Chung, Ho Seok (Department of Urology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Hwang, Eu Chang (Department of Urology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Jung, Seung Il (Department of Urology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Kwon, Dong Deuk (Department of Urology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Hwang, Jun Eul (Department of Hemato-Oncology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Bae, Woo Kyun (Department of Hemato-Oncology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Park, Jae Young (Department of Urology, Korea University Ansan Hospital) ;
  • Jeong, Chang Wook (Department of Urology, Seoul National University Hospital) ;
  • Kwak, Cheol (Department of Urology, Seoul National University Hospital) ;
  • Song, Cheryn (Department of Urology, Asan Medical Center) ;
  • Seo, Seong Il (Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Byun, Seok-Soo (Department of Urology, Seoul National University Bundang Hospital) ;
  • Hong, Sung-Hoo (Department of Urology, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Chung, Jinsoo (Department of Urology, National Cancer Center)
  • 투고 : 2018.06.02
  • 심사 : 2018.08.27
  • 발행 : 2018.12.17
⟨ 이전 논문 다음 논문 ⟩

초록

Background: To evaluate survival outcomes and prognostic factors for overall survival (OS) in patients with metastatic renal cell carcinoma (mRCC) who received sunitinib (SU) and pazopanib (PZ) as first-line therapy in real-world Korean clinical practice. Methods: Data of 554 patients with mRCC who received SU or PZ at eight institutions between 2012 and 2016 were retrospectively reviewed. Based on the targeted therapy, the patients were divided into SU (n = 293) or PZ (n = 261) groups, and the clinicopathological variables and survival rates of the two groups were compared. A multivariable Cox proportional hazard model was used to determine the prognostic factors for OS. Results: The median follow-up was 16.4 months (interquartile range, 8.3-31.3). Patients in the PZ group were older, and no significant difference was observed in the performance status (PS) between the two groups. In the SU group, the dose reduction rate was higher and the incidence of grade 3 toxicity was more frequent. The objective response rates were comparable between the two groups (SU, 32.1% vs. PZ, 36.4%). OS did not differ significantly between the two groups (SU, 36.5 months vs. PZ, 40.2 months; log-rank, P = 0.955). Body mass index, Eastern Cooperative Oncology Group PS > 2, synchronous metastasis, poor Heng risk criteria, and liver and bone metastases were associated with a shorter OS. Conclusion: Our real-world data of Korean patients with mRCC suggested that SU and PZ had similar efficacies as first-line therapy for mRCC. However, PZ was better tolerated than SU in Korean patients.

키워드

과제정보

연구 과제 주관 기관 : Chonnam National University Hwasun Hospital

참고문헌

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피인용 문헌

  1. Custo-efetividade do pazopanibe comparado ao sunitinibe para câncer renal metastático na perspectiva de um hospital do Sistema Único de Saúde vol.35, pp.8, 2018, https://doi.org/10.1590/0102-311x00108218
  2. Does an Alternative Sunitinib Dosing Schedule Really Improve Survival Outcomes Over a Conventional Dosing Schedule in Patients with Metastatic Renal Cell Carcinoma? An Updated Systematic Review and Me vol.11, pp.12, 2018, https://doi.org/10.3390/cancers11121830
  3. First-Line Pazopanib Treatment in Metastatic Renal Cell Carcinoma: Real-World Data From a Single Chinese Center vol.11, pp.None, 2018, https://doi.org/10.3389/fphar.2020.517672
  4. Predictive Markers of First Line Pazopanib Treatment in Kidney Cancer vol.26, pp.4, 2020, https://doi.org/10.1007/s12253-020-00853-9
  5. Outcomes of starting low-dose pazopanib in patients with metastatic renal cell carcinoma who do not meet eligibility criteria for clinical trials vol.32, pp.3, 2018, https://doi.org/10.4103/uros.uros_145_20