Your browser doesn't support javascript.
loading
Efficacy and safety of anti-vascular endothelial growth factor therapies in older patients for first line treatment of metastatic renal cell carcinoma.
Dupuis, Hugo Georges Arthur; Chebbi, Ala; Surlemont, Louis; Rigal, Olivier; Di Fiore, Frédéric; Pfister, Christian; Nouhaud, François-Xavier.
Afiliación
  • Dupuis HGA; Urology Department, Rouen University Hospital, Rouen, France.
  • Chebbi A; Urology Department, Rouen University Hospital, Rouen, France.
  • Surlemont L; Urology Department, Rouen University Hospital, Rouen, France.
  • Rigal O; Medical Oncology Unit, Henri Becquerel Center, Rouen, France.
  • Di Fiore F; Medical Oncology Unit, Henri Becquerel Center, Rouen, France.
  • Pfister C; Urology Department, Rouen University Hospital, Rouen, France.
  • Nouhaud FX; Clinical Investigation Center, Inserm 1404, Onco Urology, Rouen, France.
Transl Androl Urol ; 10(6): 2418-2426, 2021 Jun.
Article en En | MEDLINE | ID: mdl-34295728
ABSTRACT

BACKGROUND:

immunotherapy became the first line treatment of metastatic renal cell carcinoma (mRCC). Nevertheless, a better understanding of the specificities of targeted therapies (TT) in the elderly population could be helpful in order to improve the management of mRCC in this population. The aim of this retrospective study was to assess efficacy and safety of sunitinib and sorafenib used as first-line TT in 70 years older patients compared to younger patients.

METHODS:

Data were retrospectively collected for all consecutive mRCC patients receiving first line TT treatment by sunitinib or sorafenib for mRCC from January 2006 to November 2017. Patients were divided into two groups according to the age using a cut-off at 70 years old. Median progression-free survival (PFS) and overall survival (OS) were estimated by Kaplan-Meier method and compared using log-rank test.

RESULTS:

In total, 147 patients were included; 94 (63.9%) were <70 and 53 (36.1%) were 70 years old or more. First line TT used was sunitinib in 123 (83.7%) patients or sorafenib in 24 (16.3%) patients. Median PFS was 8 months for elderly patients vs. 6 in younger group (P=0.68). Median OS were 26 vs. 36 months (P=0.08). Severe induced toxicity was more frequent among elderly patients 34 (64.2%) vs. 46 patients (48.9%) (P=0.07). Rate of treatment discontinuation due to toxicity was 22 patients (23.4%) in younger group vs. 28 patients (52.8%) in the elderly group (P=0.0005). Results were similar in the 2 groups regarding the type of toxicities.

CONCLUSIONS:

Our results suggest similar efficacy of anti-vascular endothelial growth factor (VEGF) agents as first-line treatment for mRCC among younger and older patients with an age cut-off of 70 years. Safety results suggest that these drugs can be safely used for older patients with a need of caution regarding toxicity prevention.
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Transl Androl Urol Año: 2021 Tipo del documento: Article País de afiliación: Francia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Transl Androl Urol Año: 2021 Tipo del documento: Article País de afiliación: Francia