Pazopanib for Metastatic Renal Cell Carcinoma: A Registry-based Analysis of 426 Patients

Anticancer Res. 2018 Jan;38(1):449-456. doi: 10.21873/anticanres.12243.

Abstract

Background: Pazopanib is approved for the first-line treatment of patients with metastatic renal cell carcinoma (mRCC). The present study was a retrospective registry-based analysis of 426 patients with mRCC treated with pazopanib as first-line targeted therapy.

Patients and methods: The data were obtained from the Renal Cell Carcinoma Information system registry. Patient baseline parameters, treatment course and outcomes, and toxicity were analysed.

Results: Median progression-free and overall survival were 12.9 (95% confidence interval(CI)=11.0-14.8) months and 33.2 (95% CI=29.9-36.4) months, respectively. Overall response rate and disease control rate were 25.1% and 57.4%, respectively. Adverse events led to discontinuation of treatment in 37 (12.1%) patients.

Conclusion: The results confirm that pazopanib is an effective and safe first-line targeted treatment in patients with mRCC. Both the International mRCC Database Consortium and the Memorial Sloan Kettering models were valid predictors of prognosis and nephrectomy was associated with improved survival.

Keywords: Renal cell carcinoma; cancer registry; pazopanib; response; survival.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Angiogenesis Inhibitors / adverse effects
  • Angiogenesis Inhibitors / therapeutic use*
  • Carcinoma, Renal Cell / drug therapy*
  • Carcinoma, Renal Cell / pathology
  • Carcinoma, Renal Cell / surgery
  • Czech Republic
  • Databases, Factual
  • Disease-Free Survival
  • Female
  • Humans
  • Indazoles
  • Indoles / therapeutic use
  • Kidney Neoplasms / drug therapy*
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / surgery
  • Male
  • Middle Aged
  • Nephrectomy
  • Proto-Oncogene Proteins c-kit / antagonists & inhibitors
  • Pyrimidines / adverse effects
  • Pyrimidines / therapeutic use*
  • Pyrroles / therapeutic use
  • Receptors, Platelet-Derived Growth Factor / antagonists & inhibitors
  • Receptors, Vascular Endothelial Growth Factor / antagonists & inhibitors
  • Registries
  • Retrospective Studies
  • Sulfonamides / adverse effects
  • Sulfonamides / therapeutic use*
  • Sunitinib
  • Treatment Outcome

Substances

  • Angiogenesis Inhibitors
  • Indazoles
  • Indoles
  • Pyrimidines
  • Pyrroles
  • Sulfonamides
  • pazopanib
  • Proto-Oncogene Proteins c-kit
  • Receptors, Platelet-Derived Growth Factor
  • Receptors, Vascular Endothelial Growth Factor
  • Sunitinib