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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Oncol
2016 ; 27
(1
): 159-65
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Treatment patterns and clinical outcomes in patients with renal cell carcinoma in
the UK: insights from the RECCORD registry
#MMPMID26489444
Wagstaff J
; Jones R
; Hawkins R
; Porfiri E
; Pickering L
; Bahl A
; Brown J
; Buchan S
Ann Oncol
2016[Jan]; 27
(1
): 159-65
PMID26489444
show ga
BACKGROUND: The aim of the RECCORD registry was to gather real-world UK data on
the use of targeted therapies in renal cell carcinoma (RCC) and assess clinical
outcomes. Here, demographic and outcome data are presented with the treatment
patterns and demographic profile of patients on the registry. PATIENTS AND
METHODS: Patients were retrospectively identified at seven UK hospitals with
large cancer centres in England (5), Scotland (1) and Wales (1). Anonymised data
were collected through an online registry covering demographics, treatments and
outcomes. Five hundred and fourteen UK adult patients with metastatic RCC were
included in the study for analysis. Patients were included if they were treated
for metastatic RCC at one of the seven centres, and started systemic anti-cancer
treatment from March 2009 to November 2012 inclusive. In addition to demographic
factors, the principal outcome measures were overall survival (OS), time to
disease progression and toxicity. RESULTS: The majority of first-line treatment
was with sunitinib; first-line use of pazopanib increased as the study
progressed. 15.8% of patients received second-line treatment, half of whom were
prescribed everolimus. Median OS (from initiation of first-line treatment) was
23.9 months (95% confidence interval [CI] 18.6-29.1 months), similar to that
reported for clinical trials of targeted RCC therapies [Ljungberg B, Campbell SC,
Choi HY et al. The epidemiology of renal cell carcinoma. Eur Urol 2011; 60:
615-621; Abe H, Kamai T. Recent advances in the treatment of metastatic renal
cell carcinoma. Int J Urol 2013; 20: 944-955; Motzer RJ, Hutson TE, Tomczak P et
al. Overall survival and updated results for sunitinib compared with interferon
alfa in patients with metastatic renal cell carcinoma. J Clin Oncol 2009; 27:
3584-3590]. OS was significantly longer for those who received second-line
treatment after disease progression (33.0 months; 95% CI 30.8-35.2 months) than
those who did not (20.9 months; 95% CI 16.4-25.3 months; P = 0.008). CONCLUSIONS:
RECCORD is a large 'real-world' database assessing metastatic RCC treatment
patterns and outcomes. Treatment patterns changed over time as targeted therapies
were approved and became widely available; survival data in RECCORD are
consistent with those reported for systemic treatments in clinical trials.
Kaplan-Meier analysis of results demonstrated that receiving second-line therapy
was a major prognostic factor for longer OS.