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2016 ; 114
(12
): 1313-7
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English Wikipedia
Risk factors of proteinuria in renal cell carcinoma patients treated with VEGF
inhibitors: a secondary analysis of pooled clinical trial data
#MMPMID27228299
Sorich MJ
; Rowland A
; Kichenadasse G
; Woodman RJ
; Mangoni AA
Br J Cancer
2016[Jun]; 114
(12
): 1313-7
PMID27228299
show ga
BACKGROUND: Proteinuria is a common adverse effect of vascular endothelial growth
factor targeted agents, particularly in metastatic renal cell carcinoma (mRCC).
However, risk factors for proteinuria are poorly defined. METHODS: Data on 1392
mRCC patients using pazopanib or sunitinib were pooled from two Phase-III
clinical trials. Risk factors and prognostic effect of on-therapy proteinuria
were evaluated by Cox proportional hazards regression. RESULTS: Any-grade (1-4)
and grade 3/4 proteinuria incidence were 15.0% and 3.7%, respectively. Asian
ethnicity, diabetes, baseline systolic blood pressure (SBP), pre-existing grade 1
proteinuria and prior nephrectomy were significant independent predictors of
either any-grade or grade 3/4 proteinuria. Proteinuria, particularly grade 3/4
(adjusted hazard ratio 0.53 (95% confidence interval 0.30-0.92)), was associated
with improved overall survival. CONCLUSIONS: In mRCC patients using pazopanib or
sunitinib, Asian ethnicity, diabetes, SBP, pre-existing proteinuria and prior
nephrectomy were independent predictors of on-therapy proteinuria, which was
associated with improved survival.