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10.1038/bjc.2016.147

http://scihub22266oqcxt.onion/10.1038/bjc.2016.147
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suck abstract from ncbi


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pmid27228299
      Br+J+Cancer 2016 ; 114 (12 ): 1313-7
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  • 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.
  • |Carcinoma, Renal Cell/*drug therapy/*urine [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Indazoles [MESH]
  • |Indoles/adverse effects/*therapeutic use [MESH]
  • |Kidney Neoplasms/*drug therapy/*urine [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Proportional Hazards Models [MESH]
  • |Proteinuria/*chemically induced [MESH]
  • |Pyrimidines/adverse effects/*therapeutic use [MESH]
  • |Pyrroles/adverse effects/*therapeutic use [MESH]
  • |Risk Factors [MESH]
  • |Sulfonamides/adverse effects/*therapeutic use [MESH]
  • |Sunitinib [MESH]
  • |Survival Analysis [MESH]


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