Real-world outcomes in patients with metastatic renal cell carcinoma according to risk factors: the STAR-TOR registry

Future Oncol. 2021 Jun;17(18):2325-2338. doi: 10.2217/fon-2020-1020. Epub 2021 Mar 16.

Abstract

Aim: Examine outcomes in sunitinib-treated patients by International Metastatic RCC Database Consortium (IMDC) or Memorial Sloan-Kettering Cancer Center (MSKCC) risk factors. Patients & methods: Patients enrolled in STAR-TOR registry (n = 327). End points included overall survival, progression-free survival and objective response rate. Results: Overall survival was similar for IMDC 0 versus 1 (p = 0.238) or 2 versus ≥3 (p = 0.156), but different for MSKCC (0 vs 1, p = 0.037; 2 vs ≥3, p = 0.001). Progression-free survival was similar for IMDC 2 versus 3 (p = 0.306), but different for MSKCC (p = 0.009). Objective response rate was different for IMDC 1 (41.9%) and 2 (29.5%) and similar for MSKCC 1 (34.4%) and 2 (31.0%). Conclusion: Outcome data varied according to IMDC or MSKCC. MSKCC model accurately stratify patients into risk groups. Clinical trial registration: NCT00700258 (ClinicalTrials.gov).

Keywords: STAR-TOR; first line; metastatic renal cell carcinoma; prognostic model; risk factors; sunitinib.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Axitinib / administration & dosage
  • Carcinoma, Renal Cell / drug therapy
  • Carcinoma, Renal Cell / mortality*
  • Carcinoma, Renal Cell / secondary
  • Female
  • Follow-Up Studies
  • Humans
  • Kidney Neoplasms / drug therapy
  • Kidney Neoplasms / mortality*
  • Kidney Neoplasms / pathology
  • Male
  • Prognosis
  • Prospective Studies
  • Registries / statistics & numerical data*
  • Risk Assessment
  • Sirolimus / administration & dosage
  • Sirolimus / analogs & derivatives
  • Sunitinib / administration & dosage
  • Survival Rate

Substances

  • temsirolimus
  • Axitinib
  • Sunitinib
  • Sirolimus

Associated data

  • ClinicalTrials.gov/NCT00700258

Grants and funding