PMID- 32129940 OWN - NLM STAT- MEDLINE DCOM- 20200914 LR - 20200914 IS - 1743-7563 (Electronic) IS - 1743-7555 (Linking) VI - 16 IP - 4 DP - 2020 Aug TI - The efficacy of axitinib as a first-line treatment for metastatic renal cell carcinoma. PG - 241-246 LID - 10.1111/ajco.13323 [doi] AB - AIM: To evaluate predictive factors which associated with oncological outcomes to first-line axitinib for metastatic renal cell carcinoma (mRCC). METHODS: A retrospective chart review was conducted patients who had been treated with axitinib as first-line therapy for the treatment of mRCC from September 2013 to February 2018. Axitinib was given by single daily oral administration at a dose of 10 mg, which was reduced according to adverse events (AEs). We investigated progression-free survival (PFS), overall survival (OS), objective response rate (ORR) and AEs. RESULTS: Thirty-eight mRCC patients were enrolled. The median follow-up duration of axitinib treatment was 11.3 months (range = 1.0-56.9). ORR was 28.9%. Median PFS and OS was 12.8, and 17.9 months, respectively. In univariate analysis, baseline lactate dehydrogenase (LDH), neutrophil, corrected calcium (Ca), platelets (Plt) and time from diagnosis were selected as potential predictive factors. Multivariate Cox's proportional hazards model analysis showed that the number of risk factors were associated with PFS (P = 0.03) and OS (P = 0.02). CONCLUSION: Baseline LDH, neutrophil, Ca, Plt and time from diagnosis are predictive factors for both PFS and OS in first-line treatment with axitinib for metastatic renal cell carcinoma. CI - (c) 2020 John Wiley & Sons Australia, Ltd. FAU - Kameda, Tomohiro AU - Kameda T AUID- ORCID: 0000-0003-4521-008X AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Takayama, Tatsuya AU - Takayama T AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Sugihara, Toru AU - Sugihara T AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Takeshima, Saki AU - Takeshima S AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Yamazaki, Masahiro AU - Yamazaki M AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Komatsubara, Maiko AU - Komatsubara M AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Kamei, Jun AU - Kamei J AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Fujisaki, Akira AU - Fujisaki A AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Ando, Satoshi AU - Ando S AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Kurokawa, Shinsuke AU - Kurokawa S AD - Department of Urology, Jichi Medical University, Tochigi, Japan. FAU - Fujimura, Tetsuya AU - Fujimura T AD - Department of Urology, Jichi Medical University, Tochigi, Japan. LA - eng PT - Journal Article DEP - 20200304 PL - Australia TA - Asia Pac J Clin Oncol JT - Asia-Pacific journal of clinical oncology JID - 101241430 RN - 0 (Antineoplastic Agents) RN - C9LVQ0YUXG (Axitinib) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/pharmacology/*therapeutic use MH - Axitinib/pharmacology/*therapeutic use MH - Carcinoma, Renal Cell/*drug therapy/mortality/pathology MH - Female MH - Humans MH - Kidney Neoplasms/*drug therapy/pathology MH - Male MH - Middle Aged MH - Neoplasm Metastasis MH - Retrospective Studies MH - Survival Rate MH - Treatment Outcome OTO - NOTNLM OT - axitinib OT - first-line OT - renal cell carcinoma OT - vascular endothelial growth factor EDAT- 2020/03/05 06:00 MHDA- 2020/09/15 06:00 CRDT- 2020/03/05 06:00 PHST- 2019/07/27 00:00 [received] PHST- 2020/01/28 00:00 [accepted] PHST- 2020/03/05 06:00 [pubmed] PHST- 2020/09/15 06:00 [medline] PHST- 2020/03/05 06:00 [entrez] AID - 10.1111/ajco.13323 [doi] PST - ppublish SO - Asia Pac J Clin Oncol. 2020 Aug;16(4):241-246. doi: 10.1111/ajco.13323. Epub 2020 Mar 4.