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Cabozantinib in Advanced Renal-cell Carcinoma
Comparing it with everolimus
Progression-free survival was longer with cabozantinib than with everolimus among patients with renal-cell carcinoma (RCC) that had progressed after VEGFR-targeted therapy, according to a study of 658 patients with metastatic renal-cell carcinoma. Researchers found:
• Median progression-free survival was 7.4 months with cabozantinib vs 3.8 months with everolimus.
• Rate of progression or death was 42% lower with cabozantinib.
• Objective response rate was 21% with cabozantinib vs 5% with everolimus.
• Adverse events were managed with dose reductions; doses were reduced in 60% of patients receiving cabozantinib vs 25% receiving everolimus.
• Treatment discontinuation occurred in 9% of patients receiving cabozantinib vs 10% receiving everolimus.
Citation: Choueiri TK, Escudier B, Powles T, et al. Cabozantinib versus everolimus in advanced renal-cell carcinoma. [Published online ahead of print September 25, 2015]. N Engl J Med. doi: 10.1056/NEJMoa1510016.