Real-world outcomes of avelumab plus axitinib in patients with advanced renal cell carcinoma in Japan: long-term follow-up from the J-DART2 retrospective study
2024

Long-term Outcomes of Avelumab Plus Axitinib in Advanced Kidney Cancer in Japan

Sample size: 150 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kato Taigo, Furukawa Junya, Hinata Nobuyuki, Ueda Kosuke, Hara Isao, Hongo Fumiya, Mizuno Ryuichi, Okamoto Teppei, Okuno Hiroshi, Ito Takayuki, Kajita Masahiro, Oya Mototsugu, Tomita Yoshihiko, Shinohara Nobuo, Eto Masatoshi, Uemura Hirotsugu

Primary Institution: Osaka University Graduate School of Medicine

Hypothesis

Older patients may benefit less from immunotherapy due to immune senescence.

Conclusion

The study shows that avelumab plus axitinib is effective for treating advanced renal cell carcinoma in Japan, including older patients.

Supporting Evidence

  • Median progression-free survival was 17.1 months.
  • 1-year overall survival rate was 90.6%.
  • 53.3% of patients had an objective response rate.
  • Disease control rate was 88.9%.
  • Median treatment duration was 10.7 months.

Takeaway

This study looked at how well a cancer treatment works for patients in Japan, especially older ones, and found it helps many people.

Methodology

A multicenter, noninterventional, retrospective study analyzing clinical data from patients treated with avelumab plus axitinib.

Potential Biases

Site selection and outcome reporting biases may affect the generalizability of the results.

Limitations

The study is retrospective, which may affect data accuracy, and it was conducted in high-volume centers, potentially introducing bias.

Participant Demographics

Median age was 70.5 years; 73.3% were male, and 89.3% had clear cell RCC.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI, 16.3–20.6 months

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s10147-024-02618-9

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