Agent |
Patients |
Number |
Control |
PFS (months) |
probability |
OS (months) |
probability |
US-FDA approval |
References
|
sorafenib |
cytokine refractory |
903 |
placebo |
5.5 vs 2.8 |
<0.01 |
17.8 vs 15.2 |
0.146 |
approved |
6, 15 |
sunitinib |
treatment naïve |
750 |
interferon |
11 vs 5 |
<0.001 |
26.4 vs 21.8 |
0.051 |
approved |
7, 17 |
bevacizumab |
treatment naïve treatment naïve or cytokine |
649 |
interferon |
10.2 vs 5.4 |
0.0001 |
23.3 vs 21.3 |
0.336 |
approved |
8, 18 |
pazopanib |
refractory |
435 |
placebo |
9.2 vs 4.2 |
<0.001 |
ND |
|
approved |
9 |
temsirolimus |
treatment naïve |
625 |
interferon |
3.8 vs 1.9 |
<0.001 |
10.9 vs 7.3 |
0.008 |
approved |
10 |
everolimus |
TKI refractory |
410 |
placebo |
4.0 vs 1.9 |
<0.0001 |
14.8 vs 14.4 |
0.162 |
approved |
11,19 |
axitinib |
cytokine or TKI refractory treatment naïve or cytokine |
723 |
sorafenib |
6.7 vs 4.7 |
<0.0001 |
ND |
|
approved |
22 |
tivozanib |
refractory |
|
sorafenib |
ND |
|
ND |
|
not yet |
24 |
dovitinib |
TKI and mTOR refractory |
|
sorafenib |
ND |
|
ND |
|
not yet |
|
|
PFS: median progression free survival (agents versus control), OS: median overall survival (agents versus control), US-FDA: the United States Food and Drug Administration,
TKI: tyrosine kinase inhibitor, mTOR: mammalian target of rapamycin |
Table 1: Summary of the results of phase III clinical trials of molecular targeted agents for patients with metastatic renal cell cancer. |