Prognostic factors of immunotherapy in metastatic renal cell carcinoma

The prognosis of the majority of patients with metastatic renal cell carcinoma is poor, and there is no internationally recognized standard therapy for these patients. Patients are treated with interferon alpha or interleukin- 2 monotherapy, or combinations outside of clinical trials and a subgroup...

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Bibliographic Details
Published in:Medical oncology (Northwood, London, England) London, England), 2003-01, Vol.20 (4), p.325-334
Main Author: Padrik, Peeter
Format: Article
Language:English
Subjects:
Carcinoma, Renal Cell - mortality
Carcinoma, Renal Cell - secondary
Carcinoma, Renal Cell - therapy
Clinical Trials as Topic
Female
Humans
Immunologic Factors - therapeutic use
Immunotherapy
Interferon-alpha - therapeutic use
Interleukin-2 - therapeutic use
Kidney Neoplasms - mortality
Kidney Neoplasms - secondary
Kidney Neoplasms - therapy
Male
Oncology
Prognosis
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Summary:The prognosis of the majority of patients with metastatic renal cell carcinoma is poor, and there is no internationally recognized standard therapy for these patients. Patients are treated with interferon alpha or interleukin- 2 monotherapy, or combinations outside of clinical trials and a subgroup of patients responds to these therapies. Because immunotherapy induces adverse effects in almost every patient, it is necessary to avoid treating patients who will not, in the end, benefit from the treatment. It is therefore sensible to carefully select patients prior to the initiation of immunotherapy. Determining prognostic factors of survival or of rapid progression under treatment would be of help for selecting patients for immunotherapy. This article reviews current data about prognostic and predictive factors from immunotherapy studies in metastatic renal cell carcinoma comparing all analyzed factors with those that demonstrated an independent prognostic significance in multivariate analyses.
ISSN:1357-0560
1357-0560
1559-131X
DOI:10.1385/MO:20:4:325