Table 2.
Overall | After 2 cycles of sunitinib | After 3 cycles of sunitinib | Intermediate-risk disease | Poor-risk disease | |
n | 52 | 19 | 33 | 35 | 17 |
Overall response (RECIST) at the time of surgery, n (%) | |||||
PR | 5 (10) | 2 (11) | 3 (9) | 4 (11) | 1 (6) |
SD | 33 (63) | 13 (68) | 20 (61) | 23 (66) | 10 (58) |
PD | 12 (23) | 4 (21) | 8 (24) | 7 (20) | 5 (29) |
Not evaluablea | 2 (4) | 0 (0) | 2 (6) | 1 (3) | 1 (6) |
Response of renal tumour (RECIST) at the time of surgery, n (%) | |||||
PR | 3 (4) | 1 (5) | 2 (6) | 3 (9) | 0 (0) |
SD | 46 (94) | 16 (95) | 30 (90) | 30 (88) | 16 (94) |
PD | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Not evaluable | 3 (2) | 1 (0) | 2 (3) | 2 (3) | 1 (6) |
Median shrinkage of primary tumour (%) | 12 % (+ 8 to −35) | 11% (+ 1 to −28) | 12% (+ 6 to −35) | 13% (+ 8 to −35) | 10% (+6 to−28) |
Response in metastatic sites (RECIST), n (%) | |||||
PR | 14 (27) | 5 (26) | 9 (28) | 9 (23) | 5 (29) |
SD | 21 (40) | 10 (53) | 11 (33) | 16 (20) | 5 (29) |
Tumor growth/PD | 12 (22) | 4 (21) | 8 (24) | 7 (20) | 5 (29) |
Not evaluableb | 5 (11) | 0 (0) | 5 (15) | 3 (9) | 2 (12) |
Median progression-free survival (months) with 95% CIs | 8 months (6–15) | 7 months (5–19) | 8 months (6–15) | 10 months (6–NA) | 7 months (6–NA) |
Cause of death, n (%) | |||||
Total | 22 (46) | 8 (41) | 14 (42) | 12 (34) | 10 (58) |
Renal cancer | 18 (34) | 7 (36) | 11 (33) | 9 (26) | 9 (52) |
Surgery related | 1 (2) | 0 (0) | 1 (3) | 1 (3) | 0 (0) |
Otherc | 3 (6) | 1 (5) | 2 (6) | 2 (6) | 1 (6) |
Stopped sunitinib and non-cancer-related death before assessment.
Patients with bone only as a site of metastatic were not evaluable in terms of size of tumour reduction (n = 3). These data also include two non-assessable patients (infection death and changed therapy).
CI, confidence interval; NA, not achieved; PD, progression of disease; PR, partial response; SD, stable disease.
Euthanasia/suicide (two) and infection.