Table 1.
Baseline characteristics of the 36 trials included in the meta-analysis (n = 10 553)
| Authors/phase | Histology | Patients enrolled | Treatment arm | Number for analysis | Median age (years) | Median treatment duration (months) | Median PFS/TTP (months) | Median OS (months) | Number of high grade CHF | Reported events | Jadad score |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Demetri et al. [13]/III* | GIST | 312 | Sunitinib 50 mg d1−1-28, q6w | 202 | 58 | 1.9 | 6 | NR | 3 | LVEF decline | 5 |
| Placebo | 102 | 55 | 1 | 1.5 | NR | 0 | |||||
| Motzer et al. [15]/III* | RCC | 750 | Sunitinib 50 mg d1−1-28, q6w | 375 | 62 | 6 | 11 | NR | 13 | LVEF decline | 3 |
| INF 9 MUI 3 times weekly | 360 | 59 | 4 | 2 | NR | 4† | |||||
| Barrios et al. [58]/III* | HER-2 negative BC | 482 | Sunitinib 37.5 mg qd + capecitabine 1 250 mg m−2 d1–14 bid po, q3w.§ | 238 | 53 | 2 | 2.8 | 15.3 | 1 | Congestive failure | 3 |
| Capecitabine 1 250 mg m−2 d1–14 bid po, q3w | 244 | 53 | 2 | 4.2 | 24.6 | 0 | |||||
| Abou-Alfa et al. [70]/II* | HCC | 96 | Doxorubicin + sorafenib 400 mg bid po qd | 47 | 66 | 4 | 6 | 13.7 | 1 | LV dysfunction | 5 |
| Doxorubicin + placebo | 49 | 65 | 1.9 | 2.7 | 6.5 | 0 | |||||
| Raymond et al. [69]/III* | PNET | 171 | Sunitinib 37.5 mg qd po | 86 | 56 | 4.6 | 11.4 | NR | 2 | Cardiac failure | 5 |
| placebo | 85 | 47 | 3.7 | 5.5 | NR | 0 | |||||
| Kindler et al. [43]/II* | Pancreatic carcinoma | 632 | Axitinib 5 mg bid po + gemcitabine 1000 mg m−2 d 1, 8, 15 q4w. | 314 | 61 | 2.8 | 4.4 | 8.5 | 1 | Cardiac failure | 5 |
| Placebo + gemcitabine 1000 mg m−2 d1, 8, 15. q4w. | 316 | 62 | 2.3 | 4.4 | 8.3 | 0 | |||||
| Bergh et al. [59]/III* | MBC | 593 | Sunitinib 37.5 mg qd po q3w. + docetaxel | 296 | 54 | 6.1 | 8.6 | 24.8 | 1 | Cardiac failure | 5 |
| Placebo + ocetaxel | 297 | 56 | 4.2 | 8.3 | 25.5 | 0 | |||||
| Mulders et al. [57]/II* | RCC | 71 | Cediranib 45 mg qd po | 53 | 60 | 12 | 12.1 | NR | 1 | LVEF decline | 5 |
| placebo | 18 | 61 | NR | 2.8 | NR | 0 | |||||
| Wells et al. [42]/III* | Thyroid cancer | 331 | Vandetanib 300 mg qd po | 231 | 50.7 | 21 | 30.5 | NR | 1 | Cardiac failure | 5 |
| placebo | 100 | 53.4 | 9.3 | 19.3 | NR | 0 | |||||
| van der Graaf et al. [7]/III* | STS | 372 | Pazopanib 800 mg qd po | 246 | 51.9 | 3.83 | 4.6 | 12.5 | 3 | LVEF decline | 5 |
| placebo | 123 | 56.7 | 1.89 | 1.6 | 10.7 | 0 | |||||
| Cristofanilli et al. [60]/II* | Inflammatory BC | 163 | Pazopanib 800 mg qd po + lapatinib 1500 mg | 38 | 52 | 2.8 | NR | 16.2 | 0 | LVEF decline | 3 |
| Placebo + apatinib 1500 mg | 38 | 52 | 3.8 | NR | 14.7 | 0 | |||||
| Placebo + apatinib 1500 mg | 36 | 53 | 3.76 | NR | 15.9 | 0 | |||||
| pazopanib 400 mg qd po + lapatinib 1000 mg | 38 | 54 | 2.96 | NR | NR | 0 | |||||
| pazopanib 800 mg qd po | 13 | 55 | 1.73 | NR | NR | 0 | |||||
| Curigliano et al. [61]/II* | Triple-negative BC | 217 | Sunitinib 37.5 mg qd po q3w. | 113 | 52 | NR | 2 | 9.4 | 0 | Cardiac failure | 2 |
| standard of care | 104 | 52 | NR | 2.7 | 10.5 | 1 | |||||
| Fuchs et al. [41]/III* | Gastric or gastro-oesophageal junction cancer | 355 | Ramucirumab 8 mg kg−1 q2w. | 238 | 60 | 1.87 | 2.1 | 5.2 | 0 | Cardiac failure | 5 |
| placebo | 117 | 60 | 1.4 | 1.3 | 3.8 | 0 | |||||
| Hyams et al. [62]/II* | MBC | 62 | Cediranib 45 mg qd po + fulvestrant 500 mg q4w. | 31 | NR | NR | 7.4 | NR | 0 | LVEF decline | 5 |
| Placebo + ulvestrant 500 mg q4w. | 31 | NR | NR | 3.7 | NR | 0 | |||||
| Johnston et al. [63]/II* | HER-2 positive BC | 177 | Pazopanib 400 mg qd po + lapatinib 1000 mg | 69 | 50 | NR | NR | NR | 0 | LV dysfunction | 3 |
| Placebo + lapatinib 1500 mg | 72 | 54 | NR | NR | NR | 0 | |||||
| Lapatinib + pazopanib 800 mg qd po | 36 | 54 | NR | NR | NR | 0 | |||||
| Motzer et al. [14]/II | RCC | 63 | Sunitinib 50 mg d1−1-28 q6w | 63 | 60 | 9 | 8.7 | NR | 1 | LVEF decline | NA |
| Motzer et al. [49]/II | RCC | 106 | Sunitinib 50 mg d1−1-28 q6w | 105 | 56 | 7.5 | 8.3 | NR | 5 | LVEF decline | NA |
| Saltz et al. [16]/II | CRC | 84 | Sunitinib 50 mg d1−1-28 q6w, bevacizumab native | 40 | 56.5 | NR | 2.3 | NR | 0 | LVEF decline | NA |
| Sunitinib 50 mg d1−1-28 q6w, pretreated with bevacizumab | 42 | 57.5 | NR | 2.8 | NR | 0 | |||||
| Rixe et al. [50]/II | RCC | 52 | Axitinib 5 mg bid po qd | 52 | 59 | 9.4 | 15.7 | 29.9 | 1 | LVEF decline | NA |
| Kulke et al. [74]/II | pancreatic carcinoid | 107 | Sunitinib 50 mg d1−1-28 q6w | 107 | 56 | 12.5 | 7.7 | 16.4 | 1 | CHF | NA |
| Dror Michaelson et al. [72]/II | prostate cancer | 34 | Sunitinib 50 mg d1−1-28 q6w | 34 | 71 | 1.5 | NR | NR | 1 | LV dysfunction | NA |
| Escudier et al. [9]/II | RCC | 107 | Sunitinib 37.5 qd po | 105 | 59 | 8.4 | 8.2 | 19.8 | 1 | LVEF decline | NA |
| Gore et al. [53]/II | RCC | 4564 | Sunitinib 50 mg d1−1-28 q6w | 4371 | 59 | 7.5 | 10.9 | 18.4 | 10 | CHF | NA |
| Hensley et al. [64]/II | Uterine leiomyosarcoma | 25 | Sunitinib 50 mg d1−1-28 q6w | 23 | 56 | NR | 1.54 | 15.1 | 0 | LVEF decline | NA |
| Kontovinis et al. [54]/II | RCC | 42 | Sunitinib 50 mg d1−1-28 q6w | 42 | 64 | NR | 8.9 | 16.23 | 1 | LVEF decline | NA |
| Di Lorenzo et al. [51]/II | RCC | 52 | Sorafenib 400 mg qd po q8w. | 52 | 60 | 4.1 | 3.73 | 7.5 | 1 | LV dysfunction | NA |
| Hoftijzer et al. [66]/II | Thyroid carcinoma | 31 | Sorafenib 400 mg qd po q8w. | 31 | 65 | NR | 13.5 | NR | NR | CHF | NA |
| Kloos et al. [67]/II | Thyroid carcinoma | 41 | Sorafenib 400 mg qd po q8w. Previously treated | 19 | 67 | 8.73 | 16 | 23 | 1 | LV dysfunction | NA |
| Sorafenib 400 mg qd po q8w. Native | 22 | 56 | 9.87 | 10 | 37.5 | 0 | |||||
| Maki et al. [65]/II | Sarcoma | 147 | Sorafenib 400 mg qd po q4w. | 145 | 55 | NR | 3.2 | 14.3 | 1 | Cardiac ejection fraction | NA |
| Rini et al. [6]/II | RCC | 62 | Axitinib 5 mg bid po qd | 62 | 60 | 6.2 | 7.4 | 13.6 | NR | CHF | NA |
| MacKay et al. [71]/II | Cervical cancer | 19 | Sunitinib 50 mg d1−1-28 q6w | 19 | 44 | NR | 3.5 | NR | 0 | LV dysfunction | NA |
| Tomita et al. [56]/II | RCC | 51 | Sunitinib 50 mg d1−1-28 q6w | 51 | 56.6 | 4.9 | 12.2 | 33.1 | 1 | LVEF decline | NA |
| 61.1 | 6.5 | 10.6 | 32.5 | ||||||||
| Matsumoto et al. [68]/II | GIST | 18 | Sunitinib 50 mg d1−1-28 q6w | 18 | 58.7 | NR | 5.3 | NR | 0 | LVEF decline | NA |
| Hainsworth et al. [40]/II | RCC | 55 | Pazopanib 800 mg qd po q8w. | 55 | 60 | 6 | 7.5 | NR | 1 | LV dysfunction | NA |
| Kummar et al. [39]/II | STS | 46 | Cediranib 30 mg qd po q4w. | 46 | 27 | 1.87 | NR | NR | 1 | LV dysfunction | NA |
| Reynolds et al. [73]/II | NSCLC | 63 | Sunitinib 37.5 mg qd po q6w. | 63 | 78.4 | 2.8 | 3 | NR | 0 | CHF | NA |
Randomized controlled trial.
Data retrieved from drug package insert.
1200 mg m−2 in patients age ≥65 years. PFS, progression-free survival; TTP, time to progression; OS, overall survival; LVEF, left ventricular ejection fraction; CHF, congestive heart failure; RCC, renal cell cancer; STS, soft tissue sarcoma; MBC, metastatic breast cancer; NSCLC, non-small-cell lung carcinoma; GIST, gastrointestinal stromal tumours; CRC, colorectal cancer; HCC, hepatocellular carcinoma; PNET, pancreatic neuroendocrine tumours; NR, not reported; NA, not available. Qd daily; bid twice daily; q2w every 2 weeks; q3w every 3 weeks; q4w every 4 weeks; q6w every 6 weeks; q8w every 8 weeks.