Table 3.
Impact of Tumor Response on OS and PFS. Tumor shrinkage categories are shown for each treatment cohort of patients.
| OS | PFS | ||||||
|---|---|---|---|---|---|---|---|
|
| |||||||
| n | Median (months) | P-Value | HR (95% CI) | Median (months) | P-Value | HR (95% CI) | |
|
| |||||||
| Overall Cohort | |||||||
|
| |||||||
| −100% to <−60% | 283 | 54.5 | <0.001 | 0.27 (0.20–0.35) | 17.3 | <0.001 | 0.35 (0.29–0.43) |
| −60% to <−30% | 547 | 26.4 | <0.001 | 0.70 (0.59–0.83) | 10.8 | <0.001 | 0.65 (0.56–0.74) |
| −30% to <0% | 1155 | 16.6 | Reference | Reference | 6.5 | Reference | Reference |
| 0% to <+20% | 390 | 10.4 | <0.001 | 1.62 (1.38–1.89) | 2.5 | <0.001 | 2.65 (2.29–3.07) |
| ≥+20% | 156 | 7.3 | <0.001 | 1.92 (1.54–2.39) | 1.4 | <0.001 | 11.78 (9.48–14.63) |
| No Post-Baseline Imaging | 218 | 2.0 | <0.001 | 4.37 (3.61–5.29) | 1.1 | <0.001 | 4.89 (3.99–5.99) |
|
| |||||||
| Line of Therapy | |||||||
|
| |||||||
| First-Line | |||||||
| −100% to <−60% | 208 | NR | <0.001 | 0.28 (0.20–0.40) | 16.7 | <0.001 | 0.38 (0.30–0.47) |
| −60% to <−30% | 336 | 25.5 | <0.001 | 0.70 (0.58–0.86) | 11.1 | <0.001 | 0.62 (0.52–0.74) |
| −30% to <0% | 708 | 14.9 | Reference | Reference | 5.5 | Reference | Reference |
| 0% to <+20% | 247 | 10.4 | <0.001 | 1.48 (1.22–1.79) | 2.3 | <0.001 | 2.55 (2.12–3.07) |
| ≥+20% | 101 | 6.2 | <0.001 | 1.96 (1.52–2.54) | 1.4 | <0.001 | 9.39 (7.18–12.19) |
| No Post-Baseline Imaging | 159 | 1.8 | <0.001 | 4.61 (3.68–5.78) | 1.0 | <0.001 | 4.96 (3.94–6.26) |
|
| |||||||
| Second-Line | |||||||
| −100% to <−60% | 75 | 48.1 | <0.001 | 0.21 (0.12–0.36) | 19.1 | <0.001 | 0.24 (0.17–0.36) |
| −60% to <−30% | 211 | 30.1 | 0.012 | 0.67 (0.49–0.91) | 10.2 | <0.001 | 0.66 (0.53–0.83) |
| −30% to <0% | 447 | 18.9 | Reference | Reference | 7.9 | Reference | Reference |
| 0% to <+20% | 143 | 10.4 | <0.001 | 1.90 (1.43–2.53) | 2.9 | <0.001 | 3.04 (2.38–3.89) |
| ≥+20% | 55 | 9.9 | 0.008 | 1.81 (1.17–2.81) | 1.4 | <0.001 | 19.00 (13.02–27.71) |
| No Post-Baseline Imaging | 59 | 3.2 | <0.001 | 3.453 (2.36–5.05) | 1.3 | <0.001 | 4.82 (2.97–7.82) |
|
| |||||||
| Type of Therapy | |||||||
|
| |||||||
| Axitinib, sorafenib, or sunitinib | |||||||
| −100% to <−60% | 221 | 54.5 | <0.001 | 0.20 (0.14–0.28) | 17.7 | <0.001 | 0.32 (0.26–0.41) |
| −60% to <−30% | 446 | 26.8 | <0.001 | 0.61 (0.49–0.76) | 11.2 | <0.001 | 0.62 (0.52–0.73) |
| −30% to <0% | 737 | 18.0 | Reference | Reference | 7.8 | Reference | Reference |
| 0% to <+20% | 196 | 10.4 | <0.001 | 1.84 (1.45–2.34) | 2.9 | <0.001 | 2.73 (2.20–3.38) |
| ≥+20% | 76 | 9.2 | <0.001 | 1.92 (1.33–2.77) | 1.4 | <0.001 | 18.60 (13.42–25.80) |
| No Post-Baseline Imaging | 97 | 3.2 | <0.001 | 3.09 (2.22–4.28) | 1.1 | <0.001 | 4.04 (2.71–6.02) |
|
| |||||||
| Temsirolimusa | |||||||
| −100% to <−60% | 19 | 28.4 | 0.010 | 0.39 (0.19–0.79) | 9.2 | 0.017 | 0.51 (0.29–0.89) |
| −60% to <−30% | 55 | 16.3 | 0.2 | 0.79 (0.54–1.15) | 7.4 | 0.1 | 0.76 (0.55–1.06) |
| −30% to <0% | 202 | 10.9 | Reference | Reference | 5.5 | Reference | Reference |
| 0% to <+20% | 60 | 6.1 | <0.001 | 1.91 (1.35–2.71) | 1.9 | <0.001 | 2.57 (1.80–3.66) |
| ≥+20% | 23 | 5.1 | <0.001 | 2.72 (1.61–4.61) | 1.7 | <0.001 | 8.81 (5.08–15.26) |
| No Post-Baseline Imaging | 57 | 1.6 | <0.001 | 8.21 (5.61–12.01) | 1.1 | <0.001 | 7.73 (5.33–11.23) |
|
| |||||||
| IFN-α | |||||||
| −100% to <−60% | 43 | NR | <0.001 | 0.27 (0.14–0.50) | 18.8 | <0.001 | 0.22 (0.18–0.44) |
| −60% to <−30% | 46 | 27.4 | 0.002 | 0.48 (0.30–0.78) | 10.9 | 0.002 | 0.54 (0.37–0.80) |
| −30% to <0% | 216 | 18.0 | Reference | Reference | 5.3 | Reference | Reference |
| 0% to <+20% | 134 | 13.0 | 0.074 | 1.29 (0.98–1.71) | 2.4 | <0.001 | 2.22 (1.70–2.90) |
| ≥+20% | 57 | 6.6 | 0.006 | 1.63 (1.15–2.30) | 1.4 | <0.001 | 6.42 (4.42–9.33) |
| No Post-Baseline Imaging | 64 | 2.1 | <0.001 | 3.62 (2.56–5.12) | 0.9 | <0.001 | 3.60 (2.51–5.16) |
|
| |||||||
| ECOG Performance Status | |||||||
|
| |||||||
| ECOG 0 | |||||||
| −100% to <−60% | 169 | NR | <0.001 | 0.21 (0.14–0.34) | 19.0 | <0.001 | 0.31 (0.24–0.40) |
| −60% to <−30% | 319 | 32.2 | 0.019 | 0.73 (0.56–0.95) | 11.0 | <0.001 | 0.64 (0.53–0.78) |
| −30% to <0% | 537 | 24.9 | Reference | Reference | 7.9 | Reference | Reference |
| 0% to <+20% | 153 | 19.4 | 0.008 | 1.48 (1.11–1.99) | 3.7 | <0.001 | 3.14 (2.46–4.01) |
| ≥+20% | 63 | 12.6 | 0.006 | 1.74 (1.17–2.59) | 1.3 | <0.001 | 30.23 (20.31–45.02) |
| No Post-Baseline Imaging | 41 | 32.0 | 0.028 | 1.97 (1.17–2.59) | 1.9 | 0.2 | 1.58 (0.82–3.06) |
| ECOG 1 | |||||||
| −100% to <−60% | 106 | 41.7 | <0.001 | 0.29 (0.20–0.42) | 13.9 | <0.001 | 0.38 (0.29–0.51) |
| −60% to <−30% | 222 | 20.3 | <0.001 | 0.65 (0.52–0.81) | 10.7 | <0.001 | 0.63 (0.52–0.77) |
| −30% to <0% | 594 | 11.8 | Reference | Reference | 5.5 | Reference | Reference |
| 0% to <+20% | 223 | 7.9 | <0.001 | 1.65 (1.36–2.00) | 2.2 | <0.001 | 2.48 (2.05–2.99) |
| ≥+20% | 91 | 5.8 | <0.001 | 2.03 (1.55–2.67) | 1.5 | <0.001 | 8.70 (6.62–11.45) |
| No Post-Baseline Imaging | 151 | 2.0 | <0.001 | 4.51 (3.60–5.64) | 1.1 | <0.001 | 4.92 (3.85–6.28) |
Includes regimens containing IFN and temsirolimus combination.
CI = confidence interval, ECOG = Eastern Cooperative Oncology Group, HR = hazard ratio, IFN-α = interferon alpha, NR = not reached, OS = overall survival, PFS = progression-free survival.