Skip to main content
. Author manuscript; available in PMC: 2015 Sep 15.
Published in final edited form as: Eur Urol. 2015 Jan 7;67(5):952–958. doi: 10.1016/j.eururo.2014.12.036

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)
a

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.