Table 1.
Characteristics of the included studies.
NCT | NCT01984242 (25) | NCT02420821 (26) | NCT02684006 (27) | NCT02811861 (28) | NCT02853331 (29) | NCT03141177 (30) |
---|---|---|---|---|---|---|
Study | Immotion150 | Immotion151 | Javelin Renal 101 | — | Keynote-426 | CheckMate 9ER |
Year | 2018 | 2019 | 2020 | 2021 | 2019 | 2021 |
Author | McDermott, D. F. | Rini, B. I. | Motzer, R. J. | Motzer, R. J. | Rini, B. I. | Choueiri, T. K. |
Treatment arms | Atezolizumab+ Bevacizumab* |
Atezolizumab+ Bevacizumab |
Avelumab+ Axitinib |
Pembrolizumab+ Levatinib** |
Pembrolizumab+ Axitinib |
Nivolumab+ Cabozantinib*** |
Control | Sunitinib | Sunitinib | Sunitinib | Sunitinib | Sunitinib | Sunitinib |
Number of patients | 101 vs. 101 | 454 vs. 461 | 442 vs. 444 | 355 vs. 357 | 432 vs. 429 | 323 vs. 328 |
Median age(years) | 62 vs. 61 | 62 vs. 60 | 62 vs. 61 | 64 vs. 62 | 62 vs. 61 | 62 vs. 61 |
Sex (male% / female%) | 73/27 vs. 78/22 | 70/30 vs. 76/24 | 71/29 vs. 77/23 | 72/28 vs. 77/23 | 71/29 vs. 75/25 | 77/23 vs. 71/29 |
PD-L1 +(% of patients) | 50 vs. 59 | 49 vs. 40 | 55 vs. 25 | 30 vs. 33 | 59 vs. 62 | 26 vs. 25 |
Prognostic model | MSKCC | MSKCC | IMDC | IMDC**** and MSKCC | IMDC | IMDC |
Favorable risk % | 30 vs. 21 | 20 vs. 20 | 21 vs. 22 | 31 vs. 35 | 32 vs. 30 | 23 vs. 22 |
Intermediate risk % | 61 vs. 69 | 69 vs. 69 | 61 vs. 62 | 59 vs. 54 | 55 vs. 57 | 58 vs. 57 |
Poor risk % | 9 vs. 10 | 11 vs. 11 | 16 vs. 16 | 9 vs. 10 | 13 vs. 12 | 19 vs. 21 |
Primary endpoints | PFS | OS, PFS | OS, PFS | OS, PFS | OS, PFS | OS, PFS |
Median PFS (months) | 11.7 vs. 8.4 | 11.2 vs. 8.4 | 13.8 vs. 8.4 | 23.9 vs. 9.2 | 15.1 vs. 11.1 | 16.6 vs. 8.3 |
Median OS (months) | NR | 33.6 vs. 34.9 | NR | NR | NR | NR |
ORR | NR | 151/454 vs. 144/460 | 227/442 vs. 114/444 | 252/355 vs. 129/357 | 256/432 vs. 153/429 | 180/323 vs. 89/328 |
NR not reported, PFS progression-free survival, OS overall survival, ORR objective response ratio.
* Atezolizumab alone arm was not considered.
**Levatinib and Everolimus combination arm was not considered.
***Nivolumab, Ipilimumab and Cabozantinib combination arm was not considered.
****Only IMDC was adopted in our analysis