Cabozantinib in Pretreated Patients with Metastatic Renal Cell Carcinoma with Sarcomatoid Differentiation: A

Matteo Santoni1, Francesco Massari2, Enrique Grande3

  • 1Oncology Unit, Macerata Hospital, Macerata, Italy. mattymo@alice.it.

Targeted Oncology
|August 2, 2021
PubMed
Abstract

Insights

Cabozantinib shows activity in patients with metastatic sarcomatoid renal cell carcinoma. Further research is needed to identify biomarkers for selecting patients for targeted therapies.

Area of Science:

  • Oncology
  • Medical Research

Background:

  • Renal cell carcinoma (RCC) with sarcomatoid differentiation is an aggressive cancer.
  • Metastatic RCC (mRCC) with sarcomatoid features presents unique treatment challenges.

Purpose of the Study:

  • To evaluate the efficacy of cabozantinib in patients with metastatic sarcomatoid RCC.
  • To identify prognostic factors influencing outcomes in this patient population.

Main Methods:

  • Retrospective analysis of data from 16 international centers.
  • Inclusion of 66 patients with metastatic sarcomatoid RCC treated with cabozantinib.
  • Survival outcomes (overall survival and progression-free survival) analyzed using Kaplan-Meier curves and Cox proportional models.

Main Results:

  • Median progression-free survival was 7.59 months; median overall survival was 9.11 months.
  • Progression-free survival was longer in male patients and those without bone metastases.
  • Female sex, bone metastases, and IMDC criteria were significant predictors of worse overall survival.

Conclusions:

  • Cabozantinib demonstrates activity in pretreated patients with sarcomatoid RCC.
  • Development of biomarkers is crucial for optimizing treatment selection for multi-kinase inhibitors in this aggressive cancer subtype.