Difference between revisions of "Renal cell carcinoma - historical"
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− | # '''EORTC 30885:''' De Mulder PH, Oosterhof G, Bouffioux C, van Oosterom AT, Vermeylen K, Sylvester R. EORTC (30885) randomised phase III study with recombinant interferon alpha and recombinant interferon alpha and gamma in patients with advanced renal cell carcinoma | + | # '''EORTC 30885:''' De Mulder PH, Oosterhof G, Bouffioux C, van Oosterom AT, Vermeylen K, Sylvester R; The EORTC Genitourinary Group. EORTC (30885) randomised phase III study with recombinant interferon alpha and recombinant interferon alpha and gamma in patients with advanced renal cell carcinoma. Br J Cancer. 1995 Feb;71(2):371-5. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2033601/ link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/7841054 PubMed] |
==Megestrol acetate monotherapy {{#subobject:4b50ea|Regimen=1}}== | ==Megestrol acetate monotherapy {{#subobject:4b50ea|Regimen=1}}== |
Revision as of 14:49, 26 January 2019
The purpose of this page is to provide references to regimens that are obsolete, outdated, or of historical interest only. As a general rule, this includes the inferior arm(s) of a randomized study, unless said regimens continue to be recommended by trustworthy sources such as the NCCN Guidelines. Is there a regimen missing from this list? See the main RCC page for current regimens.
9 regimens on this page
9 variants on this page
|
Metastatic disease, first-line
Medroxyprogesterone acetate monotherapy
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Regimen
Study | Evidence | Comparator | Efficacy |
---|---|---|---|
Medical Research Council Renal Cancer Collaborators 1999 (MRC RE01) | Phase III (C) | IFN alfa-2a | Seems to have inferior OS |
Note: to our knowledge, this regimen was not tested as an experimental arm in an RCT prior to becoming a standard comparator arm.
Hormonotherapy
References
- Medical Research Council Renal Cancer Collaborators. Interferon-alpha and survival in metastatic renal carcinoma: early results of a randomised controlled trial. Lancet. 1999 Jan 2;353(9146):14-7. link to original article contans protocol PubMed
Vinblastine monotherapy
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Regimen
Study | Evidence | Comparator | Efficacy |
---|---|---|---|
Pyrhönen et al. 1999 | Phase III (C) | Vinblastine & IFN alfa-2a | Inferior OS |
Note: to our knowledge, this regimen was not tested as an experimental arm in an RCT prior to becoming a standard comparator arm.
Chemotherapy
References
- Pyrhönen S, Salminen E, Ruutu M, Lehtonen T, Nurmi M, Tammela T, Juusela H, Rintala E, Hietanen P, Kellokumpu-Lehtinen PL. Prospective randomized trial of interferon alfa-2a plus vinblastine versus vinblastine alone in patients with advanced renal cell cancer. J Clin Oncol. 1999 Sep;17(9):2859-67. link to original article PubMed
Metastatic disease, second-line
FC, then allo HSCT
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FC: Fludarabine & Cyclophosphamide
Regimen
Study | Evidence |
---|---|
Childs et al. 2000 | Non-randomized, <20 pts |
Chemotherapy
- Fludarabine (Fludara) 25 mg/m2 IV once per day on days -5 to -1
- Cyclophosphamide (Cytoxan) 60 mg/kg IV once per day on days -7 & -6
Immunotherapy
- Allogeneic stem cells transfused on day 0
One course
References
- Childs R, Chernoff A, Contentin N, Bahceci E, Schrump D, Leitman S, Read EJ, Tisdale J, Dunbar C, Linehan WM, Young NS, Barrett AJ. Regression of metastatic renal-cell carcinoma after nonmyeloablative allogeneic peripheral-blood stem-cell transplantation. N Engl J Med. 2000 Sep 14;343(11):750-8. link to original article contains verified protocol PubMed
Interferon alfa-2a monotherapy
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Regimen
Study | Evidence | Comparator | Efficacy |
---|---|---|---|
Aass et al. 2005 (EORTC 30951) | Phase III (C) | IFN alfa-2a & Retinoic acid | Seems to have inferior OS |
Immunotherapy
References
- EORTC 30951: Aass N, De Mulder PH, Mickisch GH, Mulders P, van Oosterom AT, van Poppel H, Fossa SD, de Prijck L, Sylvester RJ. Randomized phase II/III trial of interferon alfa-2a with and without 13-cis-retinoic acid in patients with progressive metastatic renal cell Carcinoma: the European Organisation for Research and Treatment of Cancer Genito-Urinary Tract Cancer Group (EORTC 30951). J Clin Oncol. 2005 Jun 20;23(18):4172-8. link to original article PubMed
Interferon alfa-2c monotherapy
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Regimen
Study | Evidence | Comparator | Efficacy |
---|---|---|---|
De Mulder et al. 1995 (EORTC 30885) | Phase III (C) | IFN alfa-2c & IFN gamma | Seems not superior |
Immunotherapy
- Interferon alfa-2c
References
- EORTC 30885: De Mulder PH, Oosterhof G, Bouffioux C, van Oosterom AT, Vermeylen K, Sylvester R; The EORTC Genitourinary Group. EORTC (30885) randomised phase III study with recombinant interferon alpha and recombinant interferon alpha and gamma in patients with advanced renal cell carcinoma. Br J Cancer. 1995 Feb;71(2):371-5. link to original article PubMed
Megestrol acetate monotherapy
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Regimen
Study | Evidence | Comparator | Efficacy |
---|---|---|---|
Ravaud et al. 2008 | Phase III (C) | Lapatinib | Seems not superior |
Note: to our knowledge, this regimen was not tested as an experimental arm in an RCT prior to becoming a standard comparator arm. Kelley & Baker 1961 examined a variety of progestins and is included for historic interest.
Hormonotherapy
References
- Ravaud A, Hawkins R, Gardner JP, von der Maase H, Zantl N, Harper P, Rolland F, Audhuy B, Machiels JP, Pétavy F, Gore M, Schöffski P, El-Hariry I. Lapatinib versus hormone therapy in patients with advanced renal cell carcinoma: a randomized phase III clinical trial. J Clin Oncol. 2008 May 10;26(14):2285-91. link to original article PubMed