Renal cell carcinoma - historical

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The purpose of this page is to provide references to regimens that are obsolete, outdated, or of historical interest only.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.

7 regimens on this page
7 variants on this page


Metastatic disease, first-line

Medroxyprogesterone monotherapy

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Regimen

Study Evidence Comparator Comparative 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

  1. 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 Comparative 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

  1. 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


Immunotherapy

Stem cells transfused on day 0

References

  1. 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 & Isotretinoin Seems to have inferior OS

Immunotherapy

References

  1. 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-2a & Isotretinoin

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Regimen

Study Evidence Comparator Efficacy
Aass et al. 2005 (EORTC 30951) Phase III (E) IFN alfa-2a Seems to have superior OS

Immunotherapy

References

  1. 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

References

  1. 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 link to PMC article PubMed

Megestrol monotherapy

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Regimen

Study Evidence Comparator Comparative 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

  1. 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