Page 67 - Update on Management of Renal Cell Carcinoma
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Phase 2 CABOSUN Study:


         Overall and Progression-free Survival




          Overall Survival: Trend in Favor                                      PFS: Cabozantinib Significantly

          of Cabozantinib                                                       Longer than Sunitinib



                                                           Median    No. of                                                           Median    No. of
                                                             OS      Deaths                                                            PFS      Events
            1.0                      Cabozantinib (N=79)   26.6 mo     43              1.0                      Cabozantinib (N=79)   8.6 mo      43
          Probability of OS   0.6                                                    Probability of PFS   0.6
                                       Sunitinib (N=78)
                                                                                                                                      5.3 mo
                                                                                                                  Sunitinib (N=78)
                                                                       47
                                                                                                                                                  49
                                                           21.2 mo
            0.8
                                                                                       0.8
                                                                                       0.4
            0.4
            0.2

            0.0                                                                        0.2
                                                                                       0.0
                 0   3   6 15 12 15 18 21 24 27 30 33 36 39 42                              0    3     6    15   12    15   18    21   24    27   30
                       Time Since Randomisation (Months)                                          Time Since Randomisation (Months)
     No. at risk                                                                No. at risk
       CABO     79  76  71  64  58  47  45  42  41  31  23  15  8   4   2         CABO     79  51  37  24  22  18  12  5   2   1   0  79  51  37  24
        SUNI    78  69  61  53  50  46  42  36  29  24  17  12  6   3   0         SUNI     78  36  21  12  9   5   3   2   1   0   0  78  36  21  12



        Key caveats about CABOSUN:

        • Phase 2 trial: validation from a prospective phase 3 study required to be practice-changing

        • Limited sample size, relies on investigator reports for PFS

    CI: confidence interval; HR: hazard ratio; OS: overall survival; PFS: progression-free survival




     67     Choueiri TK, et al. Eur J Cancer 2018; 94:115-25.
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