Bevacizumab plus IFN-alpha-2a in First-line Treatment of Patients With Advanced or Metastatic Renal Cell Carcinoma: A Prospective German Non-interventional Study

Anticancer Res. 2019 Feb;39(2):875-882. doi: 10.21873/anticanres.13188.

Abstract

Background/aim: The combination of bevacizumab (BEV) plus interferon alpha-2a (IFN) constitutes an option for first-line treatment of metastatic renal cell carcinoma. Real-world data from routine clinical practice are rare and were, therefore, collected during this non-interventional study (NIS).

Patients and methods: A total of 359 patients received at least one dose of BEV (safety set population; SAF), 354 patients had at least one post-dose effectiveness assessment and formed the full analysis set (FAS) of the final analysis.

Results: Progression-free survival (10.2 months, 95% CI=8.6-12.6) and overall response rate (27.2%) outcomes match the results from the phase III trials AVOREN and CALGB 90206. Longer overall survival (28.7 months, 95% CI=24.5-38.3) probably is an effect of patient characteristics and follow-up therapies. Safety findings were comparable to the results of the Phase III trials, although comprehensive severity assessments were not provided.

Conclusion: Overall, efficacy and safety data from BEV plus IFN administered in routine clinical practice in an observational NIS are in line with results from the controlled phase III trials. (NCT02627144).

Keywords: Renal cell carcinoma; advanced disease; bevacizumab (Avastin®); metastatic disease; non-interventional study.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bevacizumab / administration & dosage*
  • Carcinoma, Renal Cell / drug therapy*
  • Disease Progression
  • Disease-Free Survival
  • Female
  • Germany
  • Humans
  • Interferon-alpha / administration & dosage*
  • Kidney Neoplasms / drug therapy*
  • Male
  • Middle Aged
  • Neoplasm Metastasis
  • Patient Safety
  • Probability
  • Prospective Studies
  • Treatment Outcome

Substances

  • IFNA2 protein, human
  • Interferon-alpha
  • Bevacizumab

Associated data

  • ClinicalTrials.gov/NCT02627144