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OS IN mRCC

Risk factors for survival included anaemia, thrombocytosis, neutrophilia,

hypercalcaemia, KPS <80%, and <1 year from diagnosis to treatment.

Time since start of treatment, months

12

24

36

48

60

0

40

20

0

100

80

60

OS, %

p<0.0001

Median survival

30 months

14 months

5 months

Time from start of IFN-α, years

0

2

16

14

4

10

8

6

Proportion surviving

0.0

0.2

0.4

0.6

0.8

1.0

0 risk factor (n=83)

1 or 2 risk factors (n=287)

3, 4 or 5 risk factors (n=93)

Risk factors KPS <80%, time from diagnosis to IFN-α <1 year, low

serum haemoglobin, high corrected calcium (>2.5mmol/L [10mg/dL]),

high LDH (>1.5

×

ULN).

12

Before VEGF-targeted therapies (IFN-ɑ)

1

VEGF-targeted therapies

2

Median survival

43 months

23 months

8 months

No. factors

0

1–2

3–6

Risk group

Favourable

Intermediate

Poor

Motzer RJ, et al. J Clin Oncol 2002;20:289–96

Heng DY, et al. Lancet Oncol 2013;14:141−48