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Nivolumab versus Everolimus in Advanced Renal-Cell Carcinoma

TLDR
Overall survival was longer and fewer grade 3 or 4 adverse events occurred with nivolumab than with everolimus among patients with previously treated advanced renal-cell carcinoma.
Abstract
BackgroundNivolumab, a programmed death 1 (PD-1) checkpoint inhibitor, was associated with encouraging overall survival in uncontrolled studies involving previously treated patients with advanced renal-cell carcinoma. This randomized, open-label, phase 3 study compared nivolumab with everolimus in patients with renal-cell carcinoma who had received previous treatment. MethodsA total of 821 patients with advanced clear-cell renal-cell carcinoma for which they had received previous treatment with one or two regimens of antiangiogenic therapy were randomly assigned (in a 1:1 ratio) to receive 3 mg of nivolumab per kilogram of body weight intravenously every 2 weeks or a 10-mg everolimus tablet orally once daily. The primary end point was overall survival. The secondary end points included the objective response rate and safety. ResultsThe median overall survival was 25.0 months (95% confidence interval [CI], 21.8 to not estimable) with nivolumab and 19.6 months (95% CI, 17.6 to 23.1) with everolimus. The haz...

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Renal cell carcinoma

TL;DR: The management of the primary tumor is described and an overview of systemic agents that form the mainstay of treatment for advanced disease are offered and an introduction to the exciting new class of immunomodulatory agents that are currently in clinical trials and may form the basis of a new therapeutic approach for patients with advanced RCC are introduced.
Journal ArticleDOI

Anti-angiogenesis for cancer revisited: Is there a role for combinations with immunotherapy?

TL;DR: Judicious dosing of anti-angiogenic treatment can transiently normalize the tumor vasculature by decreasing vascular permeability and improving tumor perfusion and blood flow, and synergize with immunotherapy in this time window.
Journal ArticleDOI

Hyperprogression during anti-PD-1/PD-L1 therapy in patients with recurrent and/or metastatic head and neck squamous cell carcinoma

TL;DR: Hyperprogression was observed in 29% of patients with R/M HNSCC treated with anti-PD-L1/PD-1 agents and correlated with a shorter progression-free survival (PFS), and mechanisms and causality of hyperprogression should further be assessed through prospective controlled studies.
Journal ArticleDOI

Development of immuno-oncology drugs — from CTLA4 to PD1 to the next generations

TL;DR: The recent history of cancer immunotherapy, including the factors that led to its success, is summarized, an overview of novel drug-development considerations is provided, and three generations of immunotherapies that have been developed since 2011 are summarized to illustrate the breadth of opportunities these new generations of Immuno-oncology represent.
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Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012.

TL;DR: The GLOBOCAN series of the International Agency for Research on Cancer (IARC) as mentioned in this paper provides estimates of the worldwide incidence and mortality from 27 major cancers and for all cancers combined for 2012.
Journal ArticleDOI

Categorical Data Analysis

Alan Agresti
- 01 May 1991 - 
TL;DR: In this article, categorical data analysis was used for categorical classification of categorical categorical datasets.Categorical Data Analysis, categorical Data analysis, CDA, CPDA, CDSA
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