Angiogenic and immunomodulatory biomarkers in axitinib-treated patients with advanced renal cell carcinoma Journal Article


Authors: Murphy, D. A.; Rini, B. I.; Escudier, B.; Motzer, R. J.; Wang, P.; Li, S.; Williams, J. A.; Tarazi, J. C.; Martini, J. F.
Article Title: Angiogenic and immunomodulatory biomarkers in axitinib-treated patients with advanced renal cell carcinoma
Abstract: Aim: Immunomodulatory mechanisms contributing to angiogenic inhibition in renal tumors are not well characterized. We report associations between efficacy and tumor-associated immune cells and mRNA/miRNA expression in patients from AXIS. Materials & methods: Immunohistochemistry (n = 52) and mRNA/miRNA expression analyses (n = 72) were performed on tumor samples. Results: In axitinib-treated patients, higher CXCR4 and TLR3 expression, respectively, was associated with longer progression-free survival (hazard ratio; 95% CI: 0.3; 0.1-0.8 and 0.4; 0.2-0.9) and showed interaction with treatment (p = 0.029 and p < 0.001); lower CCR7 expression was associated with objective response (odds ratio: 0.1; 95% CI: 0.01-1.0) and longer overall survival (hazard ratio: 3.9; 95% CI: 1.4-10.3). Conclusion: CCR7, CXCR4 and TLR3 expression levels may be prognostic/predictive of clinical benefit with axitinib. Clinical trial identifier: ClinicalTrials.gov NCT00678392. © 2020 Pfizer, B Rini, B Escudier & R Motzer.
Keywords: immunohistochemistry; survival; adult; controlled study; human tissue; major clinical study; overall survival; sorafenib; drug efficacy; sensitivity and specificity; cd3 antigen; tumor associated leukocyte; progression free survival; microrna; gene expression; renal cell carcinoma; biomarker; cell density; axitinib; chemokine receptor ccr7; cd68 antigen; post hoc analysis; randomized controlled trial (topic); phase 3 clinical trial (topic); chemokine receptor cxcr4; tumor response; multicenter study (topic); cancer prognosis; toll like receptor 3; human; male; female; priority journal; article; mrna expression level
Journal Title: Future Oncology
Volume: 16
Issue: 17
ISSN: 1479-6694
Publisher: Future Medicine  
Date Published: 2020-06-01
Start Page: 1199
End Page: 1210
Language: English
DOI: 10.2217/fon-2020-0212
PUBMED: 32363929
PROVIDER: scopus
PMCID: PMC8459336
DOI/URL:
Notes: Article -- Export Date: 1 July 2020 -- Source: Scopus
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  1. Robert Motzer
    1248 Motzer