Real-world Treatment Sequencing and Outcomes With Cabozantinib After First-line Immune Checkpoint Inhibitor-based Combination Therapy For Patients With Advanced Renal Cell Carcinoma: CARINA Study Results - Ipsen
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December 2024
Summary
Real-world use and results of cabozantinib after initial kidney cancer treatment
Real-world treatment sequencing and outcomes with cabozantinib after first-line immune checkpoint inhibitor-based combination therapy for patients with advanced renal cell carcinoma: CARINA study results
This study, funded by Ipsen in collaboration with hospitals and universities across the UK, used de-identified patient data collected during the CARINA clinical trial.
CARINA was a retrospective, observational study that examined de-identified data from hospital and prescription records, to analyse the type of treatment provided to patients with advanced kidney cancer in the UK and monitored their outcomes.
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About this study
Understanding differences in treatment outcomes is important for improving cancer care. It helps healthcare staff and systems choose the best treatments for each patient, improving survival rates and the patients’ quality of life. It also highlights gaps in access to care, helps update medical guidelines, and ensures resources are used effectively. This study uncovered insights from 281 patients receiving treatment for renal cell carcinoma, an advanced kidney cancer, in the UK.
The study utilised real-world data from hospital and prescription records of patients, aged 18 or over, with advanced kidney cancer treated in cancer centres across the UK. These records spanned from April 2015 to June 2022. Access to patient level data was vital as it provided detailed information about different treatment sequences, durations, and outcomes for patients. All data was anonymised and documents relating to the study were redacted to protect patient privacy.
By conducting the study in a secure and anonymised way, Ipsen were able to ensure that only relevant information relating to patients’ care was included.
This study focussed on how well different treatments work for advanced kidney cancer for patients who have already had a first round of therapies and looked specifically at the drug cabozantinib. Patients who received cabozantinib stayed on it longer than those on other treatments approved for this type of kidney cancer. Overall, patients who took cabozantinib lived for an average of 15 months after starting it, with the results suggesting cabozantinib is an effective treatment option after initial combination therapies.
Data sources used:
• Electronic prescribing records: system to track patients’ medicine prescriptions, often sent from GP or other healthcare providers directly to pharmacies.
• Hospital medical records: track treatments prescribed and administered during a patients’ stay in hospital. They also record patients’ response to treatment and survival rates.
Benefits of the study
By securely accessing patient data relating to the treatment of advanced kidney cancer, Ipsen was able to identify the difference in patient outcomes based on which therapy was chosen and highlight cabozantinib as a better option.
In the future, the findings of this study will be used to guide optimal treatment routes for individuals who require further treatment for advanced kidney cancer after a first course of treatment has proved ineffective.
Further information
Glossary
Real-world data: refers to de-identified patient data from electronic prescribing records, combined with hospital medical records and chart notes to include patient demographics, treatments, responses, and survival information.
Treatment sequencing: order in which different treatments are given to a patient to get the best results.
Retrospective observational study: a type of research which looks back at existing data to find patterns and outcomes, for example, to see how effective a treatment has been over a period of time.
Last modified: 15 February 2025
Last reviewed: 15 February 2025