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Improved Prognostic Performance Model for MRCC
IMDC compared with MSKCC model for renal cell carcinoma
The International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) model has an improved prognostic performance compared with the 3-factor Memorial Sloan Kettering Cancer Center (MSKCC) model and is applicable to a more contemporary cohort in a second-line targeted therapy setting, according to a population-based analysis of 1,021 patients with metastatic renal cell carcinoma who were treated with second-line targeted therapy.
Researchers found 5 out of 6 predefined factors in the IMDC were independent predictors of poor overall survival, including:
• Anemia
• Thrombocytosis
• Neutrophilia
• Karnofsky performance status (KPS) <80
• Less than one year from diagnosis to first-line therapy
The study authors note the IMDC prognostic model can be applied to patients previously treated with targeted therapy, in addition to previously validated populations in first-line targeted therapy.
Citation: Ko JJ, Xie W, Kroeger N, et al. The International Metastatic Renal Cell Carcinoma Database Consortium model as a prognostic tool in patients with metastatic renal cell carcinoma previously treated with first-line targeted therapy: a population-based study. Lancet Oncol. 2015;16(3):293-300. doi: 10.1016/S1470-2045(14)71222-7.