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multi target TKI
systematic review
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Apitolisib
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Axitinib
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Cabozantinib
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Dovitinib
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Pazopanib
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Sorafenib
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Sunitinib
-
Tivozanib
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advanced breast cancer (metastatic)
renal-cell carcinoma (advanced)
All type of patient
HR+ HER2 -
combination with CT
combination with endocrine therapy
combination with taxanes
TKI
VEGFR, MET AXL TKI
apitolisib
cabozantinib
tivozanib
axitinib
dovitinib
lapatinib
paclitaxel
pazopanib
sorafenib
sunitinib
vs CT alone
vs endocrine therapy alone
vs taxanes alone
1st line
2nd line
HER-2 negative
HER-2 positive
HR positive
previously treated by HER-2 antibody
previously treated by taxanes
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Description
Synopsis
Comparison
Treatments
Patients
Characteristics
Method
Risk of bias
References
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Tools
Indexation
Results
Global trial result
Main results
All results
All result tag
NCT results
progression or death (progression free survival PFS) (17)
death (overall survival) (12)
Serious adverse event (3)
progression (Time to progression TTP) (1)
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medians
Trial
Studied trt
Control trt
patients
tags
ROB
Trial result
progression or death (progression free survival PFS)
death (overall survival)
advanced breast cancer (metastatic)
lapatinib
Johnston (EGF30008) , 2009
NCT
lapatinib + letrozole
letrozole alone
HR positive
Low risk of bias
conclusive
-29%
-22%
Di Leo, 2008
NCT
lapatinib + paclitaxel
paclitaxel alone
1st line
Low risk of bias
negative
-10%
-14%
sorafenib
Baselga, 2012
sorafenib + capecitabine
capecitabine alone
HER-2 negative
Low risk of bias
suggesting
-42%
-14%
Schwartzberg, 2013
NCT
sorafenib + gemcitabine or capecitabine
gemcitabine or capecitabine alone
2nd line
HER-2 negative
Exploratory
suggesting
-36%
1%
Gradishar, 2013
sorafenib + paclitaxel
paclitaxel alone
1st line
HER-2 negative
Low risk of bias
negative
-21%
2%
renal-cell carcinoma (advanced)
apitolisib
Powles, 2014
apitolisib
everolimus
-
axitinib
AXIS (Rini), 2011
NCT
axitinib
sorafenib
suggesting
-34%
Qin, 2012
axitinib
sorafenib
-
cabozantinib
METEOR, 2015
NCT
cabozantinib
everolimus
after VEGFR-targeted therapy failure
2nd line
Risk of bias
suggesting
-42%
-33%
CABOSUN, 2017
NCT
cabozantinib
sunitinib
first-line therapy in patients with intermediate- or poor-risk
1st line
Exploratory
suggesting
-34%
dovitinib
GOLD
NCT
dovitinib
sorafenib
Risk of bias
negative
-14%
pazopanib
Sternberg, 2010
pazopanib
placebo
Low risk of bias
suggesting
-54%
VEG105192, 2010
NCT
pazopanib
placebo
suggesting
-54%
-9%
COMPARZ, 2013
NCT
pazopanib
sunitinib
negative
5%
-9%
sorafenib
Escudier, 2009
sorafenib
interferon alpha
Exploratory
negative
-12%
TARGET, 2007
NCT
sorafenib
placebo
Low risk of bias
suggesting
-56%
-12%
Ratain, 2006
sorafenib
placebo
Exploratory
-
sunitinib
Motzer, 2007
NCT
sunitinib
interferon alpha
suggesting
-58%
-18%
SWITCH
NCT
sunitinib
sorafenib
-
tivozanib
TIVO-1, 2013
NCT
tivozanib
sorafenib
suggesting
-20%
25%
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