The purpose of this study is to learn about the effectiveness of the first and later lines of medicines on clinical outcomes in people with mRCC. The study includes participants who: * are 18 years old or above and have mRCC * took medicines that use the bodies immunity to fight against cancer as their first choice of treatment * took other medicines after taking the above first choice of treatment This is a study that looks into the data collected through a particular database from selected academic clinical sites participating in this study. The data of interest include: * the length of time between the start of a patient's treatment and the end of treatment * the length of time between the start of treatment and death * physician assessment of a patient's response to treatment We will compare the experiences of people receiving different combinations of treatments and see if there are any differences in the effectiveness of these medicines.
Study Type
OBSERVATIONAL
Enrollment
494
Pfizer Headquarters
New York, New York, United States
Demographical characteristics
Gender Age at time of 1L initiation Race Region indicator (i.e., US vs. ex-US)
Time frame: From Time of Initiation of First-line (1L) Immuno-oncology (IO) combination therapy to death (up to 60 months)
Date of mRCC diagnosis
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Prior nephrectomy status
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Date of nephrectomy (if applicable)
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Tumor characteristics
Histology type (i.e., clear cell vs. non-clear cell RCC) Number of metastatic sites (e.g., 1 site or more than 1 site) Site of metastases (e.g., brain, bone, lung)
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
IMDC risk score
Assessed on index date and at initiation of each LOT
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Number of lines of therapy received by each patient
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Treatment agents received at each line of therapy
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Duration of each line of therapy
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Time from discontinuation of previous line of therapy to initiation of subsequent line of therapy
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Reason for discontinuation for each line of therapy
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Time to treatment discontinuation (TTD)
Defined as the time from treatment initiation to discontinuation of each therapy due to any reason including progression, death, or toxicity
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Time to next treatment (TTNT)
Defined as time from the initiation of 1L treatment to initiation of subsequent therapy or death
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Physician-assessed best response
Overall best response rate (complete or partial) Stable disease Progressive disease
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
Overall survival
Defined as the time between initiation of 1L IO combination therapy to death
Time frame: From Time of Initiation of 1L IO combination therapy to death (up to 60 months)
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