Tumour response in metastatic renal cell carcinoma treated with tyrosine kinase inhibitors - assessment of intra-tumour heterogeneity.

Abstract:

:Intra-tumour heterogeneity is a common molecular phenomenon in metastatic clear cell renal carcinoma (mRCC), representing the genetic complexity of a tumour with multiple metastatic sites. The present commentary discusses the observed phenomena of phenotypic intra-tumour heterogeneity in mRCC patients treated with the tyrosine kinase inhibitors sunitinib or pazopanib. Here, drug response can be different on the level of each evaluated metastasis in the individual patient. This questions the currently used radiologic staging systems of RECIST criteria and demands for a modification of radiologic response assessment with the consequence of a patient-tailored therapy in the clinical setting.Please see related article: http://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-016-0729-9 .

journal_name

BMC Med

journal_title

BMC medicine

authors

Stühler V,Bedke J

doi

10.1186/s12916-016-0754-8

subject

Has Abstract

pub_date

2016-12-07 00:00:00

pages

201

issue

1

issn

1741-7015

pii

10.1186/s12916-016-0754-8

journal_volume

14

pub_type

社论
  • Reporting of statistically significant results at ClinicalTrials.gov for completed superiority randomized controlled trials.

    abstract:BACKGROUND:Publication bias and other reporting bias have been well documented for journal articles, but no study has evaluated the nature of results posted at ClinicalTrials.gov. We aimed to assess how many randomized controlled trials (RCTs) with results posted at ClinicalTrials.gov report statistically significant r...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-016-0740-1

    authors: Dechartres A,Bond EG,Scheer J,Riveros C,Atal I,Ravaud P

    更新日期:2016-11-30 00:00:00

  • Diagnostic heterogeneity in psychiatry: towards an empirical solution.

    abstract::The launch of the 5th version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has sparked a debate about the current approach to psychiatric classification. The most basic and enduring problem of the DSM is that its classifications are heterogeneous clinical descriptions rather than valid diagnose...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-201

    authors: Wardenaar KJ,de Jonge P

    更新日期:2013-09-12 00:00:00

  • Associations of six adiposity-related markers with incidence and mortality from 24 cancers-findings from the UK Biobank prospective cohort study.

    abstract:BACKGROUND:Adiposity is a strong risk factor for cancer incidence and mortality. However, most of the evidence available has focused on body mass index (BMI) as a marker of adiposity. There is limited evidence on relationships of cancer with other adiposity markers, and if these associations are linear or not. The aim ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01848-8

    authors: Parra-Soto S,Cowley ES,Rezende LFM,Ferreccio C,Mathers JC,Pell JP,Ho FK,Celis-Morales C

    更新日期:2021-01-11 00:00:00

  • How do you design randomised trials for smaller populations? A framework.

    abstract::How should we approach trial design when we can get some, but not all, of the way to the numbers required for a randomised phase III trial?We present an ordered framework for designing randomised trials to address the problem when the ideal sample size is considered larger than the number of participants that can be r...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-016-0722-3

    authors: Parmar MK,Sydes MR,Morris TP

    更新日期:2016-11-25 00:00:00

  • Genotype-guided versus traditional clinical dosing of warfarin in patients of Asian ancestry: a randomized controlled trial.

    abstract:BACKGROUND:Genotype-guided warfarin dosing has been shown in some randomized trials to improve anticoagulation outcomes in individuals of European ancestry, yet its utility in Asian patients remains unresolved. METHODS:An open-label, non-inferiority, 1:1 randomized trial was conducted at three academic hospitals in So...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12916-018-1093-8

    authors: Syn NL,Wong AL,Lee SC,Teoh HL,Yip JWL,Seet RC,Yeo WT,Kristanto W,Bee PC,Poon LM,Marban P,Wu TS,Winther MD,Brunham LR,Soong R,Tai BC,Goh BC

    更新日期:2018-07-10 00:00:00

  • Thymic size is increased by infancy, but not pregnancy, nutritional supplementation in rural Gambian children: a randomized clinical trial.

    abstract:BACKGROUND:Thymic size in early infancy predicts subsequent survival in low-income settings. The human thymus develops from early gestation, is most active in early life and is highly sensitive to malnutrition. Our objective was to test whether thymic size in infancy could be increased by maternal and/or infant nutriti...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12916-019-1264-2

    authors: Moore SE,Fulford AJC,Sosseh F,Nshe P,Darboe MK,Prentice AM

    更新日期:2019-02-18 00:00:00

  • Mapping malaria by combining parasite genomic and epidemiologic data.

    abstract:BACKGROUND:Recent global progress in scaling up malaria control interventions has revived the goal of complete elimination in many countries. Decreasing transmission intensity generally leads to increasingly patchy spatial patterns of malaria transmission in elimination settings, with control programs having to accurat...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1181-9

    authors: Wesolowski A,Taylor AR,Chang HH,Verity R,Tessema S,Bailey JA,Alex Perkins T,Neafsey DE,Greenhouse B,Buckee CO

    更新日期:2018-10-18 00:00:00

  • Video Q&A: molecular profiling of breast cancer.

    abstract::In this video Q&A, we talk to Professor Carlos Caldas about the identification of breast cancer subtypes through molecular profiling, and the clinical implications for diagnosis and treatment. ...

    journal_title:BMC medicine

    pub_type: 面试,杂志文章

    doi:10.1186/1741-7015-11-150

    authors: Caldas C

    更新日期:2013-06-18 00:00:00

  • The TransEurope FootRace Project: longitudinal data acquisition in a cluster randomized mobile MRI observational cohort study on 44 endurance runners at a 64-stage 4,486 km transcontinental ultramarathon.

    abstract:BACKGROUND:The TransEurope FootRace 2009 (TEFR09) was one of the longest transcontinental ultramarathons with an extreme endurance physical load of running nearly 4,500 km in 64 days. The aim of this study was to assess the wide spectrum of adaptive responses in humans regarding the different tissues, organs and functi...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1741-7015-10-78

    authors: Schütz UH,Schmidt-Trucksäss A,Knechtle B,Machann J,Wiedelbach H,Ehrhardt M,Freund W,Gröninger S,Brunner H,Schulze I,Brambs HJ,Billich C

    更新日期:2012-07-19 00:00:00

  • Towards a genuinely medical model for psychiatric nosology.

    abstract::Psychiatric nosology is widely criticized, but solutions are proving elusive. Planned revisions of diagnostic criteria will not resolve heterogeneity, comorbidity, fuzzy boundaries between normal and pathological, and lack of specific biomarkers. Concern about these difficulties reflects a narrow model that assumes mo...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-10-5

    authors: Nesse RM,Stein DJ

    更新日期:2012-01-13 00:00:00

  • Estimation of outbreak severity and transmissibility: Influenza A(H1N1)pdm09 in households.

    abstract:BACKGROUND:When an outbreak of a novel pathogen occurs, some of the most pressing questions from a public-health point of view relate to its transmissibility, and the probabilities of different clinical outcomes following infection, to allow an informed response. Estimates of these quantities are often based on househo...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-10-117

    authors: House T,Inglis N,Ross JV,Wilson F,Suleman S,Edeghere O,Smith G,Olowokure B,Keeling MJ

    更新日期:2012-10-09 00:00:00

  • Reductions in sugar sales from soft drinks in the UK from 2015 to 2018.

    abstract:BACKGROUND:The consumption of free sugars in the UK is more than double the guideline intake for adults and close to triple for children, with soft drinks representing a significant proportion. The aim of this study was to assess how individual soft drink companies and consumers have responded to calls to reduce sugar ...

    journal_title:BMC medicine

    pub_type: 历史文章,杂志文章

    doi:10.1186/s12916-019-1477-4

    authors: Bandy LK,Scarborough P,Harrington RA,Rayner M,Jebb SA

    更新日期:2020-01-13 00:00:00

  • Controversies and challenges of vaccination: an interview with Elizabeth Miller.

    abstract::Although strong evidence exists that the benefits of vaccination by far outweigh potential adverse events, controversy still exists. This has led opponents of vaccination to question its safety, efficacy and necessity. In an interview with Professor Elizabeth Miller, we discuss the continuum of beliefs held by vaccine...

    journal_title:BMC medicine

    pub_type: 面试

    doi:10.1186/s12916-015-0508-z

    authors: Miller E

    更新日期:2015-10-16 00:00:00

  • The challenges of colposcopy for cervical cancer screening in LMICs and solutions by artificial intelligence.

    abstract:BACKGROUND:The World Health Organization (WHO) called for global action towards the elimination of cervical cancer. One of the main strategies is to screen 70% of women at the age between 35 and 45 years and 90% of women managed appropriately by 2030. So far, approximately 85% of cervical cancers occur in low- and midd...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01613-x

    authors: Xue P,Ng MTA,Qiao Y

    更新日期:2020-06-03 00:00:00

  • Malaria eradication and elimination: views on how to translate a vision into reality.

    abstract::Although global efforts in the past decade have halved the number of deaths due to malaria, there are still an estimated 219 million cases of malaria a year, causing more than half a million deaths. In this forum article, we asked experts working in malaria research and control to discuss the ways in which malaria mig...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-015-0384-6

    authors: Tanner M,Greenwood B,Whitty CJ,Ansah EK,Price RN,Dondorp AM,von Seidlein L,Baird JK,Beeson JG,Fowkes FJ,Hemingway J,Marsh K,Osier F

    更新日期:2015-07-25 00:00:00

  • Allergen immunotherapy and allergic rhinitis: false beliefs.

    abstract:BACKGROUND:Over the last 100 years, several persistent misconceptions or 'false beliefs' have built up around allergen immunotherapy and its use in allergic rhinitis. This is perhaps because enthusiastic physicians administered complex allergen extracts to a diverse population of patients suffering from heterogeneous a...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-11-255

    authors: Calderón MA,Frankland AW,Demoly P

    更新日期:2013-12-05 00:00:00

  • Age, sex, disease severity, and disease duration difference in placebo response: implications from a meta-analysis of diabetes mellitus.

    abstract:BACKGROUND:The placebo response in patients with diabetes mellitus is very common. A systematic evaluation needs to be updated with the current evidence about the placebo response in diabetes mellitus and the associated factors in clinical trials of anti-diabetic medicine. METHODS:Literature research was conducted in ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01787-4

    authors: Lin C,Cai X,Yang W,Lv F,Nie L,Ji L

    更新日期:2020-11-16 00:00:00

  • Large-scale external validation and comparison of prognostic models: an application to chronic obstructive pulmonary disease.

    abstract:BACKGROUND:External validations and comparisons of prognostic models or scores are a prerequisite for their use in routine clinical care but are lacking in most medical fields including chronic obstructive pulmonary disease (COPD). Our aim was to externally validate and concurrently compare prognostic scores for 3-year...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1013-y

    authors: Guerra B,Haile SR,Lamprecht B,Ramírez AS,Martinez-Camblor P,Kaiser B,Alfageme I,Almagro P,Casanova C,Esteban-González C,Soler-Cataluña JJ,de-Torres JP,Miravitlles M,Celli BR,Marin JM,Ter Riet G,Sobradillo P,Lange P,Ga

    更新日期:2018-03-02 00:00:00

  • There are no randomized controlled trials that support the United States Preventive Services Task Force Guideline on screening for depression in primary care: a systematic review.

    abstract:BACKGROUND:The United States Preventive Services Task Force (USPSTF) recommends screening adults for depression in primary care settings when staff-assisted depression management programs are available. This recommendation, however, is based on evidence from depression management programs conducted with patients alread...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-12-13

    authors: Thombs BD,Ziegelstein RC,Roseman M,Kloda LA,Ioannidis JP

    更新日期:2014-01-28 00:00:00

  • Novel equation to determine the hepatic triglyceride concentration in humans by MRI: diagnosis and monitoring of NAFLD in obese patients before and after bariatric surgery.

    abstract:BACKGROUND:Non-alcoholic fatty liver disease (NAFLD) is caused by abnormal accumulation of lipids within liver cells. Its prevalence is increasing in developed countries in association with obesity, and it represents a risk factor for non-alcoholic steatohepatitis (NASH), cirrhosis and hepatocellular carcinoma. Since N...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-014-0137-y

    authors: Jiménez-Agüero R,Emparanza JI,Beguiristain A,Bujanda L,Alustiza JM,García E,Hijona E,Gallego L,Sánchez-González J,Perugorria MJ,Asensio JI,Larburu S,Garmendia M,Larzabal M,Portillo MP,Aguirre L,Banales JM

    更新日期:2014-08-26 00:00:00

  • The implications of three major new trials for the effect of water, sanitation and hygiene on childhood diarrhea and stunting: a consensus statement.

    abstract:BACKGROUND:Three large new trials of unprecedented scale and cost, which included novel factorial designs, have found no effect of basic water, sanitation and hygiene (WASH) interventions on childhood stunting, and only mixed effects on childhood diarrhea. Arriving at the inception of the United Nations' Sustainable De...

    journal_title:BMC medicine

    pub_type: 共识发展会议,杂志文章

    doi:10.1186/s12916-019-1410-x

    authors: Cumming O,Arnold BF,Ban R,Clasen T,Esteves Mills J,Freeman MC,Gordon B,Guiteras R,Howard G,Hunter PR,Johnston RB,Pickering AJ,Prendergast AJ,Prüss-Ustün A,Rosenboom JW,Spears D,Sundberg S,Wolf J,Null C,Luby SP,Hum

    更新日期:2019-08-28 00:00:00

  • Can China achieve a one-third reduction in premature mortality from non-communicable diseases by 2030?

    abstract:BACKGROUND:The United Nation's Sustainable Development Goals for 2030 include reducing premature mortality from non-communicable diseases (NCDs) by one third. To assess the feasibility of this goal in China, we projected premature mortality in 2030 of NCDs under different risk factor reduction scenarios. METHODS:We us...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-017-0894-5

    authors: Li Y,Zeng X,Liu J,Liu Y,Liu S,Yin P,Qi J,Zhao Z,Yu S,Hu Y,He G,Lopez AD,Gao GF,Wang L,Zhou M

    更新日期:2017-07-11 00:00:00

  • Migration and tuberculosis transmission in a middle-income country: a cross-sectional study in a central area of São Paulo, Brazil.

    abstract:BACKGROUND:Little is known about the impact of growing migration on the pattern of tuberculosis (TB) transmission in middle-income countries. We estimated TB recent transmission and its associated factors and investigated the presence of cross-transmission between South American migrants and Brazilians. METHODS:We stu...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1055-1

    authors: Pescarini JM,Simonsen V,Ferrazoli L,Rodrigues LC,Oliveira RS,Waldman EA,Houben R

    更新日期:2018-04-30 00:00:00

  • MUC4 gene polymorphisms associate with endometriosis development and endometriosis-related infertility.

    abstract:BACKGROUND:Mucin 4 (MUC4) plays an important role in protecting and lubricating the epithelial surface of reproductive tracts, but its role in the pathogenesis of endometriosis is largely unknown. METHODS:To correlate MUC4 polymorphism with the risk of endometriosis and endometriosis-related infertility, we performed ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-9-19

    authors: Chang CY,Chang HW,Chen CM,Lin CY,Chen CP,Lai CH,Lin WY,Liu HP,Sheu JJ,Tsai FJ

    更新日期:2011-02-24 00:00:00

  • A dynamic neural network model for predicting risk of Zika in real time.

    abstract:BACKGROUND:In 2015, the Zika virus spread from Brazil throughout the Americas, posing an unprecedented challenge to the public health community. During the epidemic, international public health officials lacked reliable predictions of the outbreak's expected geographic scale and prevalence of cases, and were therefore ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1389-3

    authors: Akhtar M,Kraemer MUG,Gardner LM

    更新日期:2019-09-02 00:00:00

  • Neutrophil to lymphocyte ratio and cancer prognosis: an umbrella review of systematic reviews and meta-analyses of observational studies.

    abstract:BACKGROUND:Although neutrophils have been linked to the progression of cancer, uncertainty exists around their association with cancer outcomes, depending on the site, outcome and treatments considered. We aimed to evaluate the strength and validity of evidence on the association between either the neutrophil to lympho...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01817-1

    authors: Cupp MA,Cariolou M,Tzoulaki I,Aune D,Evangelou E,Berlanga-Taylor AJ

    更新日期:2020-11-20 00:00:00

  • How important is gametocyte clearance after malaria therapy?

    abstract::There has been increasing interest in the role of malaria drugs in preventing malaria transmission from humans to mosquitoes, which would help augment malaria control and elimination strategies. Nevertheless, only one stage in the malaria parasite life cycle, the gametocyte, is infectious to mosquitoes. The Worldwide ...

    journal_title:BMC medicine

    pub_type: 社论

    doi:10.1186/s12916-016-0641-3

    authors: Karunajeewa HA,Mueller I

    更新日期:2016-06-18 00:00:00

  • Treatment duration of febrile urinary tract infection: a pragmatic randomized, double-blind, placebo-controlled non-inferiority trial in men and women.

    abstract:BACKGROUND:In adults with febrile urinary tract infection (fUTI), data on optimal treatment duration in patients other than non-pregnant women without comorbidities are lacking. METHODS:A randomized placebo-controlled, double-blind, non-inferiority trial among 35 primary care centers and 7 emergency departments of reg...

    journal_title:BMC medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12916-017-0835-3

    authors: van Nieuwkoop C,van der Starre WE,Stalenhoef JE,van Aartrijk AM,van der Reijden TJ,Vollaard AM,Delfos NM,van 't Wout JW,Blom JW,Spelt IC,Leyten EM,Koster T,Ablij HC,van der Beek MT,Knol MJ,van Dissel JT

    更新日期:2017-04-03 00:00:00

  • Stress, burnout and doctors' attitudes to work are determined by personality and learning style: a twelve year longitudinal study of UK medical graduates.

    abstract:BACKGROUND:The study investigated the extent to which approaches to work, workplace climate, stress, burnout and satisfaction with medicine as a career in doctors aged about thirty are predicted by measures of learning style and personality measured five to twelve years earlier when the doctors were applicants to medic...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-2-29

    authors: McManus IC,Keeling A,Paice E

    更新日期:2004-08-18 00:00:00

  • Physical comorbidities in men with mood and anxiety disorders: a population-based study.

    abstract:BACKGROUND:The mind-body nexus has been a topic of growing interest. Further data are however required to understand the specific relationship between mood and anxiety disorders and individual physical health conditions, and to verify whether these psychiatric disorders are linked to overall medical burden. METHODS:Th...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-110

    authors: Sanna L,Stuart AL,Pasco JA,Kotowicz MA,Berk M,Girardi P,Brennan SL,Williams LJ

    更新日期:2013-04-24 00:00:00