The latest research supports immune checkpoint inhibitor therapy for clear cell and non–clear cell renal cell carcinoma , but patient selection is key to optimize outcomes, according to a medical oncologist from the Dana-Farber Cancer Institute, Boston.
For patients with metastatic clear cell renal cell carcinoma, the IMDC and MSKCC prognostic models stratify patients to favorable, intermediate, and poor risk groups based on clinical and lab factors. The IMDC risk stratification model is used as a prognostic model to stratify patients diagnosed with metastatic kidney cancer, Dr Serzan said.approved pembrolizumab
Several similar studies of adjuvant immune checkpoint inhibitors for renal cell carcinoma involving atezolizumab vs placebo, nivolumab plus ipilimumab vs placebo, and nivolumab vs observation have not shown significant benefits in terms of disease-free survival, Dr Serzan noted.), which were updated this year, support the use of adjuvant pembrolizumab for patients with stage II, III, or IV clear cell renal cell carcinoma after partial or radical nephrectomy, he said.
The median progression-free survival was 12.4 months in the combination group vs 8.5 months in the sunitinib group for patients at intermediate or poor risk of recurrence. The median progression-free survival was significantly greater in sunitinib patients with favorable risk vs combination patients with favorable risk .
However, cons of this treatment include lack of data on treatment-free survival as well as the decrease in progression-free survival and overall survival hazard ratios over time and potential chronic VEGF/TKI toxicities, he said.
For patients not eligible for ICIs because of uncontrolled autoimmune disease, or high-dose glucocorticoids, Dr Serzan recommended treatment with cabozantinib, lenvatinib/everolimus, pazopanib, or sunitinib.
Source: Healthcare Press (healthcarepress.net)
Renal Cell Cancer RCC - Renal Cell Carcinoma Cancer Of The Kidney Renal Cell Carcinoma RCC Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Metastasis Metastatic Carcinoma Metastatic Cancer Metastases Biologic Therapy Biologics Kidney Cancer Renal Cancer Antineoplastic Drug Anti-Cancer Agents Erlotinib Gefitinib Imatinib Rituximab Su11248
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