Continuing discussion on advanced renal cell carcinoma, Robert J. Motzer, MD, reviews recent clinical trial data presented at ASCO 2023 and KCRS 2023.
Transcript:
Robert J. Motzer, MD: The KEYNOTE-426 update was presented at ASCO [American Society of Clinical Oncology Annual Meeting], as well. This was the first of the TKI-IO [tyrosine kinase inhibitor/immuno-oncology] combinations to be compared with sunitinib and demonstrate a higher level of efficacy. It serves as proof of principle for the approach of a TKI-IO in first-line therapy for [renal cell carcinoma]. And [because] it was the first study that was reported, it’s subject to the longest follow-up. It likewise demonstrated a durable effect for axitinib plus pembrolizumab, and generally manageable safety program over the course of the patient’s [treatment]. This was confirmatory to me in terms of the initial results for the KEYNOTE-426 that were reported a few years back and establishes this as an acceptable standard option in first-line therapy.
At ASCO and KCRS [Kidney Cancer Research Summit], the updated data from the CLEAR trial [NCT02811861] and the KEYNOTE trial were really the lead contenders in terms of first-line therapy. [At KCRS], there was also longer follow-up of the Study 111 trial [NCT02501096], which was a phase 1/2 study of lenvatinib plus pembrolizumab that was conducted in different groups based on prior treatment and a treatment-naïve group in patients who had progressed on a [TKI] and progressed on an IO. That was presented by Chung-Han Lee, MD, PhD, from Memorial Sloan Kettering Cancer Center, and likewise favored the durability of the regimen over time and, in general, the tolerability in patients who were treated on that trial regardless of their prior line of therapy.
Transcript is AI-generated and edited for clarity and readability.
Enhancing Precision in Immunotherapy: CD8 PET-Avidity in RCC
March 1st 2024In this episode of Emerging Experts, Peter Zang, MD, highlights research on baseline CD8 lymph node avidity with 89-Zr-crefmirlimab for the treatment of patients with metastatic renal cell carcinoma and response to immunotherapy.
Listen
Beyond the First-Line: Economides on Advancing Therapies in RCC
February 1st 2024In our 4th episode of Emerging Experts, Minas P. Economides, MD, unveils the challenges and opportunities for renal cell carcinoma treatment, focusing on the lack of therapies available in the second-line setting.
Listen
McGregor and Participants Discuss Impact of Drug Efficacy and Histology on nccRCC Care
October 17th 2024During a Case-Based Roundtable® event, Bradley McGregor, MD, moderated a discussion on prognosis and treatment approaches for a patient with stage IV papillary renal cell carcinoma.
Read More