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ONCONEPHROLOGY

Immune-based combination therapy for metastatic kidney cancer

New data from the JAVELIN Renal 101 and KEYNOTE-426 trials provide evidence that immune-based combination therapy has superior efficacy to sunitinib monotherapy in patients with advanced renal cell carcinoma. The new findings raise important questions regarding the optimum choice of combination therapy for these patients.

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Fig. 1: Mechanisms of action of agents used in combination therapies for metastatic RCC.

References

  1. Motzer, R. J. et al. Avelumab plus axitinib versus sunitinib for advanced renal-cell carcinoma. N. Engl. J. Med. 380, 1103–1115 (2019).

    Article  CAS  Google Scholar 

  2. Rini, B. I. et al. Pembrolizumab plus axitinib versus sunitinib for advanced renal-cell carcinoma. N. Engl. J. Med. 380, 1116–1127 (2019).

    Article  CAS  Google Scholar 

  3. Motzer, R. J. et al. Nivolumab plus ipilimumab versus sunitinib in advanced renal-cell carcinoma. N. Engl. J. Med. 378, 1277–1290 (2019).

    Article  Google Scholar 

  4. Tannir, N. M. et al. Thirty-month follow-up of the phase III CheckMate 214 trial of first-line nivolumab+ipilimumab (N+I) or sunitinib (S) in patients (pts) with advanced renal cell carcinoma (aRCC) [abstract]. J. Clin. Oncol. 37 (Suppl. 7), 547 (2019).

    Article  Google Scholar 

  5. Larkin, J. et al. Combined nivolumab and ipilimumab or monotherapy in untreated melanoma. N. Engl. J. Med. 373, 23–34 (2015).

    Article  Google Scholar 

  6. Das, R. et al. Combination therapy with anti-CTLA4 and anti-PD1 leads to distinct immunologic changes in-vivo. J. Immunol. 194, 950–959 (2015).

    Article  CAS  Google Scholar 

  7. de Coaña, Y. P. et al. Ipilimumab treatment decreases monocytic MDSCs and increases CD8 effector memory T cells in long-term survivors with advanced melanoma. Oncotarget 8, 21539–21553 (2017).

    Article  Google Scholar 

  8. Fisher, R. I., Rosenberg, S. A. & Fyfe, G. Long-term survival update for high-dose recombinant interleukin-2 in patients with renal cell carcinoma. Cancer J. Sci. Am. 6 (Suppl. 1), 55–57 (2000).

    Google Scholar 

Download references

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Correspondence to Camillo Porta.

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C.P. has acted as a consultant and/or speaker for Bristol-Myers Squibb, Merck Sharp & Dohme, Pfizer, Ipsen, Eisai, Novartis, EUSA, Janssen, and GE. M.R. declares no competing interests.

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Porta, C., Rizzo, M. Immune-based combination therapy for metastatic kidney cancer. Nat Rev Nephrol 15, 324–325 (2019). https://doi.org/10.1038/s41581-019-0149-0

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