[Immunotherapy in renal cell carcinoma: A booming clinical research]

N Baize1, P Bigot2

  • 1Unité transversale de thérapeutiques innovantes en oncologie médicale (UTTIOM), centre hospitalier universitaire d'Angers, 4, rue Larrey, 49933 Angers, France.

Abstract

Insights

Nivolumab, an anti-PD1 immune checkpoint inhibitor, improved survival in metastatic renal cell carcinoma. Future research focuses on combining immunotherapies for better patient outcomes.

Area of Science:

  • Oncology
  • Immunotherapy
  • Renal Cell Carcinoma

Background:

  • Nivolumab (anti-PD1 inhibitor) demonstrated improved overall survival in first-line metastatic renal cell carcinoma (mRCC) in 2015.
  • Significant research interest and clinical trials have emerged evaluating immune checkpoint inhibitors in mRCC.

Purpose of the Study:

  • To summarize the clinical development of immune checkpoint inhibitors in renal cell carcinoma.
  • To assess the current direction of clinical research in this rapidly evolving field.

Main Methods:

  • A systematic literature review was conducted using PubMed/Medline and the ASCO Meeting Library.
  • Searched for articles in French or English on immunotherapy for renal cell carcinoma, published between 2014 and 2017.
  • Identified 349 publications and abstracts, selecting 17 prospective studies for analysis.

Main Results:

  • Recent data highlight checkpoint inhibitors, combinations with tyrosine kinase inhibitors, anti-angiogenic agents, and indoleamine 2,3-dioxygenase 1 inhibitors in mRCC.
  • Advances in vaccine therapy for renal cell carcinoma were also reported.

Conclusions:

  • Immunotherapy combined with other treatments is poised to shift clinical management paradigms in mRCC by 2017.
  • The combination of nivolumab and ipilimumab in first-line treatment is expected to revolutionize therapeutic strategies for metastatic renal cell carcinoma.

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