[Clinical Effect of Nivolumab on Advanced Renal Cell Carcinoma with Peritoneal Metastasis]

Takuya Hida1, Toshinari Yamasaki1, Haruka Banno1

  • 1The Department of Urology, Kyoto University Hospital.

Insights

This study reports on four advanced renal cell carcinoma patients with peritoneal metastases treated with nivolumab. Three patients showed objective responses, suggesting nivolumab

Area of Science:

  • Oncology
  • Immunotherapy

Background:

  • Peritoneal metastasis from renal cell carcinoma (RCC) is rare.
  • Advanced RCC with peritoneal spread presents a therapeutic challenge.

Purpose of the Study:

  • To evaluate the efficacy of nivolumab in patients with advanced renal cell carcinoma and peritoneal metastases.
  • To identify potential biomarkers for treatment response.

Main Methods:

  • Case series of four patients with advanced RCC and peritoneal metastases.
  • Treatment with nivolumab.
  • Monitoring of metastatic lesions via computed tomography (CT) scans.
  • Assessment of temporal changes in neutrophil-to-lymphocyte ratio (NLR), C-reactive protein (CRP), and eosinophil ratio.

Main Results:

  • Three out of four patients achieved an objective response in peritoneal metastatic lesions.
  • Transient enlargement of peritoneal lesions (pseudoprogression) was observed in two patients post-nivolumab initiation.
  • Changes in NLR, CRP, and eosinophil ratio correlated with treatment response.

Conclusions:

  • Nivolumab demonstrates therapeutic activity against peritoneal metastases in advanced renal cell carcinoma.
  • Nivolumab may be a viable treatment option for this rare presentation of RCC.
  • NLR, CRP, and eosinophil ratio show potential as predictive biomarkers for nivolumab response in RCC.

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