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A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[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.
Abstract:
Peritoneal dissemination or metastasis is a relatively rare presentation of renal cell carcinoma. We report four cases of advanced renal cell carcinoma with peritoneal metastases treated with nivolumab. Three cases showed an objective response in the metastatic lesions including peritoneal sites. After nivolumab administration, the computed tomography scan showed a transient enlargement of peritoneal lesions in two cases, which could be considered as pseudoprogression. Temporal changes of neutrophil-tolymphocyte ratio, C-reactive protein, and eosinophil ratio during the clinical course reflected the treatment effect of nivolumab in these patients, indicating that these could be potential biomarkers of the response. To our knowledge, this is the first case series showing therapeutic activity of nivolumab against peritoneal metastases in patients with renal cell carcinoma.
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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