Efficacy of immune checkpoint inhibitor combination therapy prior to nephrectomy in advanced renal cell carcinoma: A retrospective pilot study

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Main Authors: Sho Kiyota, Takashi Yoshida, Takahiro Nakamoto, Eri Jino, Takao Mishima, Hidefumi Kinoshita
Format: Artículo Open Access
Published: Wiley 2024
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author Sho Kiyota
Takashi Yoshida
Takahiro Nakamoto
Eri Jino
Takao Mishima
Hidefumi Kinoshita
author_facet Sho Kiyota
Takashi Yoshida
Takahiro Nakamoto
Eri Jino
Takao Mishima
Hidefumi Kinoshita
Sho Kiyota
Takashi Yoshida
Takahiro Nakamoto
Eri Jino
Takao Mishima
Hidefumi Kinoshita
collection Wiley Open Access
contents Efficacy of immune checkpoint inhibitor combination therapy prior to nephrectomy in advanced renal cell carcinoma: A retrospective pilot study Sho Kiyota Takashi Yoshida Takahiro Nakamoto Eri Jino Takao Mishima Hidefumi Kinoshita BJUI Compass AbstractRenal cell carcinoma (RCC) affects 10%–20% of patients annually, often with metastases present. This study evaluated the impact of systemic therapy before nephrectomy in patients with unresectable or metastatic renal cell carcinoma (RCC). Patients receiving upfront immune checkpoint inhibitor (ICI) combination therapy showed significantly improved progression‐free survival (PFS) compared to nephrectomy alone (2‐year PFS: 62.3% vs. 17.4%; p = 0.036), while upfront tyrosine kinase inhibitor (TKI) therapy did not (2‐year PFS: 18.2% vs. 12.3%; p = 0.545). Surgery‐related outcomes did not differ significantly between groups. ICI therapy maintained tumour reduction rates better than TKI therapy. The study highlights the potential benefits of ICI combination therapy over TKI therapy in advanced RCC, suggesting further research is needed to confirm these findings. 10.1002/bco2.419 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/bco2.419
format Artículo Open Access
id wiley_oa_10_1002_bco2_419
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2024
publisher Wiley
record_format wiley_oa
spellingShingle Efficacy of immune checkpoint inhibitor combination therapy prior to nephrectomy in advanced renal cell carcinoma: A retrospective pilot study
Sho Kiyota
Takashi Yoshida
Takahiro Nakamoto
Eri Jino
Takao Mishima
Hidefumi Kinoshita
BJUI Compass
Efficacy of immune checkpoint inhibitor combination therapy prior to nephrectomy in advanced renal cell carcinoma: A retrospective pilot study Sho Kiyota Takashi Yoshida Takahiro Nakamoto Eri Jino Takao Mishima Hidefumi Kinoshita BJUI Compass AbstractRenal cell carcinoma (RCC) affects 10%–20% of patients annually, often with metastases present. This study evaluated the impact of systemic therapy before nephrectomy in patients with unresectable or metastatic renal cell carcinoma (RCC). Patients receiving upfront immune checkpoint inhibitor (ICI) combination therapy showed significantly improved progression‐free survival (PFS) compared to nephrectomy alone (2‐year PFS: 62.3% vs. 17.4%; p = 0.036), while upfront tyrosine kinase inhibitor (TKI) therapy did not (2‐year PFS: 18.2% vs. 12.3%; p = 0.545). Surgery‐related outcomes did not differ significantly between groups. ICI therapy maintained tumour reduction rates better than TKI therapy. The study highlights the potential benefits of ICI combination therapy over TKI therapy in advanced RCC, suggesting further research is needed to confirm these findings. 10.1002/bco2.419 http://creativecommons.org/licenses/by/4.0/
title Efficacy of immune checkpoint inhibitor combination therapy prior to nephrectomy in advanced renal cell carcinoma: A retrospective pilot study
topic BJUI Compass
url https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.419