Garmezy Benjamin, Vaishampayan Ulka
Sarah Cannon Research Institute, 335 24th Ave North Ste 200, Nashville, TN, 37203, USA.
Department of Medicine/Oncology, University of Michigan, Ann Arbor, MI, USA.
Oncol Ther. 2024 Dec;12(4):647-661. doi: 10.1007/s40487-024-00305-3. Epub 2024 Oct 2.
In recent years, the armamentarium of therapies for the management of advanced renal cell carcinoma (aRCC) has grown. Combination therapies, including immuno-oncology (IO) agents and tyrosine kinase inhibitors [TKIs (IO-TKI)], and IO-IO combinations, are now approved for first-line treatment of aRCC. Decisions regarding the use of these combinations, IO-IO versus IO-TKI, can be challenging, as they have not been compared in a randomized trial; each of these combinations have been compared with sunitinib alone. In addition, patient-, disease-, and treatment-based factors must be evaluated in the decision-making process. More important is the consideration of patient management during treatment and optimal detection and management of toxicities to ensure continued benefit. In this vodcast, two experts in the field of kidney cancer will present case studies that represent typical patients seen in practice. The faculty will discuss treatment approaches, adverse event management, and which factors to consider during the treatment decision-making process. Viewers of the vodcast will get a better understanding of clinical trial outcomes related to an IO-TKI combination, such as axitinib plus pembrolizumab, that they can apply to their practice immediately. In addition, they will gain real-world insight into how experts approach the treatment of patients with aRCC and, more importantly, therapy management.
近年来,用于治疗晚期肾细胞癌(aRCC)的治疗手段有所增加。联合疗法,包括免疫肿瘤学(IO)药物和酪氨酸激酶抑制剂[TKIs(IO-TKI)],以及IO-IO联合疗法,现已获批用于aRCC的一线治疗。关于使用这些联合疗法(IO-IO与IO-TKI)的决策可能具有挑战性,因为它们尚未在随机试验中进行比较;这些联合疗法中的每一种都已与单独使用舒尼替尼进行了比较。此外,在决策过程中必须评估基于患者、疾病和治疗的因素。更重要的是要考虑治疗期间的患者管理以及毒性的最佳检测和管理,以确保持续获益。在本视频播客中,两位肾癌领域的专家将展示代表实际中常见典型患者的病例研究。教员将讨论治疗方法、不良事件管理以及治疗决策过程中应考虑的因素。视频播客的观众将更好地理解与IO-TKI联合疗法(如阿昔替尼加派姆单抗)相关的临床试验结果,并可立即将其应用于自己的临床实践。此外,他们将获得关于专家如何治疗aRCC患者以及更重要的是治疗管理的真实见解。