The Kidney Cancer Association held a "Survivors' Conference" on Saturday, April 16, 2016 at MD Anderson in Houston.
The KCA also kindly recorded a video (here).
I have reproduced particular slides of interest from Nizar Tannir's nccRCC presentation below:
- How do I treat my patients with nccRCC?
- Chromophobe: Responds to VEGFR-TKI / mTORi
- RMC
- Initial chemo as in TCC
- Cytoreductive nephrectomy when feasible
- Clinical Trials
- Sarcomatoid: Gemcitabine based chemo +/- TKI; Clinical Trials (possibly highly responsive to immune checkpoint inhibitors)
- All others
- Clinical Trials
- Ongoing Clinical Trials for Papillary RCC
- Ongoing Clinical Trials for nccRCC
- NCT01399918
- NCT01538238
- NCT02504892
- NCT01767636
- NCT02601950
- NCT01672775
- MD Anderson - Cabozantinib vs. Sunitinib
- MD Anderson - Pembrolizumab in RMC
- Conclusions
- There is no established standard of care for nccRCC
- Anti-VEGF TKIs are less effective in nccRCC compared with ccRCC
- Temsirolimus is a poor standard of care for poor-risk disease
- There may be a role for c-MET inhibitors in patients with germline mutation of c-MET in papillary RCC
- The role of cytoreductive nephrectomy is not defined
- All patients with metastatic nccRCC should be referred for enrollment on clinical trials
- Data are now available from TCGA to develop rational targeted therapies based on relevant targets in chromophobe and papillary RCC
- Transformative biology-driven trials are needed to improve clinical outcome
- Trials with immune checkpoint inhibitors are planned
- There is no established standard of care for nccRCC
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