Study study type PathologyT1T0Patientssample sizesROB Results deaths (OS) Eprogression or deaths (PFS) ERFS/DFS E

metastatic/advanced RCC (mRCC) - (neo)adjuvant(NA) metastatic/advanced RCC (mRCC) - (neo)adjuvant(NA)

versus placebo
pembrolizumab alone
KEYNOTE-564 unpublished
  NCT03142334
RCTmetastatic/advanced RCC (mRCC) - (neo)adjuvant(NA)pembrolizumabplaceboPatients (>=18yr), with histologically confirmed locoregional renal-cell carcinoma with a clear-cell component and with criteria for highr risk of recurrence.496 / 498NA
conclusif -46% demonstrated-32%

metastatic/advanced RCC (mRCC) - 1st line (L1) metastatic/advanced RCC (mRCC) - 1st line (L1)

versus sunitinib
pembrolizumab plus axitinib
KEYNOTE-426, 2019
  NCT02853331
RCTmetastatic/advanced RCC (mRCC) - 1st line (L1)pembrolizumab plus axitinibsunitinibpatient newly diagnosed or recurrent stage IV clear-cell renal-cell carcinoma; had received no previous systemic therapy for advanced disease;432 / 429some concern
conclusif demonstrated-47% demonstrated-31%
pembrolizumab plus lenvatinib
KEYNOTE-581/CLEAR (PDL1), 2021
  NCT02811861
RCTmetastatic/advanced RCC (mRCC) - 1st line (L1)lenvatinib plus pembrolizumabsunitinibfirst-line treatment of patients with previously untreated advanced renal cell carcinoma with a clear-cell component355 / 357some concern
conclusif demonstrated-34% demonstrated-61%