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KEYNOTE-564 unpublished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
atezolizumab alone
IMmotion-150 (At - all population), 2018
  NCT01984242
RCTmetastatic/advanced RCC (mRCC) - 1st line (L1)atezolizumabsunitinibunresectable advanced or mRCC with a component of clear cell histology and/or sarcomatoid histology not previously treated with any systemic agents for RCC103 / 101some concern
inconclusive 19%
atezolizumab plus bevacizumab
IMmotion-151 (all population), 2019
  NCT02420821
RCTmetastatic/advanced RCC (mRCC) - 1st line (L1)atezolizumab plus bevacizumabSunitinibpatients with unresectable locally advanced or metastatic renal cell carcinoma with any component of clear cell or sarcomatoid histology, with Karnofsky performance status 70% or higher.454 / 461high
inconclusive -7% -12%
IMmotion-150 (AtB - all population), 2018
  NCT01984242
RCTmetastatic/advanced RCC (mRCC) - 1st line (L1)atezolizumab with bevacizumabsunitinibunresectable advanced or mRCC with a component of clear cell histology and/or sarcomatoid histology not previously treated with any systemic agents for RCC101 / 101some concern
inconclusive 0%
avelumab plus axitinib
JAVELIN Renal 101 (all population), 2019
  NCT02684006
RCTmetastatic/advanced RCC (mRCC) - 1st line (L1)Avelumab plus AxitinibSunitinibpatients with previously untreated advanced renal cell carcinoma442 / 444some concern
conclusif -20% demonstrated-31%
nivolumab plus cabozantinib
CheckMate 9ER, 2021
  NCT03141177
RCTmetastatic/advanced RCC (mRCC) - 1st line (L1)Nivolumab and CabozantinibSunitinibpatients with previously untreated advanced or metastatic RCC that had a clear cell component323 / 328some concern
conclusif demonstrated-40% demonstrated-49%
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%

mRCC - L1 - PDL1 negative metastatic/advanced RCC (mRCC) - 1st line (L1) mRCC - L1 - PDL1 negative

versus sunitinib
atezolizumab plus bevacizumab
IMmotion-151 (PDL1 <1%) EXPLORATORY, 2019
  NCT02420821
RCTmRCC - L1 - PDL1 negativeatezolizumab plus bevacizumabSunitinibPatients with unresectable locally advanced or metastatic renal cell carcinoma with any component of clear cell or sarcomatoid histology (PDL1 negative patients)276 / 277high
inconclusive -16%

mRCC - L1 - PDL1 positive metastatic/advanced RCC (mRCC) - 1st line (L1) mRCC - L1 - PDL1 positive

versus sunitinib
atezolizumab alone
IMmotion-150 (At - PDL1>1%), 2018
  NCT01984242
RCTmRCC - L1 - PDL1 positiveatezolizumabsunitinibunresectable advanced or mRCC with a component of clear cell histology and/or sarcomatoid histology not previously treated with any systemic agents for RCC. Patients had PDL1 >1%54 / 60some concern
inconclusive 3%
atezolizumab plus bevacizumab
IMmotion-151 (PDL1 >1%), 2019
  NCT02420821
RCTmRCC - L1 - PDL1 positiveatezolizumab plus bevacizumabSunitinibpatients with unresectable locally advanced or metastatic renal cell carcinoma with any component of clear cell or sarcomatoid histology178 / 184high
inconclusive -16% -7%
IMmotion-150 (AtB - PDL1>1%), 2018
  NCT01984242
RCTmRCC - L1 - PDL1 positiveatezolizumab with bevacizumabsunitinibunresectable advanced or mRCC with a component of clear cell histology and/or sarcomatoid histology not previously treated with any systemic agents for RCC. patients with PDL1 >1% positive only50 / 60some concern
suggested -36%
avelumab plus axitinib
JAVELIN Renal 101( PDL1>1%), 2019
  NCT02684006
RCTmRCC - L1 - PDL1 positiveAvelumab plus AxitinibSunitinibpatients with previously untreated advanced renal cell carcinoma (PDL1>1% population)270 / 290some concern
conclusif -31% demonstrated-39%

metastatic/advanced RCC (mRCC) - 2nd line (L2) metastatic/advanced RCC (mRCC) - 2nd line (L2)

versus everolimus
nivolumab alone
CheckMate 025, 2015
  NCT01668784
RCTmetastatic/advanced RCC (mRCC) - 2nd line (L2)nivolumabeverolimuspatients with advanced clear-cell renal-cell carcinoma for which they had received previous treatment with one or two regimens of antiangiogenic therapy410 / 411some concern
conclusif demonstrated-27% -12%