Pulse Brain · Growing Health Evidence Index
Tier 2 — RCT / large cohortPeer-reviewed

Clinical activity and molecular correlates of response to atezolizumab alone or in combination with bevacizumab versus sunitinib in renal cell carcinoma

David F. McDermott, Mahrukh Huseni, Michael B. Atkins, Robert J. Motzer, Brian I. Rini, Bernard Escudier, Lawrence Fong, Richard W. Joseph, Sumanta K. Pal, James A. Reeves, Mario Sznol, John D. Hainsworth, W. Kimryn Rathmell, Walter M. Stadler, Thomas E. Hutson, Martin Gore, Alain Ravaud, Sergio Bracarda, Cristina Suárez, Riccardo Danielli, Viktor Gruenwald, Toni K. Choueiri, Dorothee Nickles, Suchit Jhunjhunwala, Elisabeth Piault‐Louis, Alpa Thobhani, Jiaheng Qiu, Daniel S. Chen, Priti S. Hegde, Christina Schiff, Gregg Fine, Thomas Powles

Nature Medicine · 2018

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Summary

This 2018 Nature Medicine publication presents findings from a multicentre clinical trial comparing immunotherapy-based approaches with standard tyrosine kinase inhibitor therapy in renal cell carcinoma. The study integrated clinical efficacy data with molecular profiling to identify predictive biomarkers of response to atezolizumab monotherapy, the combination of atezolizumab and bevacizumab, and sunitinib treatment. The work contributes to precision oncology by correlating immune checkpoint inhibitor response with underlying molecular characteristics in advanced renal cancer.

UK applicability

The findings are directly applicable to UK oncology practice, as atezolizumab and bevacizumab are used in the UK National Health Service for renal cell carcinoma treatment. The identified molecular predictors may inform patient stratification and treatment selection decisions in British cancer centres.

Key measures

Objective response rates, progression-free survival, overall survival, molecular biomarkers predictive of treatment response

Outcomes reported

The study evaluated clinical activity, response rates, and molecular biomarkers associated with atezolizumab monotherapy, atezolizumab plus bevacizumab combination, and sunitinib in patients with renal cell carcinoma. Molecular correlates of treatment response were identified and analysed.

Theme
Nutrition & health
Subject
Other / interdisciplinary
Study type
Research
Study design
Clinical trial (likely Phase II/III multicentre randomised controlled trial)
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1038/s41591-018-0053-3
Catalogue ID
SNmoh0dwem-eubwen

Topic tags

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