Urol. praxi. 2017;18(2):54-57 [Onkologie. 2016:10(6):251-255]

Renal carcinoma and immunotherapy

MUDr. Alexandr Poprach, Ph.D., MUDr. Radek Lakomý, Ph.D.
Klinika komplexní onkologické péče, Masarykův onkologický ústav, Brno, Klinika komplexní onkologické péče, Lékařská fakulta, Masarykova univerzita, Brno

Although immunotherapy in patients with metastatic renal cancer is experiencing an unprecedented renaissance, the disease still remains incurable. The use of various checkpoint inhibitors and anti-tumour vaccines, however, leads to further prolongation of survival of patients with this condition. The results of phase III trials with the anti-PD-1 antibody nivolumab are already available, with the next ones being eagerly anticipated. Moreover, enrolment has been completed for the phase III ADAPT trial in which a targeted therapy is combined with an anti-tumour vaccine; the results of the phase II trial with this therapy are very promising. The present review deals with both checkpoint inhibitors and some vaccines. Due to their marginal importance nowadays, treatment with cytokines is dealt with only briefly even though their use in combination with the existing treatment or at high doses in various genotypes of renal cancer cannot be excluded in the future.

Keywords: renal carcinoma, immunotherapy, checkpoint inhibitors, vaccines

Published: May 1, 2017  Show citation

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Poprach A, Lakomý R. Renal carcinoma and immunotherapy. Urol. praxi. 2017;18(2):54-57.
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References

  1. Escudier B, Porta C, Schmidinger M, et al. Renal cell carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2014; 25(Suppl 3): iii49-56. Go to original source...
  2. Vogelzang NJ, Priest ER, Borden L. Spontaneous regression of histologically proved pulmonary metastases from renal cell carcinoma: a case with 5-year followup. J Urol. 1992; 148(4): 1247-1248. Go to original source... Go to PubMed...
  3. McDermott DF, Regan MM, Clark JI, et al. Randomized phase III trial of high-dose interleukin-2 versus subcutaneous interleukin-2 and interferon in patients with metastatic renal cell carcinoma. J Clin Oncol. 2005; 23(1): 133-141. Go to original source... Go to PubMed...
  4. Motzer RJ, Bacik J, Murphy BA, et al. Interferon-alfa as a comparative treatment for clinical trials of new therapies against advanced renal cell carcinoma. J Clin Oncol. 2002; 20(1): 289-296. Go to original source... Go to PubMed...
  5. Atzpodien J, Kirchner H, Jonas U, et al. Interleukin-2- and interferon alfa-2a-based immunochemotherapy in advanced renal cell carcinoma: a Prospectively Randomized Trial of the German Cooperative Renal Carcinoma Chemoimmunotherapy Group (DGCIN). J Clin Oncol. 2004; 22(7): 1188-1194. Go to original source... Go to PubMed...
  6. Mittal D, Gubin MM, Schreiber RD, et al. New insights into cancer immunoediting and its three component phases-elimination, equilibrium and escape. Curr Opin Immunol. 2014; 27: 16-25. Go to original source... Go to PubMed...
  7. Yang JC, Hughes M, Kammula U, et al. Ipilimumab (anti-CTLA4 antibody) causes regression of metastatic renal cell cancer associated with enteritis and hypophysitis. J Immunother. 2007; 30(8): 825-830. Go to original source... Go to PubMed...
  8. Hammers H, Plimack ER, Infante JR, et al. Expanded cohort results from CheckMate 016: A phase I study of nivolumab in combination with ipilimumab in metastatic renal cell carcinoma (mRCC). J Clin Oncol 33, 2015 (suppl; abstr 4516). Go to original source...
  9. Rini BI, Stein M, Shannon P, et al. Phase 1 dose-escalation trial of tremelimumab plus sunitinib in patients with metastatic renal cell carcinoma. Cancer. 2011; 117(4): 758-767. Go to original source... Go to PubMed...
  10. McDermott DF, Drake CG, Sznol M, et al. Survival, Durable Response, and Long-Term Safety in Patients With Previously Treated Advanced Renal Cell Carcinoma Receiving Nivolumab. J Clin Oncol. 2015; 33(18): 2013-2020. Go to original source... Go to PubMed...
  11. Motzer RJ, Rini BI, McDermott DF, et al. Nivolumab for Metastatic Renal Cell Carcinoma: Results of a Randomized Phase II Trial. J Clin Oncol. 2015; 33(13): 1430-1437. Go to original source... Go to PubMed...
  12. Motzer RJ, Escudier B, McDermott DF, et al. Nivolumab versus Everolimus in Advanced Renal-Cell Carcinoma. N Engl J Med. 2015; 373(19): 1803-1813. Go to original source... Go to PubMed...
  13. Motzer RJ, Sharma P, McDermott DF, et al. CheckMate 025 phase III trial: Outcomes by key baseline factors and prior therapy for nivolumab (NIVO) versus everolimus (EVE) in advanced renal cell carcinoma (RCC). J Clin Oncol 34, 2016 (suppl 2S; abstr 498) Go to original source...
  14. Amin A, Plimack ER, Infante JR, et al. Nivolumab (anti-PD-1; BMS-936558, ONO-4538) in combination with sunitinib or pazopanib in patients (pts) with metastatic renal cell carcinoma (mRCC). J Clin Oncol 32: 5s, 2014 (suppl; abstr 5010). Go to original source...
  15. McDermott DF, Sosman JA, Sznol M, et al. Atezolizumab, an Anti-Programmed Death-Ligand 1 Antibody, in Metastatic Renal Cell Carcinoma: Long-Term Safety, Clinical Activity, and Immune Correlates From a Phase Ia Study. J Clin Oncol. 2016; 34(8): 833-842. Go to original source... Go to PubMed...
  16. Kirner A, Mayer-Mokler A, Reinhardt C. IMA901: a multi-peptide cancer vaccine for treatment of renal cell cancer. Hum Vaccin Immunother. 2014; 10(11): 3179-3189. Go to original source... Go to PubMed...
  17. Rini B, Stenzl A, Zdrojowy R, et al. Results from an open-label, randomized, controlled phase 3 study investigating IMA901 multipeptide cancer vaccine in patients receiving sunitinib as first-line therapy for advanced/metastatic RCC. 2015 European Cancer Congress. Abstract 17LBA. Presented September 27, 2015. Go to original source...
  18. Amin A, Dudek AZ, Logan TF, et al. Survival with AGS-003, an autologous dendritic cell-based immunotherapy, in combination with sunitinib in unfavorable risk patients with advanced renal cell carcinoma (RCC): Phase 2 study results. J Immunother Cancer. 2015; 3: 14. Go to original source... Go to PubMed...




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