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The Best in Kidney Cancer Roberto Iacovelli

The Best in Kidney Cancer - AIOM · 2019. 2. 15. · - Javelin Renal 101 trial . Agenda: - Cabosun trial, IRC analysis - IMmotion 151 trial - Carmena trial - ATLAS trial - Molecular

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  • The Best in Kidney Cancer

    Roberto Iacovelli

  • Agenda:

    - Cabosun trial, IRC analysis

    - IMmotion 151 trial

    - Carmena trial

    - ATLAS trial

    - Molecular correlate to response to Atezo-Bev in mRCC

    - Javelin Renal 101 trial

  • Agenda:

    - Cabosun trial, IRC analysis

    - IMmotion 151 trial

    - Carmena trial

    - ATLAS trial

    - Molecular correlate to response to Atezo-Bev in mRCC

    - Javelin Renal 101 trial

  • Slide 3

    Presented By Daniel George at 2018 Genitourinary Cancers Symposium: Translating Evidence to Multidisciplinary Care

  • Progression-Free Survival by IMDC Risk Group

    Presented By Daniel George at 2018 Genitourinary Cancers Symposium: Translating Evidence to Multidisciplinary Care

  • Agenda:

    - Cabosun trial, IRC analysis

    - IMmotion 151 trial

    - Carmena trial

    - ATLAS trial

    - Molecular correlate to response to Atezo-Bev in mRCC

    - Javelin Renal 101 trial

  • La prima linea: The IMmotion151 trial

    Motzer R, ASCO GU 2018

    Primary endpoint: PFS in PDL1+ by investigators

  • La prima linea:

    Motzer R, ASCO GU 2018

  • PFS and ORR by IRC

    Presented By Robert Motzer at 2018 Genitourinary Cancers Symposium: Translating Evidence to Multidisciplinary Care

  • Agenda:

    - Cabosun trial, IRC analysis

    - IMmotion 151 trial

    - Carmena trial

    - ATLAS trial

    - Molecular correlate to response to Atezo-Bev in mRCC

    - Javelin Renal 101 trial

  • Patients with good-prognosis based on MSKCC were excluded.

  • Intermediate prognosis, a new area of interest

    Iacovelli R et al. Clin Genitourin Cancer. 2018;16:355-359. Sella A et al. Clin Genitourin Cancer 2017;15:291–9

    (1 risk factor) (2 risk factors)

    (>2 risk factors)

  • Agenda:

    - Cabosun trial, IRC analysis

    - IMmotion 151 trial

    - Carmena trial

    - ATLAS trial

    - Molecular correlate to response to Atezo-Bev in mRCC

    - Javelin Renal 101 trial

  • OS

  • Agenda:

    - Cabosun trial, IRC analysis

    - IMmotion 151 trial

    - Carmena trial

    - ATLAS trial

    - Molecular correlate to response to Atezo-Bev in mRCC

    - Javelin Renal 101 trial

  • Agenda:

    - Cabosun trial, IRC analysis

    - IMmotion 151 trial

    - Carmena trial

    - ATLAS trial

    - Molecular correlate to response to Atezo-Bev in mRCC

    - Javelin Renal 101 trial

  • Riflessioni:

    Pazienti a prognosi «intermediate-poor» due standard in prima linea (Cabo vs Nivo+Ipi) nel prossimo futuro. Atezo+Beva dati poco convincenti… Nefrectomia NON si fa nei pazienti poor. Possiamo ancora parlarne nei pazienti a prognosi intermedia? Adiuvante, non c’è spazio per i TKI (al Gemelli attivo protocollo di immunoterapia). Il profilo molecolare del tumore una strada da sviluppare per orientare la scelta su basi scientifiche. Avelumab + Axitinib, l’inizio di un nuovo standard di cura in prima linea (all’ASCO GU vedremo i dati positivi della combinazione Pembro+Axitinib).