PMID- 31587590 OWN - NLM STAT- MEDLINE DCOM- 20201013 LR - 20201013 IS - 1744-7682 (Electronic) IS - 1471-2598 (Linking) VI - 20 IP - 1 DP - 2020 Jan TI - Immune checkpoint inhibition for the treatment of renal cell carcinoma. PG - 83-94 LID - 10.1080/14712598.2020.1677601 [doi] AB - Introduction: The systemic therapy in metastatic renal cell carcinoma (mRCC) is moving from tyrosine kinase inhibitors (TKIs) and mammalian target of rapamycin (mTOR) inhibitors to immune checkpoint inhibitors and its combination with TKIs.Areas covered: This review provides a general overview using immune checkpoint inhibition for the treatment of RCC. Clinical results from conducted and ongoing clinical trials are summarized and checkpoint inhibition is reviewed in the context to other available systemic therapies such as TKIs for mRCC based on the different International Metastastic RCC Database Consortium (IMCD) risk groups. Furthermore, prospects for the use of predictive biomarkers in the decision-making process of chosen therapy will be given.Expert opinion: Using checkpoint inhibition in mRCC has demonstrated a superior efficacy for patients with IMDC intermediate and poor risk for ipilimumab combined with nivolumab. Furthermore, therapeutic regimes with tyrosine kinase inhibition plus immune checkpoint-inhibition were recently presented and demonstrated superiority in all risk groups for axitinib plus pembrolizumab in overall survival and progression-free survival (PFS) and axitinib plus avelumab in PFS compared to sunitinib monotherapy. Novel biomarkers of response to further optimize therapeutic selection and patient outcomes are ongoing medical objectives. FAU - Stuhler, Viktoria AU - Stuhler V AD - Department of Urology, University of Tubingen, Tubingen, Germany. FAU - Maas, Jan Moritz AU - Maas JM AD - Department of Urology, University of Tubingen, Tubingen, Germany. FAU - Rausch, Steffen AU - Rausch S AD - Department of Urology, University of Tubingen, Tubingen, Germany. FAU - Stenzl, Arnulf AU - Stenzl A AD - Department of Urology, University of Tubingen, Tubingen, Germany. FAU - Bedke, Jens AU - Bedke J AUID- ORCID: 0000-0003-2778-3108 AD - Department of Urology, University of Tubingen, Tubingen, Germany. LA - eng PT - Journal Article PT - Review DEP - 20191013 PL - England TA - Expert Opin Biol Ther JT - Expert opinion on biological therapy JID - 101125414 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (Biomarkers, Tumor) RN - 0 (Protein Kinase Inhibitors) SB - IM MH - Angiogenesis Inhibitors/therapeutic use MH - Antineoplastic Agents, Immunological/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Biomarkers, Tumor/metabolism MH - Carcinoma, Renal Cell/*drug therapy/metabolism MH - Humans MH - Kidney Neoplasms/*drug therapy/metabolism MH - Protein Kinase Inhibitors/therapeutic use OTO - NOTNLM OT - Biomarker OT - CTLA-4 OT - PD-1 OT - PD-L1 OT - checkpoint inhibition OT - renal cell carcinoma EDAT- 2019/10/08 06:00 MHDA- 2020/10/21 06:00 CRDT- 2019/10/08 06:00 PHST- 2019/10/08 06:00 [pubmed] PHST- 2020/10/21 06:00 [medline] PHST- 2019/10/08 06:00 [entrez] AID - 10.1080/14712598.2020.1677601 [doi] PST - ppublish SO - Expert Opin Biol Ther. 2020 Jan;20(1):83-94. doi: 10.1080/14712598.2020.1677601. Epub 2019 Oct 13.