What are the National Comprehensive Cancer Network (NCCN) preferred regimens for systemic therapy in renal cell carcinoma (RCC)?

Updated: May 21, 2019
  • Author: Kush Sachdeva, MD; Chief Editor: E Jason Abel, MD  more...
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Answer

The 2019 National Comprehensive Cancer Network (NCCN) kidney cancer guideline recommends that for relapsed or stage IV clear cell kidney cancer, preferred regimens are as follows:

  • Favorable risk patients –  Pazopanib or sunitinib 
  • Poor or intermediate risk patients –  Ipilimumab + nivolumab  or cabozantinib

For subsequent therapy, preferred regimens are cabozantinib or nivolumab.

For relapsed or stage IV non–clear cell kidney cancer, the NCCN recommends participation in a clinical trial. Sunitinib is the only preferred regimen.


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