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. Author manuscript; available in PMC: 2023 May 1.
Published in final edited form as: Curr Opin Oncol. 2022 May 1;34(3):234–242. doi: 10.1097/CCO.0000000000000831

Table 4:

Recent Trials Addressing Sarcomatoid Features in Advanced RCC

Histology
Study Treatment Agent N Clear Cell Papillary Chromophobe Other Sarcomatoid* ORR**
KEYNOTE 427 Pembrolizumab 165 0% 72% 13% 16% 23% 42%
KEYNOTE 426 Pembrolizumab + Axitinib 861 100% 0% 0% 0% 12% Pembrolizumab + Axitinib 59%, Sunitinib 32%
CheckMate 9ER Nivolumab + Cabozantinib vs. Sunitinib 651 100% 0% 0% 0% 12% Nivolumab + Cabozantinib 56%, Sunitinib 22%
Immotion 151 Atezolizumab + Bevacizumab vs. Sunitinib 915 92% 0% 0% 0% 16% Atezolizumab + Bevacizumab 49%, Sunitinib 14%
CheckMate 214 Nivolumab + Ipilimumab 1096 100% 0% 0% 0% 13% Nivolumab + Ipilimumab 57%, Sunitinib 19%
Javelin 101 Avelumab + Axitinib vs. Sunitinib 886 100% 0 0 0 12% Avelumab + Axitinib 47%, Sunitinib 21%
NCT02724878 Atezolizumab + Bevacizumab 60 30% 20% 17% 33% 42% 46%

ORR = objective response rate;

*

Sarcomatoid features can be found in any histologic subtype and are described distinctly from other histologic subtypes;

**

Reported response rates specific to sarcomatoid histology