Toni Choueiri, MD, clinical director, Lank Center for Genitourinary Oncology, director, Kidney Cancer Center, senior physician, Dana-Farber Cancer Institute, discusses the role of cabozantinib (Cabometyx) for patients with renal cell carcinoma (RCC).

There is potential for cabozantinib to be an option in the frontline setting for patients with RCC, states Choueiri.In the results of the phase II CABOSUN trial, cabozantinib showed superiority in progression-free survival (PFS).

It could become an option for patients with intermediate and poor-risk RCC that are completely untreated and systemic therapy naïve, explains Choueiri.

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Toni Choueiri, MD, clinical director, Lank Center for Genitourinary Oncology, director, Kidney Cancer Center, senior physician, Dana-Farber Cancer Institute, discusses the role of cabozantinib (Cabometyx) for patients with renal cell carcinoma 

Dr. Choueiri on the Role of Cabozantinib in RCC

Toni Choueiri, MD, clinical director, Lank Center for Genitourinary Oncology, director, Kidney Cancer Center, senior physician, Dana-Farber Cancer Institute, discusses the current therapies for patients with kidney cancer. 

Sunitinib (Sutent) remains a standard treatment in the first-line setting and is used as the control arm for multiple phase III trials. Pazopanib (Votrient) is a frontline standard therapy that is similar to sunitinib but may be better tolerated depending on the scheduling, states Choueiri. 

There is a subgroup of patients that have certain mutations that are showing high response rates to everolimus (Afinitor), explains Choueiri.  

Toni Choueiri, MD, clinical director, Lank Center for Genitourinary Oncology, director, Kidney Cancer Center, senior physician, Dana-Farber Cancer Institute, discusses the current therapies for patients with kidney cancer.

Dr. Choueiri on Existing Therapies for Kidney Cancer

Toni Choueiri, MD, clinical director, Lank Center for Genitourinary Oncology, director, Kidney Cancer Center, senior physician, Dana-Farber Cancer Institute, discusses savolitinib in papillary renal cell cancer (PRCC).

In the largest PRCC trial to date, savolitinib, a specific MET-only inhbitor, was evaluated in this patient population. Although little is known about the biology of PRCC, says Choueiri, a subset of patients harbor an alteration in the MET gene—MET mutation, MET amplificiation, and others.

Savolitinib was generally well tolerated in MET-driven patients, but further clinical investigation is warrented, says Choueiri.

Toni Choueiri, MD, clinical director, Lank Center for Genitourinary Oncology, director, Kidney Cancer Center, senior physician, Dana-Farber Cancer Institute, discusses savolitinib in papillary renal cell cancer.

Toni Choueiri, MD

Articles

Dr. Choueiri on the Role of Cabozantinib in RCC

Dr. Choueiri on Existing Therapies for Kidney Cancer

Dr. Choueiri on Savolitinib in Papillary Renal Cell Cancer