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When is immunotherapy too much? The case of favorable-risk metastatic renal cell carcinoma.

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Critical reviews in oncology/hematology 📖 저널 OA 5.6% 2022: 0/3 OA 2023: 0/2 OA 2024: 0/4 OA 2025: 0/56 OA 2026: 17/236 OA 2022~2026 2026 Vol.221() p. 105238 OA Renal cell carcinoma treatment
TL;DR Preclinical and clinical evidence supporting combination therapies integrating immune checkpoint inhibitors with vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR-TKIs) remains a valid option, and this review summarizes the preclinical and clinical evidence supporting this approach.
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PubMed DOI OpenAlex Semantic 마지막 보강 2026-04-29
OpenAlex 토픽 · Renal cell carcinoma treatment Cancer Immunotherapy and Biomarkers Immunotherapy and Immune Responses

Buti S, Dalla Valle B, Acunzo A, Tuttobene P, Tamarozzi P, Agnetti V, Maffezzoli M, Banna GL, Corradi D, Santoni M

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Preclinical and clinical evidence supporting combination therapies integrating immune checkpoint inhibitors with vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR-TKIs) rem

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APA Sebastiano Buti, Betty Dalla Valle, et al. (2026). When is immunotherapy too much? The case of favorable-risk metastatic renal cell carcinoma.. Critical reviews in oncology/hematology, 221, 105238. https://doi.org/10.1016/j.critrevonc.2026.105238
MLA Sebastiano Buti, et al.. "When is immunotherapy too much? The case of favorable-risk metastatic renal cell carcinoma.." Critical reviews in oncology/hematology, vol. 221, 2026, pp. 105238.
PMID 41771460 ↗

Abstract

Combination therapies integrating immune checkpoint inhibitors (ICIs) with vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR-TKIs), or dual ICI regimens, currently represent the standard of care for advanced clear cell renal cell carcinoma (ccRCC). However, in most favorable-risk patients according to the IMDC classification-particularly those with a low disease burden and without disease-related symptoms-first-line monotherapy with VEGFR-TKIs remains a valid option. This review summarizes the preclinical and clinical evidence supporting this approach, with the aim of guiding oncologists in personalizing therapy while minimizing overtreatment and toxicity.

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