Review Article

Current Status of Immunotherapy for Localized and Locally Advanced Renal Cell Carcinoma

Table 3

Summary of adjuvant and neoadjuvant immunotherapeutic trials: completed and reported.

TrialDesignInterventionNInclusion Criteria (stage/grade/histology)ResultsAdverse Events

Adjuvant Trials
Jocham et al. (2004) [25]Prospective, randomizedAutologous renal tumor cells558pT2–3b pN0–3 M0; Clear and Non-Clear CellImproved 5 year and 70 month PFS (HR 1.58, 95% CI 1.05-2.37; HR 1.59, 95% CI 1.07-2.36)Local skin reactions
Wood et al. (2008) [26]Prospective, randomizedAutologous tumor-derived protein819cT1b–4 N0 M0, cT(any) N1-2 M0; Clear and Non-Clear CellNo difference in PFS at 1.9 median year follow-up (HR 0.92, 95% CI 0.729-1.169)Local skin reactions
ARISER, Chamie et al. (2016) [27]Randomized, Double-blinded, Placebo-controlledGirentuximab864pT1b–2 (Fuhrman ≥3), pT3–4 N0, pT(any) N+; Clear CellNo difference in DFS (HR 0.97, 95% CI 0.79-1.18) or OS (HR 0.99, 95% CI 0.74-1.32Toxicity rate 21%, comparable to placebo
Neoadjuvant Trial
Cost et al (2011) [28]RetrospectiveSunitinib (12), bevacizumab (9), sorafenib (1), temsirolimus (3)25T3b+M1 (21)25/012% downstage thrombus level; 4% upstage level; 4% altered surgical strategy