Given the historical underrepresentation of racial minorities in clinical trials, little is known about racial differences in outcomes of first-line therapies for advanced renal cell carcinoma (aRCC). This study described patient characteristics and clinical outcomes of first-line therapies for aRCC, including nivolumab + ipilimumab, pembrolizumab + axitinib, and tyrosine kinase inhibitors, by race in the real-world setting.
We conducted a retrospective medical chart review of patients with intermediate/poor-risk clear-cell aRCC. Treating physicians abstracted patient data from electronic medical charts.
Among 346 patients with intermediate/poor-risk aRCC, a higher proportion of African-American/Black (n = 78) versus White (n = 268) patients had poorer baseline functional performance (ECOG-PS ≥ 2: 37.2% versus 21.3%). African-American/Black patients trended toward numerically lower overall response rates and shorter overall survival for nivolumab + ipilimumab or pembrolizumab + axitinib than White patients.
These findings provide important insights into racial differences in first-line aRCC treatment outcomes within real-world settings. Additional research with larger sample sizes is warranted.
The oncologist. 2024 Dec 19 [Epub ahead of print]
Daniel M Geynisman, William S John, Taavy A Miller, Parisa Asgarisabet, Sarah B Guttenplan, Xin Yin, Kristin M Zimmerman Savill, Lindsay McAllister, Lisa Rosenblatt
Department of Hematology/Oncology, Fox Chase Cancer Center, Philadelphia, PA 19111, United States., Real-World Evidence and Insights, Cardinal Health, Dublin, OH 43017, United States., Global Health Economics and Outcomes Research, Bristol Myers Squibb, Princeton, NJ 08648, United States.