(UroToday.com) The 2023 ASCO annual meeting included a kidney cancer session, featuring a presentation by Dr. Thomas Hutson discussing the final prespecified overall survival analysis of CLEAR, the 4-year follow-up of lenvatinib + pembrolizumab vs sunitinib in patients with advanced RCC. In the phase 3 CLEAR trial, lenvatinib + pembrolizumab showed clinically meaningful and statistically significant benefits in progression free survival (primary endpoint) and overall survival, and improved objective response rate compared with sunitinib in first line advanced RCC.1 Based on the results from CLEAR, lenvatinib + pembrolizumab was approved by regulatory agencies for the first line treatment of adult patients with advanced RCC. At the 2023 ASCO annual meeting, Dr. Hutson and colleagues reported the final prespecified overall survival analysis of lenvatinib + pembrolizumab versus sunitinib with a median follow-up of 4 years.