Table 1 Cohort characteristics by metastatic site.
Lymph node | Lung | Bone | |||||||
|---|---|---|---|---|---|---|---|---|---|
IO–IO (n=21) | IO–TKI (n=15) | P-value | IO–IO (n=62) | IO–TKI (n=70) | P-value | IO–IO (n=34) | IO–TKI (n=46) | P-value | |
Age, median, (range) | 70 (27-87) | 70 (26-85) | 70 (32-86) | 70 (44-89) | 70 (25-86) | 70 (45-85) | |||
Sex | 18/3 | 11/4 | 0.24 | 48/14 | 49/21 | 0.43 | 29/5 | 37/9 | 0.77 |
eGFR, median, (range) | 50 (5-84) | 50 (16-79) | 50 (4-102) | 50 (5-91) | 50 (4-102) | 50 (5-98) | |||
Metastatic site, n (%) | |||||||||
Lung | 0 | 0 | 62 (100) | 70 (100) | 14 (41.2) | 17 (37.0) | 0.82 | ||
Bone | 0 | 0 | 0 | 0 | 34 (100) | 46 (100) | |||
Liver | 0 | 0 | 0 | 0 | 0 | 0 | |||
Brain | 0 | 0 | 0 | 0 | 0 | 0 | |||
Lymph node | 21 (100) | 15 (100) | 14 (22.6) | 21 (30) | 0.43 | 7 (20.6) | 10 (21.7) | 1.0 | |
Histology, n (%) | |||||||||
Clear cell | 9 (42.9) | 6 (40) | 0.71 | 44 (71.0) | 56 (80) | 0.3 | 24 (70.6) | 33 (71.7) | 0.74 |
Papillary | 4 (19.0) | 4 (26.7) | 3 (4.8) | 3 (4.3) | 0 (0) | 3 (6.5) | |||
Unclassified | 4 (19.0) | 0 (0) | 3 (4.8) | 1 (1.4) | 1 (2.9) | 0 (0) | |||
HD-related | 1 (4.8) | 0 (0) | 0 | 2 (2.9) | 1 (2.9) | 0 (0) | |||
Chromophobe | 0 (0) | 0 (0) | 0 | 0 | 0 (0) | 0 (0) | |||
Others | 3 (14.3) | 1 (6.7) | 4 (6.5) | 1 (1.4) | 3 (8.8) | 2 (4.3) | |||
None | 0 (0) | 4 (26.7) | 8 (12.9) | 7 (0.1) | 3 (8.8) | 3 (6.5) | |||
Presence of sarcomatoid component | 2 (9.5) | 0 (0) | 1.0 | 5 (8.1) | 10 (14.3) | 0.27 | 1 (2.9) | 3 (6.5) | 0.61 |
Treatment | |||||||||
Nivolumab + Ipilimumab | 21 (100) | 62 (100) | 34 (100) | ||||||
Pembrolizumab + Axitinib | 5 (33.3) | 32 (45.7) | 9 (19.6) | ||||||
Avelumab + Axitinib | 4 (26.7) | 12 (17.1) | 4 (8.7) | ||||||
Nivolumab + Cabozantinib | 3 (20) | 13 (18.6) | 19 (41.3) | ||||||
Pembrolizumab + Lenvatinib | 3 (20) | 13 (18.6) | 14 (30.4) | ||||||
Confirmation of histology, n (%) | |||||||||
Nephrectomy | 11 (52.3) | 7 (46.7) | 1.0 | 29 (46.8) | 41 (58.6) | 0.16 | 13 (38.2) | 15 (32.6) | 0.81 |
Partial nephrectomy | 1 (4.8) | 0 (0) | 1 (1.6) | 5 (7.1) | 4 (11.8) | 4 (8.7) | |||
Biopsy | 9 (42.9) | 4 (26.7) | 24 (38.7) | 16 (22.9) | 12 (35.3) | 19 (41.3) | |||
IMDC at 1st line, n (%) | |||||||||
Intermediate/poor | 14/7 | 11/4 | 0.72 | 38/24 | 55/15 | 0.036 | 23/11 | 28/18 | 0.64 |
Liver | Liver and/or bone | Brain | |||||||
|---|---|---|---|---|---|---|---|---|---|
IO–IO (n=11) | IO–TKI (n=11) | P-value | IO–IO (n=63) | IO–TKI (n=82) | P-value | IO–IO (n=10) | IO–TKI (n=6) | P-value | |
Age, median, (range) | 70 (54-74) | 70 (58-80) | 70 (25-86) | 70 (40-88) | 70 (53-79) | 70 (53-83) | |||
Sex | 8/3 | 9/2 | 1.0 | 52/11 | 63/19 | 0.42 | 5/5 | 3/3 | 1.0 |
eGFR, median, (range) | 50 (8-77) | 50 (32-102) | 50 (4-160) | 50 (5-102) | 50 (42-116) | 50 (35-110) | |||
Metastatic site, n (%) | |||||||||
Lung | 9 (81.8) | 6 (54.5) | 0.36 | 33 (52.4) | 40 (48.8) | 0.74 | 9 (90) | 5 (83.3) | 1.0 |
Bone | 0 (0) | 0 (0) | 47 (74.6) | 64 (78.0) | 0.69 | 2 (20) | 1 (16.7) | 1.0 | |
Liver | 11 (100) | 11 (100) | 24 (38.1) | 28 (34.1) | 0.73 | 0 (0) | 1 (16.7) | 0.38 | |
Brain | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 10 (100) | 6 (100) | |||
Lymph node | 8 (72.7) | 5 (45.5) | 0.39 | 20 (31.7) | 27 (32.9) | 0.43 | 4 (40) | 3 (50) | 1.0 |
Treatment | |||||||||
Nivolumab + Ipilimumab | 11 (100) | 63 (100) | 10 (100) | ||||||
Pembrolizumab + Axitinib | 3 (27.2) | 19 (23.2) | 1 (16.7) | ||||||
Avelumab + Axitinib | 0 (0) | 4 (4.9) | 2 (33.3) | ||||||
Nivolumab + Cabozantinib | 3 (27.2) | 29 (35.4) | 1 (26.7) | ||||||
Pembrolizumab + Lenvatinib | 5 (45.5) | 30 (36.6) | 2 (33.3) | ||||||
Histology, n (%) | |||||||||
Clear cell | 9 (81.8) | 7 (63.6) | 0.47 | 45 (71.4) | 55 (67.0) | 0.3 | 6 (60) | 5 (83.7) | 0.49 |
Papillary | 0 (0) | 2 (18.2) | 1 (1.6) | 7 (8.5) | 0 (0) | 0 (0) | |||
Unclassified | 0 (0) | 0 (0) | 3 (4.8) | 2 (0) | 1 (10) | 0 (0) | |||
HD-related | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | |||
Chromophobe | 0 (0) | 0 (0) | 0 (0) | 1 (1.2) | 0 (0) | 0 (0) | |||
Others | 0 (0) | 0 (0) | 4 (6.3) | 2 (2.4) | 1 (10) | 0 (0) | |||
None | 2 (18.2) | 2 (18.2) | 8 (12.7) | 15 (18.3) | 2 (20) | 1 (16.7) | |||
Presence of sarcomatoid component | 1 (9.1) | 0 (0) | 1.0 | 2 (3.2) | 4 (4.9) | 0.27 | 2 (20) | 0 (0) | 0.49 |
Confirmation of histology, n (%) | |||||||||
Nephrectomy | 5 (45.5) | 4 (36.4) | 1.0 | 23 (36.5) | 28 (4.9) | 0.16 | 4 (40) | 1 (16.7) | 0.59 |
Partial nephrectomy | 0 (0) | 0 (0) | 5 (7.9) | 5 (6.0) | 0 (0) | 0 (0) | |||
Biopsy | 5 (45.5) | 5 (45.5) | 24 (38.1) | 33 (40.2) | 5 (50) | 3 (50) | |||
IMDC at 1st line, n (%) | |||||||||
Intermediate/poor | 6/5 | 6/5 | 1.0 | 37/26 | 47/35 | 5/5 | 4/2 | 0.63 | |