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EVOLVING LANDSCAPE OF FIST LINE SYSTEMIC
TREATMENT IN METASTATIC RCC
ccRCC
Good risk Intermediate risk Poor risk
Standard: Standard: Standard:
Pembrolizumab + axitinib Nivolumab + ipilimumab Nivolumab + ipilimumab
Nivolumab + cabozantinib Pembrolizumab + axitinib Pembrolizumab + axitinib
Pembrolizumb + lenvatinib Nivolumab + cabozantinib Nivolumab + cabozantinib
Avelumab + axitinib Pembrolizumb + lenvatinib Pembrolizumb + lenvatinib
Avelumab + axitinib Avelumab + axitinib
Option: Option: Option:
Sunitinib , Pazopanib, Tivozanib Cabozantinib , Sunitinib ,Pazopanib, Tivozanib Cabozantinib Sunitinib , Pazopanib
Adapted from EAU& ESMO 2021 guidelines