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Background






           • pRCC is a rare malignancy, constituting 15% of cases of renal cell carcinoma                                                                                         1


           • VEGF-directed therapies for clear cell RCC such as sunitinib have previously

               constituted the standard of care in metastatic pRCC



             Agent                                N                 RR                   PFS            Notes


             Sunitinib 2                         41                 5%                 7.6 mos          • Retrospective analysis
                                                                                                        • Included both papillary (n=41) and chromophobe (n=12)




             Sunitinib 3                         27                 0%                 1.6 mos          • Prospective analysis
                                                                                                        • Included papillary (n=27) and other non-clear cell types (n=30)



             Sunitinib 4                         33                 24%                8.1 mos          • Prospective analysis, randomized versus everolimus
                                                                                                        • Included papillary (n=70) and other non-clear cell types (n=39)



             Sunitinib 5                         61                13%  a              6.6 mos  a       • Prospective analysis
                                                                   11%  b              5.5 mos  b       • Included both type I (n=15) and type II (n=46) papillary




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                  1  Zhang T et al Am Soc Clin Oncol Educ Book 2017; 37:337-42;  Choueiri TK et al J Clin Oncol. 2008 Jan 1;26(1):127-31;  Tannir NM et al Urology. 2012;62(6):1013-9;  Armstrong AJ et al, Lancet Oncol, 2016; 17: 378-88; Ravaud A et
                                                               2
                                                                                                                                          4
                  al Ann Oncol. 2012;23(Suppl 9):Abstr 707PD;  Type I papillary;  Type II papillary
                                                   a
                                                               b
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