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Opinion|Videos|October 29, 2025

Guideline-Recommended First-Line Treatments for Renal Cell Carcinoma

Panelists review current guideline-endorsed first-line treatment options for advanced renal cell carcinoma, emphasizing immunotherapy- and VEGF inhibitor–based combination regimens.

This segment centers on how evidence from pivotal studies has reshaped the frontline standard of care for advanced renal cell carcinoma (RCC)RCC. Immunotherapy-based doublets and combinations with targeted agents have become the mainstay of treatment, displacing monotherapy approaches in most risk categories. The rationale for these regimens lies in their ability to produce durable responses while maintaining manageable toxicity profiles.

Panelists compare treatment algorithms across guideline bodies, noting that selection depends on clinical factors such as disease risk, performance status, and comorbidities. The discussion highlights how both immunotherapy plus targeted therapy and dual immunotherapy combinations have shown improved survival outcomes compared to traditional regimens, offering flexibility for individualized care.

Ultimately, they conclude that the evolution of combination approaches marks a major advance in frontline management, providing long-term control and quality-of-life benefits for many patients with advanced disease.

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