KEYNOTE-B61 and LITESPARK-011: Evolving RCC Treatment Strategies

KEYNOTE-B61 and LITESPARK-011-Evolving RCC Treatment Strategies featured image

Dr. Elizabeth Plimack reviews how KEYNOTE-B61 supports lenvatinib plus pembrolizumab as a strong frontline option in non–clear cell RCC, particularly in papillary disease. She also discusses LITESPARK-011, noting that while lenvatinib plus belzutifan shows benefit, sequencing decisions remain complex, especially for patients already treated with lenvatinib-based regimens. In practice, she emphasizes balancing efficacy, durability, and tolerability, often reserving belzutifan for later lines while optimizing TKI dosing to maintain long-term benefit.

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