
Opinion|Videos|March 6, 2025
Sequencing Through Multiple Lines of Therapy for mRCC
Author(s)Sumanta Kumar Pal, MD
A panelist discusses how treatment sequencing decisions in RCC span multiple lines of therapy, incorporating various options like tivozanib, lenvatinib-everolimus combinations, and belzutifan, with careful consideration given to optimal dosing strategies, expected duration of therapy, anticipated response patterns, and the specific timing of each agent in the treatment journey, particularly in the post-ICI setting.
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Episodes in this series

Video content above is prompted by the following:
- How are you sequencing these agents through multiple lines of therapy?
- Thinking beyond the patient case just reviewed, please discuss your preferred subsequent-line after a first-line ICI + ICI regimen?
- Would you have followed the sequence of therapies used for the patient described in this case?
- Are you using tivozanib in the second-line setting? If yes, in which patients?
- Are you using lenvatinib + everolimus in the post-ICI setting? If yes, in what line of therapy?
- How do you approach dosing? How long to you expect your patients to remain on therapy? What type of responses do you expect (depth, duration)?
- How are you using belzutifan in your practice?
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