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Kidney CancerJune 2025Summary reviewed May 2026

A Two-Drug Combo Shrank Tumors in 72% of Rare Inherited Kidney Cancer Patients

This trial tested bevacizumab plus erlotinib in 83 people with advanced papillary kidney cancer, including the inherited HLRCC form that has no proven treatment. Tumors shrank in 72% of those with HLRCC and 35% of those with sporadic disease.

What the trial was testing

The trial enrolled 83 patients with kidney cancer. The study was sponsored by National Cancer Institute and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was initial testing (phase 2). Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

72% tumor response rate in inherited HLRCC papillary kidney cancer.

New England Journal of Medicine · 2025 · NCT01130519

These findings — that in inherited HLRCC papillary kidney cancer treated with bevacizumab plus erlotinib — were published in the New England Journal of Medicine and represent the headline result of the study.

Researchers tracked outcomes across 83 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with kidney cancer, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

Both bevacizumab and erlotinib are FDA-approved for other cancers and available now, though this combination is used off-label for HLRCC papillary kidney cancer. The National Cancer Institute considers it a reasonable option for HLRCC. Ask an oncologist familiar with hereditary kidney cancer for genetic testing and treatment options.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

Open kidney cancer trials

RecruitingInterventional study

Is Valacyclovir Non-inferior to Valganciclovir as CMV and EBV Prophylaxis in Kidney Transplant Recipients? A Single-Center Prospective Randomized Pilot Study

Opportunistic CMV viremia (primary infection or reactivation) is usually managed by taking prophylactic medication for both adult and pediatric kidney transplant patients. Most hospitals prescribe valganciclovir for this purpose but valacyclovir has also been used. The most unfavorable side effect of valganciclovir is bone marrow suppression which can be troublesome for kidney transplant patients who are already immunosuppressed. We aim to assess the non-inferiority of valacyclovir compared with valganciclovir in this study.

Taipei, Taiwan
RecruitingObservational study

Risk Factors for AKI in Patients Undergoing VATS for Pulmonary Resection

This study aims to investigate the potential factors contributing to the development of Acute Kidney Injury (AKI) in patients undergoing pulmonary resection with Video Assisted Thoracoscopic Surgery (VATS) for lung malignancy. The study will focus on demographic data, laboratory parameters, perioperative fluid management, and haemodynamics. The research will be conducted at SBÜ Ankara Atatürk Sanatorium Training and Research Hospital. The study will involve patients who have given informed consent and will undergo VATS with standard anaesthesia monitoring. Anaesthesia management will follow our routine protocol in our clinic. Patients will be divided into two groups based on whether they have a more than 25% decrease in estimated glomerular filtration rate (t-GFH) and/or a 1.5-fold increase in serum creatinine and/or a 6-hour urine volume of less than 0.5 ml/kg/h. The patients will be divided into two groups based on this definition, and the risk factors between these groups will be analysed. The preoperative routine blood values, demographic data (age, gender, height, weight, and BMI), ASA physical status, smoking and alcohol habits, comorbidities, and regular medication use will be recorded. Intraoperative urine output and haemodynamic parameters will also be monitored. Routine blood gas analysis, blood urea nitrogen (BUN), glomerular filtration rate (GFR), albumin, haemoglobin, sodium, potassium, chlorine, and magnesium will be measured and recorded, along with urine output and t-GFH. Patients will be evaluated in the hospital on the day the surgeon calls for a postoperative check-up and on the 30th postoperative day to see if there are any complications.

Ankara, Keçiören, Turkey (Türkiye)