Original Investigation

Axitinib-Pembrolizumab and Adverse Event Management in Patients With Advanced Renal Cell Carcinoma

JAMA Network Open 10.1001/jamanetworkopen.2026.14061

May 21, 2026 at 11:00 AM EDT

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How do community oncologists approach and manage adverse events (AEs) associated with first-line axitinib plus pembrolizumab therapy for advanced renal cell carcinoma (aRCC)?In this cohort study of 300 patients with aRCC who received axitinib plus pembrolizumab and cross-sectional survey of 25 physicians, few patients required treatment dose reductions or discontinued treatment due to AEs, and physicians prioritized efficacy followed by safety when selecting first-line treatment.These findings suggest that treatment-related AEs for first-line axitinib-pembrolizumab therapy are manageable and that experienced community physicians are familiar with AE management, although further research of the effects of AE management actions on clinical outcomes is needed.

Corresponding Author: Kevin K. Zarrabi, MD, Sidney Kimmel Comprehensive Cancer Center, Thomas Jefferson University, 834 Chestnut St, Ste 320, Philadelphia, PA 19107 (kevin.zarrabi@jefferson.edu).

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