PFS and response rate only weakly predict overall survival in metastatic RCC trials

Meta-analysis · Cancer · 2026-09-26. Number 4 in the UrologyWatch Top 5 for September 27, 2026.

A meta-analysis of 62 randomized trials in metastatic RCC found moderate correlations between progression-free survival, objective response rate, and overall survival, with surrogate threshold effects that were imprecise, especially by histology subgroup.

Why it matters: Suggests caution in relying on PFS or ORR alone when interpreting or designing RCC trials; OS remains the preferred endpoint.

Source: Cancer · PubMed 42779347 · DOI 10.1002/cncr.70616

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