New Indication: Bevacizumab and Erlotinib for Papillary Renal Cell Carcinoma


  • Study

    Open-label, phase 2 study [NCT01130519]
    Advanced HLRCC-associated or sporadic papillary renal-cell carcinoma
    Bevacizumab (10 mg/kg every 2 wks) + Erlotinib (150 mg daily)



  • Efficacy

    ORR: 72% [57 – 83] vs 35% [22 – 51]
    CR: 5% vs 0%
    mPFS: 21.1 mos [15.6 – 26.6] vs 8.9 mos [5.5 – 18.3]
    mOS: 44.6 mos [32.7 – NE] vs 18.2 mos [12.6 – 29.3]



  • Safety

    Grade >=3 AE: Hypertension (34%), Proteinuria (17%)
    Serious AEs: Acute coronary syndrome, Bronchopulmonary hemorrhage
    Treatment discontinuations: Bevacizumab (4%), Erlotinib (1%)



  • N Engl J Med 2025;392:2346

    Srinivasan R,Gurram S,Singer EA Bevacizumab and Erlotinib in Hereditary and Sporadic Papillary Kidney Cancer

    http://doi.org/10.1056/nejmoa2200900

    Reviewed by Elvin Chalabiyev, MD on Sep 3, 2025

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