Disease index

RCC

Oncology · 2006–2024

42decisions
14medicines
17carried consumer input
37individual submissions

Every decision

MedicineMeetingOutcomeConsumer input
bevacizumab Multiple cancer indications: metastatic colorectal cancer, locally recurrent or metastatic breast cancer, advanced/metastatic/recurrent non-squamous non-small… Mar 2024 Recommended 1 individuals Medical Oncology Group
cabozantinib Treatment of non-clear cell renal cell carcinoma (nccRCC) in treatment-naïve adults with intermediate or poor risk and in adults following prior treatment with… Mar 2024 Recommended with restriction input received ANZUP Cancer Trials Group · Rare Cancers Australia · Medical Oncology Group
cabozantinib First-line treatment of advanced (Stage IV) clear cell variant renal cell carcinoma in patients classified as intermediate or poor risk according to the… Mar 2024 Recommended with restriction input received Rare Cancers Australia · Medical Oncology Group
pembrolizumab Adjuvant treatment of patients with renal cell carcinoma (RCC) with clear cell component who are at intermediate-high or high risk of recurrence following… Nov 2024 Recommended with restriction 4 individuals Rare Cancers Australia · Medical Oncology Group
pembrolizumab First-line treatment of advanced (Stage IV) clear cell variant renal cell carcinoma in patients classified as intermediate or poor risk according to IMDC… Mar 2022 Recommended with restriction input received Medical Oncology Group
avelumab First-line treatment of advanced (stage IV) clear cell variant renal cell carcinoma in patients classified as intermediate or poor risk according to IMDC… Mar 2021 Recommended with restriction unclear
avelumab First-line treatment of advanced (stage IV) clear cell variant renal cell carcinoma in patients with intermediate to poor prognostic risk according to IMDC… Mar 2020 Not recommended input received Rare Cancers Australia · Medical Oncology Group
cabozantinib Stage IV clear cell variant advanced renal cell carcinoma (RCC) with intermediate to poor risk classification according to IMDC criteria, in patients who have… Mar 2020 Not recommended input received Rare Cancers Australia · Medical Oncology Group
cabozantinib Stage IV clear cell variant advanced renal cell carcinoma (RCC) with intermediate to poor risk classification according to IMDC criteria in patients who have… Nov 2020 Recommended with restriction input received Medical Oncology Group
cabozantinib First-line treatment of Stage IV clear cell variant renal cell carcinoma in patients meeting IMDC criteria for intermediate to poor risk disease. Mar 2019 Not recommended unclear
nivolumab + ipilimumab First-line treatment of Stage IV clear cell variant renal cell carcinoma in patients with intermediate to poor prognostic risk according to the International… Jul 2018 Not recommended 7 individuals Medical Oncology Group
lenvatinib Treatment of patients with stage IV clear cell variant renal cell carcinoma (RCC) who have progressed after first-line treatment with a tyrosine kinase… Mar 2018 Not recommended none received
nivolumab First-line treatment of Stage IV clear cell variant renal cell carcinoma (RCC) in patients meeting the International Metastatic Renal Cell Carcinoma Database… Nov 2018 Recommended with restriction input received Medical Oncology Group
nivolumab Treatment of Stage IV clear cell variant renal cell carcinoma (RCC) in patients who have progressed according to RECIST following first-line treatment with a… Mar 2017 Recommended with restriction 4 individuals Medical Oncology Group
cabozantinib Treatment of patients with Stage IV (unresectable) clear cell variant renal cell carcinoma (RCC) who have progressive disease following first-line treatment… Dec 2017 Recommended with restriction 1 individuals
lenvatinib Stage IV clear cell variant renal cell carcinoma in patients with disease progression following first-line tyrosine kinase inhibitor therapy, used in… Nov 2017 Not recommended none received
nivolumab Treatment of advanced or metastatic clear cell variant renal cell carcinoma (RCC) in patients who have progressed following first-line treatment with a… Jul 2016 Not recommended 1 individuals
nivolumab Second-line treatment of Stage IV clear cell variant renal cell carcinoma (RCC) in patients with progressive disease following first-line tyrosine kinase… Nov 2016 Not recommended 7 individuals
everolimus Stage IV clear cell variant renal cell carcinoma (RCC) after progression on tyrosine kinase inhibitor therapy. Mar 2014 Recommended with restriction 2 individuals
axitinib Second-line treatment of stage IV clear cell variant renal cell carcinoma (RCC) in patients with progressive disease following first-line tyrosine kinase… Nov 2014 Recommended 6 individuals
sorafenib Second-line treatment of stage IV clear cell variant renal cell carcinoma (RCC) in patients who have failed first-line treatment with a tyrosine kinase… Nov 2014 Recommended 4 individuals
axitinib Second-line treatment of Stage IV clear cell variant renal cell carcinoma in patients with WHO performance status of 2 or less where disease progression has… Nov 2013 Not recommended no section in document
sorafenib Stage IV (advanced) clear cell variant renal cell carcinoma (RCC) in patients who have failed first-line therapy with sunitinib or pazopanib, as second-line… Nov 2013 Not recommended unclear
pazopanib Initial and continuing treatment of stage IV clear cell variant renal cell carcinoma (RCC) in newly diagnosed patients meeting MSKCC low to intermediate risk… Mar 2012 Recommended with restriction no section in document
pazopanib Initial and continuing treatment of stage IV clear cell variant renal cell carcinoma (RCC) in newly diagnosed patients meeting Memorial Sloan Kettering Cancer… Mar 2012 Recommended with restriction no section in document
sorafenib Initial and continuing treatment of Stage IV clear cell renal carcinoma in patients who have failed first-line therapy and meet MSKCC risk group and… Nov 2012 Recommended no section in document
sorafenib Initial and continuing treatment of Stage IV clear cell renal carcinoma in patients who have failed first-line therapy and meet MSKCC risk criteria. Nov 2012 Recommended no section in document
everolimus Initial and continuing treatment of Stage IV clear cell variant renal cell carcinoma in patients with WHO status 2 or less who have failed treatment with… Nov 2011 Not recommended unclear
everolimus Initial and continuing treatment of Stage IV clear cell variant renal cell carcinoma in patients with WHO status of 2 or less who have failed treatment with… Nov 2011 Not recommended unclear
everolimus Initial and continuing treatment of Stage IV clear cell variant renal cell carcinoma in patients with WHO status 2 or less who have progressive disease on… Jul 2010 Not recommended no section in document
pazopanib Stage IV advanced and/or metastatic, clear cell variant renal cell carcinoma (RCC) in adult patients meeting Memorial Sloan Kettering Cancer Centre low to… Jul 2010 Not recommended no section in document
everolimus Initial and continuing treatment of Stage IV clear cell variant renal cell carcinoma in patients with WHO status ≤2 who have progressive disease on sunitinib… Jul 2010 Not recommended no section in document
pazopanib Treatment of stage IV advanced and/or metastatic, clear cell variant renal cell carcinoma (RCC) in adult patients. Jul 2010 Not recommended no section in document
everolimus Treatment of patients with Stage IV clear cell variant renal cell carcinoma after failure of treatment with sorafenib or sunitinib. Nov 2009 Not recommended no section in document
sunitinib malate Treatment of advanced (unresectable or metastatic) renal cell carcinoma (RCC) in patients with ECOG performance status of 0 or 1. Jul 2008 Recommended with restriction no section in document
temsirolimus Advanced renal cell carcinoma in patients with poor prognosis who meet defined criteria (at least three of six poor prognostic factors). Jul 2008 Recommended no section in document
sorafenib tosylate Initial and continuing treatment of advanced (unresectable or metastatic) renal cell carcinoma in patients with WHO performance status 2 or less, where the… Mar 2008 Not recommended no section in document
sunitinib malate Treatment of advanced (unresectable or metastatic) renal cell carcinoma (RCC) in patients with Eastern Cooperative Oncology Group (ECOG) performance status of… Mar 2008 Not recommended no section in document
sunitinib malate Advanced renal cell carcinoma (RCC), specifically Stage IV disease with clear cell histology as first-line therapy. Mar 2007 Deferred no section in document
sunitinib malate Treatment of advanced renal cell carcinoma (RCC) as first-line therapy in patients with advanced/metastatic disease. Mar 2007 Deferred no section in document
sorafenib tosylate Initial and continuing treatment of advanced (unresectable or metastatic) renal cell carcinoma in patients with WHO performance status of 2 or less. Nov 2006 Recommended no section in document
sorafenib tosylate Initial and continuing treatment of advanced (unresectable or metastatic) renal cell carcinoma in patients with WHO performance status of 2 or less. Nov 2006 Recommended no section in document

Who spoke

Medical Oncology Group · Rare Cancers Australia · ANZUP Cancer Trials Group

What the PBS pays

$1,221M in government benefit over 2024–25, across 162,040 services.

This is spend on the medicines considered for this condition, not spend on the disease. A medicine used for several conditions is counted in full under each, so figures across conditions add to more than national PBS expenditure.

MedicineGovernment benefit
pembrolizumab $739.6M
nivolumab + ipilimumab $199M
nivolumab $85.2M
avelumab $71.8M
cabozantinib $55.8M
lenvatinib $31.4M
everolimus $23M
pazopanib $9.1M
axitinib $4.3M
sorafenib $0.7M
sorafenib tosylate $0.7M

Appraised elsewhere

NICE, in England and Wales, has appraised 17 technologies for this condition, recommending 14 and declining 2. A different committee, a different population and a different price: this is what has been looked at there, not a verdict on what happened here.

TechnologyAppraisalOutcomeDate
avelumabAvelumab with axitinib for untreated advanced renal cell carcinoma TA1120 recommended restricted 2026-01
cabozantinibCabozantinib with nivolumab for untreated advanced renal cell carcinoma TA964 recommended restricted 2024-04
lenvatinibLenvatinib with pembrolizumab for untreated advanced renal cell carcinoma TA858 recommended restricted 2023-01
pembrolizumabPembrolizumab for adjuvant treatment of renal cell carcinoma TA830 recommended restricted 2022-10
nivolumabNivolumab with cabozantinib for untreated advanced renal cell carcinoma (terminated appraisal) TA785 terminated 2022-04
nivolumabNivolumab with ipilimumab for untreated advanced renal cell carcinoma TA780 recommended 2022-03
pembrolizumabPembrolizumab with axitinib for untreated advanced renal cell carcinoma TA650 not recommended 2020-09
cabozantinibCabozantinib for untreated advanced renal cell carcinoma TA542 recommended restricted 2018-10
tivozanibTivozanib for treating advanced renal cell carcinoma TA512 recommended restricted 2018-03
lenvatinibLenvatinib with everolimus for previously treated advanced renal cell carcinoma TA498 recommended restricted 2018-01
cabozantinibCabozantinib for previously treated advanced renal cell carcinoma TA463 recommended restricted 2017-08
everolimusEverolimus for advanced renal cell carcinoma after previous treatment TA432 recommended restricted 2017-02

Showing the 12 most recent of 17.

Conditions are classified by a language model from the indication text of each submission, so an individual label here can be wrong. Consumer input is read from the document's own consumer comments section: 17 of 21 decisions since 2014 carried some. Silence means no comment reached the committee through that facility, not that nobody was affected. More on how this was built.