Among the 255 aRCC patients, the majority received VEGF inhibitors (mainly sunitinib [44%], pazopanib [38%])…A negative association (p=0.04) was observed with OS, with shorter median survival for PD-L1+ (14.5 months [95%CI 10.2, 18.3]) compared with PD-L1 (28.3 months [95%CI 20.5,35.2]) When excluding patients receiving IO therapy (6%), response and PFS did not change...PD-L1 expression may be a negative prognostic factor among aRCC patients.