SU11248 and AG013736: current data and future trials in renal cell carcinoma

Brian I Rini1

  • 1Department of Solid Tumor Oncology, Taussig Cancer Center, Cleveland Clinic, Cleveland, OH 44195, USA. rinib2@ccf.org

Insights

Small-molecule tyrosine kinase inhibitors targeting VEGF and PDGF pathways show significant clinical activity in metastatic renal cell carcinoma (RCC). Further investigations are ongoing for these promising agents in various treatment settings.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Renal cell carcinoma (RCC) pathogenesis involves molecular pathways like von Hippel-Lindau (VHL) gene inactivation.
  • VHL inactivation leads to overexpression of vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF).

Purpose of the Study:

  • To investigate the efficacy of small-molecule inhibitors targeting VEGF and PDGF receptors in metastatic RCC.
  • To evaluate the clinical activity of SU11248 and AG013736 in various settings of renal cell carcinoma.

Main Methods:

  • Utilizing small-molecule inhibitors (SU11248 and AG013736) that target the tyrosine kinase domain of VEGF and PDGF receptors.
  • Conducting clinical trials in patients with metastatic renal cell carcinoma.

Main Results:

  • Substantial clinical activity observed for SU11248 and AG013736 in metastatic RCC patient cohorts.
  • These agents demonstrated promising therapeutic potential in early-stage investigations.

Conclusions:

  • Small-molecule tyrosine kinase inhibitors targeting VEGF and PDGF signaling pathways are effective in treating metastatic RCC.
  • Ongoing investigations aim to further define the role of these agents in diverse clinical scenarios for renal cell carcinoma.