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Updated: Aug 11, 2026

A Simple Bioassay for the Evaluation of Vascular Endothelial Growth Factors
Published on: March 15, 2016
[Translational research in renal cell cancer. Illustrated by the example of the vascular endothelial growth factor
R Kuefer1, M Autenrieth, K Herkommer
1Urologische Universitätsklinik und Poliklinik, Universität Ulm.
Abstract:
For patients with metastatic renal cell cancer (RCC), therapeutic options after cytokine failure are rather limited. There is a considerable need to identify new substances for systemic therapy. Due to upregulation after the loss of a functional von Hippel Lindau gene product, the vascular endothelial growth factor (VEGF) pathway is a promising target for a molecular based therapy. Over the last few years, therapeutic agents have been developed which inhibit this pathway at various levels. Here, we provide an overview of the molecular background and currently used drugs which have entered clinical trials in the setting of metastatic RCC disease. Until now, the results from early clinical trials are very promising, however, the best schedule, dosage, potential combination regimens, as well as long time efficacy, are still to be determined.
Insights
Limited treatment options exist for metastatic renal cell cancer (RCC) after cytokine therapy. Targeting the vascular endothelial growth factor (VEGF) pathway shows promise for new systemic therapies in RCC patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Metastatic renal cell cancer (RCC) presents limited therapeutic avenues post-cytokine treatment.
- The von Hippel-Lindau gene's loss leads to vascular endothelial growth factor (VEGF) pathway upregulation, presenting a therapeutic target.
- A need exists for novel systemic therapies in advanced RCC.
Purpose of the Study:
- To review the molecular basis of VEGF pathway dysregulation in metastatic RCC.
- To provide an overview of emerging anti-VEGF agents in clinical trials for metastatic RCC.
- To discuss the current status and future directions of VEGF-targeted therapies in RCC.
Main Methods:
- Literature review of preclinical and clinical studies on VEGF pathway inhibitors in RCC.
- Analysis of molecular mechanisms driving VEGF pathway activation in RCC.
- Summary of data from early-phase clinical trials of novel agents targeting VEGF.
Main Results:
- Several therapeutic agents inhibiting the VEGF pathway at different levels have been developed.
- Early clinical trial results for these agents in metastatic RCC are promising.
- The VEGF pathway is a validated target for molecular-based therapy in RCC.
Conclusions:
- VEGF pathway inhibitors represent a promising new class of drugs for metastatic RCC.
- Further research is needed to determine optimal dosing, scheduling, and combination strategies.
- Long-term efficacy and safety data are required to fully establish the role of these agents in RCC treatment.
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