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Updated: Aug 11, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Designing clinical trials for kidney cancer based on newly developed prognostic and predictive tools
Daniel Cho1, David McDermott, Michael Atkins
1Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Abstract:
Several advances have been made in our understanding of the molecular aberrations in renal cell carcinoma that have led to the identification of novel prognostic and predictive biomarkers. At the same time, several novel agents targeting these molecular aberrations have shown promising efficacy in the therapy of advanced renal cancer. As these agents enter more advanced-stage clinical trials, efforts must be made to integrate exploration of these novel prognostic and predictive markers into clinical trial design. These elements then can be combined with more traditional prognostic features to form more robust prognostic models. Finally, predictive markers and prognostic models should be validated prospectively, either as part of clinical trials designed specifically for that purpose or as part of large phase-3 trials. Once validated, these features can be used to best inform prognosis and guide therapy based on individual patient characteristics.
Insights
Advances in understanding renal cell carcinoma molecular aberrations have identified new biomarkers for prognosis and treatment. Integrating these markers into clinical trials is crucial for developing personalized therapies for advanced renal cancer.
Area of Science:
- Oncology
- Molecular Biology
- Clinical Trials
Background:
- Significant progress in understanding molecular aberrations in renal cell carcinoma (RCC).
- Identification of novel prognostic and predictive biomarkers for RCC.
- Development of novel therapeutic agents targeting specific molecular pathways in advanced RCC.
Purpose of the Study:
- To emphasize the importance of integrating novel prognostic and predictive markers into clinical trial design for RCC.
- To advocate for the combination of novel markers with traditional prognostic features for improved prognostic models.
- To highlight the necessity of prospective validation of these markers and models in clinical trials.
Main Methods:
- Review of recent advances in RCC molecular biology and targeted therapies.
- Analysis of current clinical trial designs and their integration of biomarkers.
- Discussion of strategies for developing robust prognostic models and prospective validation.
Main Results:
- Novel molecular aberrations in RCC have yielded promising prognostic and predictive biomarkers.
- Emerging targeted agents show efficacy in advanced RCC therapy.
- Integration of biomarkers into clinical trials can enhance prognostic accuracy and therapeutic guidance.
Conclusions:
- Prospective validation of prognostic models and predictive markers is essential.
- Validated biomarkers and models will enable personalized therapy selection for RCC patients.
- This approach will optimize treatment strategies based on individual patient characteristics.
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