Antitumor necrosis factor (TNF-a) antibodies in the treatment of renal cell cancer
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Updated: Jul 11, 2026

Determination of the Relative Potency of an Anti-TNF Monoclonal Antibody (mAb) by Neutralizing TNF Using an In Vitro Bioanalytical Method
Published on: September 16, 2017
1Department of Academic Oncology, Guys Hospital, London, United Kingdom. nick.maisey@gstt.nhs.uk
Abstract:
The kinase inhibitors sorafinib and sunitinib have demonstrated significant activity in renal cell carcinoma (RCC), and are now approved by the FDA for use in advanced disease. There still remains a need for novel therapies. Our group were the first to demonstrate activity of thalidomide in RCC, believed to be in part related to the modulation of tumor necrosis factor (TNF-a), a cytokine secreted by RCC with a number of tumor promoting properties. We subsequently conducted a phase II trial of the TNF-a monoclonal antibody infliximab in patients with previously treated advanced RCC. The drug was well tolerated. The response rate was 16% and stability was achieved in a further 16% of patients. Anti-TNF-a therapy may represent an important approach in the treatment of this disease.
Insights
Novel therapies for advanced renal cell carcinoma (RCC) are needed. Anti-tumor necrosis factor-alpha (TNF-a) therapy with infliximab showed a 16% response rate in a phase II trial for advanced RCC.
Area of Science:
- Oncology
- Immunology
Background:
- Advanced renal cell carcinoma (RCC) treatment options include kinase inhibitors like sorafenib and sunitinib.
- There is an unmet need for novel therapeutic strategies in advanced RCC.
- Tumor necrosis factor-alpha (TNF-a), a cytokine secreted by RCC, has tumor-promoting properties.
Purpose of the Study:
- To evaluate the efficacy and tolerability of infliximab, a monoclonal antibody targeting TNF-a, in patients with previously treated advanced RCC.
Main Methods:
- A phase II clinical trial was conducted.
- Patients with previously treated advanced RCC received infliximab.
- Tumor response and disease stability were assessed.
Main Results:
- Infliximab was well tolerated by patients.
- A 16% objective response rate was observed.
- An additional 16% of patients achieved disease stability.
Conclusions:
- Anti-TNF-a therapy, exemplified by infliximab, shows promise as a treatment approach for advanced RCC.
- Targeting TNF-a may offer a new therapeutic avenue for patients with advanced renal cell carcinoma.
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