Managing side effects of angiogenesis inhibitors in renal cell carcinoma

Viktor Grünwald1, Hans Heinzer, Walter Fiedler

  • 1Department of Hematology, Hemostaseology and Oncology, Hannover Medical School, Germany. Gruenwald.Viktor@MH-Hannover.de

Onkologie
|September 25, 2007
PubMed

Insights

Targeted therapies like tyrosine kinase inhibitors are standard for metastatic renal cell carcinoma (RCC). This review guides oncologists in managing specific side effects associated with these advanced treatments.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Metastatic renal cell carcinoma (RCC) predominantly treated with anti-angiogenetic agents.
  • Targeted therapies, such as tyrosine kinase inhibitors, offer a new approach to RCC treatment.
  • These targeted therapies are perceived as less toxic than traditional chemotherapy or immunotherapy.

Purpose of the Study:

  • To review the significance of adverse events in patients undergoing targeted therapy for RCC.
  • To provide guidance for clinical oncologists on patient surveillance and management of treatment-related side effects.
  • To tailor surveillance strategies for specific side effects of individual targeted agents.

Main Methods:

  • Review of current literature on adverse events associated with targeted therapies in RCC.
  • Analysis of the mechanisms of action and targets of tyrosine kinase inhibitors in RCC.
  • Synthesis of information on side effect management protocols.

Main Results:

  • Targeted therapies, while effective, present unique side effect profiles.
  • Understanding drug targets in tumors and patients is crucial for managing toxicity.
  • Development of specific surveillance and management strategies is necessary.

Conclusions:

  • Adverse event management is critical for optimizing targeted therapy in RCC.
  • Oncologists require updated guidance to navigate the complexities of targeted therapy side effects.
  • Personalized patient care involves tailored surveillance and treatment of adverse events.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Antihypertensive Drugs: Direct Renin Inhibitors01:25

Antihypertensive Drugs: Direct Renin Inhibitors

The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...