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Updated: Jul 7, 2026

Quantifying Antibody-Dependent Cellular Cytotoxicity in a Tumor Spheroid Model: Application for Drug Discovery
Published on: April 26, 2024
[New drugs; sunitinib and sorafenib]
H van Bronswijk1, E A Dubois, S Osanto
1Leids Universitair Medisch Centrum, Albinusdreef 2, 2333 ZA, Leiden.
Abstract:
Sunitinib and sorafenib are both indicated for the treatment of advanced kidney carcinoma of the 'clear cell' type after failure of, or resistance to, other treatments. Both drugs inhibit the tyrosine-kinase activity of a number of growth factor receptors; sorafenib has an additional inhibitory effect on serine/threonine-kinase activity. This mechanism decreases signal transduction and results in an inhibition of tumour cell growth and angiogenesis. The adverse effects of the two drugs are different: sunitinib causes mainly fatigue and gastrointestinal discomfort, whereas sorafenib's most frequent adverse effects are diarrhoea, rash, the palmar-plantar erythrodysaesthesia syndrome, and hypertension.
Insights
Sunitinib and sorafenib treat advanced kidney cancer by inhibiting tumor growth and angiogenesis. They differ in side effects, with sunitinib causing fatigue and sorafenib causing diarrhea, rash, and hypertension.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Advanced kidney carcinoma, particularly clear cell type, presents treatment challenges after initial therapies fail.
- Sunitinib and sorafenib are targeted therapies used in advanced renal cell carcinoma (RCC).
Purpose of the Study:
- To compare the mechanisms of action and adverse effect profiles of sunitinib and sorafenib in treating advanced kidney carcinoma.
- To provide an overview of these targeted therapies for clinicians and researchers.
Main Methods:
- Review of pharmacological mechanisms of sunitinib and sorafenib.
- Analysis of reported clinical data on efficacy and adverse events for both drugs.
Main Results:
- Both sunitinib and sorafenib inhibit tyrosine-kinase activity of growth factor receptors, impacting tumor cell growth and angiogenesis.
- Sorafenib additionally inhibits serine/threonine-kinase activity.
- Sunitinib's common side effects include fatigue and gastrointestinal issues.
- Sorafenib's frequent adverse effects include diarrhea, rash, palmar-plantar erythrodysaesthesia syndrome, and hypertension.
Conclusions:
- Sunitinib and sorafenib represent important therapeutic options for advanced clear cell kidney carcinoma.
- Understanding their distinct mechanisms and side effect profiles is crucial for patient management and treatment selection.
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