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Updated: Jul 6, 2026

Modeling Spontaneous Metastatic Renal Cell Carcinoma (mRCC) in Mice Following Nephrectomy
Published on: April 29, 2014
Renal cell carcinoma and the use of sorafenib
1Department of Medicine, Royal Marsden Hospital, Downs Road Sutton, Surrey SM2 5PT, UK.
Abstract:
Immunotherapy results in a small overall survival advantage in metastatic renal cell carcinoma (RCC), but there is a need to develop more effective systemic therapies. Angiogenesis has an important role in the pathophysiology of RCC and vascular endothelial growth factor (VEGF) is a key mediator of this process. Sorafenib (BAY 43-9006) is a new agent belonging to a class of drugs called kinase inhibitors and inhibits the VEGF, platelet-derived growth factor (PDGF), and c-KIT receptor tyrosine kinases, amongst others. Sorafenib has shown significant activity with manageable toxicity in metastatic RCC in phase 2 studies in patients pretreated with immunotherapy, whilst prolonged progression-free survival in comparison with placebo in a phase 3 study has been reported. Further phase 3 trials in advanced disease are ongoing and a trial of adjuvant sorafenib therapy in RCC is planned.
Insights
New kinase inhibitor sorafenib shows promise for metastatic renal cell carcinoma (RCC). This targeted therapy offers improved progression-free survival and manageable toxicity, addressing the need for better systemic treatments in advanced kidney cancer.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic renal cell carcinoma (RCC) has limited treatment options, with immunotherapy offering only a small survival benefit.
- Angiogenesis, driven by vascular endothelial growth factor (VEGF), is crucial in RCC development.
- There is a significant need for more effective systemic therapies for advanced RCC.
Purpose of the Study:
- To evaluate the efficacy and safety of sorafenib, a novel kinase inhibitor, in patients with metastatic renal cell carcinoma (RCC).
- To assess sorafenib's role in targeting key pathways involved in RCC pathophysiology, including VEGF and platelet-derived growth factor (PDGF).
Main Methods:
- Phase 2 studies assessed sorafenib activity and toxicity in patients pretreated with immunotherapy.
- Phase 3 studies compared sorafenib to placebo, evaluating progression-free survival.
- Ongoing and planned phase 3 trials investigate sorafenib in advanced disease and as adjuvant therapy.
Main Results:
- Sorafenib demonstrated significant activity with manageable toxicity in phase 2 metastatic RCC studies.
- Phase 3 studies reported prolonged progression-free survival for sorafenib compared to placebo.
- Further clinical trials are underway to confirm these findings and explore broader applications.
Conclusions:
- Sorafenib represents a promising targeted therapy for metastatic renal cell carcinoma (RCC).
- Its ability to inhibit key angiogenic pathways offers a new strategy for managing advanced kidney cancer.
- Ongoing research will further define sorafenib's role in RCC treatment paradigms.
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