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Updated: Jul 5, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Targeted therapy for metastatic renal cell carcinoma: a home run or a work in progress?
Brian I Rini1, Ronald M Bukowski
1Department of Solid Tumor Oncology, Cleveland Clinic Taussig Cancer Institute, Glickman Urological and Kidney Institute, Cleveland, Ohio 44195, USA. rinib2@ccf.org
Abstract:
Recent advances in the understanding of the biology of renal cell carcinoma (RCC) have been translated into clinical treatment options in metastatic disease. The introduction of targeted therapy against the vascular endothelial growth factor (VEGF) pathway and related elements has produced robust clinical effects, exceeding those of historical treatment options. Sunitinib (Sutent) and bevacizumab (Avastin) plus interferon have established roles in the initial treatment of metastatic RCC. Sorafenib (Nexavar) is established for cytokine-refractory RCC and is being explored in other settings. Temsirolimus (Torisel) is the only agent to extend overall survival to date, although this finding has been restricted to a poor-risk population. Several clinical questions have thus emerged in regard to the optimal timing, type, and sequence of targeted therapy in metastatic RCC. Novel agents targeting the VEGF or alternative pathways have also emerged and are beginning to undergo clinical testing.
Insights
Targeted therapies, including sunitinib and bevacizumab, show significant clinical effects in metastatic renal cell carcinoma (RCC). Optimal timing and sequencing of these vascular endothelial growth factor (VEGF) pathway agents remain key clinical questions for future research.
Area of Science:
- Oncology
- Translational Medicine
- Pharmacology
Background:
- Recent biological insights into renal cell carcinoma (RCC) have informed new therapeutic strategies.
- Metastatic RCC treatment has historically relied on less effective options.
- The vascular endothelial growth factor (VEGF) pathway is a key target in RCC biology.
Purpose of the Study:
- To review the current landscape of targeted therapies for metastatic RCC.
- To discuss the clinical efficacy and established roles of novel agents.
- To identify emerging clinical questions regarding treatment sequencing and novel agent development.
Main Methods:
- Review of recent clinical trial data and established treatment guidelines.
- Analysis of targeted therapies focusing on the VEGF pathway and related targets.
- Discussion of agents like sunitinib, bevacizumab, sorafenib, and temsirolimus.
Main Results:
- Targeted therapies, particularly anti-VEGF agents, demonstrate superior clinical effects compared to historical treatments.
- Sunitinib and bevacizumab plus interferon are established first-line options for metastatic RCC.
- Sorafenib is indicated for cytokine-refractory RCC, and temsirolimus has shown overall survival benefits in poor-risk populations.
Conclusions:
- Targeted therapies have revolutionized metastatic RCC treatment, offering improved outcomes.
- Optimal sequencing and timing of these therapies require further clinical investigation.
- Ongoing research into novel agents targeting VEGF and alternative pathways holds promise for future treatment advancements.
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