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Updated: Jul 5, 2026

Modeling Spontaneous Metastatic Renal Cell Carcinoma (mRCC) in Mice Following Nephrectomy
Published on: April 29, 2014
New anti-angiogenic targeted therapy in advanced renal cell carcinoma (RCC): current status and future prospects
Alessandro Sciarra1, Vincenzo Gentile, Stefano Salciccia
1Department U Bracci, University Sapienza, Rome, Italy. sciarrajr@hotmail.com
Objectives:
To address the rationale for anti-angiogenic targeted therapies in advanced RCC.
Methods:
We reviewed the international recent literature, using Pubmed search.
Results:
RCC is genetically linked to factors regulating angiogenesis, in particular vascular endothelial growth factor (VEGF). Sunitinib is a multitarget receptor tyrosine-kinase (TK) inhibitor, acting on VEGF receptor (VEGFR) and platelet-derived growth factor receptors (PDGFR). Sorafenib is an oral multikinase inhibitor (VEGFR and PDGFR) showing also inhibitors effect on the Raf system. Phase I trials showed no life threatening toxicities relates to these agents. Phase II and phase III trials showed that these antiangiogenic agents are effective in the treatment of advanced RCC, mainly in cytokine refractory metastatic RCC. Survival benefits exist in particular when advanced RCC patients undergo cytoreductive nephrectomies before the initiation of the systemic therapy. To better use this kind of targeted therapy in advanced RCC, different points must be developed: the identification of clinical characteristic of RCC able to predict outcomes and responses to therapy; differences among different compounds; advantages of combination or sequential therapies.
Conclusions:
Targeted therapy with Sunitinib and Sorafenib has been approved to FDA and is revolutioning how we clinically approach advanced RCC.
Insights
Anti-angiogenic targeted therapies, including Sunitinib and Sorafenib, show effectiveness in treating advanced renal cell carcinoma (RCC), particularly in metastatic cases. These treatments are revolutionizing clinical approaches for advanced RCC.
Area of Science:
- Oncology
- Pharmacology
- Genetics
Background:
- Renal cell carcinoma (RCC) is genetically linked to angiogenesis factors, notably vascular endothelial growth factor (VEGF).
- Targeted therapies aim to inhibit key signaling pathways involved in tumor growth and vascularization.
Purpose of the Study:
- To review the rationale and efficacy of anti-angiogenic targeted therapies in advanced renal cell carcinoma (RCC).
- To summarize the current landscape of targeted agents like Sunitinib and Sorafenib for advanced RCC treatment.
Main Methods:
- A comprehensive review of international literature was conducted using PubMed.
- Analysis focused on clinical trials and genetic links related to angiogenesis in RCC.
Main Results:
- Sunitinib and Sorafenib are multi-target tyrosine kinase inhibitors effective against advanced RCC, especially in cytokine-refractory metastatic disease.
- These agents demonstrated acceptable toxicity profiles in Phase I trials and survival benefits in Phase II/III trials.
- Optimal use may involve cytoreductive nephrectomy prior to systemic therapy and further research into predictive biomarkers and combination strategies.
Conclusions:
- FDA-approved targeted therapies, Sunitinib and Sorafenib, represent a significant advancement in managing advanced renal cell carcinoma.
- These agents are transforming the clinical approach to advanced RCC, offering new hope for patients.
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