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

Abstract

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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