Targeted therapy of renal cell cancer

Piotr J Wysocki1, Jakob Zolnierek, Cezary Szczylik

  • 1University of Medical Sciences, GreatPoland Cancer Center, Department of Cancer Immunology, ul Garbary 15, 61-866 Poznan, Poland.pwysocki@plusnet.pl

Current Opinion in Investigational Drugs (London, England : 2000)
|June 3, 2008
PubMed

Insights

Novel targeted therapies have significantly improved outcomes for advanced renal cell cancer (RCC) patients, offering new hope beyond traditional immunotherapy. Further research is needed to optimize these treatments for all RCC risk groups and settings.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Renal cell cancer (RCC) treatment has seen rapid advancements.
  • The Von Hippel-Lindau (VHL) gene's role in angiogenesis is key to understanding RCC.
  • Cytokine immunotherapy, while established, offers limited benefits and significant toxicity.

Purpose of the Study:

  • To review recent advances in RCC treatment strategies.
  • To highlight the impact of novel targeted therapies.
  • To identify remaining challenges and future research directions in RCC therapy.

Main Methods:

  • Review of phase III clinical trials for novel targeted agents.
  • Analysis of data on progression-free survival and overall survival.
  • Discussion of emerging therapeutic targets and strategies.

Main Results:

  • Targeted agents like temsirolimus, sorafenib, sunitinib, and bevacizumab show significant efficacy in advanced RCC.
  • Temsirolimus demonstrated improved overall survival in high-risk patients.
  • Novel therapies targeting VEGF pathways have improved clinical outcomes.

Conclusions:

  • Targeted therapies represent a significant improvement over traditional immunotherapy for advanced RCC.
  • Further investigation is required for low-risk RCC, optimal sequencing, and adjuvant therapy efficacy.
  • Understanding VHL gene function has opened new avenues for targeted RCC treatment.

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