Related Experiment Video
Updated: Jul 4, 2026

The Use of Reverse Phase Protein Arrays (RPPA) to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
[Value of targeted therapies for renal cell cancer]
1Klinik für Urologie und Urologische Onkologie, Medizinische Hochschule, Carl-Neuberg-Strasse 1, 30625 Hannover, Deutschland.
Abstract:
Therapeutic approaches based solely on cytokine are meanwhile no longer recommended without restrictions as the primary therapy for metastatic renal cancer due to the reduced clinical response and the promising available data regarding molecular therapy. Several randomized controlled studies have been performed since the introduction of the so-called targeted therapies for metastatic renal cancer. Substantial data relevant for drug approval are available for the multikinase inhibitors sorafenib (Nexavar) and sunitinib (Sutent), the mTOR inhibitor temsirolimus (Torisel), and the monoclonal antibody bevacizumab (Avastin) in combination with interferon-alpha. Sunitinib, temsirolimus, and bevacizumab are approved for first-line treatment, whereas sorafenib was approved for second-line treatment in Germany.Clinical trials are currently investigating the questions of optimal timing, value of neoadjuvant or adjuvant treatment, form, and sequence of the molecular targeted therapy. Experimental investigations for a better understanding of signaling pathways will preferably allow preselecting patients for an individualized therapy in metastatic renal cell cancer (RCC). The aim of the present paper is to address and to critically discuss the clinical data that are currently available regarding"targeted" therapeutics during the treatment of metastatic RCC.
Insights
Cytokine therapy is no longer the primary choice for metastatic renal cancer. Targeted therapies, including multikinase inhibitors and monoclonal antibodies, show promising results and are increasingly used.
Area of Science:
- Oncology
- Pharmacology
- Clinical Medicine
Background:
- Cytokine therapy for metastatic renal cancer has limitations in clinical response.
- Emerging molecular targeted therapies offer promising alternatives.
Purpose of the Study:
- To critically review available clinical data on targeted therapeutics for metastatic renal cell cancer (RCC).
- To discuss the current landscape of targeted therapies in metastatic RCC treatment.
Main Methods:
- Review of randomized controlled studies on targeted therapies for metastatic renal cancer.
- Analysis of clinical data for approved drugs like sorafenib, sunitinib, temsirolimus, and bevacizumab.
Main Results:
- Sorafenib, sunitinib, temsirolimus, and bevacizumab (with interferon-alpha) have substantial approval data.
- Sunitinib, temsirolimus, and bevacizumab are approved for first-line treatment; sorafenib for second-line.
Conclusions:
- Targeted therapies are becoming the standard of care for metastatic renal cancer.
- Future research focuses on optimal timing, sequencing, and patient preselection for individualized therapy.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Treatment Resistent Cancers
Treatment Resistant Cancers
Tumor Immunotherapy
