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Updated: Jul 3, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
An update on the medical therapy of advanced metastatic renal cell carcinoma
Stephan Kruck1, Axel S Merseburger, Georgios Gakis
1Department of Urology, Eberhard-Karls-University, Tuebingen, Germany.
Abstract:
The effectiveness of multikinase inhibitors in first- and second-line therapy of metastatic renal cell carcinoma (RCC) has been evaluated in various clinical studies. Initial results indicate an increased response rate and a prolonged progression-free survival compared with cytokine-containing therapeutic approaches. The new multitargeted kinase inhibitors sorafenib (Nexavar/BAY 43-9006) and sunitinib (Sutent/SUO 11248) interfere mainly with vascular endothelial growth factor and platelet-derived growth factor pathways. Recently, temsirolimus, a specific inhibitor of mammalian target of rapamycin, demonstrated activity in RCC patients with poor prognosis. This review discusses the effectiveness of the most frequently used substances for systemically progressive RCC in consideration of the currently available clinical data.
Insights
Multikinase inhibitors like sorafenib and sunitinib show promise in treating metastatic renal cell carcinoma (RCC), improving response rates and progression-free survival compared to older therapies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic renal cell carcinoma (RCC) presents a significant clinical challenge.
- Cytokine-based therapies have historically been used but with limited efficacy.
- Novel targeted therapies are needed for improved patient outcomes.
Purpose of the Study:
- To review the effectiveness of multikinase inhibitors in first- and second-line therapy for metastatic renal cell carcinoma (RCC).
- To compare the efficacy of these novel agents against traditional cytokine-based treatments.
Main Methods:
- Review of clinical studies evaluating multikinase inhibitors in metastatic RCC.
- Analysis of data on response rate and progression-free survival.
- Focus on agents targeting vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF) pathways, as well as mTOR inhibitors.
Main Results:
- Multikinase inhibitors demonstrated increased response rates in metastatic RCC patients.
- Prolonged progression-free survival was observed with these agents compared to cytokine therapies.
- Specific inhibitors like sorafenib, sunitinib, and temsirolimus show significant activity.
Conclusions:
- Multikinase inhibitors represent a more effective treatment strategy for metastatic renal cell carcinoma.
- Targeted therapies offer improved outcomes, particularly for patients with poor prognosis.
- Further clinical data supports the use of these agents in systemic RCC treatment.
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