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Updated: Jul 2, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[Antiangiogenics: new therapeutic standards in metastatic kidney cancer]
J-N Cornu1, M Rouprêt, K Bensalah
1Service d'Urologie, Hôpital Pitié-Salpétrière, Assistance Publique-Hôpitaux de Paris, Groupe Hospitalo-Universitaire Est, Faculté de médecine Pierre et Marie Curie, Université Paris VI, Paris, France.
Abstract:
Since 2004, the treatment of metastatic renal cell carcinoma is in deep mutation. Before, the Management was mostly relying on the use of cytokines in association with radical nephrectomy. From 2004, studies of new antiangiogenic molecules, acting on the pVHL-HIF way, VEGF, PDGF or tyrosine-kinase receptors have modified the management of metastatic patients. Antiangiogenic agents improve progression-free survival as shown with sunitinib, in first line treatment, or sorafenib, as second line treatment. The m-TOR inhibitors (Temsirolimus), can be used with a benefit on overall survival in case of poor prognosis renal cell carcinoma or non clear cell carcinoma. Lastly, bevacizumab, an antibody re-combining humanized monoclonal, is able to target VEGF. Side effects are different for each molecule and are not negligible. Nevertheless, the place of these molecules have to be defined in the sequence of the treatment.
Insights
Metastatic renal cell carcinoma treatment has evolved significantly since 2004 with targeted therapies. Antiangiogenic agents and mTOR inhibitors now offer improved survival outcomes for patients with advanced kidney cancer.
Area of Science:
- Oncology
- Medical treatment of cancer
Background:
- Historically, metastatic renal cell carcinoma (mRCC) treatment relied on cytokines and nephrectomy.
- Recent advancements have introduced targeted therapies, significantly altering mRCC management.
Purpose of the Study:
- To review the evolution of mRCC treatment since 2004.
- To highlight the role of novel antiangiogenic agents and mTOR inhibitors.
Main Methods:
- Review of clinical studies and therapeutic strategies for mRCC.
- Analysis of targeted therapies including antiangiogenic agents (VEGF, PDGF inhibitors) and mTOR inhibitors.
Main Results:
- Antiangiogenic agents like sunitinib and sorafenib improve progression-free survival in mRCC.
- mTOR inhibitors (Temsirolimus) offer benefits in overall survival for specific mRCC subtypes.
- Bevacizumab targets VEGF, representing another therapeutic option.
Conclusions:
- New targeted therapies have revolutionized mRCC treatment, improving patient outcomes.
- The optimal sequencing of these novel agents requires further definition.
- Managing side effects associated with these potent therapies is crucial.
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