[Antiangiogenic treatment and kidney cancer: ongoing trials and future perspectives]

S Oudard1, J-N Cornu, M Rouprêt

  • 1HEGP, Oncologie médicale, AP-HP, 20, rue Leblanc, GHU Ouest, 75908 PARIS cedex 15, Faculté René Descartes, Paris 5, France. stephane.oudard@egp.aphp.fr

Insights

Anti-angiogenic agents are revolutionizing metastatic renal cell carcinoma treatment. Ongoing trials explore their use alongside or instead of surgery, improving patient outcomes.

Area of Science:

  • Oncology
  • Pharmacology

Context:

  • Metastatic renal cell carcinoma (mRCC) treatment has been significantly altered by anti-angiogenic agents.
  • Established drugs include sunitinib, sorafenib, temsirolimus, and bevacizumab.
  • Current research focuses on optimizing these therapies.

Purpose:

  • To review the evolving role of anti-angiogenic agents in mRCC management.
  • To discuss the potential integration of these agents into adjuvant settings and as alternatives to radical nephrectomy.

Summary:

  • Clinical trials are investigating ways to enhance the effectiveness, survival rates, response criteria, and toxicity profiles of existing anti-angiogenic drugs.
  • Emerging data suggest these therapies may be used adjuvantly after nephrectomy or as a primary treatment, challenging the traditional role of surgery.
  • Future mRCC management will likely involve increased patient participation in clinical trials for personalized anti-angiogenic therapy.

Impact:

  • The findings suggest a paradigm shift in mRCC treatment, moving away from routine radical surgery towards more targeted anti-angiogenic therapies.
  • This approach aims to improve patient survival and quality of life through optimized therapeutic strategies.
  • Encouraging patient enrollment in clinical trials is crucial for advancing the effective management of mRCC.

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