[Systemic therapy of metastasizing renal cell carcinoma]

M Staehler1, N Haseke, K Zilinberg

  • 1Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Deutschland. michael.staehler@med.uni-muenchen.de

Der Urologe. Ausg. A
|October 1, 2008
PubMed

Insights

For metastasizing renal cell carcinoma, anti-angiogenesis drugs like sunitinib and sorafenib offer new systemic therapy options. Recent American Society of Clinical Oncology data shows promising efficacy and tolerance for these targeted treatments.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Metastatic renal cell carcinoma (RCC) treatment has historically yielded unsatisfactory results with immunotherapy.
  • Clear cell RCC's high vascularity suggests angiogenesis inhibition as a viable therapeutic target.

Purpose of the Study:

  • To review current systemic therapy options for metastatic renal cell carcinoma.
  • To examine recent data on angiogenesis inhibitors presented at the American Society of Clinical Oncology (ASCO) annual conference.
  • To discuss future trends in renal cell carcinoma treatment.

Main Methods:

  • Review of approved angiogenesis inhibitors for renal cell carcinoma.
  • Analysis of initial tolerance and efficacy data from the ASCO annual conference.
  • Discussion of ongoing clinical trials for novel agents.

Main Results:

  • Four angiogenesis inhibitors are currently approved: sunitinib, sorafenib, temsirolimus, and bevacizumab with interferon alpha.
  • Everolimus, pazopanib, and axitinib are under clinical investigation.
  • Initial ASCO data provides insights into the tolerance and efficacy of these agents.

Conclusions:

  • Angiogenesis inhibition represents a significant advancement in the systemic therapy of metastatic renal cell carcinoma.
  • Emerging data from ASCO and ongoing trials will further shape treatment strategies.
  • Targeted therapies offer improved outcomes compared to historical immunotherapeutic approaches.

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