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Updated: Jun 19, 2026

A Simple Bioassay for the Evaluation of Vascular Endothelial Growth Factors
Published on: March 15, 2016
Vascular endothelial growth factor pathway-targeted therapy as initial systemic treatment of patients with renal
Elizabeth K Chung1, Walter M Stadler
1Department of Medicine, Section of Hematology/Oncology, The University of Chicago Medical Center, IL 60637-1479, USA.
Abstract:
Advanced renal cancer is known to be largely refractory to traditional DNA- and DNA repair-targeted chemotherapy. Until recently, immunotherapy had been the mainstay for the treatment; however, it is effective in only a small proportion of patients. Advances in the understanding of the association between the von Hippel-Lindau pathway and angiogenesis and their role in the development of renal cancer has led to the development of highly effective vascular endothelial growth factor (VEGF) pathway-targeted inhibitors. Several such novel agents have demonstrated increased clinical benefit, progression-free survival, and superior quality of life in large, randomized phase III clinical trials, and additional VEGF pathway inhibitors are currently being studied. This review will summarize the major clinical trials and practical recommendations for the most studied VEGF inhibitors, including sunitinib, sorafenib, and bevacizumab; introduce novel VEGF inhibitor agents; outline side effects and toxicities; and discuss sequential and combination therapy with these agents.
Insights
Advanced renal cancer, often resistant to chemotherapy, now benefits from novel vascular endothelial growth factor (VEGF) inhibitors. These targeted therapies improve survival and quality of life for many patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Advanced renal cancer (kidney cancer) is typically resistant to conventional chemotherapy.
- Immunotherapy offers limited efficacy in a small patient subset.
- Understanding the von Hippel-Lindau pathway and angiogenesis is crucial for renal cancer development.
Purpose of the Study:
- To review clinical trials of vascular endothelial growth factor (VEGF) pathway inhibitors for advanced renal cancer.
- To provide practical recommendations for established VEGF inhibitors like sunitinib, sorafenib, and bevacizumab.
- To introduce emerging VEGF inhibitors and discuss treatment strategies.
Main Methods:
- Review of major clinical trials (Phase III) for VEGF inhibitors.
- Analysis of efficacy, progression-free survival, and quality of life data.
- Summary of side effects, toxicities, and therapeutic combinations.
Main Results:
- Novel VEGF pathway inhibitors show significant clinical benefit in advanced renal cancer.
- Established agents like sunitinib, sorafenib, and bevacizumab have demonstrated efficacy.
- Ongoing research explores new VEGF inhibitors and combination therapies.
Conclusions:
- VEGF pathway inhibitors represent a major advancement in treating advanced renal cancer.
- These targeted therapies offer improved outcomes compared to traditional treatments.
- Further research is essential for optimizing sequential and combination therapeutic approaches.
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