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Updated: Jun 16, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[Treatment of metastatic kidney cancer in elderly subjects]
B Escudier1, P Paparel, Y Neuzillet
1Unité d'Immunothérapie, Institut Gustave Roussy, Rue Camille Desmoulins, 94805 Villejuif, France. escudier@igr.fr
Abstract:
Treatment of metastatic kidney cancer in elderly subjects is identical to treatment of younger subjects. Whereas cytokines were classically contraindicated in patients over 70 or 75 years (notably IL2), new targeted therapies have been evaluated and found to be usable with no age limit, and all of the phase III studies have included patients 80 years old and older. Overall, there seems to be no difference in efficacy based on age (except perhaps for temsirolimus). As for tolerance, it is satisfactory for all therapies. Dose reduction is slightly more frequent, which calls for caution, notably with sunitinib, for which a direct correlation between the dose administered and efficacy has been reported. Given the data available today, no dose adaptation in relation to age is recommended in metastatic renal cancer.
Insights
Elderly patients with metastatic kidney cancer can receive the same treatments as younger patients. Current therapies show similar efficacy and satisfactory tolerance across all age groups, with no age-based dose adjustments needed.
Area of Science:
- Oncology
- Geriatric Medicine
- Pharmacology
Context:
- Metastatic kidney cancer treatment historically had age-related contraindications for certain therapies like interleukin-2 (IL2).
- Advancements in targeted therapies have broadened treatment options for elderly cancer patients.
- Phase III studies now routinely include patients aged 80 and older.
Purpose:
- To evaluate the efficacy and safety of current metastatic kidney cancer treatments in elderly subjects.
- To determine if age influences treatment outcomes or tolerance in renal cancer patients.
- To provide evidence-based recommendations for age-specific dosing or treatment modifications.
Summary:
- Treatment for elderly patients with metastatic kidney cancer is comparable to that for younger individuals.
- New targeted therapies are effective and well-tolerated in patients of all ages, including those over 80.
- While dose reductions may be slightly more frequent for certain drugs like sunitinib, no age-based dose adaptation is generally recommended.
Impact:
- Supports the use of modern cancer therapies in elderly populations without age restrictions.
- Suggests that age is not a limiting factor for efficacy or tolerance in most metastatic renal cancer treatments.
- Informs clinical practice regarding the management of metastatic kidney cancer in older adults, emphasizing consistent treatment approaches.
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