[Renal cell carcinoma management and therapies in 2010]

B Albouy1, M Gross Goupil, B Escudier

  • 1Institut Gustave-Roussy, Département de médecine, 39, rue Camille-Desmoulins, 94805 Villejuif, France.

Bulletin Du Cancer
|April 27, 2010
PubMed

Insights

Targeted therapies have revolutionized advanced renal cell carcinoma (RCC) treatment, improving survival. Current options include cytokines, antiangiogenic drugs, and mTOR inhibitors, with ongoing trials for adjuvant settings.

Area of Science:

  • Oncology
  • Molecular Biology
  • Translational Medicine

Background:

  • Advanced renal cell carcinoma (RCC) presents a poor prognosis and resistance to traditional chemotherapy.
  • Recent advancements in understanding RCC molecular biology and pathogenesis have spurred novel therapeutic developments.

Purpose of the Study:

  • To review the impact of targeted molecular therapies on the management of metastatic RCC.
  • To summarize approved therapies and ongoing research in advanced RCC treatment.

Main Methods:

  • Review of randomized phase III clinical trials.
  • Analysis of approved targeted therapies including cytokines, antiangiogenic agents, and mTOR inhibitors.
  • Discussion of the role of nephrectomy in multimodality treatment.

Main Results:

  • Targeted therapies against VEGF-VEGFR and mTOR have significantly improved overall survival and progression-free survival in advanced RCC.
  • Six molecules are currently approved for advanced RCC: cytokines (IL-2, IFN), antiangiogenic therapies (sunitinib, sorafenib, bevacizumab), and mTOR inhibitors (Temsirolimus, everolimus).
  • Nephrectomy remains a key component of treatment, with ongoing trials evaluating its role alongside antiangiogenic therapies.

Conclusions:

  • The management of metastatic RCC has been transformed by targeted molecular therapies.
  • Further research is evaluating these novel therapies in the adjuvant setting and the role of nephrectomy.

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