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Updated: Jun 13, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
An update on targeted therapy in metastatic renal cell carcinoma
Giuseppe Lombardi1, Fable Zustovich, Martin Donach
1Oncologia Medica 1, Istituto Oncologico Veneto-IRCCS, Padova, Italy. lombardi.giuseppe.lg@gmail.com
Abstract:
An improved understanding of the biological pathways deregulated in renal cell carcinoma has led to the development of various targeted agents, changing dramatically the therapeutic options for this disease. However, despite numerous opinions and guidelines, the optimal treatment still remains uncertain. In this review, we analyze the most recent published reports regarding the agents sunitinib, bevacizumab, sorafenib, temsirolimus, and everolimus. Moreover, we assess the novel targeted drugs pazopanib and axitinib. In addition, given the likely lack of cross-resistance between these targeting agents, we discuss sequential and combination targeted therapy in metastatic renal cell carcinoma, analyzing the most recent data.
Insights
Targeted therapies have transformed renal cell carcinoma treatment, but optimal strategies remain unclear. This review analyzes current targeted agents and discusses sequential and combination approaches for metastatic disease.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Renal cell carcinoma (RCC) pathogenesis involves deregulated biological pathways.
- Targeted therapies have significantly altered RCC treatment paradigms.
- Optimal therapeutic strategies for RCC remain under investigation.
Purpose of the Study:
- To review recent data on established targeted agents for RCC.
- To assess novel targeted drugs in RCC treatment.
- To discuss sequential and combination targeted therapy for metastatic RCC.
Main Methods:
- Literature review of published reports on targeted agents.
- Analysis of clinical data for sunitinib, bevacizumab, sorafenib, temsirolimus, everolimus, pazopanib, and axitinib.
- Evaluation of sequential and combination therapy strategies.
Main Results:
- Established targeted agents (sunitinib, bevacizumab, sorafenib, temsirolimus, everolimus) have demonstrated efficacy.
- Novel agents (pazopanib, axitinib) show promise in RCC treatment.
- Lack of cross-resistance suggests potential for sequential and combination therapies.
Conclusions:
- Targeted therapies offer improved options for renal cell carcinoma.
- Further research is needed to define optimal sequencing and combinations.
- Personalized treatment approaches may enhance outcomes in metastatic RCC.
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