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

Urologic Oncology
|May 12, 2010
PubMed

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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