Novel targeted therapy for advanced renal carcinoma: trials in progress
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Updated: Jun 11, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Fabio Calabrò1, Cora N Sternberg
1San Camillo Forlanini Hospital, Padiglione Flajani, Rome, Italy. cstern@mclink.it
Purpose Of Review:
Better understanding of renal cell carcinoma biology has led to a new era of targeted therapy in the management of metastatic renal cell carcinoma. This review provides an updated survey of the recently reported and ongoing clinical trials that will help to further define the role of these novel drugs in the treatment of renal cell carcinoma.
Recent Findings:
Treatment of metastatic renal cell carcinoma has dramatically changed in the past few years. Sunitinib, sorafenib, bevacizumab with interferon-alpha, pazopanib, temsirolimus, and everolimus have improved clinical outcomes in randomized phase III clinical trials by inhibiting vascular endothelial growth factors, other tyrosine kinases, the mammalian target of rapamycin pathway, and other related pathways.
Summary:
Combinations and sequences of these agents are being evaluated. Other novel agents are in clinical development, some of which target novel pathways. Ongoing trials should help to define the exact role and timing of cytoreductive nephrectomy in metastatic or locally advanced renal cell carcinoma as well as the option for adjuvant treatments after surgery.
Insights
Targeted therapies have transformed metastatic renal cell carcinoma treatment. Recent clinical trials show improved outcomes with drugs inhibiting key cancer pathways, with ongoing research exploring combinations and new agents.
Area of Science:
- Oncology
- Translational Medicine
- Pharmacology
Background:
- Advances in understanding renal cell carcinoma (RCC) biology.
- Emergence of targeted therapies for metastatic RCC.
- Shift towards personalized treatment strategies.
Purpose of the Study:
- To review recently reported and ongoing clinical trials in metastatic RCC.
- To define the role of novel targeted drugs in RCC management.
- To provide an updated survey of therapeutic advancements.
Main Methods:
- Systematic review of clinical trial data.
- Analysis of randomized phase III clinical trials.
- Evaluation of targeted agents and their mechanisms of action.
Main Results:
- Several targeted therapies (sunitinib, sorafenib, bevacizumab, pazopanib, temsirolimus, everolimus) have improved outcomes.
- These agents target critical pathways including VEGF, tyrosine kinases, and mTOR.
- Significant progress in managing metastatic renal cell carcinoma.
Conclusions:
- Combinations and sequences of targeted agents are under investigation.
- Novel agents targeting new pathways are in clinical development.
- Ongoing trials will clarify the role of cytoreductive nephrectomy and adjuvant treatments.
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