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Pazopanib for the treatment of patients with advanced renal cell carcinoma
Joshua M Lang1, Michael R Harrison
1Carbone Cancer Center, University of Wisconsin, 7020 Wisconsin Institutes for Medical Research, Madison, WI 53705-2225, USA.
Abstract:
Dramatic advances in the care of patients with advanced renal cell carcinoma have occurred over the last ten years, including insights into the molecular pathogenesis of this disease, that have now been translated into paradigm-changing therapeutic strategies. Elucidating the importance of signaling cascades related to angiogenesis is notable among these achievements. Pazopanib is a novel small molecule tyrosine kinase inhibitor that targets VEGFR-1, -2, and -3; PDGFR-α, PDGFR-β; and c-kit tyrosine kinases. This agent exhibits a distinct pharmacokinetic profile as well as toxicity profile compared to other agents in the class of VEGF signaling pathway inhibitors. This review will discuss the scientific rationale for the development of pazopanib, as well as preclinical and clinical trials that led to approval of pazopanib for patients with advanced renal cell carcinoma. The most recent information, including data from 2010 national meeting of the American Society of Clinical Oncology, and the design of ongoing Phase III trials, will be discussed. Finally, an algorithm utilizing Level I evidence for the treatment of patients with this disease will be proposed.
Insights
Pazopanib, a tyrosine kinase inhibitor targeting angiogenesis, offers a new therapeutic strategy for advanced renal cell carcinoma. This review covers its development, clinical trials, and treatment algorithms.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Advanced renal cell carcinoma (RCC) care has seen significant progress.
- Understanding the molecular pathogenesis of RCC, particularly angiogenesis, is key.
- Novel therapeutic strategies have emerged based on these insights.
Purpose of the Study:
- To review the scientific rationale for pazopanib development.
- To discuss preclinical and clinical trials leading to pazopanib approval for advanced RCC.
- To present recent data and ongoing trials, proposing a treatment algorithm.
Main Methods:
- Review of scientific literature and clinical trial data.
- Analysis of pazopanib's mechanism of action as a tyrosine kinase inhibitor.
- Evaluation of pharmacokinetic and toxicity profiles compared to other VEGF inhibitors.
Main Results:
- Pazopanib targets key kinases involved in angiogenesis (VEGFR, PDGFR, c-kit).
- It demonstrates a distinct pharmacokinetic and toxicity profile.
- Clinical trials support its efficacy in advanced renal cell carcinoma.
Conclusions:
- Pazopanib represents a significant advancement in advanced RCC treatment.
- Its targeted inhibition of angiogenesis offers a new therapeutic paradigm.
- Evidence-based treatment algorithms are crucial for optimal patient management.
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