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Updated: Jun 5, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[Recent advancements in the treatment of renal cell carcinoma--focus on international guidelines]
Krisztina Biró1, Zsófia Küronya
1Országos Onkológiai Intézet 1122 Budapest Ráth György u. 7-9. birok@oncol.hu
Abstract:
Recent advances in understanding the fundamental biology underlying clear-cell RCC have opened the door to a series of targeted agents, such as tyrosine kinase inhibitors (TKIs) or mTOR inhibitors. These new agents have become the standard of care in managing advanced clear-cell RCC. Choice of initial medical management in patients with metastatic clear-cell RCC should be guided by randomised studies. On the evidence available, the first-line therapy in patients with good- or intermediate-risk mRCC should be either sunitinib or pazopanib, or bevacizumab plus interferon. In selected patients sorafenib is an option, as is high-dose interleukin-2 if performance status is good. In patients with poor prognosis, temsirolimus is recommended. In cytokine refractory patients, sorafenib, when patients have progressed on a tyrosine kinase inhibitor everolimus is the agent of choice. Biró K, Küronya Z. Recent advancements in the treatment of renal cell carcinoma - focus on international guidelines.
Insights
New targeted therapies, including tyrosine kinase inhibitors (TKIs) and mTOR inhibitors, are now standard for advanced clear-cell renal cell carcinoma (RCC). Treatment choice depends on patient risk and prior therapies, guided by international guidelines.
Area of Science:
- Oncology
- Pharmacology
Background:
- Clear-cell renal cell carcinoma (ccRCC) biology has advanced, leading to targeted therapies.
- Tyrosine kinase inhibitors (TKIs) and mTOR inhibitors are now standard for advanced ccRCC.
Purpose of the Study:
- To review recent advancements in clear-cell RCC treatment.
- To focus on international guidelines for managing metastatic ccRCC.
Main Methods:
- Review of randomized studies and international guidelines.
- Analysis of evidence for first-line and subsequent therapies.
Main Results:
- First-line therapy for good/intermediate-risk mRCC: sunitinib, pazopanib, or bevacizumab plus interferon.
- Other options include sorafenib, high-dose interleukin-2, and temsirolimus for poor prognosis.
- For cytokine-refractory or TKI-progressed patients, sorafenib or everolimus are recommended.
Conclusions:
- Treatment selection for metastatic ccRCC should be evidence-based, guided by risk stratification and prior treatment response.
- Targeted agents represent a significant advancement in ccRCC management.
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