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Updated: Jun 3, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Advanced treatments in non-clear renal cell carcinoma
El Mehdi Tazi1, Ismail Essadi, Mohamed Fadl Tazi
1Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco. moulay.elmehdi@yahoo.fr
Purpose:
To focus on the use of targeted therapies against the non-clear histologic subtypes of renal cell carcinoma (RCC); papillary I and II, chromophobe, and collecting duct. The unique genetic and molecular profiles of each distinct non-clear kidney cancer subtype will be described, as these differences are integral to the development and effectiveness of the novel agents used to treat them.
Materials And Methods:
On the basis of MEDLINE database searches, we assessed all aspects of targeted therapy in non-clear cell RCC between 2000 and 2010. Trials focusing on non-clear RCC or those that treated clear cell tumors along with significant numbers of non-clear subtypes will be discussed. The role of cytoreductive nephrectomy and the use of neoadjuvant and adjuvant targeted therapy will be reviewed. Lastly, areas of future research will be highlighted.
Results:
The majority of clinical trials testing novel targeted therapies have excluded non-clear subtypes, providing limited therapeutic options for patients with these diagnoses and their oncologists.
Conclusion:
Patients presenting with advanced non-clear pathology should undergo a thorough metastatic evaluation and, if appropriate, surgical evaluation to determine if nephrectomy, lymphadenectomy, and/or metastectomy are warranted. Aggressive surgical extirpation is often recommended. Sunitinib also is adequately tolerated and oncologically active in subjects with non-clear histology.
Insights
Targeted therapies show limited options for non-clear cell renal cell carcinoma (RCC) subtypes. Sunitinib is a well-tolerated, effective option for these rare kidney cancers.
Area of Science:
- Oncology
- Nephrology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) comprises various histologic subtypes beyond clear cell.
- Non-clear cell RCC subtypes, including papillary I and II, chromophobe, and collecting duct, have distinct molecular profiles.
- Understanding these unique profiles is crucial for developing effective targeted therapies.
Purpose of the Study:
- To review targeted therapies for non-clear cell RCC subtypes.
- To describe the genetic and molecular characteristics of these distinct kidney cancer subtypes.
- To highlight the integral role of these differences in novel agent development and efficacy.
Main Methods:
- Literature review of MEDLINE database searches (2000-2010).
- Assessment of targeted therapy trials in non-clear cell RCC.
- Discussion of cytoreductive nephrectomy, neoadjuvant, and adjuvant targeted therapy roles.
- Identification of future research areas.
Main Results:
- Most clinical trials for targeted therapies have excluded non-clear cell RCC subtypes.
- This exclusion results in limited therapeutic options for patients and oncologists.
- Limited data exists on the efficacy of novel agents in these specific RCC subtypes.
Conclusions:
- Advanced non-clear cell RCC requires thorough metastatic and surgical evaluation, including potential nephrectomy, lymphadenectomy, and metastectomy.
- Aggressive surgical extirpation is frequently recommended.
- Sunitinib demonstrates adequate tolerability and oncologic activity in non-clear cell histology.
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