Related Experiment Video
Updated: Jun 3, 2026

Establishment of Zebrafish Patient-Derived Xenografts from Pancreatic Cancer for Chemosensitivity Testing
Published on: May 12, 2023
Pazopanib for the treatment of renal cancer
Mhd Yaser Al-Marrawi1, Brian Rini
1Cleveland Clinic Taussig Cancer Institute, R35, 9500 Euclid Avenue, Cleveland, OH 44195, USA. almarrm@ccf.org [corrected]
Introduction:
Dramatic advances in the care of patients with advanced renal cell carcinoma (RCC) have occurred over the last 10 years. Insights into the molecular pathogenesis of this disease have elucidated the importance of signaling cascades related to angiogenesis in the management of RCC. Pazopanib is a novel, small-molecule tyrosine kinase inhibitor that targets vascular endothelial growth factor receptors (VEGFR)-1, -2, and -3; platelet-derived growth factor receptors (PDGFR)-α and -β; and c-kit tyrosine kinases. Pazopanib exhibits distinct pharmacokinetic and toxicity profiles compared with other agents in the class of VEGF signaling pathway inhibitors.
Areas Covered:
This review discusses the scientific rationale for the development of pazopanib, as well as the preclinical and clinical trials that led to the approval of pazopanib for patients with advanced RCC. The most recent information, including data from the 2010 meeting of the American Society of Clinical Oncology and the design of ongoing Phase III trials, is discussed. Finally, an algorithm utilizing level I evidence for the treatment of patients with this disease is proposed.
Expert Opinion:
The treatment of metastatic RCC has changed dramatically over the last 5 years. Six novel agents - sunitinib, sorafenib, temsirolimus, everolimus, bevacizumab (used in combination with interferon), and pazopanib (Votrient) - have been approved for the treatment of metastatic RCC. The clinical data to date clearly place pazopanib among the most active of the targeted therapies.
Insights
Pazopanib is a targeted therapy for advanced renal cell carcinoma (RCC) that inhibits key growth factor receptors involved in cancer progression. Clinical data confirm pazopanib as a highly effective treatment option for metastatic RCC.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Recent advances in advanced renal cell carcinoma (RCC) care highlight the role of angiogenesis signaling pathways.
- Pazopanib, a novel tyrosine kinase inhibitor, targets VEGFRs, PDGFRs, and c-kit, offering a distinct profile among VEGF pathway inhibitors.
Purpose of the Study:
- To review the scientific rationale behind pazopanib's development for advanced RCC.
- To discuss preclinical and clinical trials supporting pazopanib's approval.
- To propose a treatment algorithm for advanced RCC based on current evidence.
Main Methods:
- Review of scientific literature and clinical trial data.
- Analysis of pazopanib's preclinical and clinical efficacy and safety.
- Inclusion of recent data from major oncology conferences.
Main Results:
- Pazopanib targets multiple receptor tyrosine kinases crucial for tumor growth and angiogenesis.
- Clinical trials demonstrate pazopanib's efficacy in patients with advanced RCC.
- Pazopanib has a unique pharmacokinetic and toxicity profile compared to other VEGF inhibitors.
Conclusions:
- The treatment landscape for metastatic RCC has significantly evolved with the introduction of novel targeted agents.
- Pazopanib is one of six recently approved agents for metastatic RCC.
- Clinical evidence positions pazopanib as a leading targeted therapy for advanced RCC.
Related Concept Videos
Treatment Resistent Cancers
Treatment Resistant Cancers
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
