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Updated: May 31, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Current systemic management of metastatic renal cell carcinoma - first line and second line therapy
1Genito Urinary Oncology Program, Juravinski Cancer Centre, G344-St. Joseph's Hospital, Hamilton, Ontario, Canada.
Purpose Of Review:
The improved understanding of the complex biochemical and genetic pathways associated with renal-cell carcinoma (RCC) has led to rapid development of novel targeted therapies over the last decade. The aim of this review is to present and discuss the most recent clinical trial data that support the currently approved first and second line agents in the treatment of metastatic renal cell carcinoma (mRCC). New directions in treatment will also be explored.
Recent Findings:
The currently approved first and second line agents for the treatment of mRCC include sunitinib, pazopanib, sorafenib, bevacizumab, temsirolimus, and everolimus. Each of these new agents has shown meaningful clinical benefit in phase III trials and as a group they have replaced cytokines as the frontline therapy for advanced and mRCC. Several new agents are currently being evaluated in phase II and III studies that may provide further benefit in the future.
Summary:
The treatment paradigm for mRCC had drastically changed over the last decade bringing new hope for improved outcomes and ongoing advances. In spite of recent headway, mRCC remains a disease with no curative therapy and more effective treatment options are needed.
Insights
Targeted therapies have transformed metastatic renal cell carcinoma (mRCC) treatment, replacing older methods. While offering new hope, advanced renal cell carcinoma (RCC) still requires more effective, curative options.
Area of Science:
- Oncology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) understanding has advanced, driving targeted therapy development.
- Metastatic RCC (mRCC) treatment has evolved significantly in the past decade.
Purpose of the Study:
- Review recent clinical trial data for approved first and second-line mRCC agents.
- Discuss current therapeutic strategies and explore future treatment directions for mRCC.
Main Methods:
- Analysis of clinical trial data for approved mRCC therapies.
- Review of phase II and III studies for emerging treatments.
Main Results:
- Approved agents include sunitinib, pazopanib, sorafenib, bevacizumab, temsirolimus, and everolimus.
- These targeted therapies have demonstrated significant clinical benefits in phase III trials.
- Targeted agents have largely replaced cytokines as first-line therapy for advanced and mRCC.
Conclusions:
- The treatment landscape for mRCC has dramatically shifted, improving patient outlook.
- Despite progress, mRCC remains incurable, necessitating further research for more effective treatments.
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