Related Experiment Video
Updated: May 30, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Toxicities of targeted agents in advanced renal cell carcinoma
1Stanford University, Stanford, CA 94305, USA.
Abstract:
The targeted therapies available to treat metastatic kidney cancer include vascular endothelial growth factor (VEGF) inhibitors, bevacizumab, sorafenib, sunitinib, pazopanib, and the mTor inhibitors temsirolimus and everolimus. These agents have significantly improved patient outcomes but are associated with toxicities. The most common toxicities seen with the VEGF inhibitors are hypertension, fatigue, and hand- foot syndrome. The mTor inhibitors exhibit a different toxicity profile which includes hyperglycemia and hypertriglyceridemia. Recognition and understanding the mechanism of the toxicities is crucial for optimal patient management.
Insights
Targeted therapies like VEGF inhibitors and mTOR inhibitors improve outcomes for metastatic kidney cancer patients but cause distinct side effects. Understanding these toxicities is key for effective patient management and treatment.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic kidney cancer treatment has advanced with targeted therapies.
- Vascular endothelial growth factor (VEGF) inhibitors and mTOR inhibitors are key treatment options.
Purpose of the Study:
- To review the toxicities associated with VEGF inhibitors and mTOR inhibitors in metastatic kidney cancer.
- To emphasize the importance of recognizing and managing these treatment-related adverse events.
Main Methods:
- Literature review of targeted therapies for metastatic kidney cancer.
- Summary of known toxicity profiles for VEGF and mTOR inhibitors.
Main Results:
- VEGF inhibitors commonly cause hypertension, fatigue, and hand-foot syndrome.
- mTOR inhibitors are associated with hyperglycemia and hypertriglyceridemia.
Conclusions:
- Effective management of metastatic kidney cancer requires understanding the specific toxicities of targeted therapies.
- Recognizing and addressing adverse events is crucial for optimizing patient care and outcomes.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Drug Toxicity: Dose-Dependent Reactions
Renal Failure: Dose Adjustments
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Chronic Kidney Disease II: Clinical Manifestations

