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Updated: May 29, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Selecting targeted therapies for patients with renal cell carcinoma
Elizabeth R Plimack1, Gary R Hudes
1Department of Medical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111-2497, USA. elizabeth.plimack@fccc.edu
Abstract:
Advanced renal cell carcinoma (RCC) is a heterogeneous disease with variable histology, biology, and response to treatment. In the past 5 years, 6 new agents have been approved for the treatment of RCC, and many more are in clinical development. With an ever-increasing number of treatment options, selecting among them for a particular patient can be a daunting task for clinicians. This article describes how treatment choice can be guided by the disease setting and histology, as well as patient characteristics, comorbidities, and preference within the context of available data. Results from clinical trials are combined with practical considerations to make recommendations for first-line and subsequent treatment of patients with clear cell and non-clear cell RCC. These recommendations should supplement the current NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for the treatment of advanced RCC.
Insights
Choosing treatments for advanced renal cell carcinoma (RCC) is complex due to many new options. This guide helps clinicians select therapies based on disease type, patient factors, and clinical data for better outcomes.
Area of Science:
- Oncology
- Nephrology
- Pharmacology
Background:
- Advanced renal cell carcinoma (RCC) presents diverse histology and biology, impacting treatment response.
- The last five years have seen the approval of six new agents for RCC, with more in development.
- The expanding therapeutic landscape poses challenges for clinicians in selecting optimal treatment strategies.
Purpose of the Study:
- To provide practical guidance for clinicians on selecting treatments for advanced renal cell carcinoma (RCC).
- To integrate clinical trial data with patient-specific factors for personalized treatment recommendations.
- To supplement existing NCCN Clinical Practice Guidelines for advanced RCC management.
Main Methods:
- Review of clinical trial data for newly approved and investigational agents in RCC.
- Analysis of patient characteristics, including histology, comorbidities, and preferences.
- Synthesis of evidence-based data and clinical considerations for treatment selection.
Main Results:
- Development of recommendations for first-line and subsequent treatments for clear cell and non-clear cell RCC.
- Integration of disease setting, histology, and patient factors into treatment decision-making.
- Guidance on navigating the complex treatment options for advanced RCC.
Conclusions:
- Treatment selection for advanced RCC requires a multifaceted approach considering disease and patient variables.
- The provided recommendations aim to aid clinicians in optimizing therapy choices.
- Personalized treatment strategies are crucial for managing heterogeneous advanced RCC cases.
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