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Updated: May 28, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[Systemic and surgical management of metastatic renal cell carcinoma]
M W Kramer1, A S Merseburger, I Peters
1Klinik für Urologie und Urologische Onkologie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625 Hannover, Deutschland.
Abstract:
Several targeted therapies have become available for first-line (sunitinib, bevacizumab, pazopanib, temsirolimus) and second-line (sorafenib, pazopanib, everolimus) use in recent years. The superior outcomes achieved with these targeted agents have led to replacement of the formerly administered cytokines. New developments have raised the question of whether patients benefit from sequential therapies with tyrosine kinase inhibitors and/or whether combination regimes can improve clinical outcomes. This review gives an overview of the current therapeutic options for first- and second-line treatment in metastatic RCC as well as sequential and combination therapies. Adjuvant and neoadjuvant treatment options are being discussed. Furthermore, this review addresses surgical alternatives in the treatment of RCC.
Insights
Targeted therapies and tyrosine kinase inhibitors have replaced cytokines for metastatic renal cell carcinoma (mRCC). This review explores current and emerging treatments, including sequential and combination therapies, for improved patient outcomes.
Area of Science:
- Oncology
- Pharmacology
Context:
- Metastatic renal cell carcinoma (mRCC) treatment has evolved significantly with the advent of targeted therapies.
- Cytokine-based treatments have been largely superseded by more effective targeted agents in first- and second-line settings.
Purpose:
- To provide a comprehensive overview of current and emerging therapeutic strategies for metastatic renal cell carcinoma (mRCC).
- To discuss the efficacy of sequential and combination therapies involving tyrosine kinase inhibitors (TKIs).
- To review adjuvant, neoadjuvant, and surgical treatment alternatives for RCC.
Summary:
- Several targeted therapies (sunitinib, bevacizumab, pazopanib, temsirolimus) are now standard for first-line treatment of mRCC, with others (sorafenib, pazopanib, everolimus) used in the second-line setting.
- The review examines the potential benefits of sequential TKI therapies and combination regimens to enhance clinical outcomes.
- Adjuvant, neoadjuvant, and surgical options for renal cell carcinoma (RCC) are also addressed.
Impact:
- This review offers critical insights into optimizing treatment pathways for mRCC patients.
- It highlights the shift towards personalized medicine and advanced therapeutic combinations.
- Understanding these options is crucial for oncologists managing advanced RCC.
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