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Updated: May 21, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Comprehensive overview of axitinib development in solid malignancies: focus on metastatic renal cell carcinoma
Courtney Carmichael1, Clayton Lau, David Y Josephson
1City of Hope Comprehensive Cancer Center, Duarte, CA 91010, USA. ccarmichael@coh.org
Abstract:
The landscape of treatment for metastatic renal cell carcinoma (mRCC) continues to evolve. Although several new drugs have been approved for the treatment of this disease in recent years, mRCC remains incurable. Thus, the search continues for new effective therapies. One such novel compound is axitinib (Inlyta, Pfizer), a potent vascular endothelial growth factor receptor tyrosine kinase inhibitor. Following phase I testing in advanced solid tumors (where hypertension, stomatitis, and diarrhea were the dose-limiting toxicities), use of axitinib has been further developed through phase II testing in thyroid, breast, lung, and renal cancers. Recently, the phase III AXIS (Axitinib [AG 013736] as Second Line Therapy for Metastatic Renal Cell Cancer) trial demonstrated an improvement in progression-free survival for patients with mRCC who were treated with axitinib versus sorafenib (Nexavar, Bayer) as second-line therapy. This article describes the preclinical and clinical evolution of axitinib, with an emphasis on its development and role in mRCC.
Insights
Axitinib, a targeted therapy, improves progression-free survival in metastatic renal cell carcinoma (mRCC) patients. This vascular endothelial growth factor receptor inhibitor offers a new option for second-line treatment in advanced kidney cancer.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic renal cell carcinoma (mRCC) remains an incurable disease despite recent therapeutic advancements.
- The development of novel targeted therapies is crucial for improving patient outcomes in mRCC.
Purpose of the Study:
- To describe the preclinical and clinical development of axitinib, a tyrosine kinase inhibitor.
- To evaluate the role of axitinib in the treatment of metastatic renal cell carcinoma.
Main Methods:
- Phase I trials assessed safety and dose-limiting toxicities in advanced solid tumors.
- Phase II trials explored axitinib's efficacy in various cancers, including renal cell carcinoma.
- The Phase III AXIS trial compared axitinib with sorafenib in second-line mRCC treatment.
Main Results:
- Axitinib demonstrated dose-limiting toxicities including hypertension, stomatitis, and diarrhea in Phase I.
- The Phase III AXIS trial showed improved progression-free survival for axitinib compared to sorafenib in second-line mRCC therapy.
Conclusions:
- Axitinib is a potent vascular endothelial growth factor receptor tyrosine kinase inhibitor with a defined role in mRCC treatment.
- Axitinib represents a significant therapeutic advancement for patients with metastatic renal cell carcinoma receiving second-line therapy.
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