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Updated: May 19, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[Systemic therapy for metastatic renal cell carcinoma]
M W Kramer1, S Steffens, C von Klot
1Klinik für Urologie und Urologische Onkologie Medizinische Hochschule Hannover, Germany.
Abstract:
A better understanding of molecular biological mechanisms involved in the pathogenesis or, respectively, prognosis of renal cell carcinoma has recently led to a fundamental change in those therapeutic options that are especially effective after systemic disemination. In this context, cytokine-based therapeutic concepts have been replaced by the so-called targeted therapeutic agents that include, above all, tyrosine kinase (TK) and mTOR inhibitors. The present contribution is intended to reflect the current state of the art in the systemic therapy for renal cell carcinoma in first- and second-line use. In addition, the increasing relevance of sequential therapy under consideration of possible side effects is discussed.
Insights
Targeted therapies, including tyrosine kinase (TK) and mTOR inhibitors, have replaced cytokine-based treatments for advanced renal cell carcinoma. This review covers current first- and second-line systemic therapies and sequential treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Advances in understanding renal cell carcinoma (RCC) pathogenesis and prognosis.
- Shift from cytokine-based therapies to targeted agents for metastatic RCC.
Purpose of the Study:
- To review the current state of systemic therapy for renal cell carcinoma.
- To discuss first- and second-line treatment options.
- To explore sequential therapy and side effect management.
Main Methods:
- Literature review of recent advancements in RCC systemic therapy.
- Analysis of targeted therapeutic agents, including tyrosine kinase (TK) and mTOR inhibitors.
- Discussion of clinical trial data and treatment guidelines.
Main Results:
- Targeted therapies (TK and mTOR inhibitors) are now standard for advanced RCC.
- Established efficacy of specific agents in first- and second-line settings.
- Growing importance of sequential treatment strategies to optimize outcomes.
Conclusions:
- Systemic therapy for advanced renal cell carcinoma has been revolutionized by targeted agents.
- Optimal sequencing of therapies is crucial for maximizing patient benefit.
- Consideration of side effect profiles is essential for effective treatment plans.
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