Related Experiment Video
Updated: May 15, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Neoadjuvant treatment in advanced renal cell carcinoma: current situation and future perspectives
Marc-Olivier Timsit1, Laurence Albiges, Arnaud Méjean
1Department of Urology, Hôpital Européen Georges Pompidou and Hôpital Necker, AP-HP, Paris, France.
Abstract:
Neoadjuvant approaches in renal cell carcinoma are currently under investigation, following the demonstration of targeted therapy efficacy in the metastatic setting. It raises the issues of downsizing locally advanced or nonresectable tumor and offering organ-sparing surgery, safety and its potential role in early micrometastatic disease. Relevant studies of the neoadjuvant setting in renal cell carcinoma with targeted therapies were identified from the literature, clinical trial databases and conference abstracts. To date, a neoadjuvant approach appears feasible in terms of safety. Currently available drugs do not achieve major tumor downsizing with primary tumor diameters response rate of 10%. Neoadjuvants should only be considered in clinical trials or as a litmus test in locally advanced patients.
Insights
Neoadjuvant targeted therapy for renal cell carcinoma is under investigation for safety and efficacy. While feasible, current drugs show limited tumor downsizing, suggesting use in clinical trials for advanced cases.
Area of Science:
- Oncology
- Nephrology
Background:
- Targeted therapies have shown efficacy in metastatic renal cell carcinoma.
- Investigating neoadjuvant strategies for locally advanced or nonresectable renal cell carcinoma is a growing area of research.
Purpose of the Study:
- To evaluate the safety and efficacy of neoadjuvant targeted therapies in renal cell carcinoma.
- To assess the potential for tumor downsizing and organ-sparing surgery.
Main Methods:
- Literature review of relevant studies.
- Inclusion of data from clinical trial databases and conference abstracts.
Main Results:
- Neoadjuvant approach in renal cell carcinoma appears feasible and safe.
- Currently available targeted therapies demonstrate a limited response rate of 10% for major tumor downsizing.
- No significant tumor reduction observed for organ-sparing surgery.
Conclusions:
- Neoadjuvant targeted therapy for renal cell carcinoma is safe but shows limited efficacy in tumor downsizing.
- Consideration for neoadjuvant therapy should be restricted to clinical trials or as a test in locally advanced patients.
More Related Videos
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Treatment Resistant Cancers
Treatment Resistent Cancers
Tumor Immunotherapy
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Kidney Transplant II: Surgical Procedure

