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.

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.

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