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Published on: January 22, 2013
[Adverse event profile of new targeted agents for renal cell carcinoma]
Masahiro Nozawa1, Hirotsugu Uemura
1The Department of Urology, Kinki University Faculty of Medicine.
Abstract:
Targeted therapy has survival benefit for patients with advanced renal cell carcinoma. However, intolerability often causes discontinuation of treatment. Therefore management of adverse events and maintenance of treatment duration as long as possible are absolutely essential for patient care. Hypertension is a common adverse event of vascular endothelial growth factor receptor (VEGFR) inhibitors. General symptoms such as fatigue or asthenia and gastrointestinal disorders including diarrhea, nausea, and anorexia are also frequently produced by VEGFR inhibitors as well as other targeted agents under development. Development of a new drug which does not cause any severe adverse event may be an ultimate strategy against adverse events of current targeted agents. Here we review the adverse-event profiles of targeted therapies being developed, including axitinib, tivozanib, dovitinib, AS1411, vorinostat, AMG386, BMS-936558, carfilzomib, IMA901, and AGS-003, for renal cell carcinoma.
Insights
Targeted therapies improve survival in advanced kidney cancer but cause side effects like hypertension. Managing these adverse events is crucial for maintaining treatment duration and patient care.
Area of Science:
- Oncology
- Pharmacology
Context:
- Advanced renal cell carcinoma (RCC) treatment benefits from targeted therapy.
- Treatment discontinuation due to intolerability is a significant challenge in advanced RCC.
- Effective management of adverse events is essential for prolonged patient treatment.
Purpose:
- To review the adverse-event profiles of emerging targeted therapies for renal cell carcinoma.
- To highlight the importance of managing side effects for treatment adherence.
Summary:
- Targeted therapies offer survival benefits for advanced renal cell carcinoma (RCC) patients.
- Common adverse events include hypertension, fatigue, and gastrointestinal issues, often leading to treatment discontinuation.
- This review examines the adverse-event profiles of several targeted agents under development for RCC, including axitinib, tivozanib, and others.
Impact:
- Informs clinical decision-making regarding the selection and management of targeted therapies in RCC.
- Highlights the need for strategies to mitigate adverse events and improve treatment adherence.
- Guides the development of novel targeted agents with improved safety profiles for kidney cancer treatment.
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