Evolving therapeutic targets in renal cell carcinoma

Eric A Singer1, Gopal N Gupta, Daniel Marchalik

  • 1Section of Urologic Oncology, The Cancer Institute of New Jersey and UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Abstract

Insights

Recent advancements in advanced renal cell carcinoma (RCC) treatment focus on targeted therapies and combination strategies. Further research is needed to optimize drug selection and sequencing for specific kidney cancer subtypes.

Area of Science:

  • Oncology
  • Genitourinary Cancer
  • Medical Genetics

Background:

  • Advanced renal cell carcinoma (RCC) treatment landscape is evolving with new targeted agents.
  • Understanding the molecular and genetic basis of RCC subtypes is crucial for personalized medicine.

Purpose of the Study:

  • To review recent developments in advanced RCC treatment, focusing on data from the past year.
  • To discuss the genetics and molecular biology of kidney cancer subtypes for rational drug development.

Main Methods:

  • Review of recent scientific literature on advanced renal cell carcinoma (RCC) treatment.
  • Analysis of genomic and metabolic alterations in various kidney cancer histologic subtypes.

Main Results:

  • Targeting vascular endothelial growth factor (VEGF) and mammalian target of rapamycin (mTOR) pathways remains foundational for metastatic kidney cancer.
  • Emphasis on target selectivity and affinity to reduce toxicity in clear cell RCC.
  • Combination strategies and histology-specific protocols for nonclear cell RCC are under investigation, with no specific drug approvals yet.

Conclusions:

  • The number of approved treatments for advanced RCC is increasing.
  • Further research is required to determine optimal drug choices, combinations, and sequences for each RCC subtype.

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