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Updated: May 13, 2026

Modeling Spontaneous Metastatic Renal Cell Carcinoma (mRCC) in Mice Following Nephrectomy
Published on: April 29, 2014
mTOR inhibitors in advanced renal cell carcinomas: from biology to clinical practice
Philippe Barthélémy1, Benjamin Hoch, Christine Chevreau
1Department of Hematology and Oncology, Hôpital de Hautepierre, Avenue Molière, BP 49, 67098 Strasbourg Cedex, France.
Abstract:
To date, oral everolimus is indicated for the treatment of patients with advanced renal cell carcinoma, whose disease has progressed on or after treatment with vascular endothelial growth factor-targeted therapy, and intravenous temsirolimus for the first-line treatment of patients with poor prognosis metastatic renal cell carcinoma. However, some factors could guide the treatment choice aiming to individualize a treatment plan. Besides the crucial issue of treatment efficacy, other factors are to be considered such as disease status, histological subtype, extent of the disease, patient-specific factors, and agent-specific factors. All of these considerations have to stay in the frame of guideline recommendations which represent evidence-based medicine. The purpose of this article is to summarize the main pharmacological and pharmacokinetic characteristics of mTOR inhibitors, and to define targeted populations according to prognostic indexes.
Insights
This review discusses mTOR inhibitors for advanced renal cell carcinoma, highlighting factors beyond efficacy for personalized treatment plans based on prognostic indexes and guidelines.
Area of Science:
- Oncology
- Pharmacology
Background:
- Current indications for oral everolimus and intravenous temsirolimus in advanced renal cell carcinoma (RCC) are limited to specific patient populations.
- Treatment selection for advanced RCC requires consideration of efficacy, disease status, histology, extent, and patient-specific factors.
Purpose of the Study:
- To summarize the pharmacological and pharmacokinetic properties of mTOR inhibitors.
- To identify patient populations suitable for mTOR inhibitor therapy based on prognostic indexes.
Main Methods:
- Literature review of pharmacological and pharmacokinetic data for mTOR inhibitors.
- Analysis of prognostic indexes relevant to advanced RCC treatment decisions.
Main Results:
- mTOR inhibitors exhibit distinct characteristics influencing treatment selection.
- Prognostic indexes can aid in defining targeted populations for mTOR inhibitor therapy.
Conclusions:
- Personalized treatment strategies for advanced RCC should integrate mTOR inhibitor properties with patient-specific and disease-related factors.
- Guideline-based recommendations and prognostic indexes are crucial for optimizing mTOR inhibitor use in RCC.
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