[Medical treatment of renal cell carcinoma]

L Guy1, J-O Bay, C Bastide

  • 1Faculté de médecine, université d'Auvergne, 28, place Henri-Dunant, BP 38, 63001 Clermont-Ferrand cedex 1, France; Service d'urologie, hôpital G.-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France.

Abstract

Insights

New targeted therapies, including tyrosine kinase inhibitors, anti-VEGF antibodies, and mTOR inhibitors, have advanced metastatic renal cell carcinoma treatment. While side effects occur, serious adverse events are infrequent, improving patient outcomes.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Metastatic renal cell carcinoma (mRCC) treatment has evolved significantly.
  • Understanding molecular pathways has driven therapeutic innovation.

Purpose of the Study:

  • To review current drug therapies for renal cell carcinoma.
  • To describe the efficacy, mechanism of action, and side effects of mRCC drugs.

Main Methods:

  • Literature search of PubMed for relevant studies.
  • Review of efficacy, mode of action, and side effects of targeted therapies.
  • Data collection from French regulatory agency websites (HAS, ANSM).

Main Results:

  • Three main classes of targeted therapies are available for mRCC since 2007: tyrosine kinase inhibitors (sunitinib, sorafenib), anti-VEGF antibodies (bevacizumab with interferon-alfa), and mTOR inhibitors (temsirolimus, everolimus).
  • These targeted therapies represent significant progress in managing advanced kidney cancer.
  • Reported side effects are numerous, but serious adverse events occur in less than 5% of cases.

Conclusions:

  • Advances in understanding molecular mechanisms have led to novel mRCC therapies.
  • Future treatment may involve personalized approaches based on tumor biology for more targeted interventions.

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