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A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Prognostic factors in patients with advanced renal cell carcinoma treated with VEGF-targeted agents
Yann-Alexandre Vano1, Eric Tartour, Laure S Fournier
1Department of Medical Oncology, Georges Pompidou European Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Descartes University, Paris, France.
Abstract:
The medical treatment of metastatic renal cell carcinoma (mRCC) has undergone a paradigm shift during the last decade with the approval of five drugs targeting vascular endothelial growth factor (VEGF) or its receptors (bevacizumab, sunitinib, sorafenib, pazopanib and axitinib) and of two drugs inhibiting the PI3K/AKT/mTOR (mammalian target of rapamycin) pathway (temsirolimus and everolimus). Median survival has now reached 2 years in mRCC patients receiving first-line targeted treatment. A considerable body of work was conducted on the identification of prognostic factors of survival in the earlier era of immunotherapy of mRCC. The current challenge is to pursue this work on biomarkers of prognosis for targeted therapy and, even more importantly, to identify predictive factors of response to such therapy. This review provides an overview of recent key work on prognostic and predictive factors in patients with advanced clear cell RCC treated with VEGF-targeted agents.
Insights
Targeted therapies have revolutionized metastatic renal cell carcinoma (mRCC) treatment, improving survival. This review focuses on identifying prognostic and predictive biomarkers for VEGF-targeted agents in advanced clear cell RCC.
Area of Science:
- Oncology
- Medical Research
Background:
- Metastatic renal cell carcinoma (mRCC) treatment has advanced significantly with targeted therapies.
- Vascular Endothelial Growth Factor (VEGF)-targeted drugs and PI3K/AKT/mTOR pathway inhibitors have become standard treatments.
- Median survival for mRCC patients receiving first-line targeted therapy now exceeds two years.
Purpose of the Study:
- To review recent research on prognostic and predictive biomarkers for advanced clear cell RCC.
- To identify factors that predict response to VEGF-targeted therapy in mRCC patients.
Main Methods:
- Literature review of recent key studies.
- Focus on prognostic and predictive factors in advanced clear cell RCC.
- Analysis of VEGF-targeted agents' efficacy.
Main Results:
- Significant progress has been made in identifying prognostic factors for mRCC.
- The identification of predictive biomarkers for targeted therapy remains a critical challenge.
- VEGF-targeted agents have shown improved survival outcomes.
Conclusions:
- Further research into biomarkers is crucial for optimizing targeted therapy in mRCC.
- Predictive biomarkers are essential for personalizing treatment strategies.
- Understanding these factors will improve patient outcomes in advanced clear cell RCC.
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