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Optimizing patient adherence to targeted therapies in renal cell carcinoma
1Duke University Medical Center, Durham, NC.
Abstract:
The current standard of care for treating metastatic renal cell carcinoma is sequential therapy with vascular endothelial growth factor-targeted agents (i.e., axitinib, bevacizumab, pazopanib, sorafenib, and sunitinib) and mammalian target of rapamycin inhibitors (i.e., everolimus and temsirolimus). To maximize adherence to and persistence with targeted therapy, which should help improve clinical benefit, a clear understanding of the tolerability profiles of these agents and implementation of early, appropriately aggressive adverse event (AE) prevention and management strategies are key. Active and aggressive AE management should improve the quality of life of patients during the course of their treatment. Nurses are in a unique position to educate patients on the potential AEs they may experience and their prevention and management. This article reviews the safety and tolerability of currently available targeted therapies recommended for use in the second-line treatment setting, as well as their management in the context of maximizing clinical outcomes and patient quality of life.
Insights
Managing side effects is crucial for patients with metastatic renal cell carcinoma receiving targeted therapies. Early and aggressive adverse event (AE) management improves treatment adherence, clinical benefit, and quality of life.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic renal cell carcinoma (mRCC) treatment relies on sequential therapies.
- Standard care includes vascular endothelial growth factor-targeted agents and mammalian target of rapamycin inhibitors.
Purpose of the Study:
- To review the safety and tolerability of targeted therapies for mRCC.
- To outline strategies for adverse event (AE) prevention and management.
- To emphasize the role of nurses in patient education and AE management.
Main Methods:
- Review of safety and tolerability profiles of approved targeted therapies.
- Discussion of AE management strategies.
- Focus on second-line treatment settings.
Main Results:
- Understanding tolerability profiles is key to improving adherence and clinical benefit.
- Proactive AE management enhances patient quality of life during treatment.
Conclusions:
- Effective AE management is essential for optimizing outcomes in mRCC targeted therapy.
- Nurses play a vital role in educating patients and managing treatment-related toxicities.
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