Emerging therapeutic approaches in renal cell carcinoma

Hiral Parekh1, Brian I Rini2,3

  • 1a 1 Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA.

Insights

Targeted therapy has improved renal cell carcinoma outcomes, but metastatic disease remains challenging. Emerging immunotherapies, including checkpoint inhibitors, offer new hope for patients with advanced cancer.

Area of Science:

  • Oncology
  • Nephrology
  • Immunology

Background:

  • Targeted therapies (VEGF and mTOR inhibitors) have advanced renal cell carcinoma (RCC) treatment over the last decade.
  • Despite progress, metastatic RCC management remains difficult due to eventual progression on targeted therapies and limited long-term survival.
  • Cancer immunotherapy, particularly checkpoint inhibitors, is regaining prominence in oncology.

Purpose of the Study:

  • To review and optimize current targeted therapy standards for metastatic renal cell carcinoma.
  • To discuss emerging targeted therapies and immunotherapies for metastatic renal cell carcinoma.
  • To highlight the role of anti-programmed death-1 pathway inhibitors in managing advanced RCC.

Main Methods:

  • Literature review of targeted therapies for renal cell carcinoma.
  • Analysis of emerging targeted agents and immunotherapies.
  • Discussion of treatment strategies incorporating checkpoint inhibitors.

Main Results:

  • Current targeted therapies show significant benefits but are not curative for all metastatic RCC patients.
  • Emerging targeted therapies offer potential alternatives for treatment resistance.
  • Immunotherapies, especially anti-programmed death-1 agents, demonstrate promise in overcoming limitations of targeted therapy.

Conclusions:

  • Optimizing targeted therapy remains crucial for metastatic renal cell carcinoma.
  • Emerging targeted agents and immunotherapies represent the next frontier in advanced RCC treatment.
  • Integrating anti-programmed death-1 pathway inhibitors may improve outcomes for patients with metastatic renal cell carcinoma.

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