Axitinib: a review in advanced renal cell carcinoma

Gillian M Keating1

  • 1Springer, Private Bag 65901, Mairangi Bay, 0754, Auckland, New Zealand. demail@springer.com.

Drugs
|October 22, 2015
PubMed

Insights

Axitinib (Inlyta) significantly improved progression-free survival in patients with advanced renal cell carcinoma (RCC) previously treated with other therapies. It offers a manageable safety profile, making it a valuable second-line treatment option.

Area of Science:

  • Oncology
  • Pharmacology
  • Clinical Trials

Background:

  • Advanced renal cell carcinoma (RCC) remains a significant clinical challenge.
  • Vascular Endothelial Growth Factor Receptor (VEGFR) inhibitors are a key therapeutic class.
  • Previous treatments for advanced RCC have limitations.

Purpose of the Study:

  • To review the clinical efficacy and tolerability of axitinib (Inlyta).
  • To summarize the pharmacological properties of axitinib.
  • To evaluate axitinib as a second-line treatment for advanced RCC.

Main Methods:

  • Review of the pivotal Phase III AXIS trial data.
  • Comparison of axitinib versus sorafenib in previously treated advanced RCC patients.
  • Assessment of progression-free survival (PFS) and objective response rate (ORR).

Main Results:

  • Axitinib significantly prolonged median PFS compared to sorafenib (primary endpoint).
  • Higher ORR was observed with axitinib versus sorafenib.
  • No significant difference in median overall survival between groups.
  • Manageable tolerability profile with common adverse events including diarrhea and hypertension.

Conclusions:

  • Axitinib demonstrates significant efficacy in second-line treatment of advanced RCC.
  • Axitinib offers a favorable benefit-risk profile for previously treated patients.
  • Axitinib represents an important therapeutic option for advanced RCC.