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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
[Systemic Treatment of Metastatic Renal Cell Cancer--Back to the Future?]
1Klinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation, Medizinische Hochschule Hannover, Hannover.
Abstract:
A variety of therapeutic agents are currently available for the systemic treatment of metastatic renal cell carcinoma (mRCC). It was only when targeted treatment was developed in the past decade that a significant improvement was achieved in tumour therapy. This also led to the development of sequential treatment for mRCC.7 molecular targeted agents are available today (axitinib, bevacizumab/ IFNα, everolimus, pazopanib, sorafenib, sunitinib, and temsirolimus). Due to the individualisation of treatment it remains a challenge to choose the most appropriate drug in a given setting, with the choice being based on the knowledge of the relevant clinical data as well as individual patient parameters.During the recent past, efforts have been made to test different inhibitors or combinations without a major breakthrough. Instead, the development of novel specific immunotherapeutic approaches now heralds the next level of treatment in mRCC. The first significant trial results will be expected this year, and further trials for optimisation of treatment are warranted.
Insights
Targeted therapies have improved metastatic renal cell carcinoma (mRCC) treatment, but choosing the best drug remains challenging. Novel immunotherapies represent the next frontier in mRCC management, with promising trial results anticipated soon.
Area of Science:
- Oncology
- Medical Therapeutics
Background:
- Metastatic renal cell carcinoma (mRCC) treatment has advanced significantly with targeted therapies.
- Seven molecular targeted agents are currently approved for mRCC systemic treatment.
- Individualized patient parameters and clinical data complicate optimal drug selection.
Purpose of the Study:
- To review current therapeutic agents for mRCC.
- To highlight the challenges in selecting the most appropriate targeted therapy.
- To introduce novel immunotherapeutic approaches as the next stage in mRCC treatment.
Main Methods:
- Review of current literature on mRCC systemic treatments.
- Analysis of available molecular targeted agents and their clinical application.
- Discussion of emerging immunotherapeutic strategies.
Main Results:
- Targeted therapies have improved outcomes in mRCC over the past decade.
- Despite advancements, selecting the optimal targeted agent remains a clinical challenge.
- Novel immunotherapies are emerging as a promising next-generation treatment for mRCC.
Conclusions:
- While targeted therapies have advanced mRCC care, challenges in treatment selection persist.
- Immunotherapy represents a significant and promising new direction for mRCC treatment.
- Further clinical trials are essential to optimize novel immunotherapeutic strategies for mRCC.
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