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Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
Published on: April 29, 2014
Axitinib for the treatment of metastatic renal cell carcinoma
Hiral Parekh1, Julianne Griswold1, Brian Rini1
1Cleveland Clinic Taussig Cancer Institute, 9500 Euclid Avenue, Mail Code R35, Cleveland, OH 44195, USA.
Abstract:
Renal cell carcinoma is a cancer that results from a genetic inactivation of the VHL tumor suppressor gene leading to an upregulation of VEGF. Targeted therapies against VEGF receptors have piqued substantial interest among clinicians and researchers, and these drugs are now the standard of care in the treatment of advanced renal cell carcinoma. One of these VEGF receptor inhibitors, axitinib, has been shown to be a superior second-line therapy when compared with sorafenib. Although axitinib has clinical activity and a manageable safety profile in patients with treatment-naive metastatic renal cell carcinoma, utility in the front-line setting is area of ongoing investigation. Another area of ongoing research is dose titration of axitinib to achieve the maximum clinical benefit. Interestingly, the axitinib-related side effect of hypertension has shown to be associated with more favorable clinical outcomes. This article describes the development of axitinib and discusses the current indications for clinical use in the management of metastatic renal cell carcinoma.
Insights
Axitinib, a VEGF receptor inhibitor, shows promise for advanced renal cell carcinoma. Research explores its front-line use and optimal dosing, with hypertension linked to better outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) involves VHL gene inactivation, increasing VEGF.
- VEGF receptor inhibitors are standard for advanced RCC.
- Axitinib demonstrates superior efficacy over sorafenib in second-line therapy.
Purpose of the Study:
- To review the development and clinical applications of axitinib.
- To discuss axitinib's role in metastatic renal cell carcinoma (mRCC).
- To highlight ongoing research into front-line therapy and dose titration.
Main Methods:
- Review of clinical trial data and scientific literature.
- Analysis of axitinib's efficacy and safety profile.
- Discussion of pharmacologic mechanisms and clinical outcomes.
Main Results:
- Axitinib is a superior second-line treatment for advanced RCC.
- Axitinib shows clinical activity in treatment-naive mRCC patients.
- Hypertension, an axitinib side effect, correlates with improved outcomes.
Conclusions:
- Axitinib is an important targeted therapy for metastatic renal cell carcinoma.
- Further investigation is needed for axitinib's front-line use and dose optimization.
- The association between hypertension and efficacy warrants further study.
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