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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 adjuvant therapy for renal cell carcinoma: Any hope for future clinical trials?
Reza Mehrazin1, Che-Kai Tsao2, John Sfakianos1
1Department of Urology & Oncological Science, Icahn School of Medicine at Mount Sinai, New York, NY.
Abstract:
The role of adjuvant therapy for renal cell carcinoma (RCC) after surgical resection has been evaluated in numerous randomized and nonrandomized studies using systemic therapies with distinct mechanisms of action. However, adjuvant therapy has not demonstrated definitive benefit to date and guidelines currently do not support its use. Continued advancement in the understanding of the molecular pathogenesis in RCC is critical, which would lead to identification of new therapeutic targets, as well as novel prognostic and predictive biomarkers, in hopes of improving outcomes in this lethal disease. Herein we summarize the results of randomized studies of the adjuvant treatments of RCC, in hopes to direct future effort in the development of treatment of this disease.
Insights
Adjuvant therapy for renal cell carcinoma (RCC) after surgery has not shown clear benefits. Future research should focus on molecular targets to improve outcomes for this lethal cancer.
Area of Science:
- Oncology
- Nephrology
- Translational Research
Background:
- Adjuvant therapy for renal cell carcinoma (RCC) post-surgery is under investigation.
- Current systemic therapies lack definitive evidence of benefit.
- Existing guidelines do not recommend adjuvant therapy for RCC.
Purpose of the Study:
- To review randomized studies on adjuvant treatments for renal cell carcinoma (RCC).
- To identify potential future directions for RCC treatment development.
- To highlight the need for improved therapeutic strategies for RCC.
Main Methods:
- Systematic review of randomized clinical trials on adjuvant therapy for RCC.
- Analysis of systemic therapies with diverse mechanisms of action.
- Evaluation of study outcomes and statistical significance.
Main Results:
- Numerous studies evaluated adjuvant therapies for RCC.
- No adjuvant therapy has demonstrated a definitive survival benefit to date.
- Current evidence does not support the routine use of adjuvant therapy in RCC.
Conclusions:
- Further understanding of RCC molecular pathogenesis is crucial.
- Identification of novel therapeutic targets and biomarkers is needed.
- Future efforts should focus on developing targeted and personalized adjuvant treatments for RCC.
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