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Updated: Mar 19, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Novel therapeutic options for second-line therapy in metastatic renal cell carcinoma
C A VON Klot1, Axel S Merseburger2, Markus A Kuczyk1
1Department of Urology and Urological Oncology, Hannover University Medical School, D-30625 Hannover, Germany.
Abstract:
Metastatic renal cell carcinoma (mRCC) has gained a variety of therapeutic options since the introduction of targeted therapy, starting in 2007. The basic molecular mechanisms included predominantly the targeting of vascular endothelial growth factor or the inhibition of the mammalian target of rapamycin. Recently, results from two randomized controlled trials, the CheckMate-25 and the METEOR trial, regarding therapy for RCC in the second-line setting have been published. In the present review, the current status of second-line therapy in mRCC is discussed, together with results from the two newly introduced substances, nivolumab and cabozantinib.
Insights
New targeted therapies, nivolumab and cabozantinib, offer improved second-line treatment options for metastatic renal cell carcinoma (mRCC). These advancements provide hope for patients with advanced kidney cancer.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic renal cell carcinoma (mRCC) treatment has evolved significantly since 2007 with targeted therapies.
- Previous therapies primarily focused on vascular endothelial growth factor (VEGF) or mammalian target of rapamycin (mTOR) pathways.
Purpose of the Study:
- To review the current landscape of second-line therapy for mRCC.
- To discuss the efficacy of recently approved agents, nivolumab and cabozantinib.
Main Methods:
- Review of recent randomized controlled trials, including CheckMate-25 and METEOR.
- Analysis of clinical data for nivolumab and cabozantinib in the second-line setting for mRCC.
Main Results:
- Nivolumab demonstrated significant improvements in overall survival in the CheckMate-25 trial.
- Cabozantinib showed superior progression-free survival and overall survival in the METEOR trial compared to everolimus.
- Both agents represent important advancements in second-line mRCC treatment.
Conclusions:
- Nivolumab and cabozantinib are effective second-line treatment options for patients with mRCC.
- These agents expand therapeutic choices and improve outcomes for patients progressing on first-line therapy.
- Further research is ongoing to optimize sequencing and combination strategies.
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