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Updated: Mar 7, 2026

Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
Published on: April 29, 2014
VEGF inhibitors in renal cell carcinoma
Pankit Vachhani1, Saby George1
1Roswell Park Cancer Institute, Buffalo, New York.
Abstract:
The arrival of targeted therapies-vascular endothelial growth factor (VEGF) pathway inhibitors and mammalian target of rapamycin (mTOR) inhibitors-and programmed death 1 (PD-1) inhibitors has transformed the management of renal cell carcinoma (RCC). Once considered fatal, with a median survival of approximately 1 year, these agents have nearly tripled overall survival and have raised hopes of a possible cure for advanced RCC. This review begins with a brief discussion of the seminal von Hippel-Lindau/hypoxia-inducible factor axis in RCC. It then discusses the pivotal trials that have investigated VEGF inhibitors in metastatic RCC, as well as in adjuvant and neoadjuvant settings. Finally, it addresses some practical considerations and future directions in the use of VEGF inhibitors in RCC.
Insights
Targeted therapies, including vascular endothelial growth factor (VEGF) inhibitors, have significantly improved survival for advanced renal cell carcinoma (RCC). These treatments offer new hope for patients, nearly tripling overall survival rates.
Area of Science:
- Oncology
- Pharmacology
- Genitourinary Cancers
Background:
- Renal cell carcinoma (RCC) management has been revolutionized by targeted therapies.
- Vascular Endothelial Growth Factor (VEGF) pathway inhibitors and Programmed Death 1 (PD-1) inhibitors have transformed outcomes.
- Advanced RCC, previously with a median survival of ~1 year, now shows significantly improved prognoses.
Purpose of the Study:
- To review the impact of targeted therapies on advanced renal cell carcinoma.
- To discuss pivotal clinical trials involving VEGF inhibitors in various settings.
- To explore future directions and practical considerations for VEGF inhibitor use in RCC.
Main Methods:
- Review of seminal research on the von Hippel-Lindau/hypoxia-inducible factor axis in RCC.
- Analysis of key clinical trials investigating VEGF inhibitors in metastatic, adjuvant, and neoadjuvant RCC.
- Discussion of current clinical practices and future research avenues for VEGF inhibitors.
Main Results:
- Targeted therapies, including VEGF and PD-1 inhibitors, have nearly tripled overall survival in advanced RCC.
- These agents have shifted the paradigm from a fatal diagnosis to offering potential cures.
- VEGF inhibitors show efficacy in metastatic, adjuvant, and neoadjuvant settings.
Conclusions:
- VEGF pathway inhibitors represent a major advancement in renal cell carcinoma treatment.
- Continued research and practical considerations are essential for optimizing VEGF inhibitor therapy.
- The advent of targeted therapies offers unprecedented hope for advanced RCC patients.
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