Related Experiment Video
Updated: Mar 7, 2026

Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
Published on: April 29, 2014
Cabozantinib: an Active Novel Multikinase Inhibitor in Renal Cell Carcinoma
Nizar M Tannir1, Gisela Schwab2, Viktor Grünwald3
1Department of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1374, Houston, TX, 77030, USA.
Abstract:
Clear cell renal cell carcinoma (RCC) is characterized by inactivation of the von Hippel-Lindau (VHL) tumor suppressor gene. VHL loss drives tumor angiogenesis and accounts for the clinical activity of VEGF receptor (VEGFR) tyrosine kinase inhibitors (TKIs), the first-line standard of care for advanced RCC. Within the last year, three new second-line treatments have received FDA approval for use after anti-angiogenic therapy: the immune checkpoint inhibitor nivolumab, the TKI cabozantinib, and the combination of the TKI lenvatinib and the mTOR inhibitor everolimus. Cabozantinib inhibits VEGFRs, MET, and AXL, kinases that promote tumorigenesis, angiogenesis, metastasis, and drug resistance. Compared with everolimus, cabozantinib has shown statistically significant improvements in the three key efficacy endpoints of overall survival, progression-free survival, and objective response rate in patients with RCC who were previously treated with a VEGFR TKI. Herein, we summarize the translational research and clinical development that led to approval of cabozantinib as second-line therapy in RCC.
Insights
Cabozantinib is an effective second-line treatment for advanced clear cell renal cell carcinoma (RCC) after anti-angiogenic therapy. It significantly improves survival and response rates compared to everolimus in patients with RCC.
Area of Science:
- Oncology
- Translational Research
- Pharmacology
Background:
- Clear cell renal cell carcinoma (RCC) is linked to von Hippel-Lindau (VHL) gene inactivation.
- VHL loss promotes tumor angiogenesis, making VEGF receptor (VEGFR) tyrosine kinase inhibitors (TKIs) a standard first-line treatment for advanced RCC.
- Recent FDA approvals include nivolumab, cabozantinib, and lenvatinib/everolimus as second-line therapies post-anti-angiogenic treatment.
Purpose of the Study:
- To summarize the translational research and clinical development of cabozantinib.
- To highlight cabozantinib's approval as a second-line therapy for advanced RCC.
Main Methods:
- Review of translational research and clinical trial data for cabozantinib in RCC.
- Comparative analysis of cabozantinib versus everolimus in previously treated RCC patients.
Main Results:
- Cabozantinib targets VEGFRs, MET, and AXL, kinases involved in RCC progression and resistance.
- Cabozantinib demonstrated statistically significant improvements in overall survival, progression-free survival, and objective response rate compared to everolimus.
- These findings support cabozantinib's efficacy in the second-line setting for advanced RCC.
Conclusions:
- Cabozantinib represents a significant advancement in second-line treatment for advanced RCC.
- The drug's multi-kinase inhibition profile contributes to its efficacy in patients previously treated with VEGFR TKIs.
More Related Videos
Related Concept Videos
Inhibition of Cdk Activity
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
Treatment Resistant Cancers
Renal Drug Excretion: Tubular Reabsorption

