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Updated: Feb 26, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Axitinib in metastatic renal cell carcinoma: beyond the second-line setting
Yoshiko Umeyama1, Yoshiyuki Shibasaki1, Hideyuki Akaza2
1Pfizer Japan Inc., 3-22-7 Yoyogi, Shibuya-ku, Tokyo 151-8589, Japan.
Abstract:
Treatment options for advanced and metastatic renal cell carcinoma have advanced considerably in the past decade with the approval of several targeted agents, including axitinib. Axitinib is a potent and selective inhibitor of VEGFRs 1-3, and is well established as second-line treatment. This article summarizes factors to be considered when administering axitinib, such as individualized dose titration and axitinib-associated adverse events, in order to retain patients longer on treatment, which would likely lead to improved efficacy outcomes. In addition, potential clinical perspectives for axitinib beyond the second-line setting, including its role in the first-line setting, sequential therapy, neoadjuvant and adjuvant therapies, and combination therapy with immunotherapy, in particular, immune checkpoint inhibitors, are discussed.
Insights
Axitinib is a targeted therapy for advanced renal cell carcinoma. Managing side effects and optimizing dosage can help patients stay on treatment longer for better outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Advanced and metastatic renal cell carcinoma (RCC) treatment has evolved with targeted therapies.
- Axitinib, a VEGFR inhibitor, is a key second-line treatment for advanced RCC.
Purpose of the Study:
- To summarize factors for effective axitinib administration in advanced RCC.
- To explore axitinib's potential in various clinical settings beyond second-line treatment.
Main Methods:
- Review of clinical data and treatment guidelines for axitinib in RCC.
- Discussion of individualized dosing, adverse event management, and future therapeutic strategies.
Main Results:
- Individualized dose titration and proactive management of adverse events are crucial for prolonged treatment duration.
- Axitinib shows promise in first-line, sequential, neoadjuvant/adjuvant settings, and in combination with immunotherapy.
Conclusions:
- Optimizing axitinib administration can improve patient outcomes in advanced RCC.
- Further research into axitinib's expanded roles is warranted to enhance efficacy.
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