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Updated: Feb 23, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Second-line systemic therapy in metastatic renal-cell carcinoma: A review
Rohit K Jain1, Shipra Gandhi1, Saby George1
1Department of Medical Oncology, Roswell Park Cancer Institute, Buffalo, NY.
Abstract:
Treatment in metastatic renal-cell carcinoma (mRCC) has evolved tremendously in the last decade. The development of newer targeted agents, like vascular endothelial growth factor inhibitors and immunotherapy have changed the treatment paradigm in mRCC patients. Axitinib and everolimus have been used extensively in patients who progressed on prior antiangiogenic therapy. The newer agents including nivolumab, cabozantinib, and lenvatinib in combination with everolimus have all demonstrated overall survival benefit over everolimus. However, with multiple treatment options, optimal choice and sequencing becomes challenging. This article provides an overview of different therapeutic options available as second-line treatment in patients with mRCC along with future directions.
Insights
Treatment for metastatic renal-cell carcinoma (mRCC) has advanced with new targeted therapies and immunotherapies. Newer agents show survival benefits, but optimal sequencing of these advanced treatments for mRCC remains a challenge.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic renal-cell carcinoma (mRCC) treatment has significantly evolved.
- Vascular endothelial growth factor inhibitors and immunotherapy have transformed mRCC care.
Purpose of the Study:
- To provide an overview of second-line treatment options for mRCC.
- To discuss the challenges in choosing and sequencing therapies for mRCC patients.
Main Methods:
- Review of current therapeutic options for mRCC.
- Analysis of clinical trial data for newer agents.
Main Results:
- Axitinib and everolimus are established second-line options.
- Nivolumab, cabozantinib, and lenvatinib (with everolimus) demonstrate improved survival over everolimus.
Conclusions:
- Multiple effective second-line treatments are available for mRCC.
- Optimal selection and sequencing of these agents are critical for patient outcomes.
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