Adjuvant therapy in renal cell carcinoma

Francesco Massari1, Vincenzo Di Nunno1, Chiara Ciccarese2

  • 1Division of Oncology, S.Orsola-Malpighi Hospital, Bologna, Italy.

Cancer Treatment Reviews
|October 10, 2017
PubMed

Insights

Adjuvant therapy for localized renal cell carcinoma (RCC) is under investigation. This review summarizes clinical trials of immunotherapy and targeted agents in non-metastatic RCC, highlighting their potential role in improving patient outcomes.

Area of Science:

  • Oncology
  • Nephrology
  • Pharmacology

Background:

  • Metastatic renal cell carcinoma (mRCC) treatments have advanced significantly with targeted therapies and immune-checkpoint inhibitors.
  • Key metabolic pathways in mRCC have been identified, leading to novel therapeutic strategies.
  • Despite progress in advanced disease, the role of adjuvant therapy in localized, non-metastatic RCC is not yet established.

Purpose of the Study:

  • To review current clinical trials on adjuvant therapy for renal cell carcinoma.
  • To focus on the utility of immunotherapy and targeted agents in the adjuvant setting for non-metastatic RCC.
  • To clarify the evolving treatment paradigm for localized kidney cancer.

Main Methods:

  • Systematic review of clinical trials investigating adjuvant treatments for renal cell carcinoma.
  • Focus on studies involving immunotherapy and targeted agents.
  • Analysis of data pertaining to localized, non-metastatic RCC.

Main Results:

  • Several targeted therapies and immune-checkpoint inhibitors show clinical activity in mRCC.
  • Ongoing clinical trials are actively exploring the efficacy of these agents in the adjuvant setting.
  • The precise role and benefit of adjuvant therapy in non-metastatic RCC are still under investigation.

Conclusions:

  • Adjuvant immunotherapy and targeted agents represent a promising frontier in renal cell carcinoma treatment.
  • Further research and clinical trials are crucial to define the standard of care for adjuvant therapy in localized RCC.
  • Understanding the utility of these agents may significantly alter the management of non-metastatic kidney cancer.

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