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Updated: Dec 28, 2025

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Current State of Systemic Therapies for Advanced Renal Cell Carcinoma
Shuchi Gulati1, Ulka Vaishampayan2
1University of Cincinnati, Cincinnati, OH, USA.
Purpose Of Review:
Due to the rapidly changing field of kidney cancer therapeutics, addressing the state of the art systemic therapy regimens, and sequencing with cytoreductive nephrectomy are the primary focus of this review. We will also discuss the role of biomarkers and novel therapeutic targets in the management of renal cell carcinoma.
Recent Findings:
The management of metastatic renal cell cancer has undergone a paradigm shift with immune checkpoint inhibitors being used in the frontline setting. Over the last 4 years, programmed cell death-1 (PD-1) inhibitors as well as programmed cell death ligand-1 inhibitors have become available in various combinations with cytotoxic T lymphocyte-associated protein-4 (CTLA-4) inhibitors and tyrosine kinase inhibitors (TKIs). These drugs have improved outcomes in patients with renal cell cancer and more work is being done to refine these targets as well as discover newer ones. Despite the availability of several new treatment options, some questions that still need to be addressed in the management of kidney cancer include the sequencing of treatment options, treatment of patients who progress on immune checkpoint inhibitors, and role of biomarkers to ascertain the best treatment options to minimize costs and improve outcomes.
Insights
New systemic therapies, including immune checkpoint inhibitors, are transforming kidney cancer treatment. This review covers current regimens, sequencing, and future directions for managing renal cell carcinoma.
Area of Science:
- Oncology
- Nephrology
- Immunotherapy
Background:
- The landscape of kidney cancer therapeutics is rapidly evolving.
- Metastatic renal cell carcinoma (RCC) management has been revolutionized by novel systemic therapies.
Purpose of the Study:
- To review the current state of systemic therapy for kidney cancer.
- To discuss the sequencing of treatments, including cytoreductive nephrectomy.
- To explore the role of biomarkers and novel therapeutic targets in RCC management.
Main Methods:
- Literature review of recent advancements in kidney cancer therapeutics.
- Analysis of clinical trial data and treatment guidelines.
- Discussion of emerging biomarkers and therapeutic targets.
Main Results:
- Immune checkpoint inhibitors (ICIs), such as programmed cell death-1 (PD-1) and programmed cell death ligand-1 (PD-L1) inhibitors, are now frontline treatments for metastatic RCC.
- Combinations of ICIs with cytotoxic T lymphocyte-associated protein-4 (CTLA-4) inhibitors and tyrosine kinase inhibitors (TKIs) have shown improved outcomes.
- Significant progress has been made in refining existing targets and identifying new ones.
Conclusions:
- Optimal sequencing of therapies and management of treatment resistance remain critical challenges.
- Biomarkers are essential for personalizing treatment, minimizing costs, and improving outcomes in kidney cancer.
- Continued research is needed to address unmet needs in advanced renal cell carcinoma treatment.
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