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Updated: Dec 19, 2025

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Systemic therapy in metastatic renal cell carcinoma: Emerging challenges in therapeutic choice
Ambica Parmar1, Beate Sander2, Georg A Bjarnason3
1Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluative Sciences, University of Toronto, Toronto, Ontario, Canada.
Abstract:
The treatment landscape for metastatic renal cell carcinoma (mRCC) has undergone a substantial evolution in the past decade, with a dramatic increase in the number of available systemic therapies. Although this offers promise for improved patient outcomes, this rapid pace in development has led to new challenges in therapeutic choice. For instance, the absence of direct comparative evidence across all therapeutic options has led to a critical gap in evidence to clearly define preferred systemic therapy choice. Additionally, the rising cost of systemic therapies being evaluated for mRCC necessitates demonstration of cost-effectiveness prior to widespread adoption. This review provides an overview of the current treatment landscape in mRCC to highlight the emerging challenges faced by clinicians and health policy-makers. In addition, this review summarizes the currently available evidence that aims to address the above challenges.
Insights
The treatment for metastatic renal cell carcinoma (mRCC) has many new options, but a lack of comparative data and rising costs create challenges for doctors and policymakers. Evidence is needed to guide choices and ensure cost-effectiveness for these advanced cancer therapies.
Area of Science:
- Oncology
- Pharmacology
- Health Policy
Background:
- The treatment landscape for metastatic renal cell carcinoma (mRCC) has rapidly expanded with numerous systemic therapies.
- This expansion presents challenges in selecting optimal treatments due to limited comparative data and increasing costs.
Purpose of the Study:
- To review the current mRCC treatment landscape.
- To highlight challenges in therapeutic choice for clinicians and health policy-makers.
- To summarize existing evidence addressing these challenges.
Main Methods:
- Literature review of systemic therapies for mRCC.
- Analysis of comparative effectiveness and cost-effectiveness data.
- Synthesis of evidence to inform clinical and policy decisions.
Main Results:
- Significant increase in systemic therapy options for mRCC over the past decade.
- Absence of direct comparative evidence across all available treatments.
- Growing concern regarding the cost-effectiveness of novel mRCC therapies.
Conclusions:
- Clinicians and health policy-makers face challenges in navigating the mRCC treatment landscape.
- Further research and evidence generation are crucial for defining preferred therapies and ensuring value.
- Addressing evidence gaps is essential for optimizing patient outcomes and managing healthcare resources.
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