Kidney Cancer: An Overview of Current Therapeutic Approaches

Nivedita Chowdhury1, Charles G Drake2

  • 1Department of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Columbia Center for Translational Immunology, Columbia University Medical Center, 177 Fort Washington Avenue, Suite 6GN-435, New York, NY 10032, USA.

Insights

Recent advances in metastatic renal cell carcinoma (RCC) management include immunotherapy combinations. This review covers current therapies, focusing on predictive biomarkers and novel agents in adjuvant clinical trials for better patient outcomes.

Area of Science:

  • Oncology
  • Immunotherapy
  • Genitourinary Cancers

Background:

  • Metastatic renal cell carcinoma (RCC) management has significantly evolved with new treatment strategies.
  • Immunotherapy-based combinations and targeted therapies (antiangiogenesis, immune checkpoint blockade) are now standard first-line treatments.
  • Rising recurrence rates necessitate personalized treatment plans and predictive biomarkers for response.

Purpose of the Study:

  • To review current first-line and second-line therapies for metastatic RCC.
  • To highlight pivotal clinical trial data for existing and emerging treatments.
  • To focus on ongoing adjuvant clinical trials, including novel agents, for improved patient outcomes.

Main Methods:

  • Literature review of pivotal clinical trials and guidelines.
  • Analysis of data for current first-line and second-line therapies in metastatic RCC.
  • Examination of ongoing clinical trials in the adjuvant setting.

Main Results:

  • First-line treatment landscape dominated by immunotherapy combinations and targeted agents.
  • Significant progress in understanding treatment efficacy and adverse event profiles.
  • Active research in the adjuvant setting exploring novel therapeutic agents.

Conclusions:

  • Personalized treatment strategies and predictive biomarkers are crucial for managing metastatic RCC.
  • Ongoing clinical trials, particularly in the adjuvant setting, hold promise for future therapeutic advancements.
  • The evolving landscape requires continuous evaluation of novel agents and treatment combinations.

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