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Updated: Nov 10, 2025

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Next Steps: Sequencing Therapies in Metastatic Kidney Cancer in the Contemporary Era
Andrew L Schmidt1, Alexandra L Tabakin2, Eric A Singer2
1Lank Centre for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, MA.
Abstract:
Systemic therapy for first-line metastatic renal cell carcinoma has evolved toward immune checkpoint blockade combinations incorporating a PD-1/L1 inhibitor along with CTLA-4 inhibition or VEGF-targeted therapy. The new treatment paradigm that integrates immunotherapy for treatment-naïve advanced metastatic renal cell carcinoma creates a new therapeutic challenge for clinicians including the optimal way to integrate multidisciplinary care involving surgery, radiotherapy, and application of contemporaneous systemic treatment in subsequent lines of therapy following discontinuation of combination therapy. We outline the available data for the multidisciplinary management of metastatic renal cell carcinoma, systemic therapy options in the post-immune checkpoint blockade setting, and novel therapies in development for advanced renal cell carcinoma. We provide practical considerations to assist clinicians in treatment choice and map future directions for progress.
Insights
First-line metastatic renal cell carcinoma treatment now uses immune checkpoint inhibitors. Managing advanced disease post-therapy requires integrated multidisciplinary care and novel systemic options.
Area of Science:
- Oncology
- Immunotherapy
- Nephrology
Background:
- First-line metastatic renal cell carcinoma (mRCC) treatment has shifted to immune checkpoint blockade combinations.
- These combinations include PD-1/L1 inhibitors with CTLA-4 inhibitors or VEGF-targeted therapy.
- This evolving paradigm presents challenges in integrating multidisciplinary care and subsequent therapies.
Purpose of the Study:
- To outline data on multidisciplinary management of mRCC.
- To review systemic therapy options post-immune checkpoint blockade.
- To discuss novel therapies and future directions for advanced RCC.
Main Methods:
- Review of available data on mRCC management.
- Analysis of systemic therapy options in the post-IO setting.
- Exploration of emerging therapies for advanced RCC.
Main Results:
- Combination immunotherapy is the new standard for first-line advanced RCC.
- Optimal integration of surgery, radiotherapy, and systemic therapy is crucial.
- Several novel therapies are under investigation for advanced RCC.
Conclusions:
- Clinicians face new challenges in managing advanced RCC post-combination therapy.
- Multidisciplinary care and strategic sequencing of therapies are essential.
- Continued research into novel agents and treatment strategies is vital for improving outcomes.
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