An Update on the Treatment of Papillary Renal Cell Carcinoma

Neal S Chawla1, Nicolas Sayegh2, Sweta Prajapati1

  • 1Department of Medical Oncology & Experimental Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA 91010, USA.

Cancers
|February 11, 2023
PubMed

Insights

Papillary renal cell carcinoma (pRCC), a common kidney cancer, shows slower treatment progress than other subtypes due to its diverse nature. This review covers pRCC biology and clinical trials, highlighting future research directions.

Area of Science:

  • Oncology
  • Nephrology
  • Cancer Biology

Background:

  • Papillary renal cell carcinoma (pRCC) is the second most frequent kidney cancer subtype, accounting for 15% of cases.
  • Therapeutic advancements in pRCC, including targeted therapies and immune checkpoint inhibitors, have lagged behind clear cell renal cell carcinoma (ccRCC).
  • The heterogeneity among pRCC subtypes contributes to challenges in treatment development.

Purpose of the Study:

  • To review the distinct biological characteristics of papillary renal cell carcinoma.
  • To discuss the most impactful clinical trials conducted to date for pRCC.
  • To provide an outlook on anticipated ongoing clinical trials in pRCC research.

Main Methods:

  • Literature review of distinct biological features of pRCC.
  • Analysis of key clinical trials in pRCC treatment.
  • Synthesis of current research trends and future trial directions.

Main Results:

  • pRCC exhibits significant biological heterogeneity, impacting therapeutic responses.
  • Several clinical trials have explored targeted therapies and immunotherapies with varying success.
  • Ongoing trials are focusing on histology and biology-driven approaches.

Conclusions:

  • Understanding pRCC's unique biology is crucial for developing effective treatments.
  • Clinical trial progress in pRCC necessitates tailored, subtype-specific strategies.
  • Future research holds promise for improved outcomes in papillary renal cell carcinoma.

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