Systemic Treatment of Locally Advanced or Metastatic Non-Clear Cell Renal Cell Carcinoma

Joseph Vento1, Tian Zhang1, Payal Kapur2

  • 1Division of Hematology and Oncology, Department of Internal Medicine, University of Texas Southwestern, Dallas, TX 75235, USA.

Cancers
|May 14, 2025
PubMed

Insights

This review examines systemic treatments for advanced non-clear cell renal cell carcinoma (nccRCC) subtypes. It focuses on evidence from prospective trials for papillary, chromophobe, and other rare RCC types.

Area of Science:

  • Oncology
  • Nephrology
  • Translational Research

Background:

  • Non-clear cell renal cell carcinoma (nccRCC) is a diverse group of kidney cancers.
  • nccRCC subtypes exhibit varied clinical behavior and treatment responses.
  • Understanding subtype-specific systemic therapies is crucial for advanced or metastatic disease.

Purpose of the Study:

  • To review current evidence on systemic treatments for specific nccRCC subtypes.
  • To focus on prospective trials evaluating therapies in advanced/metastatic nccRCC.
  • To discuss emerging treatments for molecularly defined nccRCC subtypes.

Main Methods:

  • Literature review of systemic therapies in nccRCC.
  • Focus on prospective clinical trials.
  • Inclusion of specific nccRCC subtypes: papillary, chromophobe, unclassified, translocation, collecting duct, and renal medullary carcinoma.

Main Results:

  • Summarizes findings from prospective trials for various nccRCC subtypes.
  • Highlights the evidence base for current systemic treatment approaches.
  • Identifies gaps and emerging trends in nccRCC therapy.

Conclusions:

  • Systemic therapy effectiveness varies significantly across nccRCC subtypes.
  • Further research is needed to optimize treatments for rare and molecularly defined subtypes.
  • Personalized treatment strategies are essential for improving outcomes in nccRCC.

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