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2017 ; 2
(2
): e000185
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New treatment options for metastatic renal cell carcinoma
#MMPMID28761748
Rodriguez-Vida A
; Hutson TE
; Bellmunt J
; Strijbos MH
ESMO Open
2017[]; 2
(2
): e000185
PMID28761748
show ga
During the last decade, the treatment of advanced or metastatic renal cell
carcinoma (RCC) was revolutionised with the advent of antiangiogenic drugs and
tyrosine-kinase inhibitors. Several agents targeting the vascular endothelial
growth factor (VEGF) pathway (sunitinib, bevacizumab, pazopanib, axitinib) or the
mammalian target of rapamycin pathway (temsirolimus, everolimus) were since then
progressively approved for first-line or later-line use in the treatment of
patients with advanced RCC and became the new standard of care. As a result, the
survival of patients with advanced RCC has significantly improved from a median
overall survival of approximately 12 months in the cytokines era to more than 26
months with first-line VEGF inhibitors. During the two last years, the treatment
of advanced RCC has witnessed a second revolution with the advent of immune
checkpoint inhibitors, especially agents targeting the programmed cell death-1
receptor, as well as with the advent of new generation tyrosine-kinase receptor
inhibitors. This article will review the new therapeutic options available for
the treatment of advanced RCC, as well as the future potential molecular targets
that are currently being investigated.