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2015 ; 2
(4
): 187-194
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The Role of Everolimus in Renal Cell Carcinoma
#MMPMID28326273
Meskawi M
; Valdivieso R
; Dell'Oglio P
; Trudeau V
; Larcher A
; Karakiewicz PI
J Kidney Cancer VHL
2015[]; 2
(4
): 187-194
PMID28326273
show ga
Everolimus (RAD001) is an orally administered agent that inhibits the mammalian
target of rapamycin serine-threonine kinase. A phase III pivotal trial on
everolimus, published in 2008, provided the first evidence for the efficacy of
sequential therapy for patients with metastatic clear cell renal cell carcinoma
(RCC). In this study, everolimus was used after failure of one or several
previous lines of therapy, and it demonstrated a 3-month survival benefit
relative to placebo. Currently, based on the level 1 evidence, everolimus
represents the molecule of choice for third-line therapy after failure of
previous two tyrosine kinase inhibitors (TKIs). However, second-line use after
failure of one TKI is challenged by two new molecules (nivolumab and
cabozantinib), which proved to have better efficacy with similar toxicity
profile. In non-clear cell metastatic RCC, the current evidence recommends
everolimus as a second-line therapy after failure of previous first-line
sunitinib.