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2017 ; 18
(2
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Effects and Side Effects of Using Sorafenib and Sunitinib in the Treatment of
Metastatic Renal Cell Carcinoma
#MMPMID28230776
Randrup Hansen C
; Grimm D
; Bauer J
; Wehland M
; Magnusson NE
Int J Mol Sci
2017[Feb]; 18
(2
): ä PMID28230776
show ga
In recent years, targeted therapies have proven beneficial in terms of
progression-free survival (PFS) and overall survival (OS) in the treatment of
metastatic renal cell carcinoma (mRCC). The tyrosine kinase inhibitors (TKIs)
sorafenib and sunitinib are included in international clinical guidelines as
first-line and second-line therapy in mRCC. Hypertension is an adverse effect of
these drugs and the degree of hypertension associates with the anti-tumour
effect. Studies have compared newer targeted drugs to sorafenib and sunitinib in
terms of PFS, OS, quality of life and safety profiles. Phase III studies
presented promising response rates and acceptable safety profiles of axitinib and
tivozanib compared to sorafenib, and a phase II study reported greater efficacy
using a combination of bevacizumab and IFN-? compared to sunitinib. Treatment
with nintedanib exhibited a notably low prevalence of hypertension compared to
sunitinib. The use of sorafenib and sunitinib are challenged by new drugs, but do
not appear likely to be substituted in the near future. To clarify whether newer
targeted drugs should replace sorafenib and sunitinib, more research is needed.
This manuscript reviews the current utility and adverse effects of sorafenib and
sunitinib and newer targeted therapies in the treatment of mRCC.