NSU-MD Faculty Articles

Combination therapy for renal cell cancer: what are possible options?

Publication Title

Oncology

Publisher

S. Karger AG

ISSN

0030-2414

Publication Date

1-1-2011

Keywords

Angiogenesis Inhibitors, Antineoplastic Combined Chemotherapy Protocols, Carcinoma, Renal Cell, Humans, Kidney Neoplasms, Neovascularization, Pathologic

Abstract

Antiangiogenic therapy has shown promise in the treatment of patients with renal cell carcinoma (RCC). Two classes of antiangiogenic drugs, the anti-vascular endothelial growth factor antibody bevacizumab and the tyrosine kinase inhibitors sorafenib, sunitinib and pazopanib, have shown efficacy in patients with RCC and are approved by the US Food and Drug Administration for treatment of this cancer. In practice, the clinical benefit of antiangiogenic drugs in RCC has been heterogeneous, and in patients who do respond, benefits are modest and/or short-lived. To improve efficacy, combination targeted therapy has been attempted, but with either very limited additional efficacy or nontolerable toxicities. Recent advances in the molecular understanding of tumor angiogenesis and mechanism of resistance, along with the rapid development of targeted drug discovery, have made it possible to further explore novel combination therapy for RCC.

DOI

10.1159/000333470

Volume

81

Issue

3-4

First Page

220

Last Page

229

Disciplines

Medicine and Health Sciences

Peer Reviewed

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