TY - JOUR
T1 - An update on the medical therapy of advanced metastatic renal cell carcinoma
AU - Kruck, Stephan
AU - Merseburger, Axel S.
AU - Gakis, Georgios
AU - Kramer, Mario W.
AU - Stenzl, Arnulf
AU - Kuczyk, Markus A.
N1 - Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.
PY - 2008
Y1 - 2008
N2 - The effectiveness of multikinase inhibitors in first- and second-line therapy of metastatic renal cell carcinoma (RCC) has been evaluated in various clinical studies. Initial results indicate an increased response rate and a prolonged progression-free survival compared with cytokine-containing therapeutic approaches. The new multitargeted kinase inhibitors sorafenib (Nexavar®/BAY 43-9006) and sunitinib (Sutent®/SUO 11248) interfere mainly with vascular endothelial growth factor and platelet-derived growth factor pathways. Recently, temsirolimus, a specific inhibitor of mammalian target of rapamycin, demonstrated activity in RCC patients with poor prognosis. This review discusses the effectiveness of the most frequently used substances for systemically progressive RCC in consideration of the currently available clinical data.
AB - The effectiveness of multikinase inhibitors in first- and second-line therapy of metastatic renal cell carcinoma (RCC) has been evaluated in various clinical studies. Initial results indicate an increased response rate and a prolonged progression-free survival compared with cytokine-containing therapeutic approaches. The new multitargeted kinase inhibitors sorafenib (Nexavar®/BAY 43-9006) and sunitinib (Sutent®/SUO 11248) interfere mainly with vascular endothelial growth factor and platelet-derived growth factor pathways. Recently, temsirolimus, a specific inhibitor of mammalian target of rapamycin, demonstrated activity in RCC patients with poor prognosis. This review discusses the effectiveness of the most frequently used substances for systemically progressive RCC in consideration of the currently available clinical data.
UR - http://www.scopus.com/inward/record.url?scp=56749169190&partnerID=8YFLogxK
U2 - 10.1080/00365590802203983
DO - 10.1080/00365590802203983
M3 - Scientific review articles
C2 - 18615363
AN - SCOPUS:56749169190
SN - 0036-5599
VL - 42
SP - 501
EP - 506
JO - Scandinavian Journal of Urology and Nephrology
JF - Scandinavian Journal of Urology and Nephrology
IS - 6
ER -