Table 1 |
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|
Indication and efficacy for selected agents in advanced RCC |
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| Indications |
Agent |
Target |
Efficacy |
|
|
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| 1st line |
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|
|
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| Poor risk |
Temsirolimus |
mTOR |
Survival benefit (HR: 0.73) [33] |
| Good risk and clear cell |
High dose IL-2 |
Immunomodulation |
ORR: 14% (potential durable response) [99,100] |
| Good and intermediate risk |
Sunitinib |
VEGFR 1,2,3, PDGFR α,β Abl, Src |
Survival benefit (HR: 0.82) [22] |
| Good and intermediate risk |
Bevacizumab/Interferon |
VEGF/Immunomodulation |
PFS benefit (HR: 0.63) [49] |
|
|
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| 2nd line |
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|
|
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| Prior cytokine therapy |
Sorafenib |
VEGFR 1,2,3, PDGFR, C-kit, Flt-3, RET |
PFS benefit (HR: 0.44) [12] |
| Prior TKIs |
Everolimus |
mTOR |
PFS benefit (HR: 0.30) [35] |
|
|
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| Clinical trials |
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|
|
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| Thalidomide |
Immunomodulation and angiogenesis |
ORR: 0% [42] |
|
| Lenalidomide |
Immunomodulation and angiogenesis |
ORR: 11% [44] |
|
| Axitinib |
VEGFR 1,2, PDGFR, C-kit |
ORR: 21–44.2% [24,101] |
|
| Pazopanib |
VEGFR 1,2,3, PDGFR, C-kit |
ORR: 34.7% [27] |
|
| Cediranib |
VEGFR 1,2,3, PDGFR, C-kit, FLT-4 |
ORR: 38% [29] |
|
| G250 |
CA IX |
ORR: 10% [57] |
|
| Ixabepilone |
Cytotoxic |
ORR: 12.6% [58] |
|
|
|
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Abbreviations: RCC, renal cell cancer; mTOR, mammalian target of rapamycin; VEGFR, vascular endothelial growth factor receptor; PDGFR, platelet derived growth factor receptor; c-KIT, stem-cell growth factor receptor; Flt-3 and -4, Fms-like tyrosine kinases 3 and 4; HR, hazard ratio; ORR, objective response rate; PFS, progression-free survival. |
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Chu and Wu Journal of Hematology & Oncology 2008 1:11 doi:10.1186/1756-8722-1-11 |
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