Table 1

Indication and efficacy for selected agents in advanced RCC

Indications
Agent
Target
Efficacy

1st line




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]

2nd line




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]

Clinical trials





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]

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.

Chu and Wu Journal of Hematology & Oncology 2008 1:11   doi:10.1186/1756-8722-1-11

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