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Published in: Targeted Oncology 2/2010

01-06-2010 | Review

Targeted therapies for non-clear renal cell carcinoma

Authors: Eric A. Singer, Gennady Bratslavsky, W. Marston Linehan, Ramaprasad Srinivasan

Published in: Targeted Oncology | Issue 2/2010

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Abstract

The treatment of advanced and metastatic kidney cancer has been revolutionized by the development of targeted systemic therapies. Despite the growing number of available agents approved for use against clear cell renal cell carcinoma, patients with non-clear histologies, constituting approximately 1 in 4 cases of kidney cancer, have not received the same attention. The majority of clinical trials testing novel targeted therapies have excluded non-clear subtypes, providing limited therapeutic options for patients with these diagnoses and their oncologists. This review will focus on the use of targeted therapies against the non-clear histologic subtypes of renal cell carcinoma: papillary I and II, chromophobe, and collecting duct. The unique genetic and molecular profiles of each distinct non-clear kidney cancer subtype will be described, as these differences are integral to the development and effectiveness of the novel agents used to treat them. Trials focusing on non-clear kidney cancer, or those that treated clear cell tumors along with significant numbers of non-clear subtypes, will be discussed. The role of cytoreductive nephrectomy and the use of neoadjuvant and adjuvant targeted therapy will be reviewed. Lastly, areas of future research will be highlighted.

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Metadata
Title
Targeted therapies for non-clear renal cell carcinoma
Authors
Eric A. Singer
Gennady Bratslavsky
W. Marston Linehan
Ramaprasad Srinivasan
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Targeted Oncology / Issue 2/2010
Print ISSN: 1776-2596
Electronic ISSN: 1776-260X
DOI
https://doi.org/10.1007/s11523-010-0148-3

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