PMID- 16860997 OWN - NLM STAT- MEDLINE DCOM- 20070123 LR - 20061114 IS - 1040-8428 (Print) IS - 1040-8428 (Linking) VI - 60 IP - 3 DP - 2006 Dec TI - Kinase inhibitors in the treatment of renal cell carcinoma. PG - 216-26 AB - Immunotherapy confers a small but significant overall survival advantage in metastatic renal cell carcinoma (RCC) but a need exists to develop more effective systemic therapies. Angiogenesis has a key role in the pathophysiology of renal cell carcinoma and vascular endothelial growth factor (VEGF) is an important mediator of this process. Sunitinib, sorafenib and axitinib are new agents which belong to a class of drugs called kinase inhibitors and inhibit the VEGF, platelet-derived growth factor (PDGF) and c-KIT receptor tyrosine kinases. Temsirolimus inhibits the mammalian target of rapamycin (mTOR). All these agents have shown significant activity with manageable toxicity in metastatic RCC in phase 2 studies in patients generally pretreated with immunotherapy, whilst prolonged progression-free survival in a phase 3 study has been reported with sorafenib in comparison with placebo. Further phase 3 trials are recruiting and the combination of kinase inhibitors with other therapies is under investigation. FAU - Larkin, James M G AU - Larkin JM AD - Department of Medicine, Royal Marsden Hospital, Downs Road, Sutton, Surrey SM2 5PT, UK. FAU - Eisen, Tim AU - Eisen T LA - eng PT - Journal Article PT - Review DEP - 20060724 PL - Netherlands TA - Crit Rev Oncol Hematol JT - Critical reviews in oncology/hematology JID - 8916049 RN - 0 (Protein Kinase Inhibitors) SB - IM MH - Carcinoma, Renal Cell/*drug therapy/enzymology MH - Humans MH - Kidney Neoplasms/*drug therapy/enzymology MH - Protein Kinase Inhibitors/*therapeutic use RF - 95 EDAT- 2006/07/25 09:00 MHDA- 2007/01/24 09:00 CRDT- 2006/07/25 09:00 PHST- 2005/10/30 00:00 [received] PHST- 2006/04/30 00:00 [revised] PHST- 2006/06/15 00:00 [accepted] PHST- 2006/07/25 09:00 [pubmed] PHST- 2007/01/24 09:00 [medline] PHST- 2006/07/25 09:00 [entrez] AID - S1040-8428(06)00117-X [pii] AID - 10.1016/j.critrevonc.2006.06.008 [doi] PST - ppublish SO - Crit Rev Oncol Hematol. 2006 Dec;60(3):216-26. doi: 10.1016/j.critrevonc.2006.06.008. Epub 2006 Jul 24.