PMID- 21789125 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20111110 LR - 20231104 IS - 1758-8359 (Electronic) IS - 1758-8340 (Print) IS - 1758-8340 (Linking) VI - 2 IP - 1 DP - 2010 Jan TI - Targeted therapy for metastatic renal cell carcinoma: current treatment and future directions. PG - 39-49 LID - 10.1177/1758834009352498 [doi] AB - An understanding of vascular endothelial growth factor (VEGF) and mammalian target of rapamycin (mTOR) pathways has greatly changed the way metastatic renal cell carcinoma (RCC) is treated. Based on available phase III randomized trials, anti-VEGF agents such as sunitinib, sorafenib, bevacizumab-based therapy, and mTOR-targeted agents such as temsirolimus and everolimus have been used in the treatment armamentarium for this disease. Now that agents directed against these pathways have largely replaced immunotherapy as the standard of care, new questions have emerged and are the subject of ongoing clinical trials. The development of new targeted therapies including axitinib, pazopanib, cediranib, volociximab, tivozanib (AV-951), BAY 73-4506, and c-met inhibitors such as GSK1363089 and ARQ197 may potentially expand the list of treatment options. Sequential and combination targeted therapies are currently under investigation in advanced disease as are adjuvant and neo-adjuvant approaches around nephrectomy. FAU - Heng, Daniel Y C AU - Heng DY AD - BC Cancer Agency, 600 West 12 Avenue, Vancouver, British Columbia, V5Z 4E6, Canada. FAU - Kollmannsberger, Christian AU - Kollmannsberger C FAU - Chi, Kim N AU - Chi KN LA - eng PT - Journal Article PL - England TA - Ther Adv Med Oncol JT - Therapeutic advances in medical oncology JID - 101510808 PMC - PMC3126007 OTO - NOTNLM OT - adjuvant OT - combination therapy OT - mammalian target of rapamycin OT - neo-adjuvant OT - nonclear cell histologies OT - renal cell carcinoma OT - vascular endothelial growth factor EDAT- 2010/01/01 00:00 MHDA- 2010/01/01 00:01 PMCR- 2010/01/01 CRDT- 2011/07/27 06:00 PHST- 2011/07/27 06:00 [entrez] PHST- 2010/01/01 00:00 [pubmed] PHST- 2010/01/01 00:01 [medline] PHST- 2010/01/01 00:00 [pmc-release] AID - 10.1177_1758834009352498 [pii] AID - 10.1177/1758834009352498 [doi] PST - ppublish SO - Ther Adv Med Oncol. 2010 Jan;2(1):39-49. doi: 10.1177/1758834009352498.