PMID- 21827391 OWN - NLM STAT- MEDLINE DCOM- 20120604 LR - 20211203 IS - 2212-3938 (Electronic) IS - 1574-8847 (Linking) VI - 6 IP - 3 DP - 2011 Aug TI - Immunotherapy and targeted therapy combinations in renal cancer. PG - 207-13 AB - In recent years an improved understanding of renal cell carcinoma (RCC) tumor biology has translated into major advancements in the treatment of patients with metastatic RCC. These novel therapies include inhibitors of the vascular endothelial growth factor (VEGF) pathway, and inhibitors of the mammalian target of rapamycin (mTor) pathway. In contrast to the results seen with molecularly targeted therapies, the administration of high-dose bolus IL-2 (HD IL-2) can produce durable responses in a small percentage of patients. While the substantial toxicity and limited efficacy that is associated with HD IL-2 limits its application, novel immunotherapies may be able to produce durable benefit with less toxicity. Once the standard of care, the role of low-dose single-agent cytokines is now limited in patients with RCC. However, combinations of cytokines with targeted therapy may have merit. The advent of targeted therapy in RCC does not eliminate the potential utility of immunotherapy but rather requires a rational refinement of this approach through improvements in patient selection and combination therapy that may increase the cure rate for patients with this disease. FAU - McDermott, David F AU - McDermott DF AD - Biologic Therapy Program, Beth Israel Deaconess Medical Center, Boston, MA, USA. dmcdermo@bidmc.harvard.edu LA - eng GR - P50 CA101942-01/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United Arab Emirates TA - Curr Clin Pharmacol JT - Current clinical pharmacology JID - 101273158 RN - 0 (Antineoplastic Agents) RN - 0 (Interleukin-2) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Antineoplastic Agents/administration & dosage MH - Carcinoma, Renal Cell/*drug therapy/*immunology MH - Drug Delivery Systems/methods/*trends MH - Humans MH - Immunotherapy/methods/*trends MH - Interleukin-2/immunology MH - Kidney Neoplasms/*drug therapy/*immunology MH - T-Lymphocytes/drug effects/immunology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/immunology MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors/immunology EDAT- 2011/08/11 06:00 MHDA- 2012/06/05 06:00 CRDT- 2011/08/11 06:00 PHST- 2011/01/24 00:00 [received] PHST- 2011/03/13 00:00 [accepted] PHST- 2011/08/11 06:00 [entrez] PHST- 2011/08/11 06:00 [pubmed] PHST- 2012/06/05 06:00 [medline] AID - BSP/CCP/E-Pub/0050 [pii] AID - 10.2174/157488411797189451 [doi] PST - ppublish SO - Curr Clin Pharmacol. 2011 Aug;6(3):207-13. doi: 10.2174/157488411797189451.