PMID- 23972707 OWN - NLM STAT- MEDLINE DCOM- 20131029 LR - 20211203 IS - 1532-8708 (Electronic) IS - 0093-7754 (Linking) VI - 40 IP - 4 DP - 2013 Aug TI - Systemic treatment options for untreated patients with metastatic clear cell renal cancer. PG - 436-43 LID - S0093-7754(13)00088-2 [pii] LID - 10.1053/j.seminoncol.2013.05.013 [doi] AB - The introduction of therapy targeting vascular endothelial growth factor (VEGF) and the mammalian target of rapomycin (mTOR) has significantly improved the outcome of patients with metastatic renal cancer. In this article a comprehensive overview of treatment choices for previously untreated patients with metastatic disease is given. Both established and emerging therapeutic options are discussed, as are prognostic factors predicting outcome. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Molina, Ana M AU - Molina AM AD - Genitourinary Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. molinaa@mskcc.org FAU - Motzer, Robert J AU - Motzer RJ FAU - Heng, Daniel Y AU - Heng DY LA - eng PT - Journal Article PT - Review PL - United States TA - Semin Oncol JT - Seminars in oncology JID - 0420432 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Indazoles) RN - 0 (Indoles) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrimidines) RN - 0 (Pyrroles) RN - 0 (Sulfonamides) RN - 2S9ZZM9Q9V (Bevacizumab) RN - 624KN6GM2T (temsirolimus) RN - 7RN5DR86CK (pazopanib) RN - V99T50803M (Sunitinib) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - Bevacizumab MH - Carcinoma, Renal Cell/*drug therapy/secondary MH - Humans MH - Indazoles MH - Indoles/adverse effects/therapeutic use MH - Kidney Neoplasms/*drug therapy/pathology MH - Prognosis MH - Protein Kinase Inhibitors/therapeutic use MH - Pyrimidines/therapeutic use MH - Pyrroles/adverse effects/therapeutic use MH - Sirolimus/analogs & derivatives/therapeutic use MH - Sulfonamides/therapeutic use MH - Sunitinib EDAT- 2013/08/27 06:00 MHDA- 2013/10/30 06:00 CRDT- 2013/08/27 06:00 PHST- 2013/08/27 06:00 [entrez] PHST- 2013/08/27 06:00 [pubmed] PHST- 2013/10/30 06:00 [medline] AID - S0093-7754(13)00088-2 [pii] AID - 10.1053/j.seminoncol.2013.05.013 [doi] PST - ppublish SO - Semin Oncol. 2013 Aug;40(4):436-43. doi: 10.1053/j.seminoncol.2013.05.013.