PMID- 24531612 OWN - NLM STAT- MEDLINE DCOM- 20140918 LR - 20140526 IS - 1432-0843 (Electronic) IS - 0344-5704 (Linking) VI - 73 IP - 6 DP - 2014 Jun TI - Recommendations from the Spanish Oncology Genitourinary Group for the treatment of patients with renal cell carcinoma. PG - 1095-107 LID - 10.1007/s00280-014-2413-0 [doi] AB - Clear-cell renal cell carcinoma (RCC) is the most common kidney cancer. New treatment options of localized RCC recently incorporated include laparoscopic surgery, nephron-sparing surgery, ablative techniques and active surveillance. But 50 % of patients may develop disease recurrence attributable to subclinical metastases. In these cases, and considering the low benefits of chemotherapy, new targeted therapies such as tyrosine kinase inhibitors (TKIs) and mammalian target of rapamycin (mTOR) inhibitors have been developed as first- and second-line treatment. Both sunitinib and pazopanib are TKIs that constitute the first-line treatment option in patients with metastatic RCC. As second-line treatment, sequential therapy with a second TKI or a mTOR inhibitor is recommended. This review has collected together a series of recommendations issued by the Spanish Oncology Genitourinary Group with the aim of facilitating the treatment of these patients. Each recommendation is accompanied by the level of evidence and grade of recommendation on the basis of the available data. FAU - Garcia Del Muro, Xavier AU - Garcia Del Muro X AD - Genitourinary and Sarcoma Unit, Department of Medical Oncology, Institut Catala d'Oncologia L'Hospitalet, Gran Via de L'Hospitalet, 199-203, 08908, L'Hospitalet, Barcelona, Spain, garciadelmuro@iconcologia.net. FAU - Gallardo, Enrique AU - Gallardo E FAU - Garcia Carbonero, Iciar AU - Garcia Carbonero I FAU - Lainez, Nuria AU - Lainez N FAU - Jose Mendez, Maria AU - Jose Mendez M FAU - Maroto, Pablo AU - Maroto P FAU - Ochoa de Olza, Maria AU - Ochoa de Olza M FAU - Puente, Javier AU - Puente J FAU - Reynes, Gaspar AU - Reynes G FAU - Rubio, Jose AU - Rubio J FAU - Santander, Carmen AU - Santander C FAU - Suarez, Cristina AU - Suarez C FAU - Vazquez Estevez, Sergio AU - Vazquez Estevez S FAU - Castellano, Daniel AU - Castellano D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140216 PL - Germany TA - Cancer Chemother Pharmacol JT - Cancer chemotherapy and pharmacology JID - 7806519 RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Carcinoma, Renal Cell/drug therapy/pathology/*therapy MH - Humans MH - Kidney Neoplasms/drug therapy/pathology/*therapy MH - Receptor Protein-Tyrosine Kinases/antagonists & inhibitors EDAT- 2014/02/18 06:00 MHDA- 2014/09/19 06:00 CRDT- 2014/02/18 06:00 PHST- 2013/12/03 00:00 [received] PHST- 2014/02/07 00:00 [accepted] PHST- 2014/02/18 06:00 [entrez] PHST- 2014/02/18 06:00 [pubmed] PHST- 2014/09/19 06:00 [medline] AID - 10.1007/s00280-014-2413-0 [doi] PST - ppublish SO - Cancer Chemother Pharmacol. 2014 Jun;73(6):1095-107. doi: 10.1007/s00280-014-2413-0. Epub 2014 Feb 16.