PMID- 27142582 OWN - NLM STAT- MEDLINE DCOM- 20170227 LR - 20170227 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 15 IP - 8 DP - 2016 Aug TI - Safety of available treatment options for renal cell carcinoma. PG - 1097-106 LID - 10.1080/14740338.2016.1184643 [doi] AB - INTRODUCTION: For many years, cytokines (high-dose interleukin (IL)-2 and interferon (IFN)) have been the unique available treatment options for metastatic renal cell carcinoma (mRCC) and they provided durable but modest responses at the cost of significant toxicities. To date, targeted therapies have replaced cytokine therapy due to higher response rates and more favorable toxicity profiles. The major classes of targeted therapy for mRCC include tyrosine kinase inhibitors, monoclonal antibody against vascular endothelial grow factors and inhibitors of the mammalian target of rapamycin. Thanks to these new strategies, the prognosis for the mRCC is shifting toward a chronic disease and the new challenges are the adequate treatment of adverse events (AEs) and the care for quality of life, which is crucial. Emerging immunotherapies targeting the programmed death-1 (PD-1) receptor and the programmed death ligand-1 (PD-L1) ligand have shown promising results in both efficacy and safety profiles. AREAS COVERED: Safety data published on available treatment options for renal cell carcinoma RCC are reviewed. EXPERT OPINION: Various toxicities are associated with targeted agents; these toxicities are generally well tolerated but careful monitoring and appropriate management are needed to optimize the use of these strategies. FAU - Derosa, Lisa AU - Derosa L AD - a Gustave Roussy Cancer Campus. FAU - Albiges, Laurence AU - Albiges L AD - a Gustave Roussy Cancer Campus. FAU - Massard, Christophe AU - Massard C AD - a Gustave Roussy Cancer Campus. FAU - Loriot, Yohann AU - Loriot Y AD - a Gustave Roussy Cancer Campus. FAU - Fizazi, Karim AU - Fizazi K AD - a Gustave Roussy Cancer Campus. FAU - Escudier, Bernard AU - Escudier B AD - a Gustave Roussy Cancer Campus. LA - eng PT - Journal Article PT - Review DEP - 20160523 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Antineoplastic Agents) RN - 0 (Cytokines) SB - IM MH - Antineoplastic Agents/adverse effects/pharmacology/*therapeutic use MH - Carcinoma, Renal Cell/*drug therapy/pathology MH - Cytokines/administration & dosage/pharmacology/therapeutic use MH - Drug Monitoring/methods MH - Humans MH - Immunotherapy/adverse effects/methods MH - Kidney Neoplasms/*drug therapy/pathology MH - Molecular Targeted Therapy MH - Neoplasm Metastasis MH - Prognosis MH - Quality of Life OTO - NOTNLM OT - Renal cell carcinoma OT - checkpoint inhibitors OT - immunotherapies OT - mammalian target of rapamycin OT - targeted therapy OT - vascular endothelial growth factor EDAT- 2016/05/05 06:00 MHDA- 2017/02/28 06:00 CRDT- 2016/05/05 06:00 PHST- 2016/05/05 06:00 [entrez] PHST- 2016/05/05 06:00 [pubmed] PHST- 2017/02/28 06:00 [medline] AID - 10.1080/14740338.2016.1184643 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2016 Aug;15(8):1097-106. doi: 10.1080/14740338.2016.1184643. Epub 2016 May 23.