Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinoma

The treatment of metastatic renal cell carcinoma (RCC) has changed dramatically with the introduction of targeted therapies including sunitinib, sorafenib, and temsirolimus. Because patients with conventional clear cell histology account for 75- 80% of all patients with RCC, there has been little ac...

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Main Authors: Daniel Y.C. Heng, Ronald M. Bukowski
Format: Article
Language:English
Published: Frontiers Media S.A. 2011-12-01
Series:Oncology Reviews
Subjects:
Online Access:http://oncologyreviews.org/index.php/or/article/view/152
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author Daniel Y.C. Heng
Ronald M. Bukowski
author_facet Daniel Y.C. Heng
Ronald M. Bukowski
author_sort Daniel Y.C. Heng
collection DOAJ
description The treatment of metastatic renal cell carcinoma (RCC) has changed dramatically with the introduction of targeted therapies including sunitinib, sorafenib, and temsirolimus. Because patients with conventional clear cell histology account for 75- 80% of all patients with RCC, there has been little accumulated evidence on the treatment of patients with non-clear cell histologies. Most clinical trials have excluded them from enrolment, except for randomized studies investigating temsirolimus. Many retrospective studies on the use of all three of these targeted therapies in patients with non-clear cell histology have demonstrated response rates ranging from 3.7%–16%. Although response rates may not be as high compared to patients with clear cell histologies, targeted therapy does provide a clinically meaningful response.
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spelling doaj.art-063cd8102bc94e95855b323d9d13cd952023-01-03T02:37:59ZengFrontiers Media S.A.Oncology Reviews1970-55571970-55652011-12-0113170176146Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinomaDaniel Y.C. Heng0Ronald M. Bukowski1Experimental Therapeutics, Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Center, ClevelandExperimental Therapeutics, Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Center, ClevelandThe treatment of metastatic renal cell carcinoma (RCC) has changed dramatically with the introduction of targeted therapies including sunitinib, sorafenib, and temsirolimus. Because patients with conventional clear cell histology account for 75- 80% of all patients with RCC, there has been little accumulated evidence on the treatment of patients with non-clear cell histologies. Most clinical trials have excluded them from enrolment, except for randomized studies investigating temsirolimus. Many retrospective studies on the use of all three of these targeted therapies in patients with non-clear cell histology have demonstrated response rates ranging from 3.7%–16%. Although response rates may not be as high compared to patients with clear cell histologies, targeted therapy does provide a clinically meaningful response.http://oncologyreviews.org/index.php/or/article/view/152Renal cell cancer - Non-clear cell - Papillary - Chromophobe - Collecting duct - Sunitinib - Sorafenib - Temsirolimus
spellingShingle Daniel Y.C. Heng
Ronald M. Bukowski
Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinoma
Oncology Reviews
Renal cell cancer - Non-clear cell - Papillary - Chromophobe - Collecting duct - Sunitinib - Sorafenib - Temsirolimus
title Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinoma
title_full Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinoma
title_fullStr Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinoma
title_full_unstemmed Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinoma
title_short Renal cell carcinoma: evolving approaches to advanced non-clear cell carcinoma
title_sort renal cell carcinoma evolving approaches to advanced non clear cell carcinoma
topic Renal cell cancer - Non-clear cell - Papillary - Chromophobe - Collecting duct - Sunitinib - Sorafenib - Temsirolimus
url http://oncologyreviews.org/index.php/or/article/view/152
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