Pazopanib as first-line therapy for patients with metastatic kidney cancer

Pazopanib (Votrient®) is an oral small-molecule multi-kinase inhibitor that predominantly inhibits vascular endothelial growth factor receptor-1, -2 and -3, platelet-derived growth factor receptor-α and -β and the stem cell factor receptor c-Kit. In preliminary experiments using mouse and rabbit mod...

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Main Authors: B. Ya. Alekseev, I. M. Shevchuk
Format: Article
Language:Russian
Published: Remedium Group LLC 2018-07-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/2535
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author B. Ya. Alekseev
I. M. Shevchuk
author_facet B. Ya. Alekseev
I. M. Shevchuk
author_sort B. Ya. Alekseev
collection DOAJ
description Pazopanib (Votrient®) is an oral small-molecule multi-kinase inhibitor that predominantly inhibits vascular endothelial growth factor receptor-1, -2 and -3, platelet-derived growth factor receptor-α and -β and the stem cell factor receptor c-Kit. In preliminary experiments using mouse and rabbit models of angiogenesis, pazopanib inhibited angiogenesis caused by a combined vascular endothelial growth factor and a major fibroblast growth factor. Although the drug was developed as a therapeutic multi-tumour agent, it is currently approved in many countries for the treatment of advanced soft tissue sarcoma and renal cell carcinoma (RCC). In multicentre, randomized trials of the efficacy of pazopanib as a first-line therapy in patients with metastatic RCC, progression-free survival (PFS) was significantly greater in pazopanib recipients than in cytokine recipients and pazopanib was noninferior to sunitinib with respect to time to disease progression. In addition, side effects such as liver dysfunction and hypertension can be usually managed, and pazopanib is likely to be a more preferred cost-effective option and shows better quality-of-life compared to other alternative drugs.
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spelling doaj.art-18e7236782a74f9797bb36a042fde6362023-04-23T06:57:10ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902018-07-01010707610.21518/2079-701X-2018-10-70-762496Pazopanib as first-line therapy for patients with metastatic kidney cancerB. Ya. Alekseev0I. M. Shevchuk1National Medical Research Radiological Center of the Ministry of Health of RussiaNational Medical Research Radiological Center of the Ministry of Health of RussiaPazopanib (Votrient®) is an oral small-molecule multi-kinase inhibitor that predominantly inhibits vascular endothelial growth factor receptor-1, -2 and -3, platelet-derived growth factor receptor-α and -β and the stem cell factor receptor c-Kit. In preliminary experiments using mouse and rabbit models of angiogenesis, pazopanib inhibited angiogenesis caused by a combined vascular endothelial growth factor and a major fibroblast growth factor. Although the drug was developed as a therapeutic multi-tumour agent, it is currently approved in many countries for the treatment of advanced soft tissue sarcoma and renal cell carcinoma (RCC). In multicentre, randomized trials of the efficacy of pazopanib as a first-line therapy in patients with metastatic RCC, progression-free survival (PFS) was significantly greater in pazopanib recipients than in cytokine recipients and pazopanib was noninferior to sunitinib with respect to time to disease progression. In addition, side effects such as liver dysfunction and hypertension can be usually managed, and pazopanib is likely to be a more preferred cost-effective option and shows better quality-of-life compared to other alternative drugs.https://www.med-sovet.pro/jour/article/view/2535metastatic renal cell carcinomamulti-target tyrosine kinase inhibitorspazopanib
spellingShingle B. Ya. Alekseev
I. M. Shevchuk
Pazopanib as first-line therapy for patients with metastatic kidney cancer
Медицинский совет
metastatic renal cell carcinoma
multi-target tyrosine kinase inhibitors
pazopanib
title Pazopanib as first-line therapy for patients with metastatic kidney cancer
title_full Pazopanib as first-line therapy for patients with metastatic kidney cancer
title_fullStr Pazopanib as first-line therapy for patients with metastatic kidney cancer
title_full_unstemmed Pazopanib as first-line therapy for patients with metastatic kidney cancer
title_short Pazopanib as first-line therapy for patients with metastatic kidney cancer
title_sort pazopanib as first line therapy for patients with metastatic kidney cancer
topic metastatic renal cell carcinoma
multi-target tyrosine kinase inhibitors
pazopanib
url https://www.med-sovet.pro/jour/article/view/2535
work_keys_str_mv AT byaalekseev pazopanibasfirstlinetherapyforpatientswithmetastatickidneycancer
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