Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab

Ronald M BukowskiCleveland Clinic Taussig Cancer Center, CCF Lerner College of Medicine of CWRU Cleveland, OH, USAAbstract: The biology and pathogenesis of clear cell carcinoma of the kidney has been extensively investgated, and the role of von Hipple-Landau gene inactivation and tumor associated an...

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Main Author: Ronald M Bukowski
Format: Article
Language:English
Published: Dove Medical Press 2010-03-01
Series:Cancer Management and Research
Online Access:http://www.dovepress.com/metastatic-clear-cell-carcinoma-of-the-kidney-therapeutic-role-of-beva-a4132
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author Ronald M Bukowski
author_facet Ronald M Bukowski
author_sort Ronald M Bukowski
collection DOAJ
description Ronald M BukowskiCleveland Clinic Taussig Cancer Center, CCF Lerner College of Medicine of CWRU Cleveland, OH, USAAbstract: The biology and pathogenesis of clear cell carcinoma of the kidney has been extensively investgated, and the role of von Hipple-Landau gene inactivation and tumor associated angiogenesis is now recognized. Development of vascular endothelial growth factor inhibitors and phase 3 clinical trials utilizing this class of agents has produced a new treatment paradigm for patients with metastatic renal cell carcinoma (RCC). One of the active regimens identified is the combination of bevacizumab and interferon-α. Recently published reports provided evidence of the clinical and biologic activity of this therapy. The current manuscript reviews the background and rationale for the activity of bevacizumab in RCC, and results from recent clinical trials with this agent alone or in combination with targeted agents or cytokines. The role of this therapy in contrast to other targeted agents is reviewed, and the potential utility as well as questions raised by recent studies are discussed.Keywords: metastatic renal cell carcinoma, bevacizumab, interferon-α
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spelling doaj.art-39e6eeacfe864cc387bc736619ae15272022-12-22T03:06:59ZengDove Medical PressCancer Management and Research1179-13222010-03-012010default8396Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumabRonald M BukowskiRonald M BukowskiCleveland Clinic Taussig Cancer Center, CCF Lerner College of Medicine of CWRU Cleveland, OH, USAAbstract: The biology and pathogenesis of clear cell carcinoma of the kidney has been extensively investgated, and the role of von Hipple-Landau gene inactivation and tumor associated angiogenesis is now recognized. Development of vascular endothelial growth factor inhibitors and phase 3 clinical trials utilizing this class of agents has produced a new treatment paradigm for patients with metastatic renal cell carcinoma (RCC). One of the active regimens identified is the combination of bevacizumab and interferon-α. Recently published reports provided evidence of the clinical and biologic activity of this therapy. The current manuscript reviews the background and rationale for the activity of bevacizumab in RCC, and results from recent clinical trials with this agent alone or in combination with targeted agents or cytokines. The role of this therapy in contrast to other targeted agents is reviewed, and the potential utility as well as questions raised by recent studies are discussed.Keywords: metastatic renal cell carcinoma, bevacizumab, interferon-αhttp://www.dovepress.com/metastatic-clear-cell-carcinoma-of-the-kidney-therapeutic-role-of-beva-a4132
spellingShingle Ronald M Bukowski
Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab
Cancer Management and Research
title Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab
title_full Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab
title_fullStr Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab
title_full_unstemmed Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab
title_short Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab
title_sort metastatic clear cell carcinoma of the kidney therapeutic role of bevacizumab
url http://www.dovepress.com/metastatic-clear-cell-carcinoma-of-the-kidney-therapeutic-role-of-beva-a4132
work_keys_str_mv AT ronaldmbukowski metastaticclearcellcarcinomaofthekidneytherapeuticroleofbevacizumab