First-Line Systemic Therapy for Metastatic Clear-Cell Renal Cell Carcinoma: Critical Appraisal of Emerging Options.

Until recently, a dichotomy existed in the front-line approach of metastatic clear-cell renal cell carcinoma (mRCC). Specifically, patients received either targeted therapy or immunotherapy. Targeted therapy entailed use of agents blocking signaling through the vascular endothelial growth factor (VE...

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Publicado en:Targeted Oncology Vol. 14; no. 6; pp. 639 - 646
Autores principales: Loo, Vivian, Salgia, Meghan, Bergerot, Paulo, Philip, Errol J., Pal, Sumanta K.
Formato: review Journal Article
Publicado: Springer Nature Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: First-Line Systemic Therapy for Metastatic Clear-Cell Renal Cell Carcinoma: Critical Appraisal of Emerging Options.
      aug:
        au:
          Loo, Vivian
          Salgia, Meghan
          Bergerot, Paulo
          Philip, Errol J.
          Pal, Sumanta K.
        affil: Department of Protocol Content Administration, City of Hope Comprehensive Cancer Center, Duarte, CA, USA
      sug:
        subj:
          Antineoplastic Agents, Combined Therapeutic Use
          Immunotherapy Methods
          Kidney Neoplasms Drug Therapy
          Carcinoma, Renal Cell Drug Therapy
          Survival
          Kidney Neoplasms Pathology
          Carcinoma, Renal Cell Pathology
          Drug Therapy
          Treatment Outcomes
          Scales
      ab: Until recently, a dichotomy existed in the front-line approach of metastatic clear-cell renal cell carcinoma (mRCC). Specifically, patients received either targeted therapy or immunotherapy. Targeted therapy entailed use of agents blocking signaling through the vascular endothelial growth factor (VEGF) receptor, such as cabozantinib, sunitinib, or pazopanib. Immunotherapy entailed dual therapy with nivolumab and ipilimumab, both checkpoint inhibitors for intermediate/poor International Metastatic RCC Database Consortium (IMDC)-risk disease patients. Within the past year, two datasets have emerged that led to recent approvals of combined therapy with VEGF and checkpoint inhibitors. These regimens (axitinib with either avelumab or pembolizumab) are among several that have been or will be evaluated for patients with newly diagnosed mRCC. We aim to facilitate treatment decisions through this comprehensive and contextualized overview of recent datasets in this therapeutic space.
      pubtype: Academic Journal
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        review
        Journal Article
      ougenre: Article
    language: English
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