Toxicity Management of Systemic Kidney Cancer Therapies

Hematol Oncol Clin North Am. 2023 Oct;37(5):993-1003. doi: 10.1016/j.hoc.2023.05.006. Epub 2023 Jun 21.

Abstract

Systemic treatments for metastatic renal cell carcinoma have expanded to include antiangiogenic agents targeting either vascular endothelial growth factor receptor, immune checkpoint inhibitors against cytotoxic T-lymphocyte antigen 4, or programmed cell death 1 pathways, and combinations of these treatments. The hypoxia inducible factor-2 inhibitors are emerging, whereas mammalian target of rapamycin (inhibitors) role is fading. To sustain optimal efficacy of these agents, potential toxicities must be recognized early and clinically managed. Here, the authors discuss the adverse events attributable to these treatments and management strategies.

Keywords: Adverse events; Immune-related adverse events; Renal cell carcinoma; Toxicity management.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / adverse effects
  • Carcinoma, Renal Cell* / drug therapy
  • Carcinoma, Renal Cell* / metabolism
  • Humans
  • Immunotherapy / adverse effects
  • Kidney Neoplasms* / drug therapy
  • Kidney Neoplasms* / metabolism
  • Vascular Endothelial Growth Factor A

Substances

  • Vascular Endothelial Growth Factor A
  • Angiogenesis Inhibitors