Systemic adjuvant therapy for renal cell carcinoma: Any hope for future clinical trials?

Urol Oncol. 2016 May;34(5):221-4. doi: 10.1016/j.urolonc.2016.01.003. Epub 2016 Mar 18.

Abstract

The role of adjuvant therapy for renal cell carcinoma (RCC) after surgical resection has been evaluated in numerous randomized and nonrandomized studies using systemic therapies with distinct mechanisms of action. However, adjuvant therapy has not demonstrated definitive benefit to date and guidelines currently do not support its use. Continued advancement in the understanding of the molecular pathogenesis in RCC is critical, which would lead to identification of new therapeutic targets, as well as novel prognostic and predictive biomarkers, in hopes of improving outcomes in this lethal disease. Herein we summarize the results of randomized studies of the adjuvant treatments of RCC, in hopes to direct future effort in the development of treatment of this disease.

Keywords: Adjuvant therapy; Clinical trials; Kidney cancer; Nephrectomy; Tyrosine kinase inhibitor.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • Carcinoma, Renal Cell / drug therapy*
  • Carcinoma, Renal Cell / surgery
  • Chemotherapy, Adjuvant / methods
  • Chemotherapy, Adjuvant / trends
  • Clinical Trials as Topic / methods
  • Disease-Free Survival
  • Forecasting
  • Humans
  • Indoles / therapeutic use
  • Kidney Neoplasms / drug therapy*
  • Kidney Neoplasms / surgery
  • Niacinamide / analogs & derivatives
  • Niacinamide / therapeutic use
  • Phenylurea Compounds / therapeutic use
  • Pyrroles / therapeutic use
  • Sorafenib
  • Sunitinib

Substances

  • Antineoplastic Agents
  • Indoles
  • Phenylurea Compounds
  • Pyrroles
  • Niacinamide
  • Sorafenib
  • Sunitinib