Adjuvant Therapy for High-Risk Localized Renal Cell Carcinoma: Current Landscape and Future Direction

被引:2
作者
Buller, Dylan M. [1 ]
Antony, Maria [2 ]
Ristau, Benjamin T. [1 ,3 ]
机构
[1] UConn Hlth, Div Urol, Farmington, CT USA
[2] Univ Connecticut, Sch Med, Farmington, CT USA
[3] UConn Hlth, Div Urol, 263 Farmington Ave, Farmington, CT 06030 USA
关键词
renal cell carcinoma; adjuvant therapy; targeted therapy; immunotherapy; radiation; PRIMARY KIDNEY CANCER; EARLY BREAST-CANCER; PHASE-III TRIAL; STEREOTACTIC ABLATIVE RADIOTHERAPY; POSTOPERATIVE PROGNOSTIC NOMOGRAM; RADIOSURGERY ONCOLOGY CONSORTIUM; BODY RADIOTHERAPY; OPEN-LABEL; INTERFERON-ALPHA; RANDOMIZED-TRIAL;
D O I
10.2147/OTT.S393296
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Locally and regionally advanced renal cell carcinoma (RCC) can recur at high rates even after visually complete resection of primary disease. Both targeted therapies and immunotherapies represent potential agents that might help reduce recurrence of RCC in these patients. This paper reviews the current body of evidence defining their potential impact and examines the large Phase III randomized clinical trials that have been performed to assess the safety and efficacy of these systemic therapies in the adjuvant setting. Given that the findings from these trials have been predominantly negative, this paper also explores the role of other potential adjuvant agents, including single and combination agent targeted therapies and immunotherapies, whose use is currently limited to metastatic RCC. Finally, the use of radiation therapy and the use of advanced imaging modalities in RCC are also considered.
引用
收藏
页码:49 / 64
页数:16
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