Lenvatinib therapy for the treatment of patients with advanced renal cell carcinoma

被引:14
作者
Glen, Hilary [1 ]
机构
[1] Beatson West Scotland Canc Ctr, Dept Med Oncol, 1053 Great Western Rd, Glasgow G12 OYN, Lanark, Scotland
关键词
everolimus; FGFR; lenvatinib; mTOR; renal cell carcinoma; VEGFR; TYROSINE KINASE INHIBITOR; PHASE-III TRIAL; COMBINATION TARGETED THERAPY; ENDOTHELIAL GROWTH-FACTOR; INTERFERON-ALPHA; DOVITINIB TKI258; FACTOR RECEPTORS; DOUBLE-BLIND; EVEROLIMUS; BEVACIZUMAB;
D O I
10.2217/fon-2016-0215
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Despite advances in metastatic renal cell carcinoma (mRCC) treatments, patients eventually progress and develop resistance to therapies targeting a single pathway. Lenvatinib inhibits VEGFR1-3, FGFR1-4, PDGFR beta, RET and KIT proto-oncogenes. In a randomized, Phase II trial evaluating patients with mRCC who had progressed after one prior VEGF-targeted therapy, progression-free survival was significantly improved with lenvatinib alone or in combination with everolimus versus everolimus alone. This review summarizes the clinical development of lenvatinib in mRCC, and how simultaneous targeting of multiple pathways involved in carcinogenesis and/ or therapeutic resistance may improve patient outcomes. Lenvatinib plus everolimus may be a promising second-line treatment in patients with mRCC.
引用
收藏
页码:2195 / 2204
页数:10
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