Adjuvant Therapy for Renal Cell Carcinoma: Past, Present, and Future

被引:48
作者
Pal, Sumanta K. [1 ]
Haas, Naomi B. [2 ]
机构
[1] City Hope Natl Med Ctr, Ctr Comprehens Canc, Dept Med Oncol & Expt Therapeut, Duarte, CA USA
[2] Univ Penn, Sch Med, Dept Med, Philadelphia, PA 19104 USA
关键词
Adjuvant; Renal cell carcinoma; ASSURE; SORCE; S-TRAC; PROTECT; EVEREST; POSITIVE BREAST-CANCER; PHASE-III; INTERFERON-ALPHA; POSTMENOPAUSAL WOMEN; RADICAL NEPHRECTOMY; HIGH-RISK; INTERLEUKIN-2; TAMOXIFEN; VACCINE; TRIAL;
D O I
10.1634/theoncologist.2014-0105
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
At the present time, the standard of care for patients who have received nephrectomy for localized renal cell carcinoma (RCC) is radiographic surveillance. With a number of novel targeted agents showing activity in the setting of metastatic RCC, there has been great interest in exploring the potential of the same agents in the adjuvant setting. Herein, we discuss the evolution of adjuvant trials in RCC, spanning from the immunotherapy era to the targeted therapy era. Pitfalls of current studies are addressed to provide a context for interpreting forthcoming results. Finally, we outline avenues to incorporate promising investigational agents, such as PD-1 (programmed death-1) inhibitors and MNNG transforming gene inhibitors, in future adjuvant trials. The Oncologist 2014; 19: 851-859
引用
收藏
页码:851 / 859
页数:9
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