First-line treatment in metastatic clear cell renal cell carcinoma: from active surveillance to immunotherapy-based combinations

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Ilektra Iakovidou (1), Grégoire Desimpel (1), Damien Hoolans (1), Marco Gizzi (2), Julien Van Damme (3), Bertrand Tombal (3), Emmanuel Seront (1) Published in the journal : December 2024 Category : Oncologie médicale

Summary :

Metastatic clear cell renal cell carcinoma (ccRCC) is a major challenge for clinicians. Although immunotherapy has revolutionized the management of patients with ccRCC, responses remain inconsistent and often transient, ultimately leading to therapeutic resistance. As a result, new strategies have been developed involving novel molecules with innovative mechanisms of action. This review sheds light on the pathogenic mechanisms and the advances in therapeutic strategies for metastatic ccRCC.

What is already known about the topic?

Many improvements have been achieved in metastatic renal cell carcinoma.

What does this article bring up for us?

It sheds light on how to optimally select the right strategy for systemic therapy.

Keywords

Clear Cell Renal Cell Carcinoma, Hypoxia-inducible Factor, tyrosine kinase inhibitors, immune checkpoint inhibitors, therapeutic associations