Grünwald Viktor, Merseburger Axel S
Clinic for Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Onco Targets Ther. 2012;5:111-7. doi: 10.2147/OTT.S23273. Epub 2012 Jun 18.
The landscape of renal cell carcinoma (RCC) treatment has changed dramatically during recent years. Bevacizumab/interferon, sunitinib, sorafenib, temsirolimus, everolimus, and pazopanib have been proven effective in metastatic RCC. Axitinib is a novel tyrosine kinase inhibitor, which inhibits the vascular endothelial growth factor receptor (VEGFR) at subnanomolar level. Based on this extraordinary VEGFR inhibition, axitinib is considered a next-generation agent. The recent AXIS trial reported on axitinib's efficacy in second line treatment of RCC, which led to its recent approval in the USA. This review focuses on the clinical efficacy of axitinib in RCC patients.
近年来,肾细胞癌(RCC)的治疗格局发生了巨大变化。贝伐单抗/干扰素、舒尼替尼、索拉非尼、替西罗莫司、依维莫司和帕唑帕尼已被证明对转移性肾细胞癌有效。阿昔替尼是一种新型酪氨酸激酶抑制剂,可在亚纳摩尔水平抑制血管内皮生长因子受体(VEGFR)。基于这种对VEGFR的非凡抑制作用,阿昔替尼被视为下一代药物。最近的AXIS试验报告了阿昔替尼在肾细胞癌二线治疗中的疗效,这导致其最近在美国获得批准。本综述重点关注阿昔替尼在肾细胞癌患者中的临床疗效。