Table 1.
Group of drug | Drugs | Ref. |
---|---|---|
cytokines | 1) Interleukin 2 - overall response rate - 15 %, complete response rate - 5 %, achieved by high dose. Problems with selection of patients who may benefit from treatment. 2) Interferon alfa - inferior to most new agents considering PFS (progression free survival), except in combination with bevacizumab. |
[13, 100] |
VEGF-targeted drugs | 1) Sorafenib – second and subsequent lines of treatment. 2) Sunitinib – first line treatment for metastatic RCC. 3) Pazopanib – non-inferior to sunitinib 4) Axitinib – treatment refractory RCC. 5) Bevacizumab – used with interferon alfa. Superior PFS when compared with monotherapy of interferon alfa. |
[7, 101, 102] |
mTOR inhibitors | 1) Temsirolimus – for patient with poor risk as a first line druga
2) Everolimus – used as a second line or third line drug. |
[7, 14, 17] |
athe five Memorial Sloan Kettering Cancer Center (MSKCC) factors plus metastasis in more than one organ