Metastatic Renal Cell Carcinoma Clinical Trial
Official title:
Muticentric and Prospective Epidemiological Study to Identify Prognosis and Predictive Biomarkers of Response to Angiogenic Drugs Approved in First Line of Treatment for Advanced or Metastatic Renal Cell Carcinoma
Multicentric and prospective epidemiological study (NON INTERVETIONAL) to identify prognosis
and predictive biomarkers of response to sunitinib and pazopanib as first line therapy in
metstatic renal cell carcinoma.
Molecular determinations will be developed ay CIMA and CNIO.
In coming years new TKIs for the treatment of mRCC are expected to be available.
Identificaction of novel biomarkers is required to select those patients who would most
benefit from a particular therapeutic strategy:
C-Met is a tyrosine kinase receptor involved in cellular growth and vascular develoment, also
identify as a proto-oncogene.
Chemiokines: an increase in pro-angiogenic chemokines such as IL-6 & IL-8 has been also
suggested as a tumor dependent possible mechanism influencing invasion and metastasis after
anti-VEGF therapy.
PBRM1 (BAF 180) mutation: Second major involved gene in clear cell RCC with truncating
mutations in 41% (92/227) of cases. Mutations appear to inactive a protein that plays role in
remodeling the structure of genetic material.PBRM1 mutations could be (partially) involved in
about 40% of clear cell RCC. PBRM1 may affect the processes of cell divsion in renal cells
and could consequently be another target for new drugs.
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