Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell Carcinoma

Cabozantinib represents an established vascular endothelial growth factor- (VEGF-) tyrosine kinase inhibitor (TKI) in the treatment paradigm of metastatic renal cell carcinoma (mRCC). Its activity in mRCC patients with brain metastases (BMs) has been largely underreported in prospective clinical tri...

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Main Authors: An Uche, Chad Sila, Tad Tanoura, James Yeh, Neil Bhowmick, Edwin Posadas, Robert Figlin, Jun Gong
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2019/6769017
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author An Uche
Chad Sila
Tad Tanoura
James Yeh
Neil Bhowmick
Edwin Posadas
Robert Figlin
Jun Gong
author_facet An Uche
Chad Sila
Tad Tanoura
James Yeh
Neil Bhowmick
Edwin Posadas
Robert Figlin
Jun Gong
author_sort An Uche
collection DOAJ
description Cabozantinib represents an established vascular endothelial growth factor- (VEGF-) tyrosine kinase inhibitor (TKI) in the treatment paradigm of metastatic renal cell carcinoma (mRCC). Its activity in mRCC patients with brain metastases (BMs) has been largely underreported in prospective clinical trials. We present the unique case of a heavily pretreated mRCC patient with BMs who achieved a brain complete response to cabozantinib prior to receiving radiation therapy. We end with a literature review and discussion of the biologic rationale and growing evidence supporting the intracranial activity of cabozantinib.
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issn 2090-696X
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series Case Reports in Urology
spelling doaj-art-da745b808a80478e94fe105a667d15452025-02-03T05:53:12ZengWileyCase Reports in Urology2090-696X2090-69782019-01-01201910.1155/2019/67690176769017Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell CarcinomaAn Uche0Chad Sila1Tad Tanoura2James Yeh3Neil Bhowmick4Edwin Posadas5Robert Figlin6Jun Gong7Division of Hematology/Oncology, Department of Medicine, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509, USADivision of Hematology/Oncology, Department of Medicine, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509, USADivision of Hematology/Oncology, Department of Medicine, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509, USADivision of Hematology/Oncology, Department of Medicine, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509, USADivision of Hematology/Oncology, Department of Medicine, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USADivision of Hematology/Oncology, Department of Medicine, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USADivision of Hematology/Oncology, Department of Medicine, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USADivision of Hematology/Oncology, Department of Medicine, Cedars-Sinai Medical Center, 8700 Beverly Blvd, AC1042B, Los Angeles, CA 90048, USACabozantinib represents an established vascular endothelial growth factor- (VEGF-) tyrosine kinase inhibitor (TKI) in the treatment paradigm of metastatic renal cell carcinoma (mRCC). Its activity in mRCC patients with brain metastases (BMs) has been largely underreported in prospective clinical trials. We present the unique case of a heavily pretreated mRCC patient with BMs who achieved a brain complete response to cabozantinib prior to receiving radiation therapy. We end with a literature review and discussion of the biologic rationale and growing evidence supporting the intracranial activity of cabozantinib.http://dx.doi.org/10.1155/2019/6769017
spellingShingle An Uche
Chad Sila
Tad Tanoura
James Yeh
Neil Bhowmick
Edwin Posadas
Robert Figlin
Jun Gong
Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell Carcinoma
Case Reports in Urology
title Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell Carcinoma
title_full Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell Carcinoma
title_fullStr Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell Carcinoma
title_full_unstemmed Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell Carcinoma
title_short Brain Complete Response to Cabozantinib prior to Radiation Therapy in Metastatic Renal Cell Carcinoma
title_sort brain complete response to cabozantinib prior to radiation therapy in metastatic renal cell carcinoma
url http://dx.doi.org/10.1155/2019/6769017
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