Bladder cancer is the sixth most common malignancy in the United States and 70% of cases are non-muscle invasive at the time of diagnosis. Effective treatment is crucial to prevent progression, which occurs in about 30% of patients. The American Urological Association (AUA) guidelines recommend treatment of non-muscle invasive bladder cancer (NMIBC) with intravesical Bacille Calmette-Guerin (BCG) and chemotherapy.
Bladder cancer is one of the most common and expensive cancers in the United States, with an expected 81,400 new cases and 17,980 deaths in 2020 alone. The incidence is increased among white men and diagnoses often occur in the 7th decade of life.
Palliative care (PC) aims to prioritize the quality of life and comfort of those with complex and terminal illnesses through the physical, psychological, social, and spiritual needs of the individual. Palliative care can support individuals from the day of their cancer diagnosis through end-of-life and bereavement
Renal Cell Carcinoma (RCC) is among the most frequently diagnosed malignancies in both genders with over 81,000 estimated cases in 2024. Despite increasing incidence of renal cell carcinomas <4 cm, up to 1/3 of patients diagnosed with RCC exhibit metastatic disease (mRCC) at time of diagnosis. Cytoreductive nephrectomy (CN), a procedure which encompasses the surgical removal of the primary tumor in patients with metastatic disease
Over the past few decades, the incidence of renal cell carcinoma (RCC) has rapidly increased with a considerable portion of patients presenting with metastatic disease (mRCC) and subsequent poor prognosis. Survival drops even further for those whose diseases progress on first-line therapy including immune-checkpoint inhibitors (ICIs) and vascular endothelial growth factor receptor (VEGFR) tyrosine kinase inhibitors (TKIs). In this review, we highlight the main second-line systemic therapies including TKIs, mTOR inhibitors, ICIs, and HIF-2α inhibitors along with their mechanisms of action and supporting clinical trials.
Saum Ghodoussipour
Rutgers Robert Wood Johnson Medical School, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA
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Ilana P. Goldberg
Tufts University School of Medicine, Boston, MA, USA, Tufts University School of Medicine, Boston, MA, USA
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Benjamin Lichtbroun
Section of Urologic Oncology, Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA, Section of Urologic Oncology, Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA
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Tina Mayer
Rutgers Robert Wood Johnson Medical School, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA
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Hiren V. Patel
Rutgers Cancer Institute of New Jersey, Section of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903, USA
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Daniel I. Bisn
Rutgers Robert Wood Johnson Medical School, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA
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Biren Saraiya
Rutgers Cancer Institute of New Jersey, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903, USA
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Aakash Patel
Rutgers Robert Wood Johnson Medical School, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA
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Megan Stout
The Ohio State University Comprehensive Cancer Center, Division of Urologic Oncology, The Ohio State University Comprehensive Cancer Center, USA
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Akshay Thaper
Rutgers Robert Wood Johnson Medical School, Rutgers Robert Wood Johnson Medical School, USA
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Vivien Xu
The Ohio State University Comprehensive Cancer Center, Division of Urologic Oncology, The Ohio State University Comprehensive Cancer Center, USA
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Adam Calaway
Case Western Reserve University Hospitals Urology Institute, Case Western Reserve University Hospitals Urology Institute, Cleveland, OH, USA
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Laura E. Davis
Case Western Reserve University Hospitals Urology Institute, Case Western Reserve University Hospitals Urology Institute, Cleveland, OH, USA
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Shawn Dason
The Ohio State University Comprehensive Cancer Center, Division of Urologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA
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Isaac E. Kim, Jr
Brown University, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
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Karie Runcie
Columbia University Irving Medical Center, Division of Hematology and Oncology, Columbia University Irving Medical Center, 161 Fort Washington Avenue, New York, NY, 10032, USA
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Vivian Wong
The Ohio State University Comprehensive Cancer Center, Division of Urologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio, USA
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