RT Journal Article SR Electronic T1 Tyrosine kinase inhibitors for metastatic renal cell carcinoma JF Drug and Therapeutics Bulletin JO Drug Ther Bull FD BMJ Publishing Group Ltd SP 129 OP 132 DO 10.1136/dtb.2011.02.0069 VO 49 IS 11 YR 2011 UL http://dtb.bmj.com/content/49/11/129.abstract AB Relevant BNF section: BNF 8.1.5 Renal cell carcinoma accounts for 2–3% of all adult malignancies worldwide, and around 30% of patients with the condition present with advanced or metastatic disease.1,2 Until recently, cytokine therapy (e.g. interleukin-2 or interferon-alfa) was the standard treatment for metastatic renal cell carcinoma but provided only a small survival advantage (e.g. extending life by a median of 2.5 months).3 A key development has been the introduction of drugs known as receptor tyrosine kinase inhibitors, which include ▼sunitinib (Sutent – Pfizer), ▼sorafenib (Nexavar – Bayer) and ▼pazopanib (Votrient – GlaxoSmithKline). Here we review the evidence on the efficacy, tolerability and cost-effectiveness of these treatments in renal cell carcinoma.