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Translational Medicine / 转化医学Sunitinib Phase III RCC Trials

Bernard Escudier

贝尔纳·埃斯屈迪耶

MD

🏢Institut Gustave Roussy(古斯塔夫·鲁西研究所)🌐France

Professor Emeritus of Medical Oncology; Former Head, Kidney Cancer Unit, Institut Gustave Roussy肿瘤内科荣誉教授,古斯塔夫·鲁西研究所肾癌部门前主任

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Key Papers
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Key Contributions

👥Biography 个人简介

Bernard Escudier, MD is Professor Emeritus of Medical Oncology and former Head of the Kidney Cancer Unit at Institut Gustave Roussy in Villejuif, France. He is one of the world's most influential figures in the treatment of renal cell carcinoma (RCC), having been a driving force behind the development and clinical validation of all major VEGFR-targeted therapies in RCC. He led the pivotal sunitinib phase III trial (Motzer et al./Escudier et al.) that established sunitinib as the first-line standard of care for metastatic clear cell RCC, replacing cytokine therapy and ushering in the targeted therapy era. He also played a central role in the phase III trials of sorafenib (TARGET trial) and bevacizumab (AVOREN trial) in RCC, collectively defining the VEGF pathway as the dominant therapeutic target in metastatic clear cell RCC. Professor Escudier led the ESMO renal cancer clinical practice guidelines for over a decade and has trained an entire generation of European renal cancer oncologists. He is a founding architect of the International Kidney Cancer Coalition (IKCC) and has contributed to more than 400 peer-reviewed publications in oncology.

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🧪Research Fields 研究领域

Sunitinib in Advanced Renal Cell Carcinoma (Phase III)晚期肾细胞癌中的舒尼替尼(III期)
Sorafenib and VEGFR Targeting in RCCRCC中的索拉非尼和VEGFR靶向治疗
Sequential Therapy Strategies in Metastatic RCC转移性肾细胞癌序贯治疗策略
ESMO Kidney Cancer Guidelines LeadershipESMO肾癌指南领导
European RCC Trial Infrastructure and Coordination欧洲肾细胞癌试验基础设施和协调

🎓Key Contributions 主要贡献

Sunitinib Phase III Trial — Establishing First-Line Standard in Metastatic RCC

Co-led the phase III trial that compared sunitinib versus interferon-alpha as first-line therapy for metastatic clear cell RCC, demonstrating a doubling of progression-free survival and higher objective response rates with sunitinib, leading to its FDA and EMA approval and replacing cytokine therapy as the global standard of care.

TARGET Trial — Sorafenib in Cytokine-Refractory RCC

Led the European component of the TARGET phase III trial establishing sorafenib as the first oral multikinase inhibitor approved in cytokine-refractory metastatic RCC, demonstrating significant progression-free survival improvement and introducing VEGFR-targeted therapy to the renal cancer field.

AVOREN Trial — Bevacizumab + Interferon in First-Line RCC

Principal investigator of the AVOREN phase III trial demonstrating that bevacizumab combined with interferon-alpha significantly improved progression-free survival over interferon alone in first-line metastatic clear cell RCC, providing clinical validation of anti-VEGF strategies beyond small molecule kinase inhibitors.

Sequential VEGFR-Targeted Therapy and Resistance Mechanisms in RCC

Conducted pivotal studies defining optimal sequencing of VEGFR-targeted agents in metastatic RCC, including evaluations of everolimus, axitinib, and cabozantinib after sunitinib failure, and contributed mechanistic insights into VEGFR inhibitor resistance including hypoxia pathway upregulation and alternative angiogenic escape.

Representative Works 代表性著作

[1]

Sunitinib versus interferon alfa in metastatic renal-cell carcinoma

New England Journal of Medicine (2007)

Landmark phase III trial establishing sunitinib as the first-line standard of care for metastatic clear cell RCC by demonstrating superior PFS and response rates over interferon-alpha.

[2]

Sorafenib in advanced clear-cell renal-cell carcinoma (TARGET)

New England Journal of Medicine (2007)

Phase III TARGET trial establishing sorafenib as the first approved oral agent in cytokine-refractory metastatic RCC, demonstrating significant PFS improvement over placebo.

[3]

Bevacizumab plus interferon alfa-2a for treatment of metastatic renal cell carcinoma (AVOREN)

The Lancet (2007)

Phase III AVOREN trial establishing bevacizumab plus interferon-alpha as a first-line option in metastatic clear cell RCC, demonstrating significant PFS benefit.

[4]

Axitinib versus sorafenib as second-line treatment for advanced renal cell carcinoma (AXIS)

The Lancet (2011)

Phase III AXIS trial demonstrating axitinib superiority over sorafenib as second-line therapy for advanced RCC after one prior systemic therapy, informing sequential treatment strategies.

🏆Awards & Recognition 奖项与荣誉

🏆ESMO Kidney Cancer Guidelines Chair (multiple terms)
🏆International Kidney Cancer Coalition (IKCC) Founding Member
🏆Société Française d'Oncologie Médicale (SFOM) Lifetime Achievement Award
🏆Gustave Roussy Medal for Scientific Excellence

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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