Skip to main content
Erschienen in: Medical Oncology 4/2011

01.12.2011 | Original Paper

Sustained response following sorafenib therapy in an older adult patient with advanced renal cancer on hemodialysis: a case report

verfasst von: B. Castagneto, I. Stevani, L. Giorcelli, F. Montefiore, G. L. Bigatti, P. Pisacco, M. F. Cosimi

Erschienen in: Medical Oncology | Ausgabe 4/2011

Einloggen, um Zugang zu erhalten

Abstract

The prognosis for patients with renal cell carcinoma is very poor, with a five-year survival rate of less than 10%. Sorafenib is an orally administered multikinase inhibitor that blocks intracellular kinases in the Raf/MEK/ERK pathway involved in tumor proliferation, and also kinases responsible for angiogenesis, including VEGFr-2, VEGFr-3, Flt-3, PDGFr-β and c-KIT. As a consequence of its limited renal clearance, sorafenib appears to be suitable for patients with advanced kidney cancer and terminal renal failure. The case of a 72-year-old male patient on hemodialysis and receiving sorafenib treatment for mRCC is reported.
Literatur
1.
Zurück zum Zitat Costa LJ, Drabkin HA. Renal cell carcinoma: new developments in molecular biology and potential for targeted therapies. Oncologist. 2007;12:1404–15.PubMedCrossRef Costa LJ, Drabkin HA. Renal cell carcinoma: new developments in molecular biology and potential for targeted therapies. Oncologist. 2007;12:1404–15.PubMedCrossRef
2.
3.
Zurück zum Zitat Wihelm SM, et al. BAY 43–9006 exhibits broad spectrum oral antitumour activity and targets the RAF/MEK/ERK pathway and receptor tyrosine kinases involved in tumour progression and angiogenesis. Cancer Res. 2004;64:7099–109.CrossRef Wihelm SM, et al. BAY 43–9006 exhibits broad spectrum oral antitumour activity and targets the RAF/MEK/ERK pathway and receptor tyrosine kinases involved in tumour progression and angiogenesis. Cancer Res. 2004;64:7099–109.CrossRef
4.
Zurück zum Zitat Oken MM, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982;5:649–55.PubMedCrossRef Oken MM, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982;5:649–55.PubMedCrossRef
5.
Zurück zum Zitat Escudier B, et al. Sorafenib in advanced clear-cell renal-cell carcinoma. N Engl Med. 2007;356:125–34.CrossRef Escudier B, et al. Sorafenib in advanced clear-cell renal-cell carcinoma. N Engl Med. 2007;356:125–34.CrossRef
6.
Zurück zum Zitat Motzer RJ, et al. Sunitinib versus interferon alfa in metastatic renal cell carcinoma. N Engl Med. 2007;356:115–24.CrossRef Motzer RJ, et al. Sunitinib versus interferon alfa in metastatic renal cell carcinoma. N Engl Med. 2007;356:115–24.CrossRef
7.
Zurück zum Zitat Lathia C, et al. Lack of effect of ketoconazole-mediated CYP3A inhibition on sorafenib clinical pharmacokinetics. Cancer Chemother Pharmacol. 2006;57:685–92.PubMedCrossRef Lathia C, et al. Lack of effect of ketoconazole-mediated CYP3A inhibition on sorafenib clinical pharmacokinetics. Cancer Chemother Pharmacol. 2006;57:685–92.PubMedCrossRef
8.
Zurück zum Zitat Miller AA, et al. Phase I and Pharmacokinetic Study of Sorafenib in patients with Hepatic or Renal Dysfunction: CALGB 60301. J Clin Oncol. 2009;27:1800–5.PubMedCrossRef Miller AA, et al. Phase I and Pharmacokinetic Study of Sorafenib in patients with Hepatic or Renal Dysfunction: CALGB 60301. J Clin Oncol. 2009;27:1800–5.PubMedCrossRef
9.
Zurück zum Zitat Papi G, et al. Metastases to the thyroid gland: prevalence, clinicopathological aspects and prognosis: a 10 year experience. Clin Endocrinol (Oxf). 2007;66:565–71. Papi G, et al. Metastases to the thyroid gland: prevalence, clinicopathological aspects and prognosis: a 10 year experience. Clin Endocrinol (Oxf). 2007;66:565–71.
10.
Zurück zum Zitat Wada N, et al. Solitary metachronous metastasis to the thyroid from renal clear cell carcinoma 19 years after nephrectomy: report of a case. Surg Today. 2005;35:483–7.PubMedCrossRef Wada N, et al. Solitary metachronous metastasis to the thyroid from renal clear cell carcinoma 19 years after nephrectomy: report of a case. Surg Today. 2005;35:483–7.PubMedCrossRef
11.
Zurück zum Zitat Hilger RA, et al. Pharmacokinetics in patients with renal impairment undergoing hemodialysis. Int J Clin Pharmacol Ther. 2009;47:61–4.PubMed Hilger RA, et al. Pharmacokinetics in patients with renal impairment undergoing hemodialysis. Int J Clin Pharmacol Ther. 2009;47:61–4.PubMed
12.
Zurück zum Zitat Bernabei R, Venturiero V, Tarsitani P, Gambassi G. The comprehensive geriatric assessment: when, where, how. Crit Rev Oncol Hematol. 2000;33:45–56.PubMedCrossRef Bernabei R, Venturiero V, Tarsitani P, Gambassi G. The comprehensive geriatric assessment: when, where, how. Crit Rev Oncol Hematol. 2000;33:45–56.PubMedCrossRef
Metadaten
Titel
Sustained response following sorafenib therapy in an older adult patient with advanced renal cancer on hemodialysis: a case report
verfasst von
B. Castagneto
I. Stevani
L. Giorcelli
F. Montefiore
G. L. Bigatti
P. Pisacco
M. F. Cosimi
Publikationsdatum
01.12.2011
Verlag
Springer US
Erschienen in
Medical Oncology / Ausgabe 4/2011
Print ISSN: 1357-0560
Elektronische ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-010-9595-z

Weitere Artikel der Ausgabe 4/2011

Medical Oncology 4/2011 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.