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

被引:7
作者
Castagneto, B. [1 ]
Stevani, I. [1 ]
Giorcelli, L. [1 ]
Montefiore, F. [2 ]
Bigatti, G. L. [3 ]
Pisacco, P. [4 ]
Cosimi, M. F. [5 ]
机构
[1] San Giacomo Hosp Novi Ligure, Dept Oncol, Alessandria, Italy
[2] San Giacomo Hosp Novi Ligure, Dept Urol, Alessandria, Italy
[3] San Giacomo Hosp Novi Ligure, Dept Radiol, Alessandria, Italy
[4] San Giacomo Hosp Novi Ligure, Dept Nephrol, Alessandria, Italy
[5] San Giacomo Hosp Novi Ligure, Dept Pathol, Alessandria, Italy
关键词
Sorafenib; Older; Targeted therapy; Hemodialysis; Kidney cancer; CELL CARCINOMA;
D O I
10.1007/s12032-010-9595-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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-beta 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.
引用
收藏
页码:1384 / 1388
页数:5
相关论文
共 12 条
[1]   The comprehensive geriatric assessment: when, where, how [J].
Bernabei, R ;
Venturiero, V ;
Tarsitani, P ;
Gambassi, G .
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2000, 33 (01) :45-56
[2]   Renal cell carcinoma: New developments in molecular biology and potential for targeted therapies [J].
Costa, Luciano J. ;
Drabkin, Harry A. .
ONCOLOGIST, 2007, 12 (12) :1404-1415
[3]   Sorafenib in advanced clear-cell renal-cell carcinoma [J].
Escudier, Bernard ;
Eisen, Tim ;
Stadler, Walter M. ;
Szczylik, Cezary ;
Oudard, Stephane ;
Siebels, Michael ;
Negrier, Sylvie ;
Chevreau, Christine ;
Solska, Ewa ;
Desai, Apurva A. ;
Rolland, Frederic ;
Demkow, Tomasz ;
Hutson, Thomas E. ;
Gore, Martin ;
Freeman, Scott ;
Schwartz, Brian ;
Shan, Minghua ;
Simantov, Ronit ;
Bukowski, Ronald M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (02) :125-134
[4]  
Hilger RA, 2009, INT J CLIN PHARM TH, V47, P61
[5]   Lack of effect of ketoconazole-mediated CYP3A inhibition on sorafenib clinical pharmacokinetics [J].
Lathia, C ;
Lettieri, J ;
Cihon, F ;
Gallentine, M ;
Radtke, M ;
Sundaresan, P .
CANCER CHEMOTHERAPY AND PHARMACOLOGY, 2006, 57 (05) :685-692
[6]   Phase I and Pharmacokinetic Study of Sorafenib in Patients With Hepatic or Renal Dysfunction: CALGB 60301 [J].
Miller, Antonius A. ;
Murry, Daryl J. ;
Owzar, Kouros ;
Hollis, Donna R. ;
Kennedy, Erin B. ;
Abou-Alfa, Ghassan ;
Desai, Apurva ;
Hwang, Jimmy ;
Villalona-Calero, Miguel A. ;
Dees, E. Claire ;
Lewis, Lionel D. ;
Fakih, Marwan G. ;
Edelman, Martin J. ;
Millard, Fred ;
Frank, Richard C. ;
Hohl, Raymond J. ;
Ratain, Mark J. .
JOURNAL OF CLINICAL ONCOLOGY, 2009, 27 (11) :1800-1805
[7]   Renal-cell carcinoma [J].
Motzer, RJ ;
Bander, NH ;
Nanus, DM .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (12) :865-875
[8]   Sunitinib versus interferon alfa in metastatic renal-cell carcinoma [J].
Motzer, Robert J. ;
Hutson, Thomas E. ;
Tomczak, Piotr ;
Michaelson, M. Dror ;
Bukowski, Ronald M. ;
Rixe, Olivier ;
Oudard, Stephane ;
Negrier, Sylvie ;
Szczylik, Cezary ;
Kim, Sindy T. ;
Chen, Isan ;
Bycott, Paul W. ;
Baum, Charles M. ;
Figlin, Robert A. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (02) :115-124
[9]   TOXICITY AND RESPONSE CRITERIA OF THE EASTERN-COOPERATIVE-ONCOLOGY-GROUP [J].
OKEN, MM ;
CREECH, RH ;
TORMEY, DC ;
HORTON, J ;
DAVIS, TE ;
MCFADDEN, ET ;
CARBONE, PP .
AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS, 1982, 5 (06) :649-655
[10]   Metastases to the thyroid gland: prevalence, clinicopathological aspects and prognosis: a 10-year experience [J].
Papi, Giampaolo ;
Fadda, Guido ;
Corsello, Salvatore Maria ;
Corrado, Stefania ;
Rossi, Esther Diana ;
Radighieri, Elena ;
Miraglia, Antonella ;
Carani, Cesare ;
Pontecorvi, Alfredo .
CLINICAL ENDOCRINOLOGY, 2007, 66 (04) :565-571