Sunitinib in metastatic renal cell carcimoma: a single-center experience.

Abstract:

INTRODUCTION:Historically, metastatic renal cell carcinoma (RCC) has had poor prognosis; the outcomes have improved with the introduction of tyrosine-kinase inhibitors, such as sunitinib. There is no reported literature from India on the use of sunitinib in metastatic RCC. We present an analysis of sunitinib at our institute over 4 years. MATERIALS AND METHODS:An unselected population of patients with metastatic or relapsed metastatic RCC receiving sunitinib was analyzed with respect to patient characteristics, response, toxicity, and outcomes. RESULTS:Fifty-nine patients (51 males, 8 females) with a median age of 55 years were included in the study. Lungs and bones were the most common site of metastases. The patients received a median number of 4 cycles, with 23 patients requiring dose-modification and 12 discontinuing therapy due to toxicity. Overall, 38 patients (65%) had CR, PR, or standard deviation while 14 had progression or death at initial evaluation. The median progression-free survival (PFS) was 11.4 months and overall survival was 22.6 months. Hand-foot syndrome, fatigue, mucositis, skin rash, and vomiting were seen more often among our patients, whereas hypertension was not as common compared with previously published reports. CONCLUSION:Sunitinib is a viable option for the treatment of metastatic RCC and shows a comparable PFS in Indian patients. Although toxicity remains a concern, most of the adverse effects can be managed conservatively. Careful patient selection, tailoring the dose of therapy, adequate counseling, and careful follow-up is essential for optimum therapy.

journal_name

Indian J Cancer

journal_title

Indian journal of cancer

authors

Krishna VM,Noronha V,Prabhash K,Joshi A,Patil V,Bhosale B,Ravi T,Menon H,Gupta S,Banavali SD,Bakshi G,Tangaonkar HB

doi

10.4103/0019-509X.118725

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

268-73

issue

3

eissn

0019-509X

issn

1998-4774

pii

IndianJournalofCancer_2013_50_3_268_118725

journal_volume

50

pub_type

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