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Sorafenib: a promising new targeted therapy for renal cell carcinoma
1Cleveland Clinic Foundation, OH, USA. woodl@ccf.org
Abstract:
Diagnosis of renal cell carcinoma (RCC) frequently occurs at advanced stages, severely limiting the success of treatment, and median survival is barely more than a year. Previously, treatment of renal cancer was limited to nephrectomy or immunotherapy (interleukin or interferon-alpha), which was effective in a small subset of patients but often was accompanied by severe side effects. New orally administered targeted therapies have become available, offering broader benefits to patients with advanced RCC. Sorafenib is an oral, multikinase inhibitor recently approved by the U.S. Food and Drug Administration as treatment for advanced RCC based on its extension of median progression-free survival from 12-24 weeks. Oncology nurses must ensure patient adherence and manage side effects of emerging treatments. This article reviews the management of skin rash, hand-foot skin reaction, hypertension, diarrhea, and fatigue in patients receiving sorafenib. In addition, a case study of a patient receiving sorafenib is presented.
Insights
Advanced renal cell carcinoma (RCC) treatment is improving with targeted therapies like sorafenib. Oncology nurses play a key role in managing side effects for better patient outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) often diagnosed at advanced stages with limited treatment options and poor survival.
- Traditional treatments like nephrectomy and immunotherapy have significant side effects and limited efficacy.
- Emerging orally administered targeted therapies offer improved benefits for advanced RCC patients.
Observation:
- Sorafenib, an oral multikinase inhibitor, is FDA-approved for advanced RCC.
- Sorafenib demonstrated an extension of median progression-free survival from 12 to 24 weeks.
Findings:
- Management of sorafenib-related side effects is crucial for patient adherence and treatment success.
- Common side effects include skin rash, hand-foot skin reaction, hypertension, diarrhea, and fatigue.
Implications:
- Oncology nurses require updated knowledge to effectively manage patients on sorafenib.
- Targeted therapies like sorafenib represent a significant advancement in advanced RCC treatment.
- Effective side effect management can improve quality of life and treatment adherence for RCC patients.
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