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Sorafenib: tolerance in patients on chronic hemodialysis: a single-center experience
Pablo Maroto Rey1, Humberto Villavicencio
1Department of Medical Oncology, Sant Pau Hospital, Barcelona, Spain. jmaroto@santpau.es
Background/Objective:
Improved understanding of renal cell carcinomas (RCC) and recent contributions in the field of RCC biology led to the development of a novel class of drugs, i.e. multiple-kinase inhibitors, targeting growth factor receptors (e.g. sorafenib). Sorafenib has proven significant benefit in terms of progression-free survival in a phase II trial in RCC patients. A subsequent randomized phase III study (Treatment Approaches in Renal Cancer Global Evaluation Trial) confirmed the significantly prolonged progression-free survival and improvement in the quality of life compared to patients receiving placebo. In the USA and Europe, sorafenib has been approved for the treatment of advanced RCC.
Patients:
Two RCC patients on chronic hemodialysis were treated with sorafenib.
Results:
Both patients responded to sorafenib treatment. Apart from high blood pressure, a major adverse effect of sorafenib treatment, treatment was well tolerated, in agreement with previous results.
Conclusion:
The results of our study confirm the beneficial effect of sorafenib in the treatment of RCC in our 2 patients on dialysis.
Insights
Sorafenib effectively treated renal cell carcinoma (RCC) in two dialysis patients, demonstrating positive responses and manageable side effects like hypertension. This confirms sorafenib
Area of Science:
- Oncology
- Pharmacology
Background:
- Novel multiple-kinase inhibitors target growth factor receptors in renal cell carcinoma (RCC).
- Sorafenib, a targeted therapy, has shown efficacy in advanced RCC, improving progression-free survival and quality of life.
- Previous trials established sorafenib's benefit in RCC patients.
Observation:
- Two patients with advanced RCC undergoing chronic hemodialysis were treated with sorafenib.
- Treatment response and adverse events were monitored in these specific patient populations.
Findings:
- Both RCC patients on dialysis demonstrated positive responses to sorafenib treatment.
- Hypertension was the primary adverse event observed, consistent with prior findings.
- Sorafenib treatment was generally well-tolerated in this cohort.
Implications:
- Sorafenib is a viable treatment option for advanced RCC patients with end-stage renal disease requiring dialysis.
- These findings support the use of targeted therapies in complex patient populations.
- Further research may explore optimal dosing and management of side effects in dialysis patients.
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