Temsirolimus in VEGF-refractory metastatic renal cell carcinoma

M J MacKenzie1, B I Rini2, P Elson2

  • 1Department of Medical Oncology, London Regional Cancer Program, London, Ontario, Canada.

Abstract

Insights

Temsirolimus showed manageable toxicity in metastatic renal cell carcinoma (RCC) patients previously treated with VEGF inhibitors. The median time to progression was nearly 4 months in this poor-prognosis group.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Temsirolimus is an intravenous mTOR inhibitor used in first-line metastatic renal cell carcinoma (RCC).
  • Its efficacy after prior vascular endothelial growth factor (VEGF) inhibitor failure was previously unknown.

Purpose of the Study:

  • To evaluate the efficacy and toxicity of temsirolimus in metastatic RCC patients who failed prior VEGF inhibitors.

Main Methods:

  • Retrospective review of 87 metastatic RCC patients treated with temsirolimus under a compassionate use program.
  • Data collected included demographics, toxicity, and objective response rates (RECIST criteria).

Main Results:

  • Objective response rate was 5%, with 65% achieving stable disease.
  • Median time to progression (TTP) was 3.9 months; median overall survival was 11.2 months.
  • Common toxicities included hyperglycemia and noninfectious pneumonitis.

Conclusions:

  • Weekly intravenous temsirolimus demonstrates manageable toxicity in pre-treated metastatic RCC patients.
  • The treatment provides a time to progression approaching 4 months in this patient population.

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