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Published on: September 12, 2019
Experience with sorafenib in the treatment of advanced renal cell carcinoma
Giuseppe Procopio1, Elena Verzoni, Isabella Testa
1Department of Medical Oncology, Fondazione IRCCS, Istituto Nazionale dei Tumori, Via G. Venezian, Milan 1-20133, Italy.
Abstract:
The molecular-targeted agent sorafenib is the first anticancer agent able to slow the progression of advanced/metastatic renal cell carcinoma, a tumor that was formerly refractory to conventional therapy. Experience from everyday clinical practice and investigations exploring the suitability of this agent for patients with harmful pathological conditions has extended the use of sorafenib to other settings of renal cell carcinoma and to particular risk populations. The aim of this review is to provide evidence on the most effective and safe use of sorafenib. The review pays particular attention to patients who have several comorbidities, such as impaired renal and cardiac function, and older patients whose frailty due to impaired organ function necessitates the most careful administration of targeted antineoplastic agents.
Insights
Sorafenib effectively slows advanced kidney cancer progression. This review details its safe use in patients with comorbidities and frail older adults.
Area of Science:
- Oncology
- Pharmacology
Background:
- Sorafenib is the first molecular-targeted agent for advanced/metastatic renal cell carcinoma (RCC).
- RCC was previously refractory to conventional therapies.
- Clinical experience has expanded sorafenib use to other RCC settings and risk populations.
Purpose of the Study:
- To review evidence on the most effective and safe use of sorafenib.
- To focus on sorafenib administration in patients with comorbidities and frail older adults.
Main Methods:
- Literature review of clinical practice and investigations.
- Evidence synthesis on sorafenib efficacy and safety.
Main Results:
- Sorafenib demonstrates efficacy in slowing advanced/metastatic RCC progression.
- Its use is extended to diverse patient groups, including those with comorbidities.
- Careful administration is crucial for patients with impaired organ function.
Conclusions:
- Sorafenib is a key treatment for advanced/metastatic RCC.
- Evidence supports its use in specific patient populations with careful consideration of comorbidities.
- Optimizing sorafenib use requires attention to patient-specific factors like renal and cardiac function and frailty.
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