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.

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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