Dose escalation of second-line sunitinib results in rapid partial remission of multiple hepatic metastases

Authors

  • Catherine Guevremont Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Florin I. Mija Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Hendrik Isbarn Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Claudio Jeldres Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Giovanni Lughezzani Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Maxine Sun Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Pascale Audet Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Paul Perrotte Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC
  • Pierre I. Karakiewicz Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

DOI:

https://doi.org/10.5489/cuaj.1190

Abstract

A 58-year-old man with metastatic clear cell renal cell carcinoma
on sunitinib therapy, who previously failed on sorafenib, was
found to have progression of multiple hepatic metastases; he was
on a standard sunitinib dose of 50 mg/day (4 weeks on, 2 weeks
off). Due to the unavailability of alternative therapies, a sunitinib
dose escalation of 50 mg/day was attempted. After one 6-week
cycle of continuously dosed sunitinib 50 mg, the hepatic lesions
regressed. After the second cycle, virtual disappearance of the
lesions was recorded. There was no added toxicity. These findings
suggest that sunitinib dose escalation to 50 mg/day using
continuous daily administration dosing might represent a valid,
effective and well-tolerated therapeutic option in patients who
progress on standard sunitinib therapy.

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Author Biographies

Catherine Guevremont, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Florin I. Mija, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Hendrik Isbarn, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Claudio Jeldres, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Giovanni Lughezzani, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Maxine Sun, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Pascale Audet, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Paul Perrotte, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

Pierre I. Karakiewicz, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc, Montréal, QC

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How to Cite

Guevremont, C., Mija, F. I., Isbarn, H., Jeldres, C., Lughezzani, G., Sun, M., Audet, P., Perrotte, P., & Karakiewicz, P. I. (2013). Dose escalation of second-line sunitinib results in rapid partial remission of multiple hepatic metastases. Canadian Urological Association Journal, 3(6), E92-E93. https://doi.org/10.5489/cuaj.1190

Issue

Section

Case Report