PMID- 20697842 OWN - NLM STAT- MEDLINE DCOM- 20120322 LR - 20211020 IS - 1559-131X (Electronic) IS - 1357-0560 (Print) IS - 1357-0560 (Linking) VI - 28 IP - 4 DP - 2011 Dec TI - Long-term response with everolimus for metastatic renal cell carcinoma refractory to sunitinib. PG - 1527-9 LID - 10.1007/s12032-010-9640-y [doi] AB - A 70-year-old man with metastatic renal cell carcinoma developed progressive liver metastases after 8 weeks of treatment with the multitargeted tyrosine kinase inhibitor (TKI) sunitinib. He then participated in the phase III placebo-controlled clinical trial of the oral mammalian target of rapamycin (mTOR) inhibitor everolimus, initially randomized to placebo (but had disease progression after 3 months) and crossed over to everolimus at time of unblinding. The patient had stable disease after 8 weeks (two cycles) of everolimus that was maintained until 28 months of therapy, at which time the patient had achieved a partial response. This case illustrates the potential for patients with metastatic renal cell carcinoma, a malignancy with historically poor prognosis, to derive long-term benefit from everolimus when used in a manner consistent with its approved indication (after TKI therapy with sunitinib or sorafenib). FAU - Molina, Ana M AU - Molina AM AD - Genitourinary Service, Division of Medical Oncology and the Department of Medical Imaging, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. FAU - Ginsberg, Michelle S AU - Ginsberg MS FAU - Motzer, Robert J AU - Motzer RJ LA - eng GR - R25 CA020449/CA/NCI NIH HHS/United States GR - T32 CA009207/CA/NCI NIH HHS/United States GR - T32 CA009207-35/CA/NCI NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100810 PL - United States TA - Med Oncol JT - Medical oncology (Northwood, London, England) JID - 9435512 RN - 0 (Antineoplastic Agents) RN - 0 (Indoles) RN - 0 (Pyrroles) RN - 9HW64Q8G6G (Everolimus) RN - V99T50803M (Sunitinib) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Aged MH - Antineoplastic Agents/*therapeutic use MH - Arthritis, Rheumatoid/complications MH - Carcinoma, Renal Cell/complications/*drug therapy/secondary MH - Clinical Trials, Phase III as Topic MH - Everolimus MH - Humans MH - Hypercholesterolemia/complications MH - Hypertension/complications MH - Indoles/therapeutic use MH - Kidney Neoplasms/complications/*drug therapy/pathology MH - Lung Neoplasms/complications/*drug therapy/secondary MH - Male MH - Pyrroles/therapeutic use MH - Randomized Controlled Trials as Topic MH - Salvage Therapy/*methods MH - Sirolimus/*analogs & derivatives/therapeutic use MH - Sunitinib PMC - PMC3219862 EDAT- 2010/08/11 06:00 MHDA- 2012/03/23 06:00 PMCR- 2010/08/10 CRDT- 2010/08/11 06:00 PHST- 2010/06/18 00:00 [received] PHST- 2010/07/24 00:00 [accepted] PHST- 2010/08/11 06:00 [entrez] PHST- 2010/08/11 06:00 [pubmed] PHST- 2012/03/23 06:00 [medline] PHST- 2010/08/10 00:00 [pmc-release] AID - 9640 [pii] AID - 10.1007/s12032-010-9640-y [doi] PST - ppublish SO - Med Oncol. 2011 Dec;28(4):1527-9. doi: 10.1007/s12032-010-9640-y. Epub 2010 Aug 10.