Sorafenib in Treating Patients at Risk of Relapse After Undergoing Surgery to Remove Kidney Cancer

This is an interventional treatment trial for Kidney Cancer focused on measuring stage II renal cell cancer, stage III renal cell cancer, stage IV renal cell cancer, stage I renal cell cancer, clear cell renal cell carcinoma, papillary renal cell carcinoma Read More

DISEASE CHARACTERISTICS:

• Histologically confirmed renal cell carcinoma (RCC)

  • Clear cell or non-clear cell tumors allowed
  • Intermediate- or high-risk disease (Leibovich score 3 to 11)

• Must have undergone surgery for RCC at least 4 weeks but no more than 3 months prior to study entry

  • No evidence of residual macroscopic disease on post-operative CT scan after resection of RCC

PATIENT CHARACTERISTICS:

• WHO performance status 0-1
• WBC > 3,400/mm³
• Platelet count > 99,000/mm³
• Creatinine < 2.5 times upper limit of normal (ULN)
• Liver function tests < 1.5 times ULN
• Serum amylase < 1.5 times ULN
• PT/INR < 1.5 times ULN
• PTT < 1.5 times ULN
• Not pregnant or nursing
• Negative pregnancy test
• Fertile patients must use effective contraception during and for 9 months after completion of study treatment

• No cardiovascular conditions, including any of the following:

  • Cardiac arrhythmias requiring anti-arrhythmic medication

    • Beta-blockers and digoxin allowed
  • Symptomatic coronary artery disease or ischemia
  • Myocardial infarction within the past 6 months
  • NYHA class II-IV congestive heart failure
• No active clinically serious bacterial or fungal infection
• No known history of HIV infection
• No chronic hepatitis B or C
• No other prior malignancy except carcinoma in situ of the cervix or adequately treated basal cell carcinoma
• No uncontrolled hypertension

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics
• No prior treatment for RCC other than nephrectomy
• More than 30 days since prior and no other concurrent investigational therapy

• No concurrent medications that have adverse interactions with sorafenib tosylate including, but not limited to, any of the following:

  • Rifampin
  • Grapefruit juice
  • Ritonavir
  • Ketoconazole
  • Itraconazole
  • Hypericum perforatum (St John's wort)
• No concurrent bone marrow transplant or stem cell rescue
• No other concurrent drug that targets angiogenesis, especially VEGF or VEGF receptors (e.g., bevacizumab)
• No other concurrent drug that targets Ras-pathway or EGFR
• No other concurrent anticancer therapy (chemotherapy, immunotherapy, signal transduction inhibition, or hormonal therapy)
• Concurrent non-conventional therapies (e.g., herbs or acupuncture) and vitamin or mineral supplements allowed
• Concurrent bisphosphonates for prophylaxis of osteoporosis allowed