title: Experiences and practical conclusions concerning temsirolimus use and adverse event management in advanced renal cell carcinoma within a compassionate use program in Germany.
abstract: OBJECTIVE
  To detail tolerance of temsirolimus in a routine practice setting within a compassionate use program for patients with renal cell carcinoma.
  
  
  METHODS
  We treated 32 patients with advanced renal cell carcinoma with temsirolimus within the German compassionate use program on an individual patient basis free of charge according to EU guidelines at our two institutions. Twenty-five milligrams of temsirolimus was applied weekly in an inpatient clinical setting. Adverse events were classified following National Cancer Institute Common Toxicity Criteria.
  
  
  RESULTS
  No dose modification or therapy interruptions were necessary due to adverse events. Adverse events like asthenia/fatigue were observed in 43.8%, increased creatinine in 40.6%, mucositis in 31.3%, secondary diabetes in 28.1%, hypothyreosis in 12.5% and rash in 12.5%, hypercholesterolemia and hypertriglyceridemia in 9.3% of the patients.
  
  
  CONCLUSIONS
  Therapy with temsirolimus in advanced renal cell carcinoma is well tolerated. In a routine practice setting it results in a predictable adverse event profile that can be managed medically.
authors.affiliation: Department of Urology, Lukas Hospital, Neuss, Germany. holger.gerullis@gmx.net
authors.forename: Holger
authors.initials: H
authors.lastname: Gerullis
authors.forename: Lothar
authors.initials: L
authors.lastname: Bergmann
authors.forename: Luise
authors.initials: L
authors.lastname: Maute
authors.forename: Christoph
authors.initials: C
authors.lastname: Eimer
authors.forename: Thomas
authors.initials: T
authors.lastname: Otto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use*; D002292:Carcinoma, Renal Cell / Q000188:drug therapy* / Q000473:pathology; D004334:Drug Administration Schedule; D005260:Female; D005858:Germany; D006078:Government Programs; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence; D006801:Humans; D007680:Kidney Neoplasms / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D020123:Sirolimus / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use
chemical_list: D000970:Antineoplastic Agents; C401859:temsirolimus; D020123:Sirolimus