Study of Muscle Energy Metabolism in RCC Patients Treated With Sunitinib

Inclusion Criteria

• •1. Signed informed consent before any study procedures completed
• •2. Patients must have histologically or cytologically confirmed RCC.
• •3. Four weeks must have elapsed since prior chemotherapy, hormonal therapy, targeted therapy or radiation therapy. There is no restriction on the amount of bone marrow previously radiated.
• •4. Recovery to baseline or, at most, grade 1 of all drug-related toxicities due to prior chemotherapy, radiation, hormonal therapy, or molecular targeted therapy, expect for alopecia.
• •5. Male / female subject ≥ 18 years of age
• •6. Eastern Cooperative Oncology Group (ECOG) Performance Status of \<2 (Karnofsky \>70%)
• •7. Life expectancy of at least 12 weeks
• •8. Normal organ and marrow function as defined by :
• •* absolute neutrophil count (ANC) \> 1500/mcL
• •* hemoglobin (Hb) \> 90 g/L
• •* platelet count ≥ 1000.000/mcL,
• •* total bilirubin ≤ 1.5 x the upper limit of normal range (ULN)
• •* alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \< 2.5 x ULN (\<5 x ULN presence of liver metastases)
• •* creatinine \< 1.5 x institutional ULN
• •9. Cardiac ejection fraction by MUGA scan or echocardiogram must be \>50% for patients at baseline.
• •10. Ability to understand the purpose of the study and the willingness to sign a written informed consent document
• •11. Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to the start of treatment. Standard Nuclear Medicine department pregnancy screening will be conducted prior to each 99mTc-sestamibi scan. Women of childbearing potential and men must agree to use adequate contraception prior to study entry and for the duration of study participation. The investigator is requested to advise the patient how to achieve an adequate contraception.
• •12. Patients must give written informed consent prior to any study-specific screening procedures with the understanding that the patient may withdraw consent at any time without prejudice.