Background: llmofosine is an ether lipid with antineoplastic activity in experimental systems. Since there is no established systemic treatment for metastatic renal cell cancer, a trial with this new agent seemed to be warranted. Patients and Methods: Patients with measurable metastatic renal cell cancer without prior systemic treatment received llmofosine between 150 and 300 mg per day orally until disease progression. Results: There have been no objective responses among the 19 evaluable patients. Dose-limiting toxicity was gastrointestinal intolerance. Conclusions: Oral llmofosine is ineffective in metastatic renal cell cancer.

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