Partnering With Your Healthcare and Support Teams

Getting to know your healthcare team

Making sure that you have a strong healthcare team can make all the difference in the success of your treatment. Take the time to do some background research on the doctors, nurses, and other healthcare professionals who will be part of your healthcare team.

Your healthcare team can help provide information about your kidney cancer prognosis, advanced kidney cancer treatment options, as well as patient support programs. As your treatment journey continues, be sure to listen and communicate with your healthcare team in an honest and open way.

Some of the people on your healthcare team may include the following:

  • Oncologist: Oncologists are doctors who are specially trained to treat people with cancer. They are experts in the field of cancer and cancer therapies. In many cases, your healthcare team will be led by your oncologist. He or she will work with you to develop a plan of action and will remain with you throughout your journey
  • Surgical Oncologist: This doctor has a medical degree in surgery with further training in the removal and treatment of cancerous tumors
  • Oncology Nurse: Your oncology nurse works closely with your oncologist to implement your treatment plan and support your needs throughout treatment. Oncology nurses have gone through special training and certification to help treat people with cancer. A lot of your day to day contact with your oncologist's office will be through your oncology nurse. Your oncology nurse will be there to answer many of your questions and will also help you manage any side effects you may experience. It's likely you'll form a strong relationship with your oncology nurse as you travel along your treatment journey
  • Your Oncology/Urology Clinic Staff: Your oncology/urology clinic staff can be a valuable resource for information about advanced kidney cancer and your treatment. They can also refer you to online support organizations. They will become familiar and supportive faces you'll see at most visits
  • Oncology Social Worker: An oncology social worker can help counsel patients and their families on coordinating cancer care, coping skills, and lifestyle adjustments. They may also help connect people to cancer support groups in the community and aid with any financial concerns
  • Case Manager: A case manager (or care manager) is a person with training and experience in helping coordinate the care of people with cancer. Case managers are usually assigned to you through your health plan and can assist with any insurance issues and help determine your coverage

Engaging your personal advanced kidney cancer support team

Your journey with advanced kidney cancer is not one you are coping with alone. Your family and friends can be there for you to help you with daily tasks as well as talking to your doctor and helping you take your medication. Finding support from your caregivers, family, and friends can help them be closer to you, knowing that they have an important role in caring for your health and well-being. You can also turn to support groups to connect with other people affected by kidney cancer.

Here are some ways your family and friends may be able to help. They can:

  • Go with you to the doctor and take notes and ask questions
  • Be there to listen when you need to talk
  • Help out with everyday tasks

You are not alone

As you continue along in your advanced kidney cancer treatment journey, keep in mind that having cancer does not change the person that you are—and it does not define you, either. Live each day to the fullest. Talk to your healthcare team and learn as much as you can. Do not be afraid to ask for help from your doctors, friends, and support team whenever you need it. Most importantly, always remember that you are not alone.

Afinitor is a prescription medicine used to treat people with advanced kidney cancer (renal cell carcinoma or RCC) when certain other medicines have not worked (ie, Sutent® [sunitinib] or Nexavar® [sorafenib]).

Important Safety Information

Patients should not take AFINITOR if they are allergic to AFINITOR or to any of its ingredients. Patients should tell their healthcare provider before taking AFINITOR if they are allergic to sirolimus (Rapamune®) or temsirolimus (Torisel®).

AFINITOR can cause serious side effects including lung or breathing problems, infections and kidney failure, which can even lead to death. If patients experience these side effects, they may need to stop taking AFINITOR for a while or use a lower dose. Patients should follow their healthcare provider's instructions.

Lung or Breathing Problems: In some patients, lung or breathing problems may be severe, and can even lead to death. Patients should tell their healthcare provider right away if they have any of these symptoms: new or worsening cough, shortness of breath, chest pain, difficulty breathing or wheezing.

Infections: AFINITOR may make patients more likely to develop an infection, such as pneumonia, or a bacterial, fungal, or viral infection. Viral infections may include reactivation of hepatitis B in people who have had hepatitis B in the past. In some people these infections may be severe, and can even lead to death. Patients may need to be treated as soon as possible. Patients should tell their healthcare provider right away if they have a temperature of 100.5°F or above, chills, or do not feel well. Symptoms of hepatitis B or infection may include the following: fever, skin rash, joint pain and inflammation, tiredness, loss of appetite, nausea, pale stool or dark urine, yellowing of the skin, or pain in the upper right side.

Kidney Failure: AFINITOR may cause kidney failure. In some people this may be severe and can even lead to death. Patients should have tests to check their kidney function before and during their treatment with AFINITOR.

Mouth Ulcers: AFINITOR can cause mouth ulcers and sores. Patients should tell their healthcare provider if they have pain, discomfort, or open sores in their mouth. Their healthcare provider may tell them to use a special mouthwash or mouth gel that does not contain alcohol or peroxide.

Blood Tests: Patients will have regular blood tests before they start AFINITOR and as needed during their treatment. These will include tests to check the patient's blood cell count, kidney and liver function, and blood sugar levels.

Other Medicines/Food and AFINITOR: AFINITOR may affect the way other medicines work, and other medicines can affect how AFINITOR works. Using AFINITOR with other medicines can cause serious side effects. Patients should tell their healthcare provider about all of the medicines they take, including prescription and non-prescription medicines, vitamins, and herbal supplements such as: St. John's Wort and medicine for fungal infections, bacterial infections, tuberculosis, seizures, HIV-AIDS, heart conditions or high blood pressure, and medicines that suppress their immune system. Patients should not drink grapefruit juice or eat grapefruit during their treatment with AFINITOR as it may make the amount of AFINITOR in their blood increase to a harmful level.

Patients should not take AFINITOR tablets which are broken or crushed. Patients should not chew or crush the tablets.

Liver Problems and Other Medical Conditions: The amount of AFINITOR in the blood was increased in patients who had liver problems. Patients should tell their healthcare provider about all their medical conditions including if they have or have had liver problems, diabetes or high blood sugar, high cholesterol levels, infections, hepatitis B, or other medical conditions.

Vaccinations: Patients should tell their healthcare provider if they are scheduled to receive any vaccinations. Patients should not receive a live vaccine or be around people who have recently received a live vaccine during treatment with AFINITOR.

Use in Pregnancy: It is not known if AFINITOR will harm an unborn baby. Women should use effective birth control while using AFINITOR and for 8 weeks after stopping treatment.

Common Side Effects: Common side effects of AFINITOR include mouth ulcers; feeling weak or tired; cough and shortness of breath; diarrhea; skin problems (such as rash, dry skin, and itching); nausea and vomiting; fever; loss of appetite; swelling of arms, hands, feet, ankles, face or other parts of the body; abnormal taste; inflammation of lining of the digestive system; headache; nose bleeds; and pain in arms and legs.

Patients should tell their healthcare provider if they have any side effect that bothers them or does not go away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see Full Prescribing Information for AFINITOR



Sutent®, Rapamune® and Torisel® are registered trademarks of Pfizer Inc.
Nexavar® is a registered trademark of Onyx Pharmaceuticals, Inc. and Bayer HealthCare Pharmaceuticals, Inc.