Fifteen patients with advanced renal cell carcinoma were treated on a
phase II trial with topotecan. None of the fourteen evaluable patients
achieved a complete or partial response. Myelosuppression was the mos
t common toxicity. Eighty percent (12 of 15) of patients experienced g
rade III or IV neutropenia and/or anemia. Topotecan is not efficacious
in the treatment of advanced renal cell carcinoma.