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Sunitinib (Sutent)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Sunitinib

What it is

Sunitinib is a targeted cancer medicine, a multi-kinase inhibitor that blocks VEGF and PDGF receptors and KIT, among others, cutting off tumour blood vessel growth and growth signals. It is used for advanced kidney cancer, gastrointestinal stromal tumours (GIST) after imatinib, and neuroendocrine tumours of the pancreas. It is sold as Sutent.

How genes come into it

Sunitinib is broken down by CYP3A4 into an active form and pumped out of cells by ABCB1 and ABCG2. Studies have linked variants in these genes and in CYP3A5 to drug levels and side effects such as high blood pressure, fatigue and hand-foot syndrome, and VEGF pathway genes (VEGFA, KDR, FLT4) to response. The findings come from single or a few studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Sunitinib. Upload your DNA file to see which of these rows apply to you.

Rated evidence (16 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

FLT3 rs1933437: Level 3. Toxicity: Leukopenia, Myelosuppression, Neutropenia, Thrombocytopenia. 4.

ABCG2 rs2231142: Level 3. Toxicity: Neoplasms. 3.

ABCB1 rs1045642: Level 3. Toxicity: Renal Cell Carcinoma. 3.

CYP3A5 rs776746: Level 3. Dosage, Toxicity: Renal Cell Carcinoma. 2.

Metabolism (16 findings)

Studies of how quickly the body processes this medication.

ABCB1 rs1045642: Genotypes AA + AG is associated with increased clearance of sunitinib in people with Carcinoma, Renal Cell and Neoplasm Metastasis as compared to genotype GG.

ABCB1 rs1045642: Genotype GG is associated with increased exposure to sunitinib in people with Carcinoma, Renal Cell as compared to genotypes AA + AG.

ABCG2 rs2231142: Genotypes GT + TT is associated with increased exposure to sunitinib in people with Neoplasms as compared to genotype GG.

CYP3A4 CYP3A4*1, CYP3A4*22: CYP3A4 *1/*22 + *22/*22 are associated with decreased clearance of sunitinib as compared to CYP3A4 *1/*1.

Response (10 findings)

Studies of how well it worked in people carrying a variant.

ABCB1 rs1045642: Genotype AA is associated with decreased response to sunitinib in people with Carcinoma, Renal Cell as compared to genotypes AG + GG.

ABCB1 rs1045642: Genotype GG is associated with decreased response to sunitinib in people with Carcinoma, Renal Cell as compared to genotypes AA + AG.

ABCB1 rs2032582: Genotype AA is associated with decreased response to sunitinib in people with Carcinoma, Renal Cell.

KDR rs34231037: Genotype AG is associated with increased clinical benefit to sunitinib as compared to genotype GG.

Dosing (4 findings)

Studies of how much of the drug people needed or tolerated.

ABCB1 rs1128503: Genotype AA is associated with increased dose of sunitinib in people with Carcinoma, Renal Cell as compared to genotypes AG + GG.

ABCB1 rs2032582: Genotypes AA + AT is associated with increased dose of sunitinib in people with Carcinoma, Renal Cell as compared to genotypes AC + CC.

CYP3A5 rs776746: Allele T is associated with decreased dose of sunitinib in people with Carcinoma, Renal Cell as compared to allele C.

NR1I2 rs2276707: Genotype TT is associated with increased dose of sunitinib in people with Carcinoma, Renal Cell as compared to genotypes CC + CT.

Side effects (1 finding)

Studies of side effects in people carrying a variant.

ABCG2 rs2231142: Genotype TT is associated with increased concentrations of n-desethyl sunitinib and sunitinib in women with Carcinoma, Renal Cell.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Apatinib (Tyrosine Kinase Inhibitors)

Gilotrif (Tyrosine Kinase Inhibitors)

Gleevec (Tyrosine Kinase Inhibitors)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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