Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed stage IV or unresectable stage III renal
cell carcinoma
- Metastatic disease must be amenable to biopsy or appropriate for nephrectomy
before study therapy
- At least 1 unidimensionally measurable lesion
- At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
- No known prior or concurrent CNS metastases
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2 OR
- Karnofsky 60-100%
Life expectancy:
- More than 3 months
Hematopoietic:
- WBC at least 3,000/mm^3
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin normal
- AST/ALT no greater than 2.5 times upper limit of normal
Renal:
- Creatinine normal OR
- Creatinine clearance at least 60 mL/min
Cardiovascular:
- No history of clinically significant coronary artery disease
- No symptomatic cardiac dysfunction
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
Pulmonary:
- No symptomatic pulmonary dysfunction
Other:
- No prior allergic reactions to compounds of similar chemical or biological
composition to UCN-01
- No other uncontrolled concurrent illness
- No active or ongoing infection
- No known immune deficiency
- No psychiatric illness or social situation that would preclude study compliance
- No insulin-dependent diabetes mellitus
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 6 months after study
participation
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and
recovered
Endocrine therapy:
- Not specified
Radiotherapy:
- At least 4 weeks since prior radiotherapy and recovered
- No prior mediastinal radiation
Surgery:
- See Disease Characteristics
- At least 4 weeks since prior nephrectomy
Other:
- No more than 2 prior systemic therapies for metastatic renal cell carcinoma
- No other concurrent investigational agents