I have been dealing with RCC since Dec, 2001. I went through IL2 in 2002 with nothing else until 2008. I started Sutent in Mar 2008 and have been on various doses since. I now take 37.5 MG four weeks on and two off.
My motivation lies in the fact that once RCC has spread, ( Iv'e been stage 4 since the beginning) you can bet it will show up again elsewhere. Sutent has been effective in controlling the growth of my lung modules, killing a nodule in my pancreas (the reason I stared Sutent), and reducing others. I expect to be on it forever to deal with metastasis to small to see on a cat scan.
I started at 50mg and did reduce it due to side effects destroying my quality of life. At 37.5 mg, I can manage to do the things I like ( hunting, fishing, etc.) during the first two weeks on and during the break.
To my knowledge, all RCC drugs have side effects which affect people differently. If it does stop working, then we would look at switching drugs.
Support needs vary individually. Some find it very helpful and others may not. I would suggest that support is most helpful at first diagnosis rather than after the patient has been dealing with RCC for sometime. Sutent support would be most helpful initially. Personally, I never took advantage of any support groups, other than this forum. Hearing others speak of their experiences with RCC has been very helpful and informative.