Early evaluation of liposomal daunorubicin (DaunoXome(R), Nexstar) in the treatment of relapsed and refractory lymphoma

被引:33
作者
Richardson, DS [1 ]
Kelsey, SM [1 ]
Johnson, SA [1 ]
Tighe, M [1 ]
Cavenagh, JD [1 ]
Newland, AC [1 ]
机构
[1] TAUNTON & SOMERSET HOSP,DEPT HAEMATOL,TAUNTON,MA
关键词
daunorubicin; liposomes; lymphoma;
D O I
10.1023/A:1005879219554
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We have treated 19 patients with relapsed or refractory lymphoma with liposomally encapsulated daunorubicin (DaunoXome) at two dose schedules; 40 mg/m(2) repeated every 14 days and 120 mg/m(2) repeated every 21 days. Non-haematological toxicity was mild, in particular, no patient treated with the higher dose schedule showed clinical deterioration in cardiac function. At the lower dose (10 patients) no objective responses were seen but at the higher dose (9 patients) one complete response and two partial responses were achieved. Liposomal daunorubicin at 120 mg/m(2) appears to have some activity against refractory lymphoma and we suggest that further studies with this agent are required.
引用
收藏
页码:247 / 253
页数:7
相关论文
共 24 条
[1]  
Carlson R W, 1992, Oncology (Williston Park), V6, P95
[2]   IMPROVED CELLULAR ACCUMULATION IS CHARACTERISTIC OF ANTHRACYCLINES WHICH RETAIN HIGH-ACTIVITY IN MULTIDRUG RESISTANT CELL-LINES, ALONE OR IN COMBINATION WITH VERAPAMIL OR CYCLOSPORINE-A [J].
COLEY, HM ;
TWENTYMAN, PR ;
WORKMAN, P .
BIOCHEMICAL PHARMACOLOGY, 1989, 38 (24) :4467-4475
[3]   COMPARISON OF A STANDARD REGIMEN (CHOP) WITH 3 INTENSIVE CHEMOTHERAPY REGIMENS FOR ADVANCED NON-HODGKINS-LYMPHOMA [J].
FISHER, RI ;
GAYNOR, ER ;
DAHLBERG, S ;
OKEN, MM ;
GROGAN, TM ;
MIZE, EM ;
GLICK, JH ;
COLTMAN, CA ;
MILLER, TP .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (14) :1002-1006
[4]  
FORSSEN EA, 1992, CANCER RES, V52, P3255
[5]  
Forssen EA, 1996, CANCER RES, V56, P2066
[6]  
Forssen Eric A., 1994, Journal of Liposome Research, V4, P481, DOI 10.3109/08982109409037058
[7]   PHASE I/II CLINICAL AND PHARMACOKINETIC EVALUATION OF LIPOSOMAL DAUNORUBICIN [J].
GILL, PS ;
ESPINA, BM ;
MUGGIA, F ;
CABRIALES, S ;
TULPULE, A ;
ESPLIN, JA ;
LIEBMAN, HA ;
FORSSEN, E ;
ROSS, ME ;
LEVINE, AM .
JOURNAL OF CLINICAL ONCOLOGY, 1995, 13 (04) :996-1003
[8]  
GILL PS, 1996, P 9 NCI EORTC S NEW, P496
[9]   LIPOSOMES IN HEMATOLOGY [J].
GRAY, A ;
MORGAN, J .
BLOOD REVIEWS, 1991, 5 (04) :258-271
[10]   PHASE-I AND PHARMACOLOGICAL STUDY OF LIPOSOMAL DAUNORUBICIN (DAUNOXOME) [J].
GUAGLIANONE, P ;
CHAN, K ;
DELAFLORWEISS, E ;
HANISCH, R ;
JEFFERS, S ;
SHARMA, D ;
MUGGIA, F .
INVESTIGATIONAL NEW DRUGS, 1994, 12 (02) :103-110