PHASE-I STUDY OF MITONAFIDE IN 120 HOUR CONTINUOUS INFUSION IN NON-SMALL-CELL LUNG-CANCER

被引:51
作者
ROSELL, R [1 ]
CARLES, J [1 ]
ABAD, A [1 ]
RIBELLES, N [1 ]
BARNADAS, A [1 ]
BENAVIDES, A [1 ]
MARTIN, M [1 ]
机构
[1] LABS KNOLL SA,MADRID,SPAIN
关键词
PHASE-I; MITONAFIDE; CONTINUOUS INFUSION;
D O I
10.1007/BF00877242
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Mitonafide is the lead compound of a new series of antitumor drugs, the 3-Nitronaphthalimides, which have shown antineoplastic activity in vitro as well as in vivo. This phase I Mitonafide study in non-small cell lung cancer using a 120-hour continuous infusion (I 20 h. C. 1.) schedule of administration was designed to deliver the maximum amount of drug while avoiding the risk of central nervous system (CNS) toxicity, previously observed in studies with daily short (I hour) administration schedules. Twenty patients were treated at doses ranging from 107-200 mg/m2 x 120 h. C.I. Dose-limiting toxicity with this schedule of administration was leukopenia. Other toxicities were mild or not relevant. No CNS toxicity was observed. The recommended dose for phase II C.I. Mitonafide studies is 170 mg/m2 x 120 h. C.I. in previously untreated patients. Plasma level monitoring is recommended.
引用
收藏
页码:171 / 175
页数:5
相关论文
共 10 条
[1]  
BRANA MF, 1980, CANCER CHEMOTH PHARM, V4, P61
[2]   GRADING OF NEUROTOXICITY IN CANCER-THERAPY [J].
CASTELLANOS, AM ;
FIELDS, WS .
JOURNAL OF CLINICAL ONCOLOGY, 1986, 4 (08) :1277-1278
[3]   INTERACTIONS OF ANTITUMOR DRUGS WITH NATURAL DNA - H-1-NMR STUDY OF BINDING MODE AND KINETICS [J].
FEIGON, J ;
DENNY, WA ;
LEUPIN, W ;
KEARNS, DR .
JOURNAL OF MEDICINAL CHEMISTRY, 1984, 27 (04) :450-465
[4]  
HSIANG YH, 1989, MOL PHARMACOL, V36, P371
[5]  
MALPEIS L, 1985, NAFIDIMIDE INTERIM P, P313
[6]  
MILLER AB, 1981, CANCER, V47, P207, DOI 10.1002/1097-0142(19810101)47:1<207::AID-CNCR2820470134>3.0.CO
[7]  
2-6
[8]  
NISHIO A, 1983, J NATL CANCER I, V70, P1097
[9]   MECHANISM OF DNA STRAND BREAKS BY MITONAFIDE, AN IMIDE DERIVATIVE OF 3-NITRO-1,8-NAPHTHALIC ACID [J].
SINHA, BK ;
STRONG, J ;
GIBSON, NW ;
KALYANARAMAN, B .
BIOCHEMICAL PHARMACOLOGY, 1985, 34 (21) :3845-3852
[10]   INTERCALATIVE BINDING TO DNA OF ANTI-TUMOR DRUGS DERIVED FROM 3-NITRO-1,8-NAPHTHALIC ACID [J].
WARING, MJ ;
GONZALEZ, A ;
JIMENEZ, A ;
VAZQUEZ, D .
NUCLEIC ACIDS RESEARCH, 1979, 7 (01) :217-230