Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)

ISSN:
1573-0646
Keywords:
chemotherapy ; platinum (IV) analogues ; cisplatin resistance ; pharmacodynamics
Source:
Springer Online Journal Archives 1860-2000
Topics:
Chemistry and Pharmacology
Medicine
Notes:
Abstract Ormaplatin (NSC 363812, tetraplatin) is a stable platinum (IV) analog which has exhibited activity against cisplatin-resistant cell lines. A phase I trial of ormaplatin administered as a 1-h infusion every 4 weeks was performed. Forty-one patients received 101 cycles of drug over the dose range 4–128 mg/m2. The dose-limiting toxicity was reversible thrombocytopenia and granulocytopenia. Minimal myelosuppression was observed at dose levels ≤ 78 mg/m2, while grade 3 or 4 myelosuppression (thrombocytopenia and/or granulocytopenia) was seen in 4/8 patients at 98 mg/m2 and 4/5 patients at 123 mg/m2. Nausea and vomiting was observed at all dose levels but was controlled with antiemetic premedication. Neurotoxicity was observed in 5/41 patients and the incidence appeared related to cumulative dose rather than to dose level or drug clearance. Platinum was measured by furnace atomic absorption spectrophotometry. Ormaplatin-derived plasma ultrafilterable platinum (UF-Pt) exhibited linear pharmacokinetics over the dose range studied. The mean total body clearance of UF-Pt was 135 ml/min/m2 and the mean elimination half-life (t1/2β) was 13.6 h. Ormaplatin exhibited a high degree of protein binding, with more than 70% of platinum protein bound by the end of the infusion. Urinary excretion of platinum accounted for 37% of the total dose of ormaplatin in 24 hours. A phase II dose of 98 mg/m2 is recommended for testing in a patient population with cisplatin-refractory disease.
Type of Medium:
Electronic Resource
URL:
_version_ 1798297438775148545
autor Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
autorsonst Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
book_url http://dx.doi.org/10.1023/A:1006223100561
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM197072186
issn 1573-0646
journal_name Investigational new drugs
materialart 1
notes Abstract Ormaplatin (NSC 363812, tetraplatin) is a stable platinum (IV) analog which has exhibited activity against cisplatin-resistant cell lines. A phase I trial of ormaplatin administered as a 1-h infusion every 4 weeks was performed. Forty-one patients received 101 cycles of drug over the dose range 4–128 mg/m2. The dose-limiting toxicity was reversible thrombocytopenia and granulocytopenia. Minimal myelosuppression was observed at dose levels ≤ 78 mg/m2, while grade 3 or 4 myelosuppression (thrombocytopenia and/or granulocytopenia) was seen in 4/8 patients at 98 mg/m2 and 4/5 patients at 123 mg/m2. Nausea and vomiting was observed at all dose levels but was controlled with antiemetic premedication. Neurotoxicity was observed in 5/41 patients and the incidence appeared related to cumulative dose rather than to dose level or drug clearance. Platinum was measured by furnace atomic absorption spectrophotometry. Ormaplatin-derived plasma ultrafilterable platinum (UF-Pt) exhibited linear pharmacokinetics over the dose range studied. The mean total body clearance of UF-Pt was 135 ml/min/m2 and the mean elimination half-life (t1/2β) was 13.6 h. Ormaplatin exhibited a high degree of protein binding, with more than 70% of platinum protein bound by the end of the infusion. Urinary excretion of platinum accounted for 37% of the total dose of ormaplatin in 24 hours. A phase II dose of 98 mg/m2 is recommended for testing in a patient population with cisplatin-refractory disease.
package_name Springer
publikationsjahr_anzeige 1999
publikationsjahr_facette 1999
publikationsjahr_intervall 8004:1995-1999
publikationsjahr_sort 1999
publisher Springer
reference 17 (1999), S. 63-72
schlagwort chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
search_space articles
shingle_author_1 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
shingle_author_2 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
shingle_author_3 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
shingle_author_4 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
shingle_catch_all_1 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
Abstract Ormaplatin (NSC 363812, tetraplatin) is a stable platinum (IV) analog which has exhibited activity against cisplatin-resistant cell lines. A phase I trial of ormaplatin administered as a 1-h infusion every 4 weeks was performed. Forty-one patients received 101 cycles of drug over the dose range 4–128 mg/m2. The dose-limiting toxicity was reversible thrombocytopenia and granulocytopenia. Minimal myelosuppression was observed at dose levels ≤ 78 mg/m2, while grade 3 or 4 myelosuppression (thrombocytopenia and/or granulocytopenia) was seen in 4/8 patients at 98 mg/m2 and 4/5 patients at 123 mg/m2. Nausea and vomiting was observed at all dose levels but was controlled with antiemetic premedication. Neurotoxicity was observed in 5/41 patients and the incidence appeared related to cumulative dose rather than to dose level or drug clearance. Platinum was measured by furnace atomic absorption spectrophotometry. Ormaplatin-derived plasma ultrafilterable platinum (UF-Pt) exhibited linear pharmacokinetics over the dose range studied. The mean total body clearance of UF-Pt was 135 ml/min/m2 and the mean elimination half-life (t1/2β) was 13.6 h. Ormaplatin exhibited a high degree of protein binding, with more than 70% of platinum protein bound by the end of the infusion. Urinary excretion of platinum accounted for 37% of the total dose of ormaplatin in 24 hours. A phase II dose of 98 mg/m2 is recommended for testing in a patient population with cisplatin-refractory disease.
1573-0646
15730646
Springer
shingle_catch_all_2 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
Abstract Ormaplatin (NSC 363812, tetraplatin) is a stable platinum (IV) analog which has exhibited activity against cisplatin-resistant cell lines. A phase I trial of ormaplatin administered as a 1-h infusion every 4 weeks was performed. Forty-one patients received 101 cycles of drug over the dose range 4–128 mg/m2. The dose-limiting toxicity was reversible thrombocytopenia and granulocytopenia. Minimal myelosuppression was observed at dose levels ≤ 78 mg/m2, while grade 3 or 4 myelosuppression (thrombocytopenia and/or granulocytopenia) was seen in 4/8 patients at 98 mg/m2 and 4/5 patients at 123 mg/m2. Nausea and vomiting was observed at all dose levels but was controlled with antiemetic premedication. Neurotoxicity was observed in 5/41 patients and the incidence appeared related to cumulative dose rather than to dose level or drug clearance. Platinum was measured by furnace atomic absorption spectrophotometry. Ormaplatin-derived plasma ultrafilterable platinum (UF-Pt) exhibited linear pharmacokinetics over the dose range studied. The mean total body clearance of UF-Pt was 135 ml/min/m2 and the mean elimination half-life (t1/2β) was 13.6 h. Ormaplatin exhibited a high degree of protein binding, with more than 70% of platinum protein bound by the end of the infusion. Urinary excretion of platinum accounted for 37% of the total dose of ormaplatin in 24 hours. A phase II dose of 98 mg/m2 is recommended for testing in a patient population with cisplatin-refractory disease.
1573-0646
15730646
Springer
shingle_catch_all_3 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
Abstract Ormaplatin (NSC 363812, tetraplatin) is a stable platinum (IV) analog which has exhibited activity against cisplatin-resistant cell lines. A phase I trial of ormaplatin administered as a 1-h infusion every 4 weeks was performed. Forty-one patients received 101 cycles of drug over the dose range 4–128 mg/m2. The dose-limiting toxicity was reversible thrombocytopenia and granulocytopenia. Minimal myelosuppression was observed at dose levels ≤ 78 mg/m2, while grade 3 or 4 myelosuppression (thrombocytopenia and/or granulocytopenia) was seen in 4/8 patients at 98 mg/m2 and 4/5 patients at 123 mg/m2. Nausea and vomiting was observed at all dose levels but was controlled with antiemetic premedication. Neurotoxicity was observed in 5/41 patients and the incidence appeared related to cumulative dose rather than to dose level or drug clearance. Platinum was measured by furnace atomic absorption spectrophotometry. Ormaplatin-derived plasma ultrafilterable platinum (UF-Pt) exhibited linear pharmacokinetics over the dose range studied. The mean total body clearance of UF-Pt was 135 ml/min/m2 and the mean elimination half-life (t1/2β) was 13.6 h. Ormaplatin exhibited a high degree of protein binding, with more than 70% of platinum protein bound by the end of the infusion. Urinary excretion of platinum accounted for 37% of the total dose of ormaplatin in 24 hours. A phase II dose of 98 mg/m2 is recommended for testing in a patient population with cisplatin-refractory disease.
1573-0646
15730646
Springer
shingle_catch_all_4 Tutsch, Kendra D.
Arzoomanian, Rhoda Z.
Alberti, Dona
Tombes, Mary B.
Feierabend, Christine
Robins, H. Ian
Spriggs, David R.
Wilding, George
Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
chemotherapy
platinum (IV) analogues
cisplatin resistance
pharmacodynamics
Abstract Ormaplatin (NSC 363812, tetraplatin) is a stable platinum (IV) analog which has exhibited activity against cisplatin-resistant cell lines. A phase I trial of ormaplatin administered as a 1-h infusion every 4 weeks was performed. Forty-one patients received 101 cycles of drug over the dose range 4–128 mg/m2. The dose-limiting toxicity was reversible thrombocytopenia and granulocytopenia. Minimal myelosuppression was observed at dose levels ≤ 78 mg/m2, while grade 3 or 4 myelosuppression (thrombocytopenia and/or granulocytopenia) was seen in 4/8 patients at 98 mg/m2 and 4/5 patients at 123 mg/m2. Nausea and vomiting was observed at all dose levels but was controlled with antiemetic premedication. Neurotoxicity was observed in 5/41 patients and the incidence appeared related to cumulative dose rather than to dose level or drug clearance. Platinum was measured by furnace atomic absorption spectrophotometry. Ormaplatin-derived plasma ultrafilterable platinum (UF-Pt) exhibited linear pharmacokinetics over the dose range studied. The mean total body clearance of UF-Pt was 135 ml/min/m2 and the mean elimination half-life (t1/2β) was 13.6 h. Ormaplatin exhibited a high degree of protein binding, with more than 70% of platinum protein bound by the end of the infusion. Urinary excretion of platinum accounted for 37% of the total dose of ormaplatin in 24 hours. A phase II dose of 98 mg/m2 is recommended for testing in a patient population with cisplatin-refractory disease.
1573-0646
15730646
Springer
shingle_title_1 Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
shingle_title_2 Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
shingle_title_3 Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
shingle_title_4 Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
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timestamp 2024-05-06T10:07:59.934Z
titel Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
titel_suche Phase I clinical and pharmacokinetic study of an one-hour infusion of ormaplatin (NSC 363812)
topic V
WW-YZ
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