5,6-Dimethylxanthenone-4-Acetic Acid (DMXAA)

作者: Mark J McKeage , Lloyd R Kelland

DOI: 10.2165/00024669-200605030-00002

关键词: CancerClinical trialPaclitaxelTaxaneOncologyPhases of clinical researchInternal medicinePharmacologyCarboplatinChemotherapyMedicineDocetaxel

摘要: Currently, there is a great deal of interest in drugs that target tumor vasculature and their therapeutic potential combination regimens for the treatment cancer. This review focuses on one vascular disrupting agents, 5-6-dimethylxanthenone 4-acetic acid (DMXAA), rationale its with standard taxane-based chemotherapy. DMXAA taxanes have different mechanisms action and, combination, demonstrate at least additive activity against preclinical solid tumors. Their clinical adverse-effect pharmacologic profiles as single agents appear to render these suitable use combination. Phase I studies identified range doses trials. In addition, indications chemotherapy been selected from positive randomized controlled trials advanced cancers. A phase II program now underway; paclitaxel carboplatin patients NSCLC ovarian cancer docetaxel hormone-refractory prostate are being evaluated.

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