An open-label dose escalation study evaluating tolerability and safety of a single 5-days course of temozolomide in dogs with advanced cancer.

作者: Laura Marconato , Carla Rohrer Bley , Vito F. Leone , Riccardo Finotello

DOI: 10.1111/VCO.12623

关键词:

摘要: Temozolomide is a novel oral alkylating agent that has schedule-dependent clinical activity in human malignant glioma and metastatic melanoma. Little known about the efficacy of temozolomide treatment canine solid cancers, where broad range dosages have been used but no maximally tolerated dose (MTD) had established. The aim this open-label, dose-escalating study was to determine MTD dose-limiting toxicity (DLT) single cycle dogs with advanced tumours. administered as 5-days course starting at 70 mg/m2 , using escalation 10 increments 3 per level. established based on number experiencing DLT assessed after 1 cycle. Safety evaluation performed days dosing. Thirty-three client-owned were enrolled. 150 most frequent adverse events (AEs) hematologic hepatic, followed by gastrointestinal, majority being self-resolving mild grade. VCOG grade hepatic 4 thrombocytopenia defined DLTs 160 . A subcohort received multiple doses 4-week cumulative documented. Conclusions define when given once daily over 5 days. Future trials its are warranted.

参考文章(16)
S. Pizzoni, M. Gracis, L. Marconato, S. Cancedda, C. Rohrer Bley, L. Aresu, M. Dacasto, V. F. Leone, Efficacy and side effects of radiation therapy in comparison with radiation therapy and temozolomide in the treatment of measurable canine malignant melanoma Veterinary and Comparative Oncology. ,vol. 14, pp. 146- 157 ,(2016) , 10.1111/VCO.12122
N M Bleehen, E S Newlands, S M Lee, N Thatcher, P Selby, A H Calvert, G J Rustin, M Brampton, M F Stevens, Cancer Research Campaign phase II trial of temozolomide in metastatic melanoma. Journal of Clinical Oncology. ,vol. 13, pp. 910- 913 ,(1995) , 10.1200/JCO.1995.13.4.910
W Hryniuk, H Bush, The importance of dose intensity in chemotherapy of metastatic breast cancer. Journal of Clinical Oncology. ,vol. 2, pp. 1281- 1288 ,(1984) , 10.1200/JCO.1984.2.11.1281
E.S. Newlands, S.M. O'Reilly, M.G. Glaser, M. Bower, H. Evans, C. Brock, M.H. Brampton, I. Colquhoun, P. Lewis, J.M. Rice-Edwards, R.D. Illingworth, P.G. Richards, The Charing Cross Hospital experience with temozolomide in patients with gliomas. European Journal of Cancer. ,vol. 32, pp. 2236- 2241 ,(1996) , 10.1016/S0959-8049(96)00258-4
Wei Zhu, Temozolomide for treatment of brain metastases: A review of 21 clinical trials World journal of clinical oncology. ,vol. 5, pp. 19- 27 ,(2013) , 10.5306/WJCO.V5.I1.19
P. R. Lowe, C. H. Schwalbe, DCMCIT, an analogue of the antitumour drugs mitozolomide and temozolomide. Acta Crystallographica Section C-crystal Structure Communications. ,vol. 50, pp. 1629- 1631 ,(1994) , 10.1107/S0108270194002507
ES Newlands, GRP Blackledge, JA Slack, GJ Rustin, DB Smith, NS Stuart, CP Quarterman, R Hoffman, MFG Stevens, MH Brampton, AC Gibson, Phase I trial of temozolomide (CCRG 81045: M&B 39831: NSC 362856). British Journal of Cancer. ,vol. 65, pp. 287- 291 ,(1992) , 10.1038/BJC.1992.57
M. Bignami, M. O'Driscoll, G. Aquilina, P. Karran, Unmasking a killer: DNA O(6)-methylguanine and the cytotoxicity of methylating agents Mutation Research-reviews in Mutation Research. ,vol. 462, pp. 71- 82 ,(2000) , 10.1016/S1383-5742(00)00016-8
Emil Frei, George P. Canellos, Dose: A Critical Factor in Cancer Chemotherapy The American Journal of Medicine. ,vol. 69, pp. 585- 594 ,(1980) , 10.1016/0002-9343(80)90472-6
W P Roos, L F Z Batista, S C Naumann, W Wick, M Weller, C F M Menck, B Kaina, Apoptosis in malignant glioma cells triggered by the temozolomide-induced DNA lesion O6-methylguanine. Oncogene. ,vol. 26, pp. 186- 197 ,(2007) , 10.1038/SJ.ONC.1209785