Literature DB >> 20031390

Evaluation of the safety of C-1311 (SYMADEX) administered in a phase 1 dose escalation trial as a weekly infusion for 3 consecutive weeks in patients with advanced solid tumours.

N Isambert1, M Campone, E Bourbouloux, M Drouin, A Major, W Yin, P Loadman, R Capizzi, C Grieshaber, P Fumoleau.   

Abstract

PURPOSE: C-1311 is a member of the novel imidazoacridinone family of anticancer agents. This phase 1 trial was designed to investigate the safety, tolerability and preliminary anti-tumour activity of C-1311. PATIENTS AND METHODS: This was a phase 1, inter-subject dose escalating and pharmacokinetic study of intravenous (IV) C-1311, administered weekly during 3consecutive weeks followed by 1week rest (constituting 1 cycle) in subjects with advanced solid tumours.
RESULTS: Twenty-two (22) patients were treated with C-1311, the highest dose given was 640mg/m(2). All subjects experienced one or more treatment-related adverse events (AEs). The most frequently observed treatment-related AEs were neutropaenia and nausea (50% each), followed by vomiting (27%), anaemia (23%), asthenia (23%) and diarrhoea (18%). Most treatment-related AEs were of Common Terminology Criteria for Adverse Events (CTCAE) grades 1-2, except for the blood and lymphatic system disorders, which were primarily of grades 3-4. The recommended dose (RD) of C-1311 administered as once weekly IV infusions for 3weeks every 4weeks is 480mg/m(2), with the dose limiting toxicity (DLT) being grade 4 neutropaenia lasting more than 7days. Treatment at this dose offers a predictable safety profile and excellent tolerability.
CONCLUSION: The safety profile and preliminary anti-tumour efficacy of C-1311, observed in this broad-phase dose-finding study, warrants further evaluation of the compound. Copyright 2009 Elsevier Ltd. All rights reserved.

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Year:  2009        PMID: 20031390     DOI: 10.1016/j.ejca.2009.12.005

Source DB:  PubMed          Journal:  Eur J Cancer        ISSN: 0959-8049            Impact factor:   9.162


  12 in total

1.  Metabolic transformation of antitumor acridinone C-1305 but not C-1311 via selective cellular expression of UGT1A10 increases cytotoxic response: implications for clinical use.

Authors:  Monika Pawlowska; Rong Chu; Barbara Fedejko-Kap; Ewa Augustin; Zofia Mazerska; Anna Radominska-Pandya; Timothy C Chambers
Journal:  Drug Metab Dispos       Date:  2012-11-16       Impact factor: 3.922

2.  Use of yeast chemigenomics and COXEN informatics in preclinical evaluation of anticancer agents.

Authors:  Steven C Smith; Dmytro M Havaleshko; Kihyuck Moon; Alexander S Baras; Jae Lee; Stefan Bekiranov; Daniel J Burke; Dan Theodorescu
Journal:  Neoplasia       Date:  2011-01       Impact factor: 5.715

3.  Small molecule tyrosine kinase inhibitors for the treatment of intestinal inflammation.

Authors:  Maninder Sidhu; Carmen Alonso Cotoner; Bayasi Guleng; Seiji Arihiro; Sunyoung Chang; Kenneth W Duncan; Alfred M Ajami; Mydoanh Chau; Hans-Christian Reinecker
Journal:  Inflamm Bowel Dis       Date:  2011-03-21       Impact factor: 5.325

4.  Role of human UDP-glucuronosyltransferases in the biotransformation of the triazoloacridinone and imidazoacridinone antitumor agents C-1305 and C-1311: highly selective substrates for UGT1A10.

Authors:  Barbara Fedejko-Kap; Stacie M Bratton; Moshe Finel; Anna Radominska-Pandya; Zofia Mazerska
Journal:  Drug Metab Dispos       Date:  2012-06-01       Impact factor: 3.922

Review 5.  The COXEN principle: translating signatures of in vitro chemosensitivity into tools for clinical outcome prediction and drug discovery in cancer.

Authors:  Steven C Smith; Alexander S Baras; Jae K Lee; Dan Theodorescu
Journal:  Cancer Res       Date:  2010-02-16       Impact factor: 12.701

6.  Combined anticancer therapy with imidazoacridinone analogue C-1305 and paclitaxel in human lung and colon cancer xenografts-Modulation of tumour angiogenesis.

Authors:  Marta Świtalska; Beata Filip-Psurska; Magdalena Milczarek; Mateusz Psurski; Adrianna Moszyńska; Aleksandra M Dąbrowska; Małgorzata Gawrońska; Karol Krzymiński; Maciej Bagiński; Rafał Bartoszewski; Joanna Wietrzyk
Journal:  J Cell Mol Med       Date:  2022-06-14       Impact factor: 5.295

7.  CYP3A4 overexpression enhances apoptosis induced by anticancer agent imidazoacridinone C-1311, but does not change the metabolism of C-1311 in CHO cells.

Authors:  Monika Pawłowska; Ewa Augustin; Zofia Mazerska
Journal:  Acta Pharmacol Sin       Date:  2013-12-02       Impact factor: 6.150

8.  Molecular basis for the DNA damage induction and anticancer activity of asymmetrically substituted anthrapyridazone PDZ-7.

Authors:  Mateusz Heldt; Marlena Szeligowska; Majus Misiak; Stefania Mazzini; Leonardo Scaglioni; Grzegorz J Grabe; Marcin Serocki; Jan Lica; Marta Switalska; Joanna Wietrzyk; Giovanni L Beretta; Paola Perego; Dominik Zietkowski; Maciej Baginski; Edward Borowski; Andrzej Skladanowski
Journal:  Oncotarget       Date:  2017-10-10

9.  The imidazoacridinone C-1311 induces p53-dependent senescence or p53-independent apoptosis and sensitizes cancer cells to radiation.

Authors:  Anna Skwarska; Shaliny Ramachandran; Grzegorz Dobrynin; Katarzyna B Leszczynska; Ester M Hammond
Journal:  Oncotarget       Date:  2017-05-09

Review 10.  Natural Compounds as Anticancer Agents Targeting DNA Topoisomerases.

Authors:  Chetan Kumar Jain; Hemanta Kumar Majumder; Susanta Roychoudhury
Journal:  Curr Genomics       Date:  2017-02       Impact factor: 2.236

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