Literature DB >> 3581419

Phase I study of high-dose cytosine arabinoside and etoposide in patients with advanced malignancies.

B L Powell, H B Muss, R L Capizzi, M E Caponera, D R White, P J Zekan, J N Atkins, D V Jackson, F Richards, J B Craig.   

Abstract

Cytosine arabinoside (ara-C) and etoposide (VP-16) display synergy in the laboratory. Twenty-six patients participated in a phase I study of high-dose ara-C in combination with VP-16. The dose of VP-16 was held constant at 50 mg/m2 as an intermittent infusion over 33 h; escalating doses of ara-C were given as infusions during hours 9-12 and 21-24. Myelosuppression was the dose-limiting toxicity and occurred with doses considerably less than those expected from studies of the two drugs as single agents. The suggested initial doses for phase II trials with this schedule are 750 mg/m2 X 2 doses of ara-C and 50 mg/m2 of VP-16. Nonhematologic toxicity was minimal; therefore, further dose escalation is feasible in patients in whom myelosuppression is acceptable.

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Year:  1987        PMID: 3581419     DOI: 10.1007/bf00252981

Source DB:  PubMed          Journal:  Cancer Chemother Pharmacol        ISSN: 0344-5704            Impact factor:   3.333


  7 in total

1.  Response of L1210 to combinations of cytosine arabinoside and VM-26 or VP16-213.

Authors:  G Rivera; T Avery; D W Roberts
Journal:  Eur J Cancer       Date:  1975-09       Impact factor: 9.162

Review 2.  Review of etoposide.

Authors:  N C Phillips; R D Lauper
Journal:  Clin Pharm       Date:  1983 Mar-Apr

3.  Phase I trials of high-dose cytosine arabinoside (HDara-C) and HDara-C plus cisplatin in patients with advanced malignancies.

Authors:  H B Muss; R L Capizzi; J N Atkins; B L Powell; M R Cooper; D Ferree; R A McMahan; V Jobson; J Craig; H D Homesley
Journal:  Semin Oncol       Date:  1985-06       Impact factor: 4.929

Review 4.  VP16-213 (etoposide). A critical review of its activity.

Authors:  F Cavalli
Journal:  Cancer Chemother Pharmacol       Date:  1982       Impact factor: 3.333

5.  Reporting results of cancer treatment.

Authors:  A B Miller; B Hoogstraten; M Staquet; A Winkler
Journal:  Cancer       Date:  1981-01-01       Impact factor: 6.860

6.  Treatment of poor risk acute leukemia with sequential high-dose ARA-C and asparaginase.

Authors:  R L Capizzi; M Poole; M R Cooper; F Richards; J J Stuart; D V Jackson; D R White; C L Spurr; J O Hopkins; H B Muss
Journal:  Blood       Date:  1984-03       Impact factor: 22.113

7.  Phase I clinical trial of weekly administration of 4'-demethylepipodophyllotoxin 9-(4,6-O-ethylidene-beta-D-glucopyranoside) (NSC-141540; VP-16-213).

Authors:  P J Creaven; S J Newman; O S Selawry; M H Cohen; A Primack
Journal:  Cancer Chemother Rep       Date:  1974 Nov-Dec
  7 in total
  1 in total

Review 1.  Etoposide. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in combination chemotherapy of cancer.

Authors:  J M Henwood; R N Brogden
Journal:  Drugs       Date:  1990-03       Impact factor: 9.546

  1 in total

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