Metabolic effects of gallium nitrate administered by prolonged infusion Journal Article


Authors: Warrell, R. P. Jr; Isaacs, M.; Coonley, C. J.; Alcock, N. W.; Bockman, R. S.
Article Title: Metabolic effects of gallium nitrate administered by prolonged infusion
Abstract: Gallium nitrate was recently found to be effective treatment for resistant cancer-related hypercalcemia. In vitro and in vivo experiments have suggested that the drug directly inhibitis calcium resorption from bone; however, the overall effects of gallium nitrate on calcium balance were unknown. We have completed metabolic balance studies in four patients who received this drug by prolonged infusion. All patients were in positive calcium balance while receiving the drug. Each patient also showed a substantial decrease in urinary calcium excretion. Serum phosphorus decreased in all four patients. There was no change in phosphorus, sodium, chloride, or magnesium balance or in creatinine clearance. We conclude that prolonged infusions of gallium nitrate reduce urinary calcium excretion and that the hypocalcemic effect of this drug is primarily due to inhibition of calcium resorption from bone. Thus, the drug may prove useful in reducing accelerated bone resorption in patients with bone metastases or chronic cancer-related hypercalcemia.
Keywords: clinical article; osteolysis; drug efficacy; antineoplastic agents; bone metastasis; methodology; calcium; hypercalcemia; drug mechanism; lymphoma; bone; therapy; infusion; intravenous drug administration; hypocalcemia; human experiment; phosphorus; etiology; gallium; gallium nitrate; humans; human; priority journal
Journal Title: Cancer Treatment Reports
Volume: 69
Issue: 6
ISSN: 0361-5960
Publisher: National Cancer Institute  
Date Published: 1985-06-01
Start Page: 653
End Page: 655
Language: English
PUBMED: 4016769
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 26 October 2021 -- Source: Scopus
Citation Impact
MSK Authors
  1. Raymond P Warrell
    175 Warrell
  2. Marian Isaacs
    7 Isaacs
  3. Nancy Alcock
    23 Alcock
  4. Richard Bockman
    24 Bockman