A phase I trial of SJG-136 (NSC#694501) in advanced solid tumors Journal Article


Authors: Janjigian, Y. Y.; Lee, W.; Kris, M. G.; Miller, V. A.; Krug, L. M.; Azzoli, C. G.; Senturk, E.; Calcutt, M. W.; Rizvi, N. A.
Article Title: A phase I trial of SJG-136 (NSC#694501) in advanced solid tumors
Abstract: SJG-136 is a pyrrolobenzodiazepine dimer that forms DNA crosslinks and has demonstrated broad antitumor activity. We undertook this trial to determine the maximum-tolerated dose (MTD), toxicities and pharmacokinetic (PK) profile of SJG-136 in patients with an advanced solid tumor. In this phase I study, patients were treated with SJG-136 on days 1, 8 and 15 of a 28-day cycle. Dose levels studied were 10, 20, 40 and 60 mu g/m(2). PK parameters of SJG-136 were assessed following the intravenous administration of SJG-136 on days 1 and 15 of cycle 1. Twenty-one patients with advanced solid tumors were treated. Patients had a median of two prior chemotherapy regimens. Fatigue was dose-limiting with SJG-136 60 mu g/m(2)/day administered on days 1, 8 and 15 of a 28-day cycle. Grade 3 thrombocytopenia and delayed onset liver toxicity were seen in one patient each. PK parameters of SJG-136 indicated dose-proportional increases in systemic exposure with increasing doses. No objective responses were seen. For patients with advanced solid tumors, the MTD of SJG-136 is 40 mu g/m(2)/day administered on days 1, 8 and 15 of a 28-day cycle. The major dose limiting toxicity was fatigue. Alternative dosing strategies are now being evaluated.
Keywords: lung cancer; solid tumors; phase i; inhibition; sjg-136; spectrum antitumor-activity; cross-linking agent; dna-binding; potent; nsc-694501; vitro
Journal Title: Cancer Chemotherapy and Pharmacology
Volume: 65
Issue: 5
ISSN: 0344-5704
Publisher: Springer  
Date Published: 2010-04-01
Start Page: 833
End Page: 838
Language: English
ACCESSION: ISI:000274655500003
DOI: 10.1007/s00280-009-1088-4
PROVIDER: wos
PUBMED: 19672598
PMCID: PMC3711187
Notes: --- - Article - "Source: Wos"
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MSK Authors
  1. Lee M Krug
    178 Krug
  2. Christopher G Azzoli
    111 Azzoli
  3. Naiyer A Rizvi
    166 Rizvi
  4. Vincent Miller
    270 Miller
  5. Yelena Yuriy Janjigian
    400 Janjigian
  6. Mark Kris
    871 Kris