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Phase I–II trial of acivicin in adult acute leukemia

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Summary

Six patients with relapsed or refractory acute leukemia were treated with 9 mg/m2 or 11 mg/m2 of acivicin daily for seven days in a phase I–II trial. No responses were attained and further dose escalation was prohibited by neurotoxicity in 2 of 3 patients who received 11 mg/m2/day. Although acivicin appears to have limited potential as a single agent, laboratory evaluation of leukemic blasts in one patient revealed cell cycle (S-phase accumulation) and metabolic effects which suggest that acivicin may be effective as a modulator of other antileukemia agents such as cytosine arabinoside.

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Powell, B.L., Craig, J.B., Capizzi, R.L. et al. Phase I–II trial of acivicin in adult acute leukemia. Invest New Drugs 6, 41–44 (1988). https://doi.org/10.1007/BF00170778

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