Summary
Twenty-four evaluable patients with epithelial ovarian cancer resistant to primary therapy, or relapsing after response to initial therapy, were treated with acivicin utilizing a daily \xs 5 schedule. One patient achieved a partial response lasting five months; the remaining 23 patients showed no objective response. Profound and dose-limiting neurological toxicity was seen in 11 patients. Acivicin is inactive in patients with previously treated ovarian cancer and has a poor therapeutic index due to neurologic adverse effects in this patient population. The profound neurotoxicity may be related to prior therapy with cisplatin, to protein binding in ascitic fluid accumulations or to yet undefined parameters.
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References
Houchens DP, Ovejera AA, Sheridan MA, Johnson RK, Bogden AE, Neil GL: Therapy for mouse tumors and human tumor xenografts with the antitumor antibiotic AT-125. Cancer Treat Rep 63:473–476, 1979
Jayaram HN, Cooney DA, Ryan JA, Neil G, Dion RL, Bono VH: L-(S, 5S)-amino-3-chloro-4,5-dihydro-5-isoxazolacetic acid (NSC-163501): A new amino acid antibiotic with the properties of an antagonist of L-glutamine. Cancer Chemother Rep 59:481–491, 1975
Poster DS, Bruno S, Penta J, Neil GL, McGovren JP: Acivicin: An antitumor antibiotic. Cancer Clin Trials 4:327–330, 1981
McGovren JP, Neil GL, Sem PC, Stewart JC: Sex and age related mouse toxicity and disposition of the amino acid antitumor agent, acivicin. J Pharmacol Exp Ther 216:433–440, 1981
O'Dwyer PJ, Alonso MT, Leyland-Jones B: Acivicin: A new glutamine antagonist in clinical trials. J Clin Oncol 2, 9:1064–1071, 1984
Sridhar KS, Ohnuma T, Chahinian AP, Holland JF: Phase I study of acivicin in patients with advanced cancer. Cancer Treat Rep 67:701–703, 1983
Thigpen T, Shingleton H, Homesley H, Lagasse L, Blessing J: Cis-dichlorodiammineplatinum (II) in the treatment of gynecologic malignancies: Phase II trials by the Gynecologic Oncology Group. Cancer Treat Rep 63:1549–1555, 1979
Fleishman G, Yap HY, Murphy SK, Bodey G: Phase II trial of acivicin in advanced metastatic breast cancer. Cancer Treat Rep 67:843–844, 1983
Adolphson C, Bedikian AY, Stroehlein JR, Karlin DA, Bodey GP, Hickey RC: Phase II evaluation of acivicin (AT-125, NSC 163501) in patients with advanced colorectal cancer. Proc Am Soc Clin Oncol 1:96, 1982
Earhart RH, Koeller JM, David TE, Borden EC, McGovren JP, Davis HL and Tormey DC: Phase I trial and pharmacokinetics of acivicin administered by 72-hour infusion. Cancer Treat Rep 67:683–692, 1983
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McGuire, W.P., Blessing, J.A., DiSaia, P.J. et al. Phase II trial of acivivin in patients with advanced epithelial ovarian carcinoma. Invest New Drugs 4, 49–52 (1986). https://doi.org/10.1007/BF00172016
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DOI: https://doi.org/10.1007/BF00172016