Summary
Currently the chemotherapeutic agents available for intra-arterial infusion in metastatic liver cancer are limited to only a few. The recent demonstration of the feasibility of prolonged IV infusion of vincristine led to exploration of hepatic intra-arterial infusion of this agent. A continuous infusion of 0.4 mg total dose was administered daily for 5 days via a hepatic artery catheter to each of six patients with metastatic liver cancer. Transient but life-threatening toxicity principally involving the nervous and gastrointestinal systems occurred in five of them. Future investigation of hepatic intra-arterial infusion of vincristine should be based on dose-schedules other than that employed in the current trial.
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Jackson DV Jr, Castle MC, Bender RA (1978) Biliary excretion of (3H)-vincristine in man. Clin Pharmacol Ther 24:101–107
Jackson DV Jr, Sethi VS, Spurr CL, Willard V, White DR, Richard F, Stuart JJ, Muss HB, Cooper MR, Homesley HD, Jobson VW, Castle MC (1981a) Intravenous vincristine infusion: Phase I trial. Cancer 48:2559–2564
Jackson DV Jr, Sethi VS, Spurr CL, White DR, Richards F II, Stuart JJ, Muss HB, Cooper MR, Castle MC (1981b) Pharmacokinetics of vincristine intravenous infusion. Cancer Treat Rep 65:1043–1048
Jackson DV Jr, Barringer ML, Sterchi JM, Rosenbaum DL, Sethi VS, Spurr CL (1982) Prolonged biliary excretion of vincristine following intravenous injection. Clin Res 30: 419A
Jackson DV Jr, Barriner ML, Rosenbaum DL, Long TR, Sterchi JM, Meredith W, Sethi VS, Modest EJ, Wells HB, Spurr CL (1983) Continuous intravenous infusion of vinca alkaloid using a subcutaneously implanted pump in a canine model. Cancer Chemother Pharmacol 10:217–220
Jackson DV Jr, Paschold EH, Spurr CL, Muss HB, Richards F II, Cooper MR, White DR, Stuart JJ, Hopkins JO, Rich R Jr, Wells HB (1984) Treatment of advanced Non-Hodgkin's lymphoma with vincristine infusion. Cancer 53:2601–2606
Lise M, Cagol PP, Nitti D, Feltrin A, Fosser V, Cecchetto A, Rubultelli L, Pucciarelli S (1980) Temporary occlusion of the hepatic artery plus infusion and systemic chemotherapy for inoperable cancer of the liver. Int Surg 65:315–323
Sandler SG, Tobin W, Henderson ES (1969) Vincristine-induced neuropathy. A clinical study of fifty leukemic patients. Neurology 19:367–374
Sethi VS, Burton SS, Jackson DV (1980) A sensitive radioimmunoassay for vincristine and vinblastine. Cancer Chemother Pharmacol 4:183–187
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Jackson, D.V., Richards, F., Spurr, C.L. et al. Hepatic intra-arterial infusion of vincristine. Cancer Chemother. Pharmacol. 13, 120–122 (1984). https://doi.org/10.1007/BF00257127
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DOI: https://doi.org/10.1007/BF00257127