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Phase II trial of idarubicin in patients with advanced lymphoma

  • Original Articles
  • Idarubicin, Lymphoma
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Summary

A phase II trial of idarubicin was performed in 24 patients with advanced lymphoma. The drug was administered in a dose of 10–15 mg/m2 i.v. or 15–70 mg/m2 p.o. (single dose) every 3 weeks. There were four partial responses and four minor responses. All but one of the responders had received prior doxorubicin therapy. The toxicities were myelosuppression, nausea and vomiting, and alopecia. Two patients with compromised cardiac function were observed to have further deterioration in the ejection fraction as measured by gated cardiac scan after idarubicin therapy. Further assessment of the activity of idarubicin against lymphoma is recommended in less heavily pretreated patients. The cardiac toxicity should be carefully monitored in future studies.

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References

  1. Arcamone F, Bernardi L, Giardino P, Di Marco A, Casazza AM, Pratesi G (1976) Synthesis and anti-tumour activity of 4-demethoxydaunorubicin, 4-demethoxy-7-9-diepidaunorubicin and their beta anomers. Cancer Treat Rep 60:829

    Google Scholar 

  2. Berman E, Wittes RE, Leyland-Jones B, Casper ES, Gralla RJ, Howard J, Williams L, Baratz R, Young CW (1983) Phase I clinical pharmacology studies of intravenious and oral administration of 4-demethoxydaunorubicin in patients with advanced cancer. Cancer Res 43:6096–6101

    Google Scholar 

  3. Bonfante V, Ferrai L, Villani F, Bonnadonna G (1983) Phase I study of 4-demethoxydaunorubicin. Invest New Drugs 1: 161

    Google Scholar 

  4. Broggini M, Italia C, Colombo T, Marmonti L, Donelli MG (1984) Activity and distribution of intravenous and oral 4-demethoxydaunorubicin in murine experimental tumours. Cancer Treat Rep 68:739

    Google Scholar 

  5. Carella AM, Santini G, Martinengo AM, Congiu A, Nati S, Marmont AM (1985) Idarubicin alone or in combination with cytarabine and etoposide (3+3+5) in acute non-lymphoblastic leukaemia. Proc 14th Int Congress Chemotherapy. Kyoto, Japan (Abst no. WS 4-16)

  6. Casazza AM (1979) Experimental evaluation of anthracycline analogues. Cancer Treat Rep 63:835

    Google Scholar 

  7. Casazza AM, Bertazzoli C, Pratesi G, Bellini O, Di Marco A (1979) Anti-leukaemia activity and cardiac toxicity of 4-demethoxydaunorubicin. Proc Am Assoc Cancer Res 20:16

    Google Scholar 

  8. Cassaza AM, Pratesi G, Giuliani F, Di Marco A (1980a) Anti-leukaemic activity of 4-demethoxydaunorubicin in mice. Tumori 66:549

    Google Scholar 

  9. Casazza AM, Di Marco A, Bonadonna G, Bonfante V, Bertazzoli C, Bellini O, Pratesi G, Sala L, Ballerini L (1980b) Effects of modification in position 4 of the chromophore or in the position 4′ of the aminosugar on the antitumour activity of anthracyclines. In: Crooke ST, Reich SD (eds) Anthracyclines: current status and new development. Academic Press, New York, p 430

    Google Scholar 

  10. Coonley CJ, Warrell Jr RP, Straus DJ, Young CW (1983) Clinical evaluation of 4-demethoxydaunorubicin in patients with advanced malignant lymphoma. Cancer Treat Rep 67: 949

    Google Scholar 

  11. Daghestani AN, Arlin ZA, Leyland-Jones B, Gee TS, Kempin SJ, Mertelemann R, Budman D, Schulman P, Baratz R, Williams L, Clarkson BD, Young CW (1985) Phase I and II clinical and pharmacological study of 4-demethoxydaunorubicin (idarubicin) in adult patients with acute leukaemia. Cancer Res 45:1408

    Google Scholar 

  12. Di Marco A, Casazza AM, Pratesi G (1977) Antitumour activity of 4-demethoxydaunorubicin administered orally. Cancer Treat Rep 61:893

    Google Scholar 

  13. Di Marco A, Zunio F, Casazza AM (1978) Comparison of biochemical and biological methods in evaluation of new anthracycline drugs. Antibiot Chemother 23:12

    Google Scholar 

  14. Eridani S, Pearson TC, Slater NGP, Singh AK (1985) Idarubicin (NSC 256-439) in the treatment of acute leukaemia and lymphoma: a pilot study. Proceedings of the European Congress of Clinical Oncology, Stockholm, Sweden (Abstract 494)

  15. Kaplan S, Martini A, Varini M, Togni P, Cavalli F (1982) Phase I trial of 4-demethoxydaunorubicin with single IV dose. Eur J Cancer Clin Oncol 12:1303

    Google Scholar 

  16. Lopez M, Lazzano B, Di Lauro L, Papalab P, Ganzina F, Di Pietro N (1985) Activity of oral idarubicin in non-Hodgkin's lymphomas. European Congress of clinical Oncology, Stockholm, Sweden (Abstract 755)

  17. World Health Organization (1979) Handbook for reporting results of cancer treatment. WHO, Geneva (WHO offset publications no. 48)

    Google Scholar 

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Gillies, H., Liang, R., Rogers, H. et al. Phase II trial of idarubicin in patients with advanced lymphoma. Cancer Chemother. Pharmacol. 21, 261–264 (1988). https://doi.org/10.1007/BF00262782

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  • DOI: https://doi.org/10.1007/BF00262782

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