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Mitomycin-C and lonidamine as second-line therapy for colorectal cancer: a phase II study.
- Source :
-
Tumori [Tumori] 1995 Nov-Dec; Vol. 81 (6), pp. 435-7. - Publication Year :
- 1995
-
Abstract
- Aims and Background: Recent preclinical data have suggested that lonidamine may potentiate the acitivity of mitomycin C in human colon cancer cell lines LoVo and HT29.<br />Study Design: A phase II study was carried out in 14 patients with advanced colorectal cancer pretreated with fluorouracil and folinic acid. Treatment consisted of lonidamine, 600 mg po, followed after 2 h by mitomycin, 20 mg/m2 by iv bolus, followed by lonidamine, 150 mg tio for 5 days; the cycle was repeated every 6 weeks.<br />Results: No objective response was seen. Three patients had stable disease; the median survival for the whole group was 4 months. Although hematologic toxicity was negligible, lonidamine-related side effects were moderate to severe in most patients and mainly represented by myalgia and gastric pain.<br />Discussion: Despite a sound preclinical rationale, this schedule of lonidamine and mitomycin C was ineffective and toxic in patients with advanced colorectal cancer. More experimental data about lonidamine are needed in order to design more effective regimens based on the combination of this interesting drug with other anticancer agents.
- Subjects :
- Adult
Aged
Antibiotics, Antineoplastic administration & dosage
Antineoplastic Combined Chemotherapy Protocols administration & dosage
Antineoplastic Combined Chemotherapy Protocols adverse effects
Drug Administration Schedule
Female
Humans
Indazoles administration & dosage
Male
Middle Aged
Mitomycin administration & dosage
Pilot Projects
Treatment Outcome
Antineoplastic Combined Chemotherapy Protocols therapeutic use
Colorectal Neoplasms drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0300-8916
- Volume :
- 81
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Tumori
- Publication Type :
- Academic Journal
- Accession number :
- 8804471
- Full Text :
- https://doi.org/10.1177/030089169508100610