Cloretazine for the treatment of acute myeloid leukemia.

Abstract

Cloretazine is a new sulfonylhydrazine alkylating agent with antileukemic activity. Phase I studies have shown myelosuppression to be the dose limiting toxicity in both solid tumors and leukemias. A large Phase II study of single agent cloretazine (600 mg/m2) confirmed its activity in patients with relapsed acute myeloid leukemia, and in elderly patients with previously untreated acute myeloid leukemia or myelodysplastic syndrome. It also confirmed the limited nonhematological toxicity, even in elderly patients. Cloretazine can be safely combined with cytarabine, and this combination regimen is currently being tested in a large Phase III study in patients with relapsed acute myeloid leukemia. Cloretazine is a promising new antileukemic agent that may be incorporated into an intensive combination regimen.

• Authors: Norbert Vey, Frank Giles
• Journal: Expert review of anticancer therapy (Expert Rev Anticancer Ther) Vol. 6 Issue 3 Pg. 321-8 (Mar 2006) ISSN: 1744-8328 [Electronic] England
• PMID: 16503849 (Publication Type: Journal Article, Review)

Chemical References

• Antineoplastic Agents
• Hydrazines
• Sulfonamides
• laromustine

Topics

• Acute Disease
• Antineoplastic Agents (adverse effects, pharmacokinetics, pharmacology, therapeutic use)
• Clinical Trials as Topic
• Humans
• Hydrazines (adverse effects, pharmacokinetics, pharmacology, therapeutic use)
• Leukemia, Myeloid (drug therapy)
• Sulfonamides (adverse effects, pharmacokinetics, pharmacology, therapeutic use)