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Phase II study of weekly Kahalalide F in patients with advanced malignant melanoma.

Abstract
This phase II clinical trial evaluated the antitumour response of Kahalalide F (KF) 650 microg/m(2) given as a 1-h weekly infusion in advanced malignant melanoma patients, both untreated and those who relapsed or progressed after one line of systemic therapy. Of 24 enrolled patients (median age, 55 years; range, 28-89), 14 patients had been previously treated with chemotherapy or biological therapy. No RECIST responses occurred; five chemotherapy-naïve patients with cutaneous melanoma had disease stabilisation for > or = 3 months; median progression-free survival was 1.7 months (95% CI, 1.2-1.9 months); and median overall survival was 10.8 months (95% CI, 5.0-upper limit not reached). The most common laboratory toxicities were non-cumulative increase of transaminases (ALT/AST) and gamma-glutamyltransferase (GGT). No patients experienced leukopenia and thrombocytopenia during the study. KF was a well-tolerated and safe chemotherapy regimen. Despite a favourable safety profile, this trial was closed after the first stage because of the lack of objective response in patients with malignant melanoma.
AuthorsSalvador Martín-Algarra, Enrique Espinosa, Jordi Rubió, Juan José López López, José Luis Manzano, Lorenzo Alonso Carrión, Arrate Plazaola, Adnan Tanovic, Luis Paz-Ares
JournalEuropean journal of cancer (Oxford, England : 1990) (Eur J Cancer) Vol. 45 Issue 5 Pg. 732-5 (Mar 2009) ISSN: 1879-0852 [Electronic] England
PMID19186051 (Publication Type: Clinical Trial, Phase II, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Depsipeptides
  • kahalalide F
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents (adverse effects, blood, therapeutic use)
  • Depsipeptides (adverse effects, blood, therapeutic use)
  • Female
  • Humans
  • Male
  • Melanoma (blood, drug therapy, pathology, secondary)
  • Middle Aged
  • Skin Neoplasms (blood, drug therapy, pathology)
  • Treatment Outcome

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