Abstract |
Lomeguatrib, an O(6)-methylguanine-DNA methyltransferase inactivator, was evaluated in an extended dosing regimen with temozolomide, designed according to pharmacodynamic data from previous studies. Patients with unresectable stage 3 or 4 cutaneous or unknown primary melanoma metastases were treated with lomeguatrib 40 mg, b.i.d. for 10 or 14 days and temozolomide 75-100 mg m(-2) on days 1-5. Drugs were administered orally with cycles repeated every 28 days, for up to six cycles. A total of 32 patients were recruited to the study. Lomeguatrib for 10 days with temozolomide 75 mg m(-2) was established as the optimal extended lomeguatrib dosing schedule, with haematological toxicity being dose limiting. There were two partial responses to treatment giving an overall response rate of 6.25%. Extending lomeguatrib administration beyond that of temozolomide requires a reduced dose of the latter agent. Only limited clinical activity was seen, suggesting no advantage for this regimen over conventional temozolomide administration in the treatment of melanoma.
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Authors | R F Kefford, N P B Thomas, P G Corrie, C Palmer, E Abdi, D Kotasek, J Beith, M Ranson, P Mortimer, A J Watson, G P Margison, M R Middleton |
Journal | British journal of cancer
(Br J Cancer)
Vol. 100
Issue 8
Pg. 1245-9
(Apr 21 2009)
ISSN: 1532-1827 [Electronic] England |
PMID | 19367282
(Publication Type: Clinical Trial, Phase I, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antineoplastic Agents
- Purines
- Dacarbazine
- lomeguatrib
- Temozolomide
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Topics |
- Aged
- Aged, 80 and over
- Anemia
(chemically induced)
- Antineoplastic Agents
(toxicity)
- Child
- Dacarbazine
(analogs & derivatives, toxicity)
- Dose-Response Relationship, Drug
- Female
- Humans
- Melanoma
(drug therapy, pathology)
- Middle Aged
- Neoplasm Metastasis
- Neoplasm Staging
- Neutropenia
(chemically induced)
- Patient Selection
- Purines
(toxicity)
- Skin Neoplasms
(drug therapy, pathology)
- Temozolomide
- Thrombocytopenia
(chemically induced)
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