A phase II trial of amonafide, caracemide, and homoharringtonine in the treatment of patients with advanced renal cell cancer

Forty-eight previously untreated, ambulatory patients with advanced or unresectable renal carcinoma were treated with either amonafide (17 patients), caracemide (17 patients), or homoharringtonine (14 patients). No objective responses were observed in any of the treatment cohorts. Amonafide and cara...

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Veröffentlicht in:Investigational new drugs 1996-01, Vol.14 (4), p.409-413
Hauptverfasser: WITTE, R. S, HSIEH, P, ELSON, P, OKEN, M. M, TRUMP, D. L
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container_end_page 413
container_issue 4
container_start_page 409
container_title Investigational new drugs
container_volume 14
creator WITTE, R. S
HSIEH, P
ELSON, P
OKEN, M. M
TRUMP, D. L
description Forty-eight previously untreated, ambulatory patients with advanced or unresectable renal carcinoma were treated with either amonafide (17 patients), caracemide (17 patients), or homoharringtonine (14 patients). No objective responses were observed in any of the treatment cohorts. Amonafide and caracemide were well tolerated with no unexpected toxicities. One patient each died of pulmonary thromboembolism and sepsis with severe metabolic acidosis on the homoharringtonine arm. An additional 4 patients experienced grade 4 complications including myelosuppression, neurologic dysfunction, and respiratory failure. These severe and unexpected complications caused early termination of accrual to the homoharringtonine arm of the study. These agents have no activity in the treatment of advanced renal cell carcinoma.
doi_str_mv 10.1007/BF00180819
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identifier ISSN: 0167-6997
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Aged
Aged, 80 and over
Antineoplastic agents
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Carcinoma, Renal Cell - drug therapy
Chemotherapy
Female
Harringtonines - administration & dosage
Humans
Hydroxyurea - administration & dosage
Hydroxyurea - analogs & derivatives
Imides - administration & dosage
Isoquinolines - administration & dosage
Kidney Neoplasms - drug therapy
Male
Medical sciences
Middle Aged
Naphthalimides
Pharmacology. Drug treatments
Survival Rate
Treatment Outcome
title A phase II trial of amonafide, caracemide, and homoharringtonine in the treatment of patients with advanced renal cell cancer
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