Administration of a Phorbol ester to patients with hematological malignancies: Preliminary results from a Phase I clinical trial of 12-O-tetradecanoylphorbol-13-acetate

Phorbol esters are capable of inducing a broad range of cellular effects,including the maturation/differentiation of hematopoietic cell lines (E. Huberman and M. F. Callaham, Proc. Natl. Acad. Sci. USA, 76: 1293-1297, 1979; J. Lotem and L. Sachs, Proc. Natl. Acad. Sci. USA, 76: 5158-5162, 1979; G. R...

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Veröffentlicht in:Clinical cancer research 2002-08, Vol.8 (8), p.2512-2518
Hauptverfasser: STRAIR, Roger K, SCHAAR, Dale, RABSON, Arnold B, CHANG, Richard, CONNEY, Allan, GOODELL, Lauri, AISNER, Joseph, CHIN, Khew-Voon, EID, Joseph, SENZON, Rachelle, XIAO XING CUI, ZHENG TAO HAN, KNOX, Beth
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container_end_page 2518
container_issue 8
container_start_page 2512
container_title Clinical cancer research
container_volume 8
creator STRAIR, Roger K
SCHAAR, Dale
RABSON, Arnold B
CHANG, Richard
CONNEY, Allan
GOODELL, Lauri
AISNER, Joseph
CHIN, Khew-Voon
EID, Joseph
SENZON, Rachelle
XIAO XING CUI
ZHENG TAO HAN
KNOX, Beth
description Phorbol esters are capable of inducing a broad range of cellular effects,including the maturation/differentiation of hematopoietic cell lines (E. Huberman and M. F. Callaham, Proc. Natl. Acad. Sci. USA, 76: 1293-1297, 1979; J. Lotem and L. Sachs, Proc. Natl. Acad. Sci. USA, 76: 5158-5162, 1979; G. Rovera et al., Proc. Natl. Acad. Sci. USA, 76: 2779-2783, 1979; H. P. Koeffler, J. Clin. Investig., 66: 1101-1108, 1980). The ability to induce this differentiation at very low concentrations stimulated investigators to administer a phorbol ester, 12-O-tetradecanoylphorbol-13-acetate (TPA), to patients with myeloid leukemias in the People's Republic of China (Z. T. Han et al., Proc. Natl. Acad. Sci. USA, 95: 5357-5361, 1998). The tolerability of this therapy in China prompted Phase I studies of TPA in the United States. The purpose of this report is to demonstrate the tolerance of TPA at doses that result in detectable biological activity in blood and malignant cells. TPA was administered to patients with relapsed/refractory hematological malignancies. Phenotypic effects were detected in malignant cells and TPA-associated biological activity was present in blood for up to several hours after the infusion. These studies confirm the feasibility of TPA administration to humans and establish the foundation for the development of phorbol esters as therapy for patients with a variety of malignant and nonmalignant disorders.
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Phenotypic effects were detected in malignant cells and TPA-associated biological activity was present in blood for up to several hours after the infusion. 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Phenotypic effects were detected in malignant cells and TPA-associated biological activity was present in blood for up to several hours after the infusion. These studies confirm the feasibility of TPA administration to humans and establish the foundation for the development of phorbol esters as therapy for patients with a variety of malignant and nonmalignant disorders.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>12171877</pmid><tpages>7</tpages></addata></record>
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source MEDLINE; American Association for Cancer Research; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Aged
Antineoplastic agents
Biological and medical sciences
Cells, Cultured
Chemotherapy
DNA, Complementary - metabolism
Female
Hematologic Neoplasms - drug therapy
Hematologic Neoplasms - metabolism
HL-60 Cells
Humans
Immunophenotyping
Male
Medical sciences
Middle Aged
Oligonucleotide Array Sequence Analysis
Pharmacology. Drug treatments
Phenotype
Tetradecanoylphorbol Acetate - pharmacology
Tetradecanoylphorbol Acetate - therapeutic use
Time Factors
title Administration of a Phorbol ester to patients with hematological malignancies: Preliminary results from a Phase I clinical trial of 12-O-tetradecanoylphorbol-13-acetate
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