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10.1158/1078-0432.CCR-14-2610

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suck abstract from ncbi


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pmid25739672
      Clin+Cancer+Res 2015 ; 21 (11 ): 2480-6
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  • Phase I Trial of Arginine Deprivation Therapy with ADI-PEG 20 Plus Docetaxel in Patients with Advanced Malignant Solid Tumors #MMPMID25739672
  • Tomlinson BK ; Thomson JA ; Bomalaski JS ; Diaz M ; Akande T ; Mahaffey N ; Li T ; Dutia MP ; Kelly K ; Gong IY ; Semrad T ; Gandara DR ; Pan CX ; Lara PN Jr
  • Clin Cancer Res 2015[Jun]; 21 (11 ): 2480-6 PMID25739672 show ga
  • PURPOSE: This phase I study examined the toxicity and tolerability of pegylated arginine deiminase (ADI-PEG 20) in combination with docetaxel in patients with advanced solid malignancies. EXPERIMENTAL DESIGN: Eligible patients had histologically proven advanced solid malignancies, with any number of prior therapies, Zubrod performance status 0-2, and adequate organ function. Patients received ADI-PEG 20 weekly intramuscular injection ranging from 4.5 to 36 mg/m(2) and up to 10 doses of docetaxel (75 mg/m(2)) every 3 weeks. Primary endpoints were safety, toxicity, and a recommended phase II dose. Circulating arginine levels were measured before each cycle. Tumor response was measured as a secondary endpoint every 6 weeks on study. RESULTS: Eighteen patients received a total of 116 cycles of therapy through four dose levels of ADI-PEG 20. A single dose-limiting toxicity (grade 3 urticarial rash) was observed at the 1st dose level, with no additional dose-limiting toxicities observed. Hematologic toxicities were common with 14 patients experiencing at least one grade 3 to 4 leukopenia. Fatigue was the most prevalent toxicity reported by 16 patients. Arginine was variably suppressed with 10 patients achieving at least a 50% reduction in baseline values. In 14 patients with evaluable disease, four partial responses (including 2 patients with PSA response) were documented, and 7 patients had stable disease. CONCLUSIONS: ADI-PEG 20 demonstrated reasonable toxicity in combination with docetaxel. Promising clinical activity was noted, and expansion cohorts are now accruing for both castrate-resistant prostate cancer and non-small cell lung cancer at a recommended phase II dose of 36 mg/m(2).
  • |Antineoplastic Combined Chemotherapy Protocols [MESH]
  • |Arginine/*metabolism [MESH]
  • |Docetaxel [MESH]
  • |Drug Administration Schedule [MESH]
  • |Drug-Related Side Effects and Adverse Reactions/classification/*pathology [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Hydrolases/*administration & dosage/adverse effects/pharmacokinetics [MESH]
  • |Male [MESH]
  • |Neoplasm Staging [MESH]
  • |Neoplasms/*drug therapy/metabolism/pathology [MESH]
  • |Polyethylene Glycols/*administration & dosage/adverse effects/pharmacokinetics [MESH]
  • |Taxoids/administration & dosage [MESH]


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