A phase I trial to evaluate the multiple-dose safety and antitumor activity of ursolic acid liposomes in subjects with advanced solid tumors.

A phase I trial to evaluate the multiple-dose safety and antitumor activity of ursolic acid liposomes in subjects with advanced solid tumors.
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DOI:
10.1155/2015/809714
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发表时间:
2015
影响因子:
--
通讯作者:
Wang H
Wang H
中科院分区:
生物学3区
文献类型:
--
作者:
Qian Z;Wang X;Song Z;Zhang H;Zhou S;Zhao J;Wang H

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熊果酸脂质体(UAL)是一种新型抗肿瘤药物,具有潜在的治疗价值。然而,对于晚期实体瘤患者的多剂量安全性、抗肿瘤活性和UAL的推荐剂量(RD),临床数据有限。所有受试者在21天的治疗周期中连续14天静脉注射UAL。21名受试者参加了3个序贯队列中的1个(56、74和98 mg/m2),以评估多剂量耐受性和有效性。另外8名受试者接受UAL(74 mg/m2)治疗,以评估多剂量的药代动力学。未观察到≥3级不良事件。两个治疗周期后,60%的受试者病情稳定。多剂量药代动力学分析表明,UAL不会在体内蓄积。这项试验表明,UAL是可耐受的,毒性可控,并有可能提高患者缓解率。建议进行一项大型的第二阶段研究来证实这些结果(即,RD为98 mg/m2)。
Ursolic acid liposome (UAL), a new antitumor drug, has potential therapeutic value. However, limited clinical data exists regarding multiple-dose safety, antitumor activity, and the recommended dose (RD) of UAL for subjects with advanced solid tumors. All subjects were intravenously administered UAL for 14 consecutive days of a 21-day treatment cycle. Twenty-one subjects were enrolled in 1 of 3 sequential cohorts (56, 74, and 98 mg/m2) to evaluate multiple-dose tolerability and efficacy. Eight additional subjects were treated with UAL (74 mg/m2) to evaluate multiple-dose pharmacokinetics. No ≥grade 3 adverse events (NCI-CTC) were observed. Sixty percent subjects achieved stable disease after 2 treatment cycles. Multiple-dose pharmacokinetic analysis suggested UAL does not accumulate in the body. This trial demonstrates that UAL was tolerable, had manageable toxicity, and could potentially improve patient remission rates. A large phase II study is recommended to confirm these results (i.e., RD of 98 mg/m2).
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