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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1994-9-29
pubmed:abstractText
The camptothecin derivative 7-ethyl-10-[4-(1-piperidino)-1-piperidino]-carbonyloxy camptothecin (CPT-11) has attracted the attention of clinicians because of its high antitumor activity against refractory solid cancers. We established two CPT-11-resistant cell lines, a non-small-cell lung-cancer cell line (PC-7/CPT-11) from the parental PC-7 line and an ovarian cancer cell line (HAC-2/CPT-11) from the parental HAC-2 line. The mechanisms of resistance to CPT-11 in PC-7/CPT-11 cells were reduced conversion of CPT-11 to its active metabolite SN-38 and point mutation topoisomerase I. Those in HAC-2/CPT-11 cells were reduction of topoisomerase I activity and decreased sensitivity of topoisomerase to topoisomerase I inhibitors. No point mutation of the topoisomerase was observed in HAC-2/CPT-11 cells. We conducted two phase I trials using CPT-11 in combination with other anticancer agents. One was a phase I trial of CPT-11 and cisplatin given with a fixed dose of vindesine to patients with advanced non-small-cell lung-cancer and the other was a phase I study on a topoisomerase-targeting combination of CPT-11 and etoposide (VP-16) in patients with various malignant solid tumors. The results of the first trial indicated that the recommended dose of CPT-11 for phase II studies was 80 mg/m2 combined with 3 mg/m2 vindesine on days 1 and 8 and 60 mg/m2 cisplatin on day 1. In the second trial, the recommended dose of CPT-11/VP-16 given with recombinant granulocyte colony-stimulating factor (on days 4-17) was found to be 60/60 mg/m2. In both trials, diarrhea and granulocytopenia were considered to be dose-limiting toxicities.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0344-5704
pubmed:author
pubmed:issnType
Print
pubmed:volume
34 Suppl
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
S112-7
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:8070019-Amino Acid Sequence, pubmed-meshheading:8070019-Animals, pubmed-meshheading:8070019-Antineoplastic Agents, Phytogenic, pubmed-meshheading:8070019-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:8070019-Base Sequence, pubmed-meshheading:8070019-CHO Cells, pubmed-meshheading:8070019-Camptothecin, pubmed-meshheading:8070019-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:8070019-Cell Line, pubmed-meshheading:8070019-Cell Survival, pubmed-meshheading:8070019-Clinical Trials, Phase I as Topic, pubmed-meshheading:8070019-Cricetinae, pubmed-meshheading:8070019-DNA Topoisomerases, Type I, pubmed-meshheading:8070019-Drug Resistance, pubmed-meshheading:8070019-Etoposide, pubmed-meshheading:8070019-Female, pubmed-meshheading:8070019-Humans, pubmed-meshheading:8070019-Lung Neoplasms, pubmed-meshheading:8070019-Molecular Sequence Data, pubmed-meshheading:8070019-Neoplasms, pubmed-meshheading:8070019-Ovarian Neoplasms, pubmed-meshheading:8070019-Point Mutation, pubmed-meshheading:8070019-Topoisomerase I Inhibitors, pubmed-meshheading:8070019-Tumor Cells, Cultured
pubmed:year
1994
pubmed:articleTitle
7-Ethyl-10-[4-(1-piperidino)-1-piperidino] carbonyloxy camptothecin: mechanism of resistance and clinical trials.
pubmed:affiliation
Pharmacology Division, National Cancer Center Research Institute, Tokyo, Japan.
pubmed:publicationType
Journal Article, Review, Research Support, Non-U.S. Gov't