Ap. Kudelka et al., PHASE-II STUDY OF IV CL-980 IN PATIENTS WITH ADVANCED PLATINUM REFRACTORY EPITHELIAL OVARIAN-CARCINOMA, Anti-cancer drugs, 9(5), 1998, pp. 405-409
CI-980 is a synthetic mitotic inhibitor that binds to tubulin at the c
olchicine site, inhibiting the polymerization of microtubules and arre
sting cellular division in metaphase. Myelosuppression and neurotoxici
ty were dose-limiting in phase I studies. Sixteen patients with stage
III and IV platinum-refractory ovarian cancer received 4.5 mg/m(2)/day
of CI-980 as a continuous i.v. infusion for 72 h, repeated every 3 we
eks. Eleven patients had progression and four patients had stable dise
ase. One patient (6%; 95% CI 0-25%) achieved a partial response after
9 months of treatment which lasted for 27 months. The overall median s
urvival was 7 months. Grade 4 granulocytopenia occurred in five patien
ts, with two episodes of neutropenic fever. Neurological toxicity was
mild with 12 episodes of transient subclinical recent memory loss docu
mented in four patients by specialized neuropsychological evaluations.
One patient each had hallucinations and mild truncal ataxia, and four
patients had mild, reversible neurosensory toxicity. One episode of s
evere hypoxemia and dyspnea occurred in a patient with chronic obstruc
tive pulmonary disease. CI-980 has minimal activity and is tolerable i
n a population of heavily pretreated patients with platinum refractory
ovarian cancer. [(C) 1998 Lippincott-Raven Publishers.].