Abstract
Purpose: Exisulind (sulindac sulfone, FGN-1, Aptosyn) is a sulindac metabolite that induces apoptosis via inhibition of cyclic GMP- phosphodiesterase. This agent demonstrated tumor growth inhibition in rodent models of colon, breast, prostate, and lung carcinogenesis. In an orthotopic model of human non-small-cell lung cancer, the combination of exisulind and docetaxel prolonged survival in athymic nude rats, forming the basis of this phase I combination study. Experimental Design: This study evaluated the toxicity and pharmacokinetics of combining exisulind (150-250 mg) given orally twice daily and docetaxel (30-36 mg/m2) administered intravenously on days 1, 8, and 15 of a 4-week cycle. Results: Twenty patients with a range of advanced solid tumors (median age, 59 years; age range, 35-77 years; median performance status, 1) received a total of 70 courses. Observed adverse events were mild to moderate, and there was no dose-limiting toxicity at any level. Grade 3 gastrointestinal toxicities were present in 10 of the 70 cycles (10%) and included nausea, vomiting, dyspepsia, and elevated alkaline phosphatase. Neutropenia was present in four cycles in patients treated with a docetaxel dose of 36 mg/m2. Pharmacokinetic analysis did not demonstrate a clear effect of exisulind on docetaxel pharmacokinetics and vice versa. Relationships were evident between the plasma concentration of exisulind and the development of grade 2 or greater toxicities. One third of patients maintained stable disease for 3 to 12 cycles, but no objective responses were observed. Conclusions: The combination of docetaxel (36 mg/m2, weekly) and exisulind (500 mg/d) was reasonably well tolerated, and it is undergoing phase II testing in patients with non-small-cell lung cancer.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 7229-7237 |
| Number of pages | 9 |
| Journal | Clinical Cancer Research |
| Volume | 10 |
| Issue number | 21 |
| DOIs | |
| State | Published - Nov 1 2004 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Cancer Research
- Oncology
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A phase I and pharmacokinetic study of exisulind and docetaxel in patients with advanced solid tumors. / Witta, Samir E.; Gustafson, Daniel L.; Pierson, A. Scott; Menter, Alexander; Holden, Scott N.; Basche, Michele; Persky, Martha; O'Bryant, Cindy L.; Zeng, Chan; Baron, Anna; Long, Michael E.; Gibbs, Amy; Kelly, Karen; Bunn, Paul A.; Chan, Daniel C.; Pallansch, Patrick; Eckhardt, S. Gail.
In: Clinical Cancer Research, Vol. 10, No. 21, 01.11.2004, p. 7229-7237.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A phase I and pharmacokinetic study of exisulind and docetaxel in patients with advanced solid tumors
AU - Witta, Samir E.
AU - Gustafson, Daniel L.
AU - Pierson, A. Scott
AU - Menter, Alexander
AU - Holden, Scott N.
AU - Basche, Michele
AU - Persky, Martha
AU - O'Bryant, Cindy L.
AU - Zeng, Chan
AU - Baron, Anna
AU - Long, Michael E.
AU - Gibbs, Amy
AU - Kelly, Karen
AU - Bunn, Paul A.
AU - Chan, Daniel C.
AU - Pallansch, Patrick
AU - Eckhardt, S. Gail
PY - 2004/11/1
Y1 - 2004/11/1
N2 - Purpose: Exisulind (sulindac sulfone, FGN-1, Aptosyn) is a sulindac metabolite that induces apoptosis via inhibition of cyclic GMP- phosphodiesterase. This agent demonstrated tumor growth inhibition in rodent models of colon, breast, prostate, and lung carcinogenesis. In an orthotopic model of human non-small-cell lung cancer, the combination of exisulind and docetaxel prolonged survival in athymic nude rats, forming the basis of this phase I combination study. Experimental Design: This study evaluated the toxicity and pharmacokinetics of combining exisulind (150-250 mg) given orally twice daily and docetaxel (30-36 mg/m2) administered intravenously on days 1, 8, and 15 of a 4-week cycle. Results: Twenty patients with a range of advanced solid tumors (median age, 59 years; age range, 35-77 years; median performance status, 1) received a total of 70 courses. Observed adverse events were mild to moderate, and there was no dose-limiting toxicity at any level. Grade 3 gastrointestinal toxicities were present in 10 of the 70 cycles (10%) and included nausea, vomiting, dyspepsia, and elevated alkaline phosphatase. Neutropenia was present in four cycles in patients treated with a docetaxel dose of 36 mg/m2. Pharmacokinetic analysis did not demonstrate a clear effect of exisulind on docetaxel pharmacokinetics and vice versa. Relationships were evident between the plasma concentration of exisulind and the development of grade 2 or greater toxicities. One third of patients maintained stable disease for 3 to 12 cycles, but no objective responses were observed. Conclusions: The combination of docetaxel (36 mg/m2, weekly) and exisulind (500 mg/d) was reasonably well tolerated, and it is undergoing phase II testing in patients with non-small-cell lung cancer.
AB - Purpose: Exisulind (sulindac sulfone, FGN-1, Aptosyn) is a sulindac metabolite that induces apoptosis via inhibition of cyclic GMP- phosphodiesterase. This agent demonstrated tumor growth inhibition in rodent models of colon, breast, prostate, and lung carcinogenesis. In an orthotopic model of human non-small-cell lung cancer, the combination of exisulind and docetaxel prolonged survival in athymic nude rats, forming the basis of this phase I combination study. Experimental Design: This study evaluated the toxicity and pharmacokinetics of combining exisulind (150-250 mg) given orally twice daily and docetaxel (30-36 mg/m2) administered intravenously on days 1, 8, and 15 of a 4-week cycle. Results: Twenty patients with a range of advanced solid tumors (median age, 59 years; age range, 35-77 years; median performance status, 1) received a total of 70 courses. Observed adverse events were mild to moderate, and there was no dose-limiting toxicity at any level. Grade 3 gastrointestinal toxicities were present in 10 of the 70 cycles (10%) and included nausea, vomiting, dyspepsia, and elevated alkaline phosphatase. Neutropenia was present in four cycles in patients treated with a docetaxel dose of 36 mg/m2. Pharmacokinetic analysis did not demonstrate a clear effect of exisulind on docetaxel pharmacokinetics and vice versa. Relationships were evident between the plasma concentration of exisulind and the development of grade 2 or greater toxicities. One third of patients maintained stable disease for 3 to 12 cycles, but no objective responses were observed. Conclusions: The combination of docetaxel (36 mg/m2, weekly) and exisulind (500 mg/d) was reasonably well tolerated, and it is undergoing phase II testing in patients with non-small-cell lung cancer.
UR - http://www.scopus.com/inward/record.url?scp=8444226282&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=8444226282&partnerID=8YFLogxK
U2 - 10.1158/1078-0432.CCR-03-0181
DO - 10.1158/1078-0432.CCR-03-0181
M3 - Article
C2 - 15534096
AN - SCOPUS:8444226282
VL - 10
SP - 7229
EP - 7237
JO - Clinical Cancer Research
JF - Clinical Cancer Research
SN - 1078-0432
IS - 21
ER -