Phase-I clinical trial of sodium cyanate in patients with advanced colorectal carcinoma.

Abstract:

:Sodium cyanate, a drug that selectively suppresses amino acid incorporation for protein synthesis in tumor tissue, was given to patients with advanced colorectal carcinoma who had failed to conventional therapy, with the purpose of assessing a maximum tolerable oral dose. At 35 mg/kg p.o. daily, the drug had to be stopped in approximately half (4) of the patients because of gastrointestinal toxicity (nausea, vomiting) and neurologic toxicity (hallucinations, disorientation). However, in 5 other patients, at the same dose, the drug was well tolerated for up to 147 days and for a total cumulative dose of 308 g. In this group of patients, sodium cyanate was stopped because of evidence of tumor progression. No hematologic toxicity was observed. We observed no therapeutic effects. We therefore recommend a starting dose of 30 mg/kg p.o. if a phase-II study is considered.

journal_name

Oncology

journal_title

Oncology

authors

Herrera-Ornelas L,Petrelli NJ,Madajewicz S,Mittelman A,Allfrey VG

doi

10.1159/000226038

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

236-41

issue

4

eissn

0030-2414

issn

1423-0232

journal_volume

42

pub_type

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