Overview of phase I trials of multitargeted antifolate (MTA, LY231514).

Abstract:

:Multitargeted antifolate (MTA, LY231514) is a novel antifolate antimetabolite, with antitumor activity via inhibition of thymidylate synthase, glycinamide formyl transferase, and dihydrofolate reductase. Three dosing schedules have been investigated in the phase I setting: daily x5 every 21 days, weekly x4 every 42 days, and once every 21 days. The maximum tolerated doses on these schedules were 4.0 mg/m2, 30 mg/m2, and 600 mg/m2, respectively. The major dose-limiting toxicity seen on all schedules was neutropenia, with a greater degree of reversible liver biochemistry disturbances observed on the daily x5 schedule. Given that toxicities were manageable and reversible, the antitumor activity exhibited, and the convenience of an every-21-day dosing schedule, this schedule was selected for phase II evaluation.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Rinaldi DA

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

82-8

issue

2 Suppl 6

eissn

0093-7754

issn

1532-8708

journal_volume

26

pub_type

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