Phase II trial of methylglyoxal-bis-(guanylhydrazone) in non-small-cell lung cancer.

Cancer clinical trials Pub Date : 1981-01-01
R Chapman, D Kelsen, R Gralla, L Itri, E Casper, C Young, R Golbey
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Abstract

Fifty-two patients with metastatic or recurrent non-small-cell lung cancer (NSCLC) were treated, during a phase II trial, with methylglyoxal-bis-(guanylhydrazone) (MGBG). Of the 44 patients who had adequate trials, 4 had partial responses (PR), for an overall 9% PR rate. Response durations ranged from 3 to 5+ months. Prior treatment with chemotherapy may have adversely affected response rate; 15% of previously untreated patients responded, compared to only 4% of previously treated patients. A syndrome of weakness and fatigue was the most serious side effect. Anorexia and weight loss, stomatitis, nausea and vomiting, diarrhea, and peripheral neuropathy were the other toxic effects. We conclude that MGBG has activity in NSCLC, especially in previously untreated patients, and further studies are indicated in that population.

甲基乙二醛-双-(鸟酰腙)治疗非小细胞肺癌的II期试验。
在一项II期试验中,52例转移性或复发性非小细胞肺癌(NSCLC)患者接受了甲基乙二醛-双-(鸟酰腙)(MGBG)治疗。在接受充分试验的44例患者中,4例有部分缓解(PR),总体PR率为9%。反应持续时间为3至5个月以上。既往化疗可能对有效率有不良影响;先前未经治疗的患者中有15%有反应,而先前接受治疗的患者中只有4%有反应。最严重的副作用是虚弱和疲劳综合症。厌食和体重减轻、口炎、恶心和呕吐、腹泻和周围神经病变是其他毒性作用。我们得出结论,MGBG在非小细胞肺癌中具有活性,特别是在先前未经治疗的患者中,并且在该人群中进行了进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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