Two phase I, pharmacokinetic (PK) and pharmacodynamic (PD) studies of TAS-109, a novel nucleoside analogue with 14 days and 7 days continuous infusion (CI) schedules

Autor: Alain C. Mita, C. H. Takimoto, J. Rodon, Scott Kopetz, T. Toko, K. Arakawa, K. Burns, Rosni Adinin, K. K. Sankhala, H. Q. Xiong
Rok vydání: 2008
Předmět:
Zdroj: Journal of Clinical Oncology. 26:2577-2577
ISSN: 1527-7755
0732-183X
DOI: 10.1200/jco.2008.26.15_suppl.2577
Popis: 2577 Background: TAS-109 is a novel deoxycitidine analogue with unique mechanism of action. Brief exposure to high concentrations of TAS-109 inhibits DNA polymerase resulting in S-phase arrest, while prolonged exposure to TAS-109 at low concentration causes DNA fragmentation, G2/M phase arrest and apoptosis. TAS-109 demonstrated activity in tumor xenografts resistant to other deoxycitidine analogs. Methods: Two phase I studies assessed the safety, PK, PD and preliminary efficacy of TAS-109. Patients (pts) with refractory solid tumors received TAS-109 CI 14 days on/7 days off (study-1) and 7 days on/7 days off (study-2). Enrollment required age > 18 yrs, ECOG Performance Status 0–2 and adequate organ function. Tumor response was assessed by RECIST criteria. Plasma was sampled for PK. PD studies utilized the Comet assay for study-2, allowing quantification of DNA strand breaks. Results: 29 pts were dosed in both studies. In study-1 (15 pts), dose limiting toxicities (DLT) consisting of febrile neutropenia (...
Databáze: OpenAIRE