A phase 1 study of IPI-504 (retaspimycin hydrochloride) in patients with relapsed or relapsed and refractory multiple myeloma

被引:25
作者
Siegel, David [1 ]
Jagannath, Sundar [1 ]
Vesole, David H. [1 ]
Borello, Ivan [2 ]
Mazumder, Amitabha [1 ]
Mitsiades, Constantine [3 ]
Goddard, Jill [4 ]
Dunbar, Joi [4 ]
Normant, Emmanuel [4 ]
Adams, Julian [4 ]
Grayzel, David [4 ]
Anderson, Kenneth C. [3 ]
Richardson, Paul [3 ]
机构
[1] Hackensack Univ Med Ctr, Hackensack, NJ 07601 USA
[2] Johns Hopkins, Sydney Kimmel Comprehens Canc Ctr, Baltimore, MD USA
[3] Harvard Univ, Sch Med, Dana Farber Canc Inst, Boston, MA 02115 USA
[4] Infin Pharmaceut Inc, Cambridge, MA USA
关键词
Multiple myeloma; HSP90; IPI-504; phase; 1; relapsed/refractory; UNFOLDED PROTEIN RESPONSE; I TRIAL; CHAPERONE; INHIBITORS; HSP90; 17-ALLYLAMINO-17-DEMETHOXYGELDANAMYCIN; HEAT-SHOCK-PROTEIN-90; 17-ALLYLAMINO; GELDANAMYCIN;
D O I
10.3109/10428194.2011.600481
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A phase 1 study of IPI-504 (retaspimycin hydrochloride) administered intravenously twice weekly for 2 weeks at 22.5, 45, 90, 150, 225, 300 or 400 mg/m(2) followed by 10 days off-treatment was conducted to determine the safety and maximum tolerated dose (MTD) of IPI-504 in patients with relapsed or relapsed/refractory multiple myeloma (MM). Anti-tumor activity and pharmacokinetics were also evaluated. Eighteen patients (mean age 60.5 years; median 9 prior therapies) were enrolled. No dose-limiting toxicities (DLTs) were reported for IPI-504 doses up to 400 mg/m(2). The most common treatment-related adverse event was grade 1 infusion site pain (four patients). All other treatment-related events were assessed as grade 1 or 2 in severity. The area under the curve (AUC) increased with increasing dose, and the mean half-life was approximately 2-4 h for IPI-504 and its metabolites. Four patients had stable disease, demonstrating modest single-agent activity in relapsed or relapsed/refractory MM.
引用
收藏
页码:2308 / 2315
页数:8
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