NUK - logo
E-viri
Recenzirano Odprti dostop
  • A phase I study of two dosi...
    LIN, C.-C; SU, W.-C; VOSS, F; TAUBE, T; YANG, J. C.H; YEN, C.-J; HSU, C.-H; SU, W.-P; YEH, K.-H; LU, Y.-S; CHENG, A.-L; HUANG, D. C.L; FRITSCH, H

    British journal of cancer, 05/2014, Letnik: 110, Številka: 10
    Journal Article

    Polo-like kinase 1 (Plk1) has an important role in mitosis. Volasertib (BI 6727), a potent and selective cell cycle kinase inhibitor, induces mitotic arrest and apoptosis by targeting Plk; this phase I study sought to determine its maximum tolerated dose (MTD) in Asian patients with advanced solid tumours. Patients were enrolled simultaneously into two 3-week schedules of volasertib: a 2-h infusion on day 1 (schedule A) or days 1 and 8 (schedule B). Dose escalation followed a 3+3 design. The MTD was determined based on dose-limiting toxicities (DLT) in the first treatment course. Among 59 treated patients, the most common first course DLTs were reversible thrombocytopenia, neutropenia and febrile neutropenia; MTDs were 300 mg for schedule A and 150 mg for schedule B. Volasertib exhibited multi-exponential pharmacokinetics (PK), a long terminal half-life of ∼135 h, a large volume of distribution (>3000 l), and a moderate clearance. Partial responses were observed in two pre-treated patients (ureteral cancer; melanoma). Volasertib was generally well tolerated, with an adverse event profile consistent with its antimitotic mode of action and a favourable PK profile. These data support further development of volasertib and a harmonised dosing for Asian and Caucasian patients.