Department of Korean Preventive Medicine, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.
Integr Cancer Ther. 2020 Jan-Dec;19:1534735420911442. doi: 10.1177/1534735420911442.
Cancer is a major health problem worldwide and the leading cause of death in many countries. Preclinical studies have shown the therapeutic anticancer effects of SH003, a novel herbal medicine containing , and . The present study investigated the maximum tolerated dose of SH003 in patients with solid cancers. This open-label, dose-escalation trial used the traditional 3 + 3 dose-escalation design. Patients with solid cancers were recruited and administered 1 to 4 tablets of SH003 thrice daily for 3 weeks according to the dose level. Adverse events were evaluated according to the Common Terminology Criteria for Adverse Events (CTCAE). Dose-limiting toxicities (DLTs) were defined as Grade 3 or higher adverse events based on CTCAE. The maximum tolerated dose was defined as the highest dose at which no more than 1 of 6 patients experienced DLT. The present study enrolled 11 patients. A total of 31 adverse events occurred. According to the CTCAE, all the observed adverse events were grade 2 or less and no adverse events of grade 3 or more corresponding to DLT occurred. The study results indicated that the maximum tolerated dose of SH003 was 4800 mg/day. A Phase 2 study is required to determine the efficacy of SH003 in patients with cancer at a dose of 4800 mg/day or less.
癌症是全球主要的健康问题,也是许多国家的主要死亡原因。临床前研究表明,一种新型草药药物 SH003 具有治疗癌症的作用,其主要成分包括 和 。本研究旨在评估 SH003 治疗实体瘤患者的最大耐受剂量。本试验为开放标签、剂量递增试验,采用传统的 3+3 剂量递增设计。根据剂量水平,招募患有实体瘤的患者并给予 SH003 每日 3 次,每次 1 至 4 片,连续服用 3 周。根据不良事件通用术语标准(CTCAE)评估不良事件。根据 CTCAE,定义剂量限制毒性(DLT)为 3 级或更高的不良事件。最大耐受剂量定义为 6 名患者中不超过 1 名患者发生 DLT 的最高剂量。本研究共纳入 11 名患者。共发生 31 例不良事件。根据 CTCAE,所有观察到的不良事件均为 2 级或更低,未发生与 DLT 相对应的 3 级或更高的不良事件。研究结果表明,SH003 的最大耐受剂量为 4800mg/天。需要进行 2 期研究以确定 SH003 在每天 4800mg 或更低剂量下治疗癌症患者的疗效。