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SK&F107647:一种用于实体瘤恶性肿瘤患者的合成血液调节肽:一项I期试验。

SK&F107647: a synthetic hematoregulatory peptide in patients with solid tumor malignancies: a phase I trial.

作者信息

Nemunaitis J, Martin D E, Willis D L, Freed M I, Levitt B, Richards D A, Cox J V, Kimmel G T, Hyman W J, Jorkasky D K, Brocks D R

机构信息

PRN Research, Inc., Dallas, Texas, USA.

出版信息

Am J Clin Oncol. 1998 Apr;21(2):189-94. doi: 10.1097/00000421-199804000-00020.

Abstract

SK&F107647 is a synthetic hematoregulatory peptide (HP) increases both the number and function of progenitor cells, enabling improved survival after lethal myelosuppression, lethal fungal infection, and lethal herpes simplex virus infection in murine models. This Phase I single-blind placebo-controlled dose-rising crossover trial examined the efficacy of SK&F107647 in patients who had incurable solid tumor malignancies. Sixteen patients were treated. Six adverse events in 3 patients were considered to be possibly related to SK& F107647; all were mild to moderate in nature (mild nervousness and agitation at 0.01 ng/kg, moderate fever and mild nausea at 0.1 ng/kg, elevated hepatic enzymes at 0.1 ng/kg, and mild vomiting at 1.0 ng/kg). Plasma half-life was 2.44 hours (+/-1.07 standard deviation). The observed area volume of distribution was 16.7 L (+/-7.7 standard deviation) and clearance was 5.04 L/hour (+/-1.83 standard deviation). When administered as a single 2-hour intravenous infusion at doses ranging from 0.01 to 100 ng/kg, SK&F107647 is safe and well tolerated.

摘要

SK&F107647是一种合成的血液调节肽(HP),它能增加祖细胞的数量和功能,在小鼠模型中可提高致死性骨髓抑制、致死性真菌感染和致死性单纯疱疹病毒感染后的存活率。这项I期单盲安慰剂对照剂量递增交叉试验研究了SK&F107647对患有无法治愈的实体瘤恶性肿瘤患者的疗效。16名患者接受了治疗。3名患者出现的6起不良事件被认为可能与SK&F107647有关;所有不良事件性质均为轻度至中度(0.01 ng/kg时为轻度紧张和激动,0.1 ng/kg时为中度发热和轻度恶心,0.1 ng/kg时肝酶升高,1.0 ng/kg时为轻度呕吐)。血浆半衰期为2.44小时(±1.07标准差)。观察到的分布容积为16.7升(±7.7标准差),清除率为5.04升/小时(±1.83标准差)。当以0.01至100 ng/kg的剂量进行单次2小时静脉输注时,SK&F107647是安全的且耐受性良好。

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