Summary
Seventeen patients with islet cell carcinoma received chlorozotocin (CTZ). Nine received 200 mg/m2 IV every 6 weeks and 8 received 100 mg/m2. Responses were seen in eight (2 complete, 5 partial, 1 minor) of 13 patients who had received no prior chemotherapy, and in zero of four who had recieved prior chemotherapy. Toxicity was mild in most patients and consisted predominantly in myelosuppressions; however, in one patient severe renal failure developed. CTZ may have activity comparable to streptozotocin in this group of patients.
Similar content being viewed by others
References
Bisel HF, Ansfield FJ, Mason JH, Wilson WL (1970) Clinical studies with tubercidin administered by direct injection. Cancer Res 30:76
Broder LE, Carter SK (1973) Pancreatic islet cell carcinoma. II. Results of therapy with streptozotocin in 52 patients. Ann Intern Med 79:108
Erickson LC (1978) Measurement of DNA damage in hamster cells trcated with equitoxic and equi-metogenic doses of nitrosoureas. Proc Am Assoc Cancer Res 19:210
Gralla RJ, Tan CTC, Young CW (1979) Phase I trial of chlorozotocin. Cancer Treat Rep 63:17
Hoth D, Wooley P, Green D, McDonald J, Schein PS (1978) Phase I studies of chlorozotocin. Clin Pharmacol Ther 23:712
Johnston TP, McCaleb GS, Montgomery JA (1975) Synthesis of chlorozotocin, the 2-chloroethyl analog of the anticancer antibiotic streptozotocin. J Med Chem 18:104
Moertel CG (1973) Endocrine pancrease: In: Holland JF, Frei E (eds) Cancer Medicine. Lea & Febiger, Philadelphia, pp 1573–1596
Moertel CG (1975) Clinical management of advanced gastrointestinal cancer. Cancer 36:675
Moertel CG, Hanley JA, Johnson LA (1980) Streptozotocin alone compared with streptozotocin plus fluorouracil in the treatment of advanced islet cell carcinoma. N Engl J Med 303:1189
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bukowski, R.M., McCracken, J.D., Balcerzak, S.P. et al. Phase II study of chlorozotocin in islet cell carcinoma. Cancer Chemother. Pharmacol. 11, 48–50 (1983). https://doi.org/10.1007/BF00257417
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00257417