A phase I study of intravenous bryostatin 1 in patients with advanced cancer
1993

Phase I Study of Bryostatin 1 in Advanced Cancer Patients

Sample size: 19 publication Evidence: low

Author Information

Author(s): J. Prendiville, D. Crowther, N. Thatcher, P.J. Woll, B.W. Fox, A. McGown, N. Testa, P. Stem, R. McDermott, M. Potter, G.R. Pettit

Primary Institution: Paterson Institute and Christie Hospital NHS Trust, Manchester, UK

Hypothesis

Can bryostatin 1 be safely administered to patients with advanced cancer and what are its biological effects?

Conclusion

Bryostatin 1 can be administered safely at doses of 35 to 50 µg m-2, but no antitumor effects were observed in this study.

Supporting Evidence

  • Bryostatin 1 was administered as an intravenous infusion over one hour.
  • The maximum tolerated dose was found to be 50 µg m-2.
  • Common side effects included myalgia and flu-like symptoms.
  • Significant decreases in blood cell counts were observed at the highest dose.
  • No antitumor effects were observed in the study.

Takeaway

Doctors tested a new cancer drug called bryostatin 1 on 19 patients to see if it was safe and if it worked, but they found it didn't help fight cancer.

Methodology

Nineteen patients with advanced solid tumors received intravenous bryostatin 1 in escalating doses over a maximum of three treatment cycles.

Limitations

The study was limited by the small sample size and the lack of observed antitumor effects.

Participant Demographics

All participants had advanced solid tumors for which conventional therapy was not available or had failed.

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