Phase II study of the oxygen saturation curve left shifting agent BW12C in combination with the hypoxia activated drug mitomycin C in advanced colorectal cancer
2000

Study on BW12C and Mitomycin C for Colorectal Cancer

Sample size: 17 publication Evidence: low

Author Information

Author(s): Propper D J, Levitt N C, O'Byrne K, Braybrooke J P, Talbot D C, Ganesan T S, Thompson C H, Rajagopalan B, Littlewood T J, Dixon R M, Harris A L

Primary Institution: ICRF Medical Oncology Unit, Churchill Hospital, Headington, Oxford, OX3 7LJ, UK

Hypothesis

Can the combination of BW12C and mitomycin C improve treatment outcomes in advanced colorectal cancer?

Conclusion

The combination of BW12C and mitomycin C is not effective for treating 5-FU-resistant colorectal cancer.

Supporting Evidence

  • BW12C stabilizes oxyhaemoglobin, causing a left-shift of the oxygen saturation curve.
  • The activity of mitomycin C is enhanced by hypoxia.
  • The predominant toxicities were mild and did not exceed CTC grade 2.
  • Liver31P magnetic resonance spectroscopy showed no changes consistent with tissue hypoxia.

Takeaway

Doctors tested a new treatment for cancer, but it didn't work as hoped for patients who didn't respond to other treatments.

Methodology

17 patients with metastatic colorectal cancer received BW12C and mitomycin C, with specific dosing and monitoring.

Limitations

The study's findings may be affected by drug resistance rather than the treatment's ineffectiveness.

Participant Demographics

Patients had metastatic colorectal cancer resistant to 5-fluorouracil.

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1138

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