A phase I study of a new polyamine biosynthesis inhibitor, SAM486A, in cancer patients with solid tumours
2000

Study of SAM486A in Cancer Patients

Sample size: 39 publication Evidence: low

Author Information

Author(s): Paridaens R, Uges D R A, Barbet N, Choi L, Seeghers M, Graaf W T A van der, Groen H J M, Dumez H, Buuren I Van, Muskiet F, Capdeville R, Oosterom A T van, Vries E G E de

Primary Institution: Universitair Ziekenhuis Gasthuisberg

Hypothesis

Inhibition of polyamine synthesis may be a potential target for anticancer therapy.

Conclusion

The study found that while SAM486A was administered safely, no objective remission was observed in the cancer patients.

Supporting Evidence

  • SAM486A is a new inhibitor of the polyamine biosynthetic enzyme S-adenosylmethionine decarboxylase (SAMDC).
  • Preclinical testing showed promising antiproliferative activity for SAM486A.
  • Doses were escalated without toxicity in 24 patients up to 400 mg m–2 cycle–1.

Takeaway

Doctors tested a new drug called SAM486A on cancer patients, but it didn't help them get better.

Methodology

SAM486A was given as a 120-hour infusion every four weeks, with dose escalation in patients with advanced cancer.

Limitations

No objective remission was seen, and the study was limited to a small sample size of patients with advanced disease.

Participant Demographics

Adult cancer patients with advanced/refractory disease.

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1305

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