Summary
The Southwest Oncology Group studied the response rate and toxicity of didemnin B (3.47 mg/m2 i.v. q 28 days) in patients with advanced renal cell carcinoma. There were no responses in 22 response evaluable patients. Toxicity was significant with 10 patients having grade 3 or 4 toxicity. Toxicity seen included nausea and vomiting, exacerbation of coronary artery disease, hyperglycemia, anorexia, diarrhea and hepatitis. Didemnin B was toxic but inactive in patients with renal cell treated at this dose.
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References
Rhineart KL Jr, Grever JB, Hughes RG Jr, Swynenberg EB, Stringfellow DA, Kuentzel SL, Li LH: Didemnins: antiviral and antitumor depsipeptides from a Caribbean tunicate. Science 212:933, 1981
Dorr FA, Kuhn JG, Philips J, Von Hoff DD: Phase I clinical and pharmacokinetic investigation of didemnin B, a cyclic depsipeptide. Eur J Cancer Clin Oncol 24:1699, 1988
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Taylor, S.A., Goodman, P., Crawford, E.D. et al. Phase II evaluation of didemnin B in advanced adenocarcinoma of the kidney. Invest New Drugs 10, 55–56 (1992). https://doi.org/10.1007/BF01275484
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DOI: https://doi.org/10.1007/BF01275484