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Phase I Trials

Bortezomib Alone and in Combination With Standard Chemotherapies

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Proteasome Inhibitors in Cancer Therapy

Part of the book series: Cancer Drug Discovery and Development ((CDD&D))

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Abstract

The Phase I development of the proteasome inhibitor, bortezomib (formerly known as PS-341), in patients with advanced cancer began in 1998. Since that time clinical trials have studied both single agent bortezomib and bortezomib in combination with other chemotherapy agents. The side effect profile that has emerged from dose escalation trials suggests manageable toxicities. Gastrointestinal side effects such as diarrhea and nausea were dose-related and peripheral sensory neuropathy was dose-limiting in some patients with solid tumors. Indications of efficacy in multiple myeloma (including a durable complete remission), non-Hodgkin’s lymphoma, and selected solid tumors were also reported. The recommended dose and schedule for Phase II development was 1.3 mg/m2/ dose given twice weekly for 2 wk with 10 d rest.

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References

  1. Orlowski RZ, Eswara JR, Lafond-Walker A, Grever MR, Orlowski M, Dang CV. Tumor growth inhibition induced in a murine model of human Burkitt’s lymphoma by a proteasome inhibitor. Cancer Res 1998;58:4342–4348.

    PubMed  CAS  Google Scholar 

  2. Delic J, Masdehors P, Omura S, et al. The proteasome inhibitor lactacystin induces apoptosis and sensitizes chemo- and radioresistant human chronic lymphocytic leukaemia lymphocytes to TNF-alphainitiated apoptosis. Br J Cancer 1998;77:1103–1107.

    Article  PubMed  CAS  Google Scholar 

  3. Kudo Y, Takata T, Ogawa I, et al. p27Kipl accumulation by inhibition of proteasome function induces apoptosis in oral squamous cell carcinoma cells. Clin Cancer Res 2000;6:916–923.

    PubMed  CAS  Google Scholar 

  4. Masdehors P, Merle-Beral H, Maloum K, Omura S, Magdelenat H, Delic J. Deregulation of the ubiquitin system and p53 proteolysis modify the apoptotic response in B-CLL lymphocytes. Blood 2000;96:269–274.

    PubMed  CAS  Google Scholar 

  5. Hideshima T, Chauhan D, Schlossman R, Richardson P, Anderson KC. The role of tumor necrosis factor alpha in the pathophysiology of human multiple myeloma: therapeutic applications. Oncogene 2001;20:4519–4527.

    Article  PubMed  CAS  Google Scholar 

  6. Hideshima T, Richardson P, Chauhan D, et al. The proteasome inhibitor PS-341 inhibits growth, induces apoptosis, and overcomes drug resistance in human multiple myeloma cells. CancerRes 2001;61:3071–3076.

    CAS  Google Scholar 

  7. Ma MH, Parker KM, Manyak S, et al. Proteasome inhibitor PS-341 markedly enhances sensitivity of multiple myeloma cells to chemotherapeutic agents and overcomes chemoresistance through inhibition of the NF-kappaB pathway. Blood 2001;98:437a.

    Google Scholar 

  8. Soengas MS, Capodieci P, Polsky D, et al. Inactivation of the apoptosis effector Apaf-1 in malignant melanoma. Nature 2001;409:207–211.

    Article  PubMed  CAS  Google Scholar 

  9. Adams J, Palombella VJ, Sausville EA, et al. Proteasome inhibitors: a novel class of potent and effective antitumor agents. Cancer Res 1999;59:2615–2622.

    PubMed  CAS  Google Scholar 

  10. Investigator Brochure. Millennium Pharmaceuticals, Inc. Cambridge, MA; 2003.

    Google Scholar 

  11. Lightcap ES, McCormack TA, Pien CS, Chau V, Adams J, Elliott PJ. Proteasome inhibition measurements: clinical application. Clin Chem 2000;46:673–683.

    PubMed  CAS  Google Scholar 

  12. Papandreou C, Daliani D, Millikan RE, et al. Phase I study of intravenous (I V.) proteasome inhibitor PS-341 in patients (Pts) with advanced malignancies. In: Proceedings of the American Society of Clinical Oncology-37th Annual Meeting, 2001;20:86a.

    Google Scholar 

  13. Papandreou CN, Pagliaro L, Millikan R, et al. Phase I study of PS-341, a novel proteasome inhibitor, in patients with advanced malignancies. In: Proceedings of the 1999 AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics, 1999:5.

    Google Scholar 

  14. Nix DJ, Pien C, LaButti J, Maden T, Adams J, Elliott P. Clinical pharmacology of the proteasome inhibitor PS-341. In: Proceedings of the 2001 AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics, 2001:7.

    Google Scholar 

  15. Papandreou CN, Daliani DD, Yang H, et al. Phase I trial of the proteasome inhibitor bortezomib in patients with advanced solid tumors with observations in androgen-independent prostate cancer. J Clin Oncol 2003; in press.

    Google Scholar 

  16. Papandreou CN, Pagliaro L, Millikan R, et al. Phase I study of PS-341, a novel proteasome inhibitor, in patients with advanced malignancies. In: Proceedings of the American Society of Clinical Oncology36th Annual Meeting, 2000;19:190a.

    Google Scholar 

  17. Logothetis CJ, Yang H, Daliani D, et al. Dose-dependent inhibition of 20S proteasome results in serum IL-6 and PSA decline in patients (pts) with androgen-independent prostate cancer (AI PCa) treated with the proteasome inhibitor PS-341. In: Proceedings of the American Society of Clinical Oncology-37th Annual Meeting, 2001;20:186a.

    Google Scholar 

  18. Nix D, Pien C, Maden T, et al. Clinical development of a proteasome inhibitor, PS-341, for the treatment of cancer. In: Proceedings of the American Society of Clinical Oncology-37th Annual Meeting, 2001;20:86a.

    Google Scholar 

  19. Aghajanian C, Soignet S, Dizon DS, et al. A phase I trial of the novel proteasome inhibitor PS341 in advanced solid tumor malignancies. Clin Cancer Res 2002;8:2505–2511.

    PubMed  CAS  Google Scholar 

  20. Orlowski RZ, Stinchcombe TE, Mitchell BS, et al. Phase I trial of the proteasome inhibitor PS-341 in patients with refractory hematologic malignancies. J Clin Oncol 2002;20:4420–4427.

    Article  PubMed  CAS  Google Scholar 

  21. Bold RJ, Virudachalam S, McConkey DJ. Chemosensitization of pancreatic cancer by inhibition of the 26S nrnteasnme J Surg Res 2001;100:11–17

    Article  PubMed  CAS  Google Scholar 

  22. Cusack JC Jr, Liu R, Houston M, et al. Enhanced chemosensitivity to CPT-11 with proteasome inhibitor PS-341: implications for systemic nuclear factor-kappaB inhibition. Cancer Res 2001;61:3535–3540.

    PubMed  CAS  Google Scholar 

  23. Shah MA, Schwartz GK. Cell cycle-mediated drug resistance: an emerging concept in cancer therapy. Clin Cancer Res 2001;7:2168–2181.

    PubMed  CAS  Google Scholar 

  24. Pink M, Pien CS, Worland P, Adams J, Kauffman MG. PS-341 enhances chemotherapeutic effect in human xenograft models. In: Proceedings of the American Association for Cancer Research, 2002;43:158.

    Google Scholar 

  25. Orlowski RZ, Dees EC. The role of the ubiquitination-proteasome pathway in breast cancer: applying drugs that affect the ubiquitin-proteasome pathway to the therapy of breast cancer. Breast Cancer Res 2003;5:1–7.

    Article  PubMed  CAS  Google Scholar 

  26. Orlowski RZ, Hall M, Voorhees P, et al. Phase I study of the proteasome inhibitor bortezomib (PS-341, Velcade™) in combination with pegylated liposomal doxorubicin (Doxil®) in patients with refractory hematologic malignancies. Blood 2002;100:105a.

    Google Scholar 

  27. Zangari M, Barlogie B, Prather J, et al. Marked activity also in Del 13 multiple myeloma (MM) of PS-341 (PS) and subsequent thalidomide (THAL) in a setting of resistance to post-autotransplant salvage therapies. Blood 2002;100:105a.

    Google Scholar 

  28. Ryan DP, Eder JP, Winklemann J, et al. Pharmacokinetic and pharmacodynamic phase I study of PS-341 and gemcitabine in patients with advanced solid tumors. In: Proceedings of the American Society of Clinical Oncology-38th Annual Meeting, 2002;21:95a.

    Google Scholar 

  29. Clark JW, Ryan D, Dees C, et al. Phase I dose-escalation study of the proteasome inhibitor, PS-341, plus irinotecan in patients with advanced solid tumors. In: Proceedings of the American Society of Clinical Oncology-38th Annual Meeting, 2002;21:93a.

    Google Scholar 

  30. Appleman LJ, Ryan DP, Clark JW, et al. Phase I dose escalation study of bortezomib and gemcitabine safety and tolerability in patients with advanced solid tumors. In: Proceedings of the American Society of Clinical Oncology-39th Annual Meeting, 2003;22:209.

    Google Scholar 

  31. Ryan DP, O’Neil B, Lima CR, et al. Phase I dose-escalation study of the proteasome inhibitor, bortezomib, plus irinotecan in patients with advanced solid tumors. In: Proceedings of the American Society of Clinical Oncology-39th Annual Meeting, 2003;22:228.

    Google Scholar 

  32. Supko JG, Eder JP, Lynch TJ, et al. Pharmacokinetics of irinotecan and the proteasome inhibitor bortezomib in adult patients with solid tumor malignancies. In: Proceedings of the American Society of Clinical Oncology-39th Annual Meeting, 2003;22:136.

    Google Scholar 

  33. Roth B, Dreicer R, Berg W, et al. Phase I/II trial of bortezomib plus docetaxel in patients with advanced androgen-independent prostate cancer. In: Proceedings of the American Society of Clinical Oncology 39th Annual Meeting. 2003:22:424.

    Google Scholar 

  34. Gumerlock PH, Kawaguchi T, Moisan LP, et al. Mechanisms of enhanced cytotoxicity from docetaxel → PS-341 in combination in non-small cell lung carcinoma (NSCLC). In: Proceedings of the American Society of Clinical Oncology-38th Annual Meeting, 2002;21:304a.

    Google Scholar 

  35. Albanell J, Baselga J, Guix M, et al. Phase I study of bortezomib in combination with docetaxel in anthracycline-pretreated advanced breast cancer. In: Proceedings of the American Society of Clinical Oncology-39th Annual Meeting, 2003;22:16.

    Google Scholar 

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© 2004 Springer Science+Business Media New York

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Esseltine, DL.W., Schenkein, D.P. (2004). Phase I Trials. In: Adams, J. (eds) Proteasome Inhibitors in Cancer Therapy. Cancer Drug Discovery and Development. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-794-9_20

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  • DOI: https://doi.org/10.1007/978-1-59259-794-9_20

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-452-4

  • Online ISBN: 978-1-59259-794-9

  • eBook Packages: Springer Book Archive

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