title: Clinical, pharmacologic, and immunologic effects of 2'-deoxycoformycin.
abstract: Clinical, pharmacologic, and immunologic effects of 2'-deoxycoformycin (dCF) were evaluated in 15 patients with advanced malignancies. Toxicity was less severe with a low dose (4 mg/m2) of dCF, but this dose still resulted in suppression of cellular adenosine deaminase activity, skin test reactivity, and lymphocyte responses to mitogens. Improvement in cutaneous T cell lymphoma plaques was seen after dCF. Further investigations of antitumor efficacy with the use of this low dosage schedule should continue in patients with hematologic neoplasms, and additional preliminary studies of the combination of an adenosine deaminase inhibitor with an adenosine analog should also be considered.
authors.affiliation: Department of Medicine, Roger Williams General Hospital, Providence, RI 02908.
authors.forename: F J
authors.initials: FJ
authors.lastname: Cummings
authors.forename: G W
authors.initials: GW
authors.lastname: Crabtree
authors.forename: M C
authors.initials: MC
authors.lastname: Wiemann
authors.forename: E N
authors.initials: EN
authors.lastname: Spremulli
authors.forename: R E
authors.initials: RE
authors.lastname: Parks
authors.forename: P
authors.initials: P
authors.lastname: Calabresi
mesh_terms: D000243:Adenosine Deaminase / Q000378:metabolism; D058892:Adenosine Deaminase Inhibitors; D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000009:adverse effects*; D003070:Coformycin / Q000008:administration & dosage / Q000009:adverse effects* / Q000031:analogs & derivatives / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007109:Immunity / Q000187:drug effects; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy* / Q000201:enzymology / Q000276:immunology; D009700:Nucleoside Deaminases / Q000037:antagonists & inhibitors*; D015649:Pentostatin; D012263:Ribonucleosides / Q000009:adverse effects*
chemical_list: D058892:Adenosine Deaminase Inhibitors; D000970:Antineoplastic Agents; D007166:Immunosuppressive Agents; D012263:Ribonucleosides; D003070:Coformycin; D015649:Pentostatin; D009700:Nucleoside Deaminases; D000243:Adenosine Deaminase