title: Dexverapamil as resistance modifier in acute myeloid leukaemia.
abstract: In order to evaluate dexverapamil as a resistance modifier in acute myeloid leukaemia, we have added dexverapamil (4 x 300 mg/d orally) to DA chemotherapy (daunorubicin, cytosine arabinoside) in six patients with acute myeloid leukaemia. Two patients (1 first and 1 second relapse) achieved complete remission and two patients (1 refractory disease, 1 third relapse) showed some improvement. One patient in first relapse died due to disease progression and one drug-refractory patient remained refractory. The peak plasma levels of dexverapamil and nordexverapamil ranged from about 600 to 4100 ng/ml and from 450 to 1130 ng/ml, respectively. Major sideeffects were hypotension and sinus bradycardia. These results show the need for further evaluation of dexverapamil as a resistance modifier in acute myeloid leukaemia.
authors.affiliation: Clinic for Internal Medicine I, University of Vienna, Austria.
authors.forename: R
authors.initials: R
authors.lastname: Pirker
authors.forename: S
authors.initials: S
authors.lastname: Zöchbauer
authors.forename: H
authors.initials: H
authors.lastname: Kupper
authors.forename: A
authors.initials: A
authors.lastname: Lassmann
authors.forename: A
authors.initials: A
authors.lastname: Gsur
authors.forename: M
authors.initials: M
authors.lastname: Frass
authors.forename: G
authors.initials: G
authors.lastname: Krajnik
authors.forename: P
authors.initials: P
authors.lastname: Knöbl
authors.forename: K
authors.initials: K
authors.lastname: Lechner
mesh_terms: D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1 / Q000235:genetics; D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use*; D002121:Calcium Channel Blockers / Q000008:administration & dosage*; D004351:Drug Resistance; D005260:Female; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D014700:Verapamil / Q000008:administration & dosage* / Q000097:blood
chemical_list: D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1; D002121:Calcium Channel Blockers; D014700:Verapamil