title: A phase II trial of amonafide, caracemide, and homoharringtonine in the treatment of patients with advanced renal cell cancer.
abstract: Forty-eight previously untreated, ambulatory patients with advanced or unresectable renal carcinoma were treated with either amonafide (17 patients), caracemide (17 patients), or homoharringtonine (14 patients). No objective responses were observed in any of the treatment cohorts. Amonafide and caracemide were well tolerated with no unexpected toxicities. One patient each died of pulmonary thromboembolism and sepsis with severe metabolic acidosis on the homoharringtonine arm. An additional 4 patients experienced grade 4 complications including myelosuppression, neurologic dysfunction, and respiratory failure. These severe and unexpected complications caused early termination of accrual to the homoharringtonine arm of the study. These agents have no activity in the treatment of advanced renal cell carcinoma.
authors.affiliation: Gundersen Clinic, La Crosse, WI 54601, USA.
authors.forename: R S
authors.initials: RS
authors.lastname: Witte
authors.forename: P
authors.initials: P
authors.lastname: Hsieh
authors.forename: P
authors.initials: P
authors.lastname: Elson
authors.forename: M M
authors.initials: MM
authors.lastname: Oken
authors.forename: D L
authors.initials: DL
authors.lastname: Trump
mesh_terms: D000225:Adenine; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use*; D002292:Carcinoma, Renal Cell / Q000188:drug therapy*; D005260:Female; D006248:Harringtonines / Q000008:administration & dosage; D000077863:Homoharringtonine; D006801:Humans; D006918:Hydroxyurea / Q000008:administration & dosage / Q000031:analogs & derivatives; D007094:Imides / Q000008:administration & dosage; D007546:Isoquinolines / Q000008:administration & dosage; D007680:Kidney Neoplasms / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D053644:Naphthalimides; D063065:Organophosphonates; D015996:Survival Rate; D016896:Treatment Outcome
chemical_list: D006248:Harringtonines; D007094:Imides; D007546:Isoquinolines; D053644:Naphthalimides; D063065:Organophosphonates; C037020:amonafide; D000077863:Homoharringtonine; C044466:caracemide; D000225:Adenine; D006918:Hydroxyurea