title: Phase II study of weekly Kahalalide F in patients with advanced malignant melanoma.
abstract: This phase II clinical trial evaluated the antitumour response of Kahalalide F (KF) 650 microg/m(2) given as a 1-h weekly infusion in advanced malignant melanoma patients, both untreated and those who relapsed or progressed after one line of systemic therapy. Of 24 enrolled patients (median age, 55 years; range, 28-89), 14 patients had been previously treated with chemotherapy or biological therapy. No RECIST responses occurred; five chemotherapy-naïve patients with cutaneous melanoma had disease stabilisation for > or = 3 months; median progression-free survival was 1.7 months (95% CI, 1.2-1.9 months); and median overall survival was 10.8 months (95% CI, 5.0-upper limit not reached). The most common laboratory toxicities were non-cumulative increase of transaminases (ALT/AST) and gamma-glutamyltransferase (GGT). No patients experienced leukopenia and thrombocytopenia during the study. KF was a well-tolerated and safe chemotherapy regimen. Despite a favourable safety profile, this trial was closed after the first stage because of the lack of objective response in patients with malignant melanoma.
authors.affiliation: Clínica Universitaria de Navarra, Pamplona, Spain. smalgarra@unav.es
authors.forename: Salvador
authors.initials: S
authors.lastname: Martín-Algarra
authors.forename: Enrique
authors.initials: E
authors.lastname: Espinosa
authors.forename: Jordi
authors.initials: J
authors.lastname: Rubió
authors.forename: Juan José
authors.initials: JJ
authors.lastname: López López
authors.forename: José Luis
authors.initials: JL
authors.lastname: Manzano
authors.forename: Lorenzo Alonso
authors.initials: LA
authors.lastname: Carrión
authors.forename: Arrate
authors.initials: A
authors.lastname: Plazaola
authors.forename: Adnan
authors.initials: A
authors.lastname: Tanovic
authors.forename: Luis
authors.initials: L
authors.lastname: Paz-Ares
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000097:blood / Q000627:therapeutic use*; D047630:Depsipeptides / Q000009:adverse effects / Q000097:blood / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008545:Melanoma / Q000097:blood / Q000188:drug therapy* / Q000473:pathology / Q000556:secondary; D008875:Middle Aged; D012878:Skin Neoplasms / Q000097:blood / Q000188:drug therapy* / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents; D047630:Depsipeptides; C097897:kahalalide F