The purpose of the study was to define the maximally tolerated dose (MTD), major toxicities, and possible antitumor activity of
CI-973 a new
platinum analogue, in patients with refractory or relapsed acute
leukemia.
CI-973 was given as a 5-day continuous infusion every 3 to 4 weeks to patients with refractory or relapsed acute
leukemia, at doses ranging from 150 mg/m2 to 1350 mg/m2 per course. Thirty-six patients were treated including 18 patients with
acute myelogenous leukemia (AML), four with
acute lymphocytic leukemia (ALL) and 14 with
chronic myelogenous leukemia in blastic phase (CML-BP). Severe gastrointestinal and renal side-effects were the dose-limiting toxicities occurring in four of five patients treated with
CI-973 1200 to 1350 mg/m2 per course. At the MTD of 1000 mg/m2 per course, three of 13 patients treated (23%) had moderate to severe
nausea and
vomiting, three (23%) had moderate
diarrhea and one had moderate
mucositis. Among 21 patients treated at > or = 1000 mg/m2 (15 AML, 6 CML-BP) no objective complete or partial responses were observed. Twelve of 18 patients (66%) with evaluable marrows on day 14 showed significant suppression of marrow blasts percentage and marrow leukemic infiltrate percentage. Tests for measurement of
DNA adduct formation in leukemic cells in vivo after
CI-973 therapy, and in vitro following exposure of leukemic cells to
CI-973 were developed. This study defined the MTD of
CI-973 to be 1000 mg/m2 by continuous infusion over 5 days every 3 to 4 weeks in patients with refractory or relapsed acute
leukemia. Gastrointestinal and renal side-effects were dose-limiting. No objective responses were noted in this heavily resistant population. Correlations between CI-973-induced
DNA adduct formation and individual patient response to
CI-973 will help to define its role in
leukemia subsets.