Phase II trial of ICRF-187 in patients with acquired immune deficiency related Kaposi's sarcoma (AIDS-KS)

Invest New Drugs. 1989 Nov;7(4):327-31. doi: 10.1007/BF00173762.

Abstract

Thirteen patients with AIDS related Kaposi's Sarcoma were entered on a phase II trial of ICRF-187, 1000 mg/m2 IV daily for 3 days every 3 weeks. Eight patients had received prior chemotherapy for AIDS-KS. Six patients had prior opportunistic infection. There were no complete responses; one partial response lasting six months was seen. Toxicity was significant, and of the first 5 patients treated, 3 out of 5 had grade III or IV neutropenia. Because of this, subsequent patients received 800 mg/m2 IV days 1-3 if previously untreated or 600 mg/m2 if previously treated. Overall 4 of 13 patients had Grade IV neutropenia and 5 of 13 had Grade III neutropenia. One patient had Grade IV thrombocytopenia. ICRF-187 at a daily x 3 schedule has some efficacy in the treatment of AIDS related KS, future trials should evaluate lower doses or alternate schedules of administration.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Drug Evaluation
  • Drugs, Investigational / adverse effects
  • Drugs, Investigational / therapeutic use*
  • Hematologic Diseases / chemically induced
  • Humans
  • Male
  • Middle Aged
  • Piperazines / therapeutic use*
  • Razoxane / adverse effects
  • Razoxane / therapeutic use*
  • Sarcoma, Kaposi / drug therapy*
  • Sarcoma, Kaposi / etiology
  • Stereoisomerism

Substances

  • Drugs, Investigational
  • Piperazines
  • Razoxane