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Phase II trial of echinomycin for the treatment of advanced renal cell carcinoma
Authors:M Ernest Marshall  Michael K Wolf  E David Crawford  Sarah Taylor  Brent Blumenstein  Robert Flanigan  Fredrick J Meyers  Harry E Hynes  Bart Barlogie  Mario Eisenberger
Institution:(1) University of Cincinnati, Cincinnati, OH;(2) Southwest Oncology Group Statistical Center, Seattle, WA;(3) University of Colorado, Denver, CO;(4) University of Kansas Medical Center, Kansas City, MS;(5) Loyola University Stritch School of Medicine, Maywood, IL;(6) University of California-Davis, Sacramento, CA;(7) Wichita CCOP, Wichita, KS;(8) University of Arkansas for Medical Science, Little Rock, AR;(9) University of Maryland, Baltimore, MD, USA
Abstract:Summary Forty-nine patients with metastatic or recurrent renal cell carcinoma were treated on a phase II trial of Echinomycin. Treatment consisted of Echinomycin 1.25 mg/m2 intravenously every 28 days. Among the 47 evaluable patients there were no complete responses and only one partial response for an overall response rate of 2% (95% confidence interval, 0–11%). Eighteen patients (38%) experienced toxicity of grade 3 or worse. The most common toxicities were nausea and vomiting. The results of this study indicate that Echinomycin is not sufficiently active to warrant further trials for the treatment of renal cell carcinoma.
Keywords:echinomycin  renal cell carcinoma  kidney
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