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Treatment of lithium phosphinoamides, Ph2PN(Li)R [R = tBu, iPr], with TiCl4 results in formation of titanium phosphinoamides, (Ph2PNR)2TiCl2 [R = tBu (1a), iPr (1b)]. Crystallographic studies show that there are covalent bonds between the titanium and two nitrogen atoms, whereas two phosphorus atoms are coordinated to the metal center intramolecularly. Variable-temperature NMR studies suggest reversible dissociation of the phosphorus moieties from the titanium in solution. The dissociated phosphorus moieties are effectively captured by Pt(II) species; reactions of 1a with either (η4-COD)PtCl2, (η4-COD)Pt(R)(Cl) (R = Me, p-Tol), or [Me2Pt(μ-SMe2)]2 afford the corresponding Ti−Pt heterobimetallic complexes. The molecular structures of these complexes reveal that they have a six-membered dimetallacycle, in which a titanium and a platinum are connected by two bridging phosphinoamide ligands; the Pt−Ti distances indicate the existence of a Pt→Ti dative bond. The conformation of the dimetallacycle is a boat form, with two metals at the bow and the stern in the crystal; however, dynamic conformational change involving cleavage and re-formation of the Pt→Ti dative bond is indicated from variable-temperature NMR studies.

Carboplatin is one of the most commonly used and well-tolerated agents for gynecologic malignancies. The rate of hypersensitivity reactions (HSRs) in the overall population of patients receiving carboplatin has been reported to increase after multiple doses of the agent. We retrospectively analyzed the incidence, clinical features, management, or outcome of carboplatin-related HSRs in 113 Japanese patients with gynecologic malignancies and the possibility of rechallenge with the drug. We intravenously administered carboplatin after paclitaxel or docetaxel. Mild HSRs are resolved by temporary interruption of carboplatin infusion, an additional antihistamine, and/or a corticosteroid. If HSRs arose, carboplatin was diluted, not exceeding 1 mg/mL, and slowly infused over 2 hours in subsequent cycles. Ten patients experienced carboplatin HSRs, with an overall incidence of 8.85%. The first HSR episode was mild in all cases. When retreated with carboplatin, 4 exhibited severe HSRs. More than 9 cycles and/or more than 5000 mg of carboplatin administration significantly increased the incidence of HSRs. In particular, carboplatin treatment beyond 15 cycles and/or 8000 mg increased the risk of severe HSRs (P < 0.0001). The incidence of HSRs in the ovarian carcinoma group was significantly greater than that in the uterine carcinoma group (P = 0.0046). Careful attention should be paid to HSRs during carboplatin treatment beyond 9 cycles and/or 5000 mg. The rate of severe HSRs greatly increases beyond 15 cycles and/or 8000 mg. Further studies are needed to identify potential risk factors that may contribute to the development of carboplatin HSRs and to decrease the risk of reactions.

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The high activity of first-line bevacizumab in combination with weekly paclitaxel observed in our study confirms the results of the E2100 trial. Our results suggest that the activity and tolerability of first-line bevacizumab-containing regimens demonstrated in E2100 can be reproduced in Japanese populations.