2006
DOI: 10.1200/jco.2005.03.8638
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Phase I Trial and Pharmacokinetic Study of the Farnesyltransferase Inhibitor Tipifarnib in Children With Refractory Solid Tumors or Neurofibromatosis Type I and Plexiform Neurofibromas

Abstract: Oral tipifarnib is well tolerated in children receiving the drug twice daily for 21 days and a continuous dosing schedule at 200 mg/m2/dose, which is equivalent to the MTD in adults. The pharmacokinetic profile of tipifarnib in children is similar to that in adults, and at the MTD, FTase is inhibited in PBMC in vivo.

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Cited by 133 publications
(90 citation statements)
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“…Currently two such orally administered FTIs are in phase III clinical trials for cancer, motivated originally by the observation that the oncoprotein Ras is farnesylated. Although their efficacy in human clinical cancer trials has been somewhat disappointing, both FTIs have proven to be remarkably well tolerated (24).…”
Section: Discussionmentioning
confidence: 99%
“…Currently two such orally administered FTIs are in phase III clinical trials for cancer, motivated originally by the observation that the oncoprotein Ras is farnesylated. Although their efficacy in human clinical cancer trials has been somewhat disappointing, both FTIs have proven to be remarkably well tolerated (24).…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, RAStargeted therapeutic approaches, such as S-trans, trans-farnesylthiosalicylic acid, have provided limited efficacy in clinical studies of NF1 (8,40). This implies that understanding the full complexity of neurofibromin function in MPNSTs requires insights into all Nf1-associated biologic processes not only those dependent on RAS-MEK-ERK signaling but also those independent of that pathway.…”
Section: Discussionmentioning
confidence: 99%
“…This heterogeneity will need to be considered when selecting effective drugs for NF1-associated cancer treatment. This is well illustrated by the poor clinical response of NF1-associated peripheral nerve sheath tumors to farnesyltransferase inhibitors that inhibit Ras (Widemann et al, 2006), as these drugs preferentially inhibit H-Ras, rather than K-Ras (Prendergast and Rane, 2001).…”
Section: Susceptible Cell Typementioning
confidence: 99%