2000
DOI: 10.1200/jco.2000.18.20.3535
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Phase I Trial of 6-Hour Infusion of Glufosfamide, a New Alkylating Agent With Potentially Enhanced Selectivity for Tumors That Overexpress Transmembrane Glucose Transporters: A Study of the European Organization for Research and Treatment of Cancer Early Clinical Studies Group

Abstract: The principal toxicity of 6-hour infusion of glufosfamide is reversible renal tubular acidosis, the MTD is 6,000 mg/m(2), and the recommended phase II dose is 4, 500 mg/m(2). Close monitoring of serum potassium and creatinine levels is suggested for patients receiving glufosfamide for early detection of possible renal toxicity. Evidence of antitumor activity in resistant carcinomas warrants further clinical exploration of glufosfamide in phase II studies.

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Cited by 54 publications
(38 citation statements)
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“…Similar outcomes were reported also for the glycoconjugate of the nitrogen mustard alkylating agents ifosfamide and glufosfamide (Fig. 3), for which enhancement in anticancer activity upon conjugation was assessed in tumor cells overexpressing GLUTs [46]. Remarkably, in both cases, no evidence of GLUT inhibition was observed.…”
Section: Drug Glycoconjugation As Anticancer Approachsupporting
confidence: 82%
“…Similar outcomes were reported also for the glycoconjugate of the nitrogen mustard alkylating agents ifosfamide and glufosfamide (Fig. 3), for which enhancement in anticancer activity upon conjugation was assessed in tumor cells overexpressing GLUTs [46]. Remarkably, in both cases, no evidence of GLUT inhibition was observed.…”
Section: Drug Glycoconjugation As Anticancer Approachsupporting
confidence: 82%
“…This approach depends on the expression of SGLT genes in tumor cells and would take advantage of the ability of cotransporters to accumulate toxic substrates in cells. For example, a nitrogen mustard glucoside (glucosfamide), a putative substrate for SGLT3 [75], has been evaluated in a phase-1 clinical trial [5]. Finally, there is excitement in some quarters about using NIS for the diagnosis and treatment of cancers [60].…”
Section: Pharmacological and Pharmaceutical Aspectsmentioning
confidence: 98%
“…Recently, Briasoulis et al 29) reported the results of a phase I trial of glufosfamide (β-D-glucosylisophosphoramide mustard; D-19575), a new alkylating agent that targets the glucose transport system, in tumor cells. In vitro data suggested that a low-affinity Na + /glucose cotransporter transports glufosfamide into tumor cells, and that the drug accumulates in the cells.…”
Section: Discussionmentioning
confidence: 99%