PMID- 22108514 OWN - NLM STAT- MEDLINE DCOM- 20120214 LR - 20240404 IS - 1532-1827 (Electronic) IS - 0007-0920 (Print) IS - 0007-0920 (Linking) VI - 106 IP - 1 DP - 2012 Jan 3 TI - Phase I/II study of sagopilone (ZK-EPO) plus carboplatin in women with recurrent platinum-sensitive ovarian cancer. PG - 70-6 LID - 10.1038/bjc.2011.499 [doi] AB - BACKGROUND: Sagopilone is the first fully synthetic epothilone in clinical development and has demonstrated promising preclinical activity. This phase I/II, prospective, open-label trial investigated the efficacy and safety of sagopilone plus carboplatin in patients with recurrent platinum-sensitive ovarian cancer (OC). METHODS: In phase I (dose-escalation stage), patients with OC recurring at least 6 months after platinum-containing chemotherapy received 3-h infusions of sagopilone (initial dose of 12 mg m(-2)) followed by carboplatin every 3 weeks, for 2-6 treatment courses. Patients enrolled in phase II received 3-h infusions of 16 mg m(-2) sagopilone. Efficacy was assessed using modified Response Evaluation Criteria in Solid Tumors (modRECIST) and Gynecologic Cancer InterGroup CA125 criteria. The safety and tolerability of sagopilone were also evaluated. RESULTS: In all, 45 patients received sagopilone at 12 mg m(-2) or 16 mg m(-2). There were 29 confirmed tumour responses (21 modRECIST and 8 CA125) across both treatment groups, indicating that the primary objective of the study was reached. The main adverse events (AEs) reported were peripheral neuropathy (75.6%), fatigue (71.1%) and nausea (64.4%). Grade >/=3 AEs occurred in 35 patients (77.8%). No deaths related to the study drug were reported. CONCLUSION: Sagopilone in combination with carboplatin was effective and toxicities were manageable in patients with recurrent platinum-sensitive OC. FAU - McMeekin, S AU - McMeekin S AD - University of Oklahoma Health Sciences Center, Department of Obstetrics and Gynecology, 825 NE 10th Street, Oklahoma City, OK 73104, USA. scott-mcmeekin@ouhsc.edu FAU - Patel, R AU - Patel R FAU - Verschraegen, C AU - Verschraegen C FAU - Celano, P AU - Celano P FAU - Burke, J 2nd AU - Burke J 2nd FAU - Plaxe, S AU - Plaxe S FAU - Ghatage, P AU - Ghatage P FAU - Giurescu, M AU - Giurescu M FAU - Stredder, C AU - Stredder C FAU - Wang, Y AU - Wang Y FAU - Schmelter, T AU - Schmelter T LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study DEP - 20111122 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (Benzothiazoles) RN - 0 (Epothilones) RN - BG3F62OND5 (Carboplatin) RN - KY72JU32FO (sagopilone) SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/adverse effects/*therapeutic use MH - Benzothiazoles/administration & dosage MH - Carboplatin/administration & dosage MH - Epothilones/administration & dosage MH - Female MH - Humans MH - Middle Aged MH - Ovarian Neoplasms/*drug therapy/pathology MH - Recurrence PMC - PMC3251849 COIS- R Patel, C Verschraegen, P Celano, J Burke, S Plaxe, P Ghatage and Y Wang declare no conflict of interest. M Giurescu (Senior Director), C Stredder (Global Study Manager) and T Schmelter (Study Statistician) are all employees of Bayer HealthCare Pharmaceuticals. S McMeekin received funding from Bayer HealthCare Pharmaceuticals for trial enrollment and has participated in advisory boards for Bayer HealthCare Pharmaceuticals. EDAT- 2011/11/24 06:00 MHDA- 2012/02/15 06:00 PMCR- 2013/01/03 CRDT- 2011/11/24 06:00 PHST- 2011/11/24 06:00 [entrez] PHST- 2011/11/24 06:00 [pubmed] PHST- 2012/02/15 06:00 [medline] PHST- 2013/01/03 00:00 [pmc-release] AID - bjc2011499 [pii] AID - 10.1038/bjc.2011.499 [doi] PST - ppublish SO - Br J Cancer. 2012 Jan 3;106(1):70-6. doi: 10.1038/bjc.2011.499. Epub 2011 Nov 22.