PMID- 32510792 OWN - NLM STAT- MEDLINE DCOM- 20210908 LR - 20210908 IS - 1476-5829 (Electronic) IS - 1476-5810 (Linking) VI - 18 IP - 4 DP - 2020 Dec TI - An open-label dose escalation study evaluating tolerability and safety of a single 5-days course of temozolomide in dogs with advanced cancer. PG - 838-842 LID - 10.1111/vco.12623 [doi] AB - Temozolomide is a novel oral alkylating agent that has schedule-dependent clinical activity in human malignant glioma and metastatic melanoma. Little is known about the efficacy of temozolomide in the treatment of canine solid cancers, where broad range of dosages have been used but no maximally tolerated dose (MTD) had been established. The aim of this this open-label, dose-escalating study was to determine MTD and dose-limiting toxicity (DLT) of a single temozolomide cycle in dogs with advanced solid tumours. Temozolomide was administered as a 5-days course starting at 70 mg/m(2) , using escalation of 10 mg/m(2) increments with 3 dogs per dose level. MTD was established based on the number of dogs experiencing DLT assessed after 1 cycle. Safety evaluation was performed 10 days after dosing. Thirty-three client-owned dogs were enrolled. MTD was established at 150 mg/m(2) and the most frequent adverse events (AEs) were hematologic and hepatic, followed by gastrointestinal, with the majority being self-resolving and of mild grade. VCOG grade 3 hepatic toxicity and grade 4 thrombocytopenia were defined as DLTs at 160 mg/m(2) . A subcohort of dogs received multiple temozolomide doses on a 4-week cycle and no cumulative toxicity was documented. Conclusions of this study define temozolomide MTD at 150 mg/m(2) when given once daily over 5 days. Future trials on the efficacy of temozolomide administered at its MTD are warranted. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Marconato, Laura AU - Marconato L AUID- ORCID: 0000-0002-7843-615X AD - Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy. FAU - Rohrer Bley, Carla AU - Rohrer Bley C AUID- ORCID: 0000-0002-5733-2722 AD - Division of Radiation Oncology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland. FAU - Leone, Vito F AU - Leone VF AD - Centro Oncologico Veterinario, Bologna, Italy. FAU - Finotello, Riccardo AU - Finotello R AD - Department of Small Animal Clinical Science, Institute of Veterinary Science, University of Liverpool, Neston, UK. LA - eng PT - Clinical Trial, Veterinary PT - Journal Article DEP - 20200705 PL - England TA - Vet Comp Oncol JT - Veterinary and comparative oncology JID - 101185242 RN - 0 (Antineoplastic Agents, Alkylating) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Animals MH - Antineoplastic Agents, Alkylating/*pharmacology MH - Dog Diseases/blood/*drug therapy MH - Dogs MH - Dose-Response Relationship, Drug MH - Female MH - Male MH - Neoplasms/drug therapy/veterinary/*virology MH - Temozolomide/*pharmacology OTO - NOTNLM OT - DLT OT - MTD OT - canine OT - phase 1 OT - temozolomide EDAT- 2020/06/09 06:00 MHDA- 2021/09/09 06:00 CRDT- 2020/06/09 06:00 PHST- 2020/03/20 00:00 [received] PHST- 2020/05/28 00:00 [revised] PHST- 2020/05/31 00:00 [accepted] PHST- 2020/06/09 06:00 [pubmed] PHST- 2021/09/09 06:00 [medline] PHST- 2020/06/09 06:00 [entrez] AID - 10.1111/vco.12623 [doi] PST - ppublish SO - Vet Comp Oncol. 2020 Dec;18(4):838-842. doi: 10.1111/vco.12623. Epub 2020 Jul 5.