Page last updated: 2024-11-06

topotecan

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Topotecan is a topoisomerase I inhibitor used in the treatment of various cancers, including ovarian, small cell lung, and cervical cancer. It was first synthesized in the 1980s by scientists at the SmithKline Beecham company. Topotecan works by interfering with the activity of the enzyme topoisomerase I, which is essential for DNA replication and repair. By inhibiting topoisomerase I, topotecan prevents the proper separation of DNA strands, leading to DNA damage and cell death. Topotecan is typically administered intravenously, and its effects are targeted at rapidly dividing cancer cells. The drug has been shown to have a significant impact on tumor growth and survival rates in patients with various types of cancer. Further research is being conducted to explore the potential of topotecan in combination with other cancer therapies, as well as its use in treating other types of cancer. '

Topotecan: An antineoplastic agent used to treat ovarian cancer. It works by inhibiting DNA TOPOISOMERASES, TYPE I. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

topotecan : A pyranoindolizinoquinoline used as an antineoplastic agent. It is a derivative of camptothecin and works by binding to the topoisomerase I-DNA complex and preventing religation of these 328 single strand breaks. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID60700
CHEMBL ID84
CHEBI ID63632
SCHEMBL ID3836
MeSH IDM0029340

Synonyms (134)

Synonym
sk-s-104864-a
(s)-10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione; hydrochloride
cid_60699
bdbm50034026
10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione; hydrochloride
(s)-11-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione; hydrochloride
AB00641837-13
BSPBIO_002348
NCI60_004771
SMP2_000312
(s)-10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-1h-pyrano[3',4':6,7]indolizino[1,2-b]quinoline-3,14(4h,12h)-dione
topotecan [inn:ban]
topotecanum [inn-latin]
1h-pyrano(3',4':6,7)indolizino(1,2-b)quinoline-3,14(4h,12h)-dione, 10-((dimethylamino)methyl)-4-ethyl-4,9-dihydroxy-, (s)-
(s)-10-((dimethylamino)methyl)-4-ethyl-4,9-dihydroxy-1h-pyrano(3',4':6,7)indolizino(1,2-b)quinoline-3,14(4h,12h)-dione
skf-104864-a
topotecane [inn-french]
sk&f-104864-a
SMP2_000327
NCGC00178695-01
topotecan lactone
nsc-641007
nsc641007
1h-pyrano[3',7]indolizino[1,2-b]quinoline- 3,14(4h,12h)-dione, 10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-, (4s)-
hycamptamine
9-dimethylaminomethyl-10-hydroxycamptothecin
hycamtamine
skf-s 104864
hycamptin
skf 104864
1h-pyrano[3',4':6,7]indolizino[1,2-b]quinoline-3,14(4h,12h)-dione, 10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-, (4s)-
dimethylaminomethyl-ethyl-dihydroxy-[?]dione
(s)-10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-1h-pyrano[3',4':6,7]indolizino[1,2-b]-quinoline-3,14(4h,12h)-dione
123948-87-8
topotecan
(s)-10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-1h-pyrano[3',4':6,7]inolizino[1,2-b]-quinoline-3,14(4h,12h)-dione
DB01030
9-[(dimethylamino)methyl]-10-hydroxy-(4s)-camptothecin
HSCI1_000228
NCISTRUC2_001796
NCISTRUC1_001659
9 dimethylaminomethyl 10 hydroxycamptothecin
(4s)-10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-1h-pyrano[3',4':6,7]indolizino[1,2-b]quinoline-3,14(4h,12h)-dione
sk&f 104864 a
HMS2090B20
AC-11592
ff-10850 (liposomal topotecan)
nogitecan
skf-104864
CHEMBL84 ,
chebi:63632 ,
D08618
topotecan (ban)
(s)-11-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione
(s)-10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione
(s)-10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-1h-pyrano[3'''',4'''':6,7]inolizino[1,2-b]-quinoline-3,14(4h,12h)-dione
10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione (topotecan)
10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-(4s)-3,4,12,14-tetrahydro-1h-pyrano[3'''',4'''':6,7]indolizino[1,2-b]quinoline-3,14-dione
bdbm50008935
10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione
(4-ethyl-4,9-dihydroxy-3,13-dioxo-3,4,12,13-tetrahydro-1h-2-oxa-6,12a-diaza-dibenzo[b,h]fluoren-10-ylmethyl)-dimethyl-ammonium
(20s)-10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione
10-dimethylaminomethyl-4-ethyl-4,9-dihydroxy-1,12-dihydro-4h-2-oxa-6,12a-diaza-dibenzo[b,h]fluorene-3,13-dione(topotecan)
dihydroxy(oxo)silane; dioxido(dioxo)molybdenum
A805171
hsdb 8213
ccris 8163
topotecane
(s)-topotecan
topophore c
unii-7m7ykx2n15
7m7ykx2n15 ,
topoced
topotecanum
S9321
AKOS015966792
NCGC00014925-03
NCGC00014925-02
NCGC00014925-07
NCGC00014925-04
10-hydroxy-9-((dimethylamino)methyl)-(20s)-camptothecin
sk&f-104864
topotecan [vandf]
1h-pyrano(3',4':6,7)indolizino(1,2-b)quinoline-3,14(4h,12h)-dione, 10-((dimethylamino)methyl)-4-ethyl-4,9-dihydroxy-, (4s)-
topotecan [mi]
topotecan [inn]
topotecan [who-dd]
topotecan [ema epar]
BRD-K55696337-001-03-2
gtpl7101
AB00641837-14
UCFGDBYHRUNTLO-QHCPKHFHSA-N
CCG-221171
HY-13768
AB00641837-09
SCHEMBL3836
AB00641837-11
AB00641837-12
DTXSID3042685 ,
(s)-10-((dimethylamino)methyl)-4-ethyl-4,9-dihydroxy-1,12-dihydro-14h-pyrano[3',4':6,7]indolizino[1,2-b]quinoline-3,14(4h)-dione
AB00641837_15
AB00641837_16
mfcd00870670
(19s)-8-[(dimethylamino)methyl]-19-ethyl-7,19-dihydroxy-17-oxa-3,13-diazapentacyclo[11.8.0.0^{2,11}.0^{4,9}.0^{15,20}]henicosa-1(21),2(11),3,5,7,9,15(20)-heptaene-14,18-dione
EX-A834
SR-01000763672-4
SR-01000763672-3
sr-01000763672
(19s)-8-[(dimethylamino)methyl]-19-ethyl-7,19-dihydroxy-17-oxa-3,13-diazapentacyclo[11.8.0.0(2),(1)(1).0?,?.0(1)?,(2)?]henicosa-1(21),2,4,6,8,10,15(20)-heptaene-14,18-dione
AS-75098
topotecan hydrochloride hydrate, >=98% (hplc and enzymatic)
1h-pyrano[3',4':6,7]indolizino[1,2-b]quinoline-3,14(4h,12h)-dione, 10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-, (s)-
NCGC00014925-10
HMS3715L03
Q419953
BRD-K55696337-003-08-7
A16815
NCGC00014925-24
T-161
(19s)-8-[(dimethylamino)methyl]-19-ethyl-7,19-dihydroxy-17-oxa-3,13-diazapentacyclo[11.8.0.02,11.04,9.015,20]henicosa-1(21),2,4(9),5,7,10,15(20)-heptaene-14,18-dione
(s)-10-[(dimethylamino)methyl]-4-ethyl-4,9-dihydroxy-1h-pyrano[3',4':6,7]indolizino[1,2-b]quinoline-3,14(4h,12h)-dione monohydrochloride; nogitecan hydrochloride; hycamtin
A892572
AC-34812
EN300-117268
9-((dimethylamino)methyl)-10-hydroxy-(20s)-camptothecin
dtxcid1022685
topotecane (inn-french)
topotecanum (inn-latin)
9-((dimethylamino)methyl)-10-hydroxy-(4s)-camptothecin
topotecanum (latin)
(s)-10-((dimethylamino)methyl)-4-ethyl-4,9-dihydroxy-1h-pyrano(3',4':6,7)indolizino(1,2-b)-quinoline-3,14(4h,12h)-dione
(4s)-10-((dimethylamino)methyl)-4-ethyl-4,9-dihydroxy-1h-pyrano(3',4':6,7)indolizino(1,2-b)quinoline-3,14(4h,12h)-dione
Z1501485359
BP-29353

Research Excerpts

Overview

Topotecan is a cytostatic drug from the camptothecin group. It acts by inhibiting topoisomerase 1 (TOP1) TopotecAn is a drug used as second-line chemotherapy for this cancer type.

ExcerptReferenceRelevance
"Topotecan is a camptothecin analogue with potential advantages over irinotecan for transarterial chemoembolization (TACE) of hepatic colorectal metastases including greater anti-neoplastic activity without enzymatic activation. "( Safety and Tolerability of Topotecan-Eluting Radiopaque Microspheres for Hepatic Chemoembolization in a Rabbit Preclinical Model.
Bakhutashvili, I; Banovac, F; Esparza-Trujillo, JA; Henman, A; Karanian, JW; Krishnasamy, VP; Levy, EB; Lewis, AL; Mikhail, AS; Negussie, AH; Pritchard, WF; Tang, Y; Wakim, PG; Willis, SL; Wood, BJ; Woods, DL, 2020
)
2.3
"Topotecan is an anti-cancer chemotherapy drug with common side effects, including hepatotoxicity. "( Topotecan induces hepatocellular injury via ASCT2 mediated oxidative stress.
Qin, M; Yang, J; Yu, H; Zhang, X; Zhou, G, 2021
)
3.51
"Topotecan is a cytostatic drug from the camptothecin group, it acts by inhibiting topoisomerase 1 (TOP1). "( [Antitumor Activity of the Combination of Topotecan and Tyrosyl-DNA-Phosphodiesterase 1 Inhibitor on Model Krebs-2 Mouse Ascite Carcinoma].
Chepanova, AA; Dyrkheeva, NS; Lavrik, OI; Luzina, OA; Nikolin, VP; Novoselova, ES; Popova, NA; Ryabchikova, EI; Salakhutdinov, NF; Zakharenko, AL,
)
1.84
"Topotecan is a useful agent for treating a variety of cancers."( Oral delivery of topotecan in polymeric nanoparticles: Lymphatic distribution and pharmacokinetics.
Jang, JH; Jeong, SH; Lee, YB, 2021
)
1.68
"Topotecan is a drug used as second-line chemotherapy for this cancer type."( New and Old Genes Associated with Topotecan Resistance Development in Ovarian Cancer Cell Lines.
Brązert, M; Januchowski, R; Klejewski, A; Nowicki, M; Świerczewska, M; Zabel, M; Zaorska, K, 2017
)
1.46
"Topotecan is a drug that is under investigation for the treatment of neuroblastoma and has been encapsulated into liposomes to improve its therapeutic efficacy. "( In vitro assay for measuring real time topotecan release from liposomes: release kinetics and cellular internalization.
Anantha, M; Bally, MB; Chernov, L; Dragowska, WH; Gilabert-Oriol, R, 2017
)
2.17
"Topotecan (TPT) is a water-soluble derivate of camptothecin, which undergoes ring-opening hydrolysis in neutral solutions, leading to stability loss and poor cellular uptake. "( A Novel Polymer-Lipid Hybrid Nanoparticle for the Improvement of Topotecan Hydrochloride Physicochemical Properties.
Guilger, RC; Liao, LM; Marreto, RN; Queiroz Junior, LHK; Santana, MJ; Silva, EJ; Silva, LAD; Souza, LG; Taveira, SF, 2018
)
2.16
"Topotecan (TPT) is a nontoxic anticancer drug characterized by a pH-dependent lactone/carboxyl equilibrium. "( Activity of Topotecan toward the DNA/Topoisomerase I Complex: A Theoretical Rationalization.
Aviyente, V; Bali, SK; Catak, S; Dikmenli, AK; Marion, A; Ugur, I, 2018
)
2.3
"Topotecan is a topoisomerase-1 inhibitor that has previously been shown to enhance the clinical response and overall patient survival when combined with CDDP by a yet unclear mechanism."( Identification of cisplatin sensitizers through high-throughput combinatorial screening.
Chang, A; Chen, P; Chiao, PJ; Hu, Y; Huang, P; Jiang, W; Ling, J; Liu, K; Lu, W; Song, M; Sun, Y, 2018
)
1.2
"Topotecan is a relatively large, planar, asymmetric and polar molecule with a lactone moiety. "( Topotecan effect on the structure of normal and cancer plasma membrane lipid models: A multi-model approach.
Lopes-de-Araújo, J; Nunes, C; Reis, S, 2018
)
3.37
"Topotecan is a chemotherapeutic agent that is active against many pediatric tumors. "( Determining success rates of the current pharmacokinetically guided dosing approach of topotecan in pediatric oncology patients.
Gajjar, A; Mitchell, AB; Santana, VM; Stewart, CF; Vasilyeva, A, 2019
)
2.18
"Topotecan (TPT) is a Topo I inhibitor and shows obvious anti-cancer effects on gastric cancer. "( Topotecan induces apoptosis via ASCT2 mediated oxidative stress in gastric cancer.
Du, HZ; He, JY; Jiang, JW; Li, ZZ; Liu, Y; Sun, L; Wang, L; Yuan, ST; Zhang, BJ; Zhao, TL, 2019
)
3.4
"Topotecan (TPT) is an important anti-cancer drug that inhibits topoisomerase I. "( Development and validation of a liquid chromatography-tandem mass spectrometry method for topotecan determination in beagle dog plasma and its application in a bioequivalence study.
Liu, Z; Shi, J; Wan, S; Wang, Y; Yang, X; Ye, L; Zhang, J; Zheng, D, 2013
)
2.05
"Topotecan (TPT) is a topoisomerase I inhibitor that undergoes reversible, pH-sensitive ring-opening hydrolysis."( The role of pH and ring-opening hydrolysis kinetics on liposomal release of topotecan.
Anderson, BD; Fugit, KD, 2014
)
1.35
"Topotecan (TpT) is a major inhibitory compound of topoisomerase (topo) I that plays important roles in gene transcription and cell division. "( Heparin and liver heparan sulfate can rescue hepatoma cells from topotecan action.
Baghy, K; Bocsi, J; Dudás, J; Füle, T; Fullár, A; Kovalszky, I; Kudaibergenova, S, 2014
)
2.08
"Topotecan is a topoisomerase 1 (TOP1) inhibitor that is used to treat various forms of cancer. "( Topoisomerase 1 inhibition reversibly impairs synaptic function.
Kullmann, PH; Mabb, AM; Miriyala, J; Philpot, BD; Twomey, MA; Zylka, MJ, 2014
)
1.85
"Topotecan (TPT) is a semisynthetic, water soluble analog of the plant alkaloid camptothecin which has been widely used for the treatment of ovarian and cervical cancers. "( Electrochemical investigation of the interaction between topotecan and DNA at disposable graphite electrodes.
Congur, G; Erdem, A; Mese, F, 2015
)
2.1
"Topotecan (TPT) is a therapeutic option for women with platinum-resistant or -refractory ovarian cancer. "( Topotecan synergizes with CHEK1 (CHK1) inhibitor to induce apoptosis in ovarian cancer cells.
Annunziata, CM; James, J; Kim, MK, 2015
)
3.3
"Topotecan (TPT) is an anticancer drug widely used in cancer therapy. "( Binding of topotecan to chromatin: Insights into cooperative binding and comparison with DNA.
Babaei, M; Ghadam, P; Rabbani-Chadegani, A, 2015
)
2.25
"Topotecan is an approved second-line chemotherapy for small cell lung cancer (SCLC)."( Efficacy of topotecan in pretreated metastatic poorly differentiated extrapulmonary neuroendocrine carcinoma.
Apostolidis, L; Bergmann, F; Jäger, D; Winkler, EC, 2016
)
1.53
"topotecan is a feasible option for women withadvanced ovarian and primary peritoneal cancers."( Phase 2 study of intraperitoneal topotecan as consolidation chemotherapy in ovarian and primary peritoneal carcinoma.
Malpass, TW; McGonigle, KF; Muntz, HG; Robertson, MD; Weiden, PL, 2008
)
1.35
"Topotecan is an attractive option as it exhibits growth inhibition of human glioma as well as brain penetration."( Topotecan in combination with radiotherapy in unresectable glioblastoma: a phase 2 study.
Bay, JO; Ben Hassel, M; Carsin, B; Fabbro, M; Frappaz, D; Gédouin, D; Guégan, Y; Hamlat, A; Lesimple, T; Linassier, C; Piot, G; Riffaud, L; Saïkali, S, 2009
)
2.52
"Topotecan is an established second-line therapy for advanced and relapsed ovarian cancer; a regimen of 1.5 mg/m(2)/day 1-5 has been approved in the USA and many other western countries. "( Current role and future aspects of topotecan in relapsed ovarian cancer.
Oskay-Ozcelik, G; Sehouli, J, 2009
)
2.07
"Topotecan is a topoisomerase I inhibitor currently approved for relapsed SCLC."( Topotecan in second-line treatment of small-cell lung cancer--how it works in our daily clinical practice?
Araújo, AM; Bravo, EM; Coelho, AL; Faria, AL; Rocha, IM; Rocha, MA, 2010
)
2.52
"Topotecan is a substrate of the ATP-binding cassette transporters P-glycoprotein (P-gp/MDR1) and breast cancer resistance protein (BCRP). "( Compartment-specific roles of ATP-binding cassette transporters define differential topotecan distribution in brain parenchyma and cerebrospinal fluid.
Carcaboso, AM; Elmeliegy, MA; Hubbard, KE; Panetta, JC; Shen, J; Stewart, CF; Tagen, M; Waters, CM; Wynn, HG, 2009
)
2.02
"Topotecan is a small molecule DNA topoisomerase I poison, that has been successful in clinical trials against pediatric solid tumors and leukemias. "( Initial testing of topotecan by the pediatric preclinical testing program.
Carol, H; Gorlick, R; Houghton, PJ; Kang, MH; Keir, ST; Kolb, EA; Lock, RB; Maris, JM; Morton, CL; Reynolds, CP; Smith, MA; Watkins, A, 2010
)
2.13
"Topotecan is a promising drug with activity against retinoblastoma, however, attaining therapeutic concentrations in the vitreous humor is still a challenge for the treatment of vitreous seeds in retinoblastoma. "( Pharmacokinetic analysis of topotecan after intra-vitreal injection. Implications for retinoblastoma treatment.
Abramson, DH; Bramuglia, GF; Buitrago, E; Chantada, G; Fandiño, A; Höcht, C; Navo, E; Schaiquevich, P, 2010
)
2.1
"Topotecan is a relatively new drug for use as a second-line treatment in patients with relapsed small cell lung cancer (SCLC). "( Topotecan for relapsed small cell lung cancer: a systematic review and economic evaluation.
Bird, A; Clegg, A; Harris, P; Hartwell, D; Jones, J; Loveman, E, 2011
)
3.25
"Topotecan is a chemotherapeutic agent of choice for the second-line treatment of recurrent ovarian cancer. "( Physiologically based pharmacokinetic model for topotecan in mice.
Balthasar, JP; Shah, DK, 2011
)
2.07
"Topotecan is a topoisomerase I inhibitor with good central nervous system (CNS) penetration following oral administration."( A phase II study of metronomic oral topotecan for recurrent childhood brain tumors.
Allen, JC; Belasco, JB; Fisher, PG; Janss, AJ; Minturn, JE; Patti, R; Phillips, PC, 2011
)
1.37
"Topotecan is an active drug in relapsed neuroblastoma. "( Short topotecan-based induction regimen in newly diagnosed high-risk neuroblastoma.
Castellano, A; De Ioris, MA; De Pasquale, MD; De Vito, R; Donfrancesco, A; Garganese, MC; Ilari, I; Inserra, A; Jenkner, A; Locatelli, F; Natali, G; Ravà, L, 2011
)
2.29
"Topotecan is an important cytotoxic drug that has gained broad acceptance in clinical use for the treatment of refractory ovarian and small-cell lung cancer. "( Development of topotecan loaded lipid nanoparticles for chemical stabilization and prolonged release.
Braga, RC; Lima, EM; Marreto, RN; Martins, AL; Mota, MF; Silva, EJ; Souza, LG; Taveira, SF; Valadares, MC, 2011
)
2.16
"Topotecan (TPT) is a camptothecin derivative and is an anticancer drug working as a topoisomerase-I-specific inhibitor. "( Evaluation of the P-glycoprotein- and breast cancer resistance protein-mediated brain penetration of 11C-labeled topotecan using small-animal positron emission tomography.
Fujinaga, M; Fukumura, T; Hatori, A; Kawamura, K; Nengaki, N; Ogawa, M; Wakizaka, H; Yamasaki, T; Yanamoto, K; Yoshida, Y; Yui, J; Zhang, MR, 2011
)
2.02
"Topotecan is an attractive building block for improving therapy against advanced disease."( A pharmacokinetic evaluation of topotecan as a cervical cancer therapy.
Blank, S; Muggia, F; Musa, F, 2013
)
1.39
"Topotecan proved to be a promising agent for retinoblastoma treatment due to its pharmacological activity and limited toxicity."( Ocular and systemic toxicity of intravitreal topotecan in rabbits for potential treatment of retinoblastoma.
Asprea, M; Bramuglia, GF; Buitrago, E; Chantada, GL; Croxatto, JO; Del Sole, MJ; Fandino, A; Schaiquevich, P; Torbidoni, A, 2013
)
1.37
"Topotecan is a topoisomerase-I inhibitor, a drug that stabilizes a covalent complex of enzymes and causes strand cleavage of DNA. "( Phase I study of sequential administration of topotecan and 5-fluorouracil in patients with advanced malignancies.
Devereux, L; Goldberg, J; Grana, G; Hageboutros, A; Khatri, J; Rodman, WD; Sbar, EI; Tritschler, L, 2002
)
2.02
"Topotecan is a new topoisomerase-1 inhibitor whose early investigation suggested possible activity in hormone-refractory prostate cancer."( SWOG-9510: evaluation of topotecan in hormone refractory prostate cancer: a Southwest Oncology Group study.
Braun, TJ; Crawford, ED; Dakhil, SR; Hussain, MH; Klein, CE; Nichols, CR; Peereboom, DM; Rivkin, SE; Tangen, CM, 2002
)
1.34
"Topotecan is an effective regimen with acceptable toxicity for recurrent ovarian cancer when administered for 3 consecutive days (2 mg/m(2)) every 21 days. "( Three-consecutive-day topotecan is an active regimen for recurrent epithelial ovarian cancer.
Brown, JV; Drescher, CW; Graham, CL; Micha, JP; Peters, WA; Rettenmaier, MA; Smith, MR, 2003
)
2.08
"Topotecan is an active agent for the treatment of advanced endometrial carcinoma. "( Topotecan is an active agent in the first-line treatment of metastatic or recurrent endometrial carcinoma: Eastern Cooperative Oncology Group Study E3E93.
Goldberg, G; Levy, DE; Lincoln, ST; Schink, JC; Soori, GS; Wadler, S, 2003
)
3.2
"Topotecan is a novel topoisomerase I inhibitor with established antitumor activity in recurrent SCLC and has a predictable, noncumulative toxicity profile."( Treatment of relapsed small-cell lung cancer--a focus on the evolving role of topotecan.
Chiappori, A; Rocha Lima, CM, 2003
)
1.27
"Topotecan is a cytotoxic drug isolated from the Camptotheca acuminata tree (from China). "( [Topotecan for pediatric patients with resistant and recurrent solid tumors].
Contra, T; Díaz Pérez, MA; Madero López, L; Pérez Martínez, A; Scaglione, C, 2003
)
2.67
"Topotecan is an established therapy for the treatment of recurrent ovarian cancer and has demonstrated significant antitumor activity in both platinum-sensitive and platinum-resistant patient populations. "( Clinical experience with topotecan in relapsed ovarian cancer.
Herzog, TJ, 2003
)
2.07
"Topotecan is an established treatment for patients with relapsed ovarian cancer, with good antitumor activity in both platinum-sensitive and -resistant disease. "( Weekly topotecan in the management of ovarian cancer.
Morris, RT, 2003
)
2.22
"Topotecan (TPT) is a topoisomerase I inhibitor, and like the other drugs of this family, it is believed to act in a specific way on cells in S phase at the time of treatment. "( Cytostatic and cytotoxic effects of topotecan decoded by a novel mathematical simulation approach.
Branduardi, D; D'Incalci, M; Lupi, M; Matera, G; Ubezio, P, 2004
)
2.04
"Topotecan is an active second-line treatment for advanced ovarian cancer. "( Topotecan compared with no therapy after response to surgery and carboplatin/paclitaxel in patients with ovarian cancer: Multicenter Italian Trials in Ovarian Cancer (MITO-1) randomized study.
Biamonte, R; Cartenì, G; Danese, S; De Laurentiis, M; De Matteis, A; De Placido, S; Di Vagno, G; Febbraro, A; Gallo, C; Gasparini, G; Greggi, S; Lauria, R; Lombardi, AV; Manzione, L; Marinaccio, M; Naglieri, E; Perrone, F; Pignata, S; Scambia, G; Valerio, MR, 2004
)
3.21
"Topotecan HCl is an antitumor drug exhibiting topoisomerase 1-inhibitory activity. "( Topotecan-induced bronchiolitis.
Edgerton, CC; Gilman, M; Roth, BJ, 2004
)
3.21
"Topotecan is an effective agent against pediatric medulloblastoma in patients who have received no therapy other than surgery. "( Results of a phase II upfront window of pharmacokinetically guided topotecan in high-risk medulloblastoma and supratentorial primitive neuroectodermal tumor.
Ashley, D; Chintagumpala, M; Fouladi, M; Gajjar, A; Houghton, PJ; Iacono, LC; Kellie, SJ; Kirstein, MN; Seele, LG; Stewart, CF; Wallace, D; Zamboni, WC, 2004
)
2
"Topotecan, which is a Camptothecin derivative, shows a large spectrum in anti-tumor activity. "( The effect of quercetin on topotecan cytotoxicity in MCF-7 and MDA-MB 231 human breast cancer cells.
Akbas, SH; Ozben, T; Timur, M, 2005
)
2.07
"Topotecan (T) is an active drug in SCLC. "( Randomized phase II study comparing topotecan/cisplatin administration for 5 days versus 3 days in the treatment of extensive stage small cell lung cancer (SCLC).
Fuhr, HG; Jensen, K; Keppler, U; Mueller, C; Neubauer, A; Schröder, M; Seifart, U; Staab, HJ; Ukena, J; Wolf, M, 2005
)
2.05
"Topotecan (TPT) is a semisynthetic water-soluble derivative of camptothecin (CPT) used as second-line therapy in patients with metastatic ovarian carcinoma, small cell lung cancer, and other malignancies. "( Topotecan is a substrate for multidrug resistance associated protein 4.
Bian, JS; Chan, E; Chan, SY; Duan, W; Ho, PC; Huang, M; Li, Q; Ng, KY; Nie, YQ; Tan, TM; Tian, Q; Wei, H; Yang, HY; Yu, Q; Zhang, J; Zhou, SF; Zhu, YZ, 2006
)
3.22
"Topotecan is an active drug in small-cell lung cancer (SCLC). "( Randomised phase II study comparing topotecan/carboplatin administration for 5 versus 3 days in the treatment of extensive-stage small-cell lung cancer.
Dethling, J; Fink, T; Hans, K; Koschel, G; Lorenz, R; Mueller, C; Schade-Brittinger, C; Schroeder, H; Seifart, U; Wolf, M, 2007
)
2.06
"Topotecan is an active agent for the management of untreated and recurrent extensive-disease small cell lung cancer (ED-SCLC). "( Addition of topotecan to standard cisplatin/etoposide combination in patients with extended stage small cell lung carcinoma.
Aydiner, A; Camlica, H; Derin, D; Guney, N; Tas, F; Topuz, E, 2007
)
2.16
"Topotecan is an active agent in ovarian cancer."( UCN-01 in combination with topotecan in patients with advanced recurrent ovarian cancer: a study of the Princess Margaret Hospital Phase II consortium.
Brown, S; Carey, MS; Dancey, JE; Hirte, HW; Hotte, SJ; Oza, AM; Pond, GR; Tsao, MS; Welch, S, 2007
)
1.36
"Topotecan is an intravenous topoisomerase I inhibitor with good CSF penetration and documented efficacy in patients with relapsed systemic non-Hodgkin's lymphoma."( Topotecan as salvage therapy for relapsed or refractory primary central nervous system lymphoma.
Batchelor, T; Betensky, R; Hochberg, F; Voloschin, AD; Wen, PY, 2008
)
2.51
"Topotecan is a semisynthetic derivative of camptothecin that specifically targets topoisomerase I. "( Recent advances with topotecan in the treatment of lung cancer.
Eckardt, J; O'Brien, M; Ramlau, R, 2007
)
2.1
"Topotecan is a topoisomerase I inhibitor that exerts its cytotoxic effect through stabilization of the topoisomerase I-DNA complex."( Phase I dose escalation study of vinorelbine and topotecan combination chemotherapy in patients with recurrent lung cancer.
Beldner, MA; Chaudhary, U; Garrett-Mayer, E; Green, MR; Kraft, AS; Meyer, ML; Montero, AJ; Sherman, CA, 2007
)
1.32
"Topotecan is a novel semisynthetic derivative of the anticancer agent camptothecin and inhibits the intranuclear enzyme topoisomerase I."( Phase I clinical and pharmacokinetic study of topotecan administered by a 24-hour continuous infusion.
Beijnen, JH; Davies, BE; Koier, I; Maes, RA; Rodenhuis, S; Rosing, H; ten Bokkel Huinink, WW; van Warmerdam, LJ, 1995
)
1.27
"Topotecan is a novel semisynthetic derivative of the anticancer agent camptothecin and inhibits the intranuclear enzyme topoisomerase I. "( Pharmacokinetics and pharmacodynamics of topotecan administered daily for 5 days every 3 weeks.
Beijnen, JH; Davies, BE; de Boer-Dennert, M; Maes, RA; Rosing, H; Schellens, JH; van Warmerdam, LJ; Verweij, J, 1995
)
2
"Topotecan is a promising anticancer agent presently undergoing clinical evaluation worldwide. "( Stabilization of topotecan in low pH liposomes composed of distearoylphosphatidylcholine.
Burke, TG; Gao, X, 1994
)
2.07
"Topotecan is an inhibitor of topoisomerase I that has shown preclinical activity against non-small-cell lung cancer (NSCLC). "( Phase II study of topotecan in metastatic non-small-cell lung cancer.
Elias, A; Frei, E; Kalish, L; Lynch, TJ; Posner, M; Shulman, LN; Skarin, A; Strauss, G, 1994
)
2.07
"Topotecan is a promising anticancer agent that deserves phase II testing in pediatric solid tumors. "( Phase I study of topotecan for pediatric patients with malignant solid tumors.
Bowman, L; Furman, W; Heideman, R; Kuttesch, JF; Marina, N; Ochs, J; Pratt, CB; Sandlund, JT; Santana, VM; Stewart, C, 1994
)
2.07
"Topotecan is an interesting new topoisomerase I inhibitor exerting antitumor activity in this phase I trial. "( Phase I and pharmacokinetics study of topotecan, a new topoisomerase I inhibitor.
Beijnen, J; de Boer-Dennert, M; Hansen, H; Koier, I; Lund, B; Planting, A; Rosing, H; Verweij, J, 1993
)
2
"Topotecan is an another semisynthetic derivative of camtothecin and is also topoisomerase I inhibitor."( [Topoisomerase inhibitors developing in Japan].
Furue, H, 1993
)
1.01
"Topotecan (TPT) is a topoisomerase I poison that exhibits antineoplastic activity. "( Cytotoxic effects of topotecan combined with various anticancer agents in human cancer cell lines.
Buckwalter, CA; Donehower, RC; Grochow, LB; Kaufmann, SH; Peereboom, D; Rowinsky, EK; Svingen, PA, 1996
)
2.06
"Topotecan is a novel semisynthetic derivative of the anticancer agent camptothecin and inhibits the intranuclear enzyme topoisomerase I. "( Pharmacokinetics and pharmacodynamics of topotecan given on a daily-times-five schedule in phase II clinical trials using a limited-sampling procedure.
Beijnen, JH; Creemers, GJ; Davies, BE; de Boer-Dennert, M; Maes, RA; Rodenhuis, S; Rosing, H; Schellens, JH; ten Bokkel Huinink, WW; van Warmerdam, LJ; Verweij, J, 1996
)
2
"Topotecan is a topoisomerase I inhibitor that has good penetration across the blood-brain barrier and significant antitumor activity against human brain tumor xenografts. "( Phase II evaluation of topotecan for pediatric central nervous system tumors.
Adamson, PC; Allen, JC; Balis, FM; Berg, SL; Blaney, SM; Heideman, RL; Horowitz, ME; Jakacki, RI; Lange, BJ; Packer, RJ; Phillips, PC; Poplack, DG; Reaman, GH; Sallan, SE, 1996
)
2.05
"Topotecan is a specific inhibitor of topoisomerase I with broad antitumor activity in preclinical studies."( Phase II study of topotecan in metastatic hormone-refractory prostate cancer.
Fox, SC; Giantonio, BJ; Greenberg, R; Hudes, GR; Kosierowski, R; McAleer, CA; Ozols, RF; Ramsey, HE, 1995
)
1.35
"Topotecan is a specific inhibitor of topoisomerase I. "( Phase II and pharmacologic study of topotecan administered as a 21-day continuous infusion to patients with colorectal cancer.
Creemers, GJ; de Boer-Dennert, M; Gerrits, CJ; Harteveld, M; Hudson, I; Loos, W; Planting, AS; Schellens, JH; Stoter, G; van Beurden, VM; van der Burg, ME; Verweij, J, 1996
)
2.01
"Topotecan (TPT) is a water-soluble Topoisomerase I (Topo I) inhibitor with reported antineoplastic activity against a variety of solid tumors (including nonsmall cell lung, small cell lung, ovarian, breast, esophageal, and head and neck primaries) and leukemias. "( Concentration and timing dependence of lethality enhancement between topotecan, a topoisomerase I inhibitor, and ionizing radiation.
Boothman, DA; Kinsella, TJ; Lamond, JP; Wang, M, 1996
)
1.97
"Topotecan is a topoisomerase I inhibitor with preclinical activity against various tumor types. "( Topotecan, an active drug in the second-line treatment of epithelial ovarian cancer: results of a large European phase II study.
Bolis, G; Creemers, GJ; Despax, R; Favalli, G; Gore, M; Guastalla, JP; Hudson, I; Kreinberg, R; Lacave, AJ; Scarfone, G; Ten Bokkel Huinink, WW; Van Belle, S; Verweij, J, 1996
)
3.18
"Topotecan (TPT) is a topoisomerase I (topo I) poison that has shown promising antineoplastic activity in solid tumors and acute leukemia. "( Altered formation of topotecan-stabilized topoisomerase I-DNA adducts in human leukemia cells.
Armstrong, DK; Cheng, YC; Gore, SD; Kaufmann, SH; Rowinsky, EK; Svingen, PA, 1997
)
2.06
"Topotecan is a specific inhibitor of topoisomerase I. "( Phase I and pharmacologic study of oral topotecan administered twice daily for 21 days to adult patients with solid tumors.
Broom, C; Burris, HA; Creemers, GJ; Eckardt, JR; Gerrits, CJ; Hudson, I; Loos, WJ; Planting, AS; Rodriguez, GI; Schellens, JH; Verweij, J; Von Hoff, DD, 1997
)
2.01
"Topotecan is a well-tolerated new agent with similar single-agent activity to that of cisplatin, 5-fluorouracil, and methotrexate in advanced head and neck cancer."( A phase II study of topotecan in patients with recurrent head and neck cancer. Identification of an active new agent.
Robert, F; Soong, SJ; Wheeler, RH, 1997
)
1.34
"Topotecan (NSC 609099) is a camptothecin analogue that demonstrated activity against a variety of human tumors in preclinical studies. "( Phase II trial of topotecan in advanced gastric cancer: a Southwest Oncology Group study.
Balcerzak, SP; Benedetti, JK; Burris, HA; Macdonald, JS, 1997
)
2.07
"Topotecan (Hycamtin) is a promising new topoisomerase I-targeting anticancer agent that first entered clinical trials in 1989 under National Cancer Institute sponsorship in collaboration with SmithKline Beecham. "( Clinical status and optimal use of topotecan.
Arbuck, SG; Takimoto, CH, 1997
)
2.02
"Topotecan is a topoisomerase I inhibitor with antitumor activity against hematologic and solid tumor malignancies. "( Evaluation of topotecan in resistant and relapsing multiple myeloma: a Southwest Oncology Group study.
Alsina, M; Crowley, JJ; Kraut, EH; Laufman, LR; Salmon, SE; Taylor, SA; Wade, JL, 1998
)
2.1
"Topotecan is a topoisomerase I inhibitor with activity against xenografts of childhood solid tumors and established clinical activity against neuroblastoma and rhabdomyosarcoma. "( Relationship between topotecan systemic exposure and tumor response in human neuroblastoma xenografts.
Cheshire, PJ; Houghton, JA; Houghton, PJ; Luo, X; Poquette, C; Richmond, LB; Santana, VM; Stewart, CF; Thompson, J; Zamboni, WC, 1998
)
2.06
"Topotecan is a novel topoisomerase I inhibitor that may have a role in the adjuvant chemotherapy of several solid tumors, including malignant glioma. "( Potentiation of CD95L-induced apoptosis of human malignant glioma cells by topotecan involves inhibition of RNA synthesis but not changes in CD95 or CD95L protein expression.
Weller, M; Winter, S, 1998
)
1.97
"Topotecan is a topoisomerase I inhibitor with activity against acute leukemia. "( Induction of apoptosis by topotecan: implications for the treatment of leukemia.
Seiter, K, 1998
)
2.04
"Topotecan is a topoisomerase (topo) I inhibitor with promising activity in preclinical studies. "( Intratumoral infusion of topotecan prolongs survival in the nude rat intracranial U87 human glioma model.
Barone, TA; Ciesielski, MJ; Fenstermaker, RA; Greenberg, SJ; Lis, A; Plunkett, RJ; Pollina, J, 1998
)
2.05
"Topotecan is an agent as yet unstudied in bladder cancer."( Topotecan in previously treated advanced urothelial carcinoma: an ECOG phase II trial.
Burch, PA; Kuzel, T; Loehrer, PJ; Manola, J; Weinshel, EL; Witte, RS, 1998
)
2.46
"Topotecan is a specific inhibitor to topoisomerase I. "( Five days of oral topotecan (Hycamtin), a phase I and pharmacological study in adult patients with solid tumours.
Burris, H; Fields, S; Gerrits, CJ; Hudson, I; Loos, WJ; Planting, AS; Rodriguez, GI; Schellens, JH; van Beurden, V; van den Burg, ME; Verweij, J; von Hoff, DD, 1998
)
2.08
"Topotecan is an effective second- or third-line therapy for patients with advanced ovarian cancer and is comparable to ifosfamide, liposomal doxorubicin, and paclitaxel. "( Topotecan: a new topoisomerase I inhibiting antineoplastic agent.
Cersosimo, RJ, 1998
)
3.19
"Topotecan is an effective second-line agent for patients with unresponsive or relapsed cancer of the ovary. "( Topotecan: a new topoisomerase I inhibiting antineoplastic agent.
Cersosimo, RJ, 1998
)
3.19
"Topotecan is a semisynthetic product derived from camptothecin, which was discovered during a National Cancer Institute cytotoxic drug screening program almost 30 years ago."( Topotecan - A novel topoisomerase I inhibitor: pharmacology and clinical experience.
Bokemeyer, C; Jakob, A; Kanz, L; Kollmannsberger, C; Mross, K, 1999
)
2.47
"Topotecan is a myelosuppressive drug that interacts with topoisomerase I and that has been used in the treatment of refractory AML."( Incorporating new modalities into guidelines. Topotecan for myelodysplastic syndromes.
Estey, EH, 1998
)
1.28
"Topotecan is a new antineoplastic agent with a broad spectrum of activity. "( Phase I trial of paclitaxel, carboplatin, and topotecan with or without filgrastim (granulocyte-colony stimulating factor) in the treatment of patients with advanced, refractory cancer.
Burris, HA; Greco, FA; Hainsworth, JD; Morrissey, LH, 1999
)
2
"Topotecan is an antitumor agent with activity against a variety of cancers. "( Fluorescence spectral properties of the anticancer drug topotecan by steady-state and frequency domain fluorometry with one-photon and multi-photon excitation.
Burke, TG; Gryczynski, I; Gryczynski, Z; Lakowicz, JR; Yang, D, 1999
)
1.99
"Topotecan is a new antineoplastic agent active in ovarian cancer, with promising activity in small cell lung cancer and predictable toxicity. "( Circulating progenitor cell release and functional characterization after topotecan plus G-CSF and erythropoietin in small cell lung cancer patients.
Ascari, E; Brugnatelli, S; Comolli, G; Danova, M; Ferrari, S; Porta, C; Pugliese, P; Riccardi, A, 1999
)
1.98
"Topotecan-cytarabine is an active induction regimen in MDS and CMML patients, is well tolerated, and is associated with a low mortality rate."( Topotecan and cytarabine is an active combination regimen in myelodysplastic syndromes and chronic myelomonocytic leukemia.
Andreeff, M; Beran, M; Cortes, J; Estey, E; Giles, FJ; Hayes, K; Kantarjian, H; Keating, M; Koller, CA; Kornblau, S; O'Brien, S; Pierce, SR; Vey, N; Wong, GC, 1999
)
2.47
"Topotecan is an active drug in platinum-sensitive ovarian cancer, with significant but manageable hematologic toxicity. "( Topotecan has substantial antitumor activity as first-line salvage therapy in platinum-sensitive epithelial ovarian carcinoma: A Gynecologic Oncology Group Study.
Blessing, JA; Bookman, MA; Dunton, CJ; Lentz, SS; McGuire, WP, 2000
)
3.19
"Topotecan is a topoisomerase I inhibitor with significant activity in patients with myelodysplastic syndrome and chronic myelomonocytic leukemia. "( Cyclophosphamide, ara-C and topotecan (CAT) for patients with refractory or relapsed acute leukemia.
Beran, M; Cortes, J; Estey, E; Giles, F; Kantarjian, H; Keating, M; Koller, C; O'Brien, S, 2000
)
2.04
"Topotecan is a new active drug in the treatment of lung cancer. "( [Topotecan, a recent discovery and prospects for treating tumors of the lung].
Gridelli, C,
)
2.48
"Topotecan is a semi-synthetic, water soluble topoisomerase I inhibitor which has recently been approved for the treatment of ovarian cancers after failure of first-line therapy. "( [Topotecan: prospects for using it in combination therapy for ovarian carcinoma].
Scarfone, G,
)
2.48
"Topotecan (TPT) is a DNA-Topoisomerase I poison that exhibits antitumor activity. "( Cytotoxic effects of topotecan combined with various active G2/M-phase anticancer drugs in human tumor-derived cell lines.
Abad, A; Guillot, M; Martin, C; Plasencia, C; Taron, M, 2000
)
2.07
"Topotecan is a topoisomerase I inhibitor which is currently evaluated as an adjuvant agent for malignant glioma. "( Glioma cell sensitivity to topotecan: the role of p53 and topotecan-induced DNA damage.
Naumann, U; Rieger, J; Schmidt, F; Weller, M; Wischhusen, J, 2001
)
2.05
"Topotecan is a topoisomerase inhibitor that demonstrated initial promising activity in squamous carcinoma of the head and neck."( Lack of efficacy of topotecan in the treatment of metastatic or recurrent squamous carcinoma of the head and neck: an Eastern Cooperative Oncology Group Trial (E3393).
Burkey, B; Forastiere, A; Langer, C; Leong, T; Murphy, BA, 2001
)
1.36
"Topotecan is a derivative of camptothecin which has been structurally modified to increase water solubility."( Topoisomerase I inhibition with topotecan: pharmacologic and clinical issues.
Arun, B; Frenkel, EP, 2001
)
1.32
"Oral topotecan is an active, tolerable, and convenient formulation of an established agent for the second-line treatment of advanced epithelial ovarian cancer and may also facilitate exploring prolonged treatment schedules."( Oral topotecan as single-agent second-line chemotherapy in patients with advanced ovarian cancer.
Beckman, RA; Clarke-Pearson, DL; DeWitte, MH; Fields, SZ; Hanjani, P; Iveson, T; Kristensen, G; Lane, SR; Malfetano, JH; Ross, GA; Van Le, L; Whitney, CW, 2001
)
1.28
"Topotecan is a topoisomerase I inhibitor with demonstrated anticancer activity in preclinical and clinical studies. "( Synergistic interaction between topotecan and microtubule-interfering agents.
Bahadori, HR; Catapano, CV; Green, MR, 2001
)
2.04
"Topotecan is a topoisomerase (Topo) I inhibitor used in ovarian carcinoma chemotherapy. "( Schedule-dependent activity of topotecan in OVCAR-3 ovarian carcinoma xenograft: pharmacokinetic and pharmacodynamic evaluation.
Bugat, R; Canal, P; Chatelut, E; Guichard, S; Hennebelle, I; Montazeri, A, 2001
)
2.04
"Topotecan is a topoisomerase I inhibitor and an analogue of camptothecin with demonstrated activity in small-cell lung cancer. "( Preliminary results of combined therapy with topotecan and carboplatin in advanced non-small-cell lung cancer.
Fields, SZ; Hearn, S; Martoni, A; Pujol, JL; Ross, G; Tumolo, S; von Pawel, J, 2001
)
2.01
"Topotecan is an established topoisomerase I inhibitor for the treatment of relapsed ovarian cancer. "( A dose-escalating study of weekly bolus topotecan in previously treated ovarian cancer patients.
Hall, DJ; Homesley, HD; Lewandowski, GS; Martin, DA; Nahhas, WA; Penley, RG; Suggs, CL; Vaccarello, L, 2001
)
2.02
"Topotecan-filgrastim is an efficacious, minimally toxic, and cost-saving combination for PBSC mobilization."( Topotecan-filgrastim combination is an effective regimen for mobilizing peripheral blood stem cells.
Bowman, LC; Cunningham, JM; Gajjar, AJ; Houghton, PJ; Houston, JA; Hunt, D; Richardson, SL; Stewart, CF; Yee, GC; Yeoh, EJ, 2001
)
2.47
"Topotecan is an effective drug for the treatment of SCLC and recurrent OV. "( [Clinical study of topotecan in the treatment of small cell lung cancer and recurrent ovarian cancer].
Feng, F; He, X; Shi, Y, 2001
)
2.08
"Topotecan (SK&F 104864) is a novel antitumor agent whose mechanism of action is inhibition of the DNA unwinding protein topoisomerase I. "( A phase I clinical and pharmacokinetic study of the topoisomerase I inhibitor topotecan (SK&F 104864) given as an intravenous bolus every 21 days.
Brown, T; Burris, HA; Clark, G; Kneuper-Hall, R; O'Rourke, T; Rodriguez, G; Shaffer, D; Von Hoff, DD; Wall, JG; Weiss, G, 1992
)
1.95

Effects

Oral topotecan has been studied in the first- and second-line settings for both SCLC and non-small cell lung cancer (NSCLC) Topotecans is a specific inhibitor of topoisomerase I, a nuclear enzyme required for DNA replication and transcription.

ExcerptReferenceRelevance
"Topotecan has a positive influence on quality of life of patients with advanced colorectal cancer. "( [Evaluation of quality of life in patients with advanced colorectal cancer treated with topotecan].
Brodziak, A; Bucior, J; Danikiewicz, A; Foltyn, W; Jastrzebska-Okoń, K; Knopik, J; Nowakowska-Zajdel, E; Ziółko, E, 2001
)
1.98
"Topotecan has recently been used in the treatment of pediatric cancer. "( A modified protocol with vincristine, topotecan, and cyclophosphamide for recurrent/progressive ewing sarcoma family tumors.
Agaoglu, FY; Cakir, FB; Darendeliler, E; Gorgun, O; Kebudi, R, 2013
)
2.1
"Oral topotecan (Hycamtin(®)) has been recently approved for the treatment of relapsed small cell lung cancer (SCLC) in 2007, however, the bioavailability and pharmacokinetic data of topotecan for Chinese patients is still limited. "( Oral topotecan: Bioavailability, pharmacokinetics and impact of ABCG2 genotyping in Chinese patients with advanced cancers.
Du, P; Gui, L; Han, X; Li, N; Shen, Y; Shi, Y; Song, Y; Sun, Y; Wang, J; Wang, S; Yang, J, 2013
)
1.42
"Topotecan has shown promising antineoplastic activity in solid tumors and acute leukemia. "( Antiproliferative and proapoptotic effects of topotecan in combination with thymoquinone on acute myelogenous leukemia.
El-Hayek, S; Hodroj, MH; Khalife, R; Rizk, S; Stephany, el-H; Tarras, O, 2014
)
2.1
"Topotecan has been variably incorporated in the treatment of patients with relapsed Wilms tumour (WT) who failed initial treatment with three or more effective drugs. "( Treatment of relapsed Wilms tumour (WT) patients: experience with topotecan. A report from the SIOP Renal Tumour Study Group (RTSG).
Acha, T; Bergeron, C; Catania, S; Graf, N; Howell, L; Mavinkurve-Groothuis, AM; Pritchard-Jones, KL; Spreafico, F; Tytgat, GA; van den Heuvel-Eibrink, MM; van Tinteren, H; Vujanic, G, 2015
)
2.1
"Oral topotecan has been recently brought into clinical practice at a dose of 2.3 mg/m(2) for 5 days, every 3 weeks. "( Myelotoxicity of oral topotecan in relation to treatment duration and dosage: a phase I study.
Anagnostopoulos, A; Antoniou, D; Ardavanis, A; Athanasiadis, A; Koutantos, J; Papadopoulos, G; Papakotoulas, P; Pectasides, D; Stathopoulos, GP; Trafalis, D; Vaslamatzis, M, 2010
)
1.19
"Oral topotecan plus BSC has advantages over BSC alone in terms of survival (hazard ratio = 0.61; 95% CI, 0.43 to 0.87) and quality of life (EQ-5 D difference: 0.15; 95% CI, 0.05 to 0.25)."( Systematic Review of topotecan (Hycamtin) in relapsed small cell lung cancer.
Bashir, Z; Gooch, CL; Kleijnen, J; Riemsma, R; Simons, JP, 2010
)
1.13
"Topotecan has single-agent activity in recurrent ovarian cancer. "( Advanced ovarian cancer: phase III randomized study of sequential cisplatin-topotecan and carboplatin-paclitaxel vs carboplatin-paclitaxel.
Brotto, L; Casado, A; Cervantes, A; Chen, D; D'Hondt, V; Eisenhauer, EA; Elit, L; Germa, JR; Ghatage, P; Grimshaw, R; Hoskins, P; Katsaros, D; Mendiola, C; Ojeda, B; Oza, A; Poveda, A; Provencher, D; Roy, M; Stuart, G; Sugimoto, A; Tu, D; Vergote, I; Zola, P, 2010
)
2.03
"Topotecan has recently been used as a second-line agent in treatment of advanced ovarian disease."( The role of topotecan as second-line therapy in patients with recurrent ovarian cancer.
Beshara, N; Faught, W; Fung Kee Fung, M, 2002
)
1.41
"Topotecan has demonstrated efficacy in the treatment of both platinum-sensitive and platinum-resistant recurrent ovarian cancer. "( Alternate dosing schedules for topotecan in the treatment of recurrent ovarian cancer.
Morris, R; Munkarah, A, 2002
)
2.04
"Topotecan has demonstrated exceptional central nervous system penetration as well as radiosensitizing properties in glioblastoma xenografts [Chastagner et al., Int J Radiat Oncol Biol Phy 50: 777-782, 2001]. "( Prolonged infusional topotecan and accelerated hyperfractionated 3d-conformal radiation in patients with newly diagnosed glioblastoma--a phase I study.
Anders, K; Feldmann, HJ; Fietkau, RJ; Grabenbauer, GG; Klautke, G; Krauseneck, P; Sauer, R; Staab, HJ; Weiser, S, 2002
)
2.08
"Oral topotecan therapy has antitumor activity in a small percentage of patients with relapsed or refractory neuroblastoma. "( Oral topotecan for refractory and relapsed neuroblastoma: a retrospective analysis.
Cheung, NK; Kramer, K; Kushner, BH, 2003
)
1.35
"Topotecan has also been studied in combinations: a combination of topotecan, administered using the standard 5-day schedule, with cisplatin was effective but was associated with myelosuppression."( Combination chemotherapy with topotecan for non-small cell lung cancer.
Dowlati, A; Levitan, N, 2003
)
1.33
"Topotecan has demonstrable activity in high-risk MDS and CMMoL. "( Phase II study of low-dose topotecan in myelodysplastic syndromes: a Hoosier Oncology Group (HOG) study.
Cripe, LD; Pennington, K; Stender, MJ; Stephens, A; Stoner, C; Vaena, DA; Walker, P; Yiannoutsos, CT; Young, C, 2004
)
2.06
"Topotecan has shown fewer side effects and higher efficacy when given as a continuous i.v."( Phase I/II trial of topotecan given as continuous infusion in combination with oxaliplatin in 5-FU-pretreated patients with colorectal cancer.
Deckert, PM; Hütter, G; Keilholz, U; Szélenyi, H; Thiel, E, 2004
)
1.37
"Topotecan has demonstrated antitumor activity in heavily pretreated patients with ovarian carcinoma. "( Topotecan in heavily pretreated patients with recurrent ovarian, peritoneal, and fallopian tube carcinoma.
Piura, B; Rabinovich, A,
)
3.02
"Topotecan has been emerged as a new promising anticancer drug for patients with ovarian cancer."( Topotecan in platinum-resistant epithelial ovarian cancer.
Akman, L; Dikmen, Y; Goker, E; Karabulut, B; Ozsaran, A; Sanli, UA; Sezgin, C; Terek, MC; Uslu, R, 2005
)
3.21
"Topotecan has demonstrated activity in ovarian carcinomas. "( Phase I study of high-dose topotecan with haematopoietic stem cell support in the treatment of ovarian carcinomas: the ITOV 01 protocol.
Cailliot, C; Dosquet, C; Fabbro, M; Genève, J; Gligorov, J; Goetschel, A; Gosse, B; Lefèvre, G; Lhommé, C; Lokiec, F; Lotz, JP; Micléa, JM; Pautier, P; Provent, S; Ribrag, V; Selle, F; Viens, P; Viret, F, 2006
)
2.07
"Topotecan has provided an efficacious and tolerable therapeutic option for patients with recurrent small-cell lung cancer, and the oral formulation has also been shown to be beneficial, even in elderly patients of poor performance status."( Topotecan for the treatment of small-cell lung cancer.
Nicum, SJ; O'Brien, ME, 2007
)
2.5
"Oral topotecan has been studied in the first- and second-line settings for both SCLC and non-small cell lung cancer (NSCLC)."( Recent advances with topotecan in the treatment of lung cancer.
Eckardt, J; O'Brien, M; Ramlau, R, 2007
)
1.11
"Topotecan has been shown in previous studies to be a specific inhibitor of topoisomerase I, a nuclear enzyme required for DNA replication and transcription."( Phase I clinical and pharmacology study of topotecan given daily for 5 consecutive days to patients with advanced solid tumors, with attempt at dose intensification using recombinant granulocyte colony-stimulating factor.
Barbosa, K; Niedzwiecki, D; Saltz, L; Sirott, M; Tao, Y; Tong, W; Trochanowski, B; Tzy-Jyun, Y; Wright, P; Young, C, 1993
)
1.99
"Topotecan has undergone phase I clinical evaluations in USA, europe, and recently in Japan."( [Topoisomerase inhibitors developing in Japan].
Furue, H, 1993
)
1.01
"Topotecan has shown significant preclinical activity in refractory murine tumors and in human tumor xenograft models."( Plasma and cerebrospinal fluid pharmacokinetic study of topotecan in nonhuman primates.
Balis, FM; Blaney, SM; Cole, DE; Godwin, K; Poplack, DG, 1993
)
1.25
"Topotecan has been administered in phase I trials in several infusion schedules ranging from 30 minutes to 21 days."( Clinical pharmacokinetics of topotecan.
Beijnen, JH; Herben, VM; ten Bokkel Huinink, WW, 1996
)
1.31
"Topotecan has limited activity in advanced head and neck cancer with this dose and schedule."( Evaluation of topotecan in patients with recurrent for metastatic squamous cell carcinoma of the head and neck. A phase II Southwest Oncology Group study.
Ensley, JF; Lew, D; Rodriguez, GI; Schuller, D; Smith, RE; Taylor, SA, 1996
)
1.38
"Topotecan has significant activity in SCLC, particularly in patients sensitive to prior chemotherapy, with predictable and manageable toxicity. "( Topotecan, a new active drug in the second-line treatment of small-cell lung cancer: a phase II study in patients with refractory and sensitive disease. The European Organization for Research and Treatment of Cancer Early Clinical Studies Group and New Dr
Ardizzoni, A; Dombernowsky, P; Gamucci, T; Giaccone, G; Hansen, H; Kaplan, S; Postmus, P; Schaefer, B; Verweij, J; Wanders, J, 1997
)
3.18
"Topotecan has efficacy at least equivalent to paclitaxel manifested by the higher response rate and significantly longer time to progression."( Topotecan versus paclitaxel for the treatment of recurrent epithelial ovarian cancer.
Bolis, G; Broom, C; Carmichael, J; Coleman, R; Davidson, N; Fields, SC; Gordon, A; Gore, M; Heron, JF; Hudson, I; Malfetano, J; Malmström, H; Scarabelli, C; Spanczynski, M; ten Bokkel Huinink, W, 1997
)
3.18
"Topotecan also has activity in other tumor types, including small-cell lung cancer, hematologic malignancies and pediatric neuroblastoma and rhabdomyosarcoma."( Clinical status and optimal use of topotecan.
Arbuck, SG; Takimoto, CH, 1997
)
1.3
"Topotecan has activity in refractory and relapsing multiple myeloma. "( Evaluation of topotecan in resistant and relapsing multiple myeloma: a Southwest Oncology Group study.
Alsina, M; Crowley, JJ; Kraut, EH; Laufman, LR; Salmon, SE; Taylor, SA; Wade, JL, 1998
)
2.1
"Topotecan has demonstrated significant single-agent activity in MDS and CMML with generally manageable side effects."( Topotecan in the treatment of hematologic malignancies.
Beran, M; Kantarjian, H, 1998
)
2.46
"Topotecan has been considered a promising agent for the adjuvant chemotherapy of human malignant glioma because of its novel mode of action, its activity against other solid tumors, and its good penetration across the blood-brain barrier. "( Topotecan-based combination chemotherapy for human malignant glioma.
Schabet, M; Schmidt, F; Schuster, M; Streffer, J; Weller, M,
)
3.02
"Topotecan has limited, single agent activity in advanced NSCLC when given as 1."( A randomized phase II trial of two schedules of topotecan for the treatment of advanced stage non-small cell lung cancer.
Bate, WW; Grill, JP; Hatfield, AK; Jett, JR; Knost, JA; Marschke, RF; Schaefer, PL; Sloan, JA; Weitz, JJ; Zenk, DW, 2000
)
1.28
"Topotecan has shown a strong anti-HIV effect, however, SmithKline Beecham is not interested in developing it for AIDS because of its toxicity. "( Topotecan now available for HIV, PML research.
, 1995
)
3.18
"Topotecan treatment has resulted in minimum success fighting ovarian cancer, however, its toxic effects are dangerous and powerful."( Topotecan and PML: the limits of pharmaceutical industry research.
Learned, J, 1996
)
2.46
"Topotecan has a positive influence on quality of life of patients with advanced colorectal cancer. "( [Evaluation of quality of life in patients with advanced colorectal cancer treated with topotecan].
Brodziak, A; Bucior, J; Danikiewicz, A; Foltyn, W; Jastrzebska-Okoń, K; Knopik, J; Nowakowska-Zajdel, E; Ziółko, E, 2001
)
1.98
"Topotecan has shown some clinical activity in UHCC using the 5 days every 3 weeks schedule but is limited by severe hematotoxicity."( Combination of topotecan and oxaliplatin in inoperable hepatocellular cancer patients.
Alexandre, J; Azoulay, D; Goldwasser, F; Gornet, JM; Gross-Goupil, M; Misset, JL; Romain, D; Tigaud, JM, 2002
)
1.39

Actions

ExcerptReferenceRelevance
"Topotecan may cause myelosuppression, which is noncumulative but tends to increase in direct correlation with the number of prior chemotherapy courses."( Optimal sequencing in the treatment of recurrent ovarian cancer.
Spriggs, D, 2003
)
1.04

Treatment

Topotecan, an approved treatment for refractory or recurrent ovarian cancer, has clinical limitations such as rapid clearance and hematologic toxicity. DNA damage response (DDR) was more prominently activated in SLFN11-deficient SCLC cell line H82 than in SL FN11-plentiful SCLc cell line DMS273.

ExcerptReferenceRelevance
"Topotecan treatment induced different patterns of the DNA response network in SCLC cells: DNA damage response (DDR) was more prominently activated in SLFN11-deficient SCLC cell line H82 than in SLFN11-plentiful SCLC cell line DMS273, whereas topotecan induced significant accumulation of p-Chk1, p-RPA2 and Rad51 in H82 cells, but not in DMS273 cells."( FK228 potentiates topotecan activity against small cell lung cancer cells via induction of SLFN11.
Cao, GZ; Hua, JH; Lin, WC; Lv, XT; Ma, LY; Yin, YP, 2022
)
1.78
"Topotecan and OL9-119 treatment elicited significantly fewer DEGs in WT cells and negligible DEGs in PARP1-KO cells."( Transcriptomic Analysis of CRISPR/Cas9-Mediated PARP1-Knockout Cells under the Influence of Topotecan and TDP1 Inhibitor.
Dyrkheeva, NS; Kabilov, MR; Khodyreva, SN; Lavrik, OI; Luzina, OA; Malakhova, AA; Medvedev, SP; Nushtaeva, AA; Okorokova, LS; Pavlova, SV; Salakhutdinov, NF; Shtokalo, DN; Tupikin, AE; Zakharenko, AL; Zakian, SM, 2023
)
1.85
"Topotecan, an approved treatment for refractory or recurrent ovarian cancer, has clinical limitations such as rapid clearance and hematologic toxicity. "( FF-10850, a Novel Liposomal Topotecan Achieves Superior Antitumor Activity via Macrophage- and Ammonia-Mediated Payload Release in the Tumor Microenvironment.
Kemmochi, S; Kimura, T; Makita-Suzuki, K; Matulonis, UA; Mori, M; Morohashi, Y; Nakayama, S; Okada, K; Shimoyama, S, 2023
)
2.65
"Topotecan-treated murine ovarian (MOSEC), colorectal (CT26), and lung (LLC) cancer cell lines displayed upregulated CDKN1A encoding p21 and downregulated Ezh2."( Identification of key genes and pathways associated with topotecan treatment using multiple bioinformatics tools.
Chao, Y; Hsu, KM; Huang, YH; Kang, YM; Lan, A; Lan, KL, 2020
)
1.52
"Topotecan-treated cells showed an impaired mammosphere formation capacity in vitro and reduced tumorigenicity in immunodeficient mice."( Topotecan-induced ABCG2 expression in MCF-7 cells is associated with decreased CD24 and EpCAM expression and a loss of tumorigenicity.
Bernhardt, G; Brockhoff, G; Buschauer, A; Huber, S; Wege, AK, 2015
)
2.58
"Two topotecan treatment schedules in patients with recurrent epithelial ovarian cancer were evaluated. "( Analysis of two topotecan treatment schedules in patients with recurrent ovarian cancer.
Ben-Harim, Z; Bruchim, I; Fishman, A; Haran, G; Piura, E, 2016
)
1.34
"Upon topotecan treatment WRN deficient cells showed enhanced DNA replication inhibition and S-phase arrest, whereas after treatment with etoposide they showed the same cell cycle response as the wild-type."( WRN protects against topo I but not topo II inhibitors by preventing DNA break formation.
Bohr, VA; Christmann, M; Gestrich, C; Kaina, B; Roos, WP; Tomicic, MT, 2008
)
0.8
"Topotecan treatment was given (i) before, (ii) after or (iii) simultaneously with [(131)I]MIBG."( Experimental treatment of neuroblastoma using [131I]meta-iodobenzylguanidine and topotecan in combination.
Babich, JW; Boyd, M; Gaze, MN; Mairs, RJ; McCluskey, AG; Pimlott, SL, 2008
)
1.29
"topotecan. Non-drug treatment costs accounted for an additional 1097 pounds for oral topotecan and 4289 pounds for i.v."( The clinical effectiveness and cost-effectiveness of topotecan for small cell lung cancer: a systematic review and economic evaluation.
Bird, A; Clegg, A; Harris, P; Hartwell, D; Jones, J; Loveman, E; Welch, K, 2010
)
1.33
"Topotecan treatment reduced GFP(+) cells about 10-fold and recruited progenitors by about 80-fold while providing a significant survival advantage that improved with greater treatment duration."( Convection-enhanced delivery of topotecan into a PDGF-driven model of glioblastoma prolongs survival and ablates both tumor-initiating cells and recruited glial progenitors.
Assanah, MC; Bruce, JN; Canoll, P; Gil, OD; Kangarlu, A; Linskey, K; Lopez, KA; Tannenbaum, AM; Yun, J, 2011
)
1.37
"Upon topotecan treatment, topo I was degraded in wild-type but not in p53-deficient cells."( Topotecan-triggered degradation of topoisomerase I is p53-dependent and impacts cell survival.
Christmann, M; Kaina, B; Tomicic, MT, 2005
)
2.23
"Topotecan treatment resulted in the formation of some ulcerative lesions in the lingual mucosa especially on the lower surface of the tongue."( Effects of topotecan treatment on nasal, buccal, and lingual mucosa in the rabbit: light and transmission electron microscopic evaluation.
Bayar Muluk, N; Cakar, AN; Kaymaz, FF, 2007
)
1.45
"Topotecan or 90Y-BrE3 treatment alone delayed overall tumor growth rate transiently but did not affect survival."( Radiosensitization of tumor-targeted radioimmunotherapy with prolonged topotecan infusion in human breast cancer xenografts.
Blank, E; Ceriani, R; Furmanski, P; Hochster, H; Kramer, E; Liebes, L; Ng, B; Wasserheit, C, 2001
)
1.27
"Topotecan treatment has resulted in minimum success fighting ovarian cancer, however, its toxic effects are dangerous and powerful."( Topotecan and PML: the limits of pharmaceutical industry research.
Learned, J, 1996
)
2.46
"Treatment with topotecan, etoposide and cisplatin caused significant changes in the expression patterns of OATP4A1, OATP5A1, OATP6A1, chromogranin and synaptophysin."( Specific expression of OATPs in primary small cell lung cancer (SCLC) cells as novel biomarkers for diagnosis and therapy.
Ausch, C; Bajna, E; Brenner, S; Buxhofer-Ausch, V; Hamilton, G; Jäger, W; Klameth, L; Reiner, A; Riha, J; Schölm, M; Thalhammer, T, 2015
)
0.76
"The treatment of Topotecan (TPT) on gastric cancer (GC) is limited by its toxicity and the potential drug resistance."( Synergistic combination of DT-13 and topotecan inhibits human gastric cancer via myosin IIA-induced endocytosis of EGF receptor in vitro and in vivo.
Du, HZ; Feng, SY; Li, RM; Lin, S; Luo, XJ; Qian, CM; Sun, L; Yu, BY; Yu, XW; Yuan, ST; Zhang, LY; Zhao, RP, 2016
)
1.04
"The treatment was topotecan (oral or intravenous, i.v.) compared with one another, best supportive care (BSC) or other chemotherapy regimens."( The clinical effectiveness and cost-effectiveness of topotecan for small cell lung cancer: a systematic review and economic evaluation.
Bird, A; Clegg, A; Harris, P; Hartwell, D; Jones, J; Loveman, E; Welch, K, 2010
)
0.93
"Treatment with topotecan was initiated when the tumors reached a volume between 50 and 80 mm(3)."( Successful therapy of subcutaneously growing human hepatoblastoma xenografts with topotecan.
Fuchs, J; Gratz, KF; Mildenberger, H; von Schweinitz, D; Warmann, SW; Wilkens, L, 2001
)
0.88

Toxicity

The objective of this study was to monitor and identify adverse events (AEs) associated with topotecan, a medication used for the treatment of solid tumors. Four weekly intravitreal injections up to 50 μg in the animal model were not toxic for the rabbit eye.

ExcerptReferenceRelevance
" Potentiation of cytotoxicity was obtained at concentrations of NU1025 and NU1085 that were not toxic per se; however, NU1085 alone was 3-fold more cytotoxic (LC50 values ranged from 83 to 94 microM) than NU1025 alone (LC50 > 900 microM)."( Potentiation of temozolomide and topotecan growth inhibition and cytotoxicity by novel poly(adenosine diphosphoribose) polymerase inhibitors in a panel of human tumor cell lines.
Calvert, AH; Curtin, NJ; Delaney, CA; Durkacz, BW; Hostomsky, Z; Kyle, S; Newell, DR; Wang, LZ; White, AW, 2000
)
0.59
" Hematologic toxicity has been the predominant side effect associated with its use."( Nursing considerations for managing topotecan-related hematologic side effects.
Anastasia, PJ,
)
0.41
" 9-aminocamptothecin glucuronide was 25-60 times less toxic than 9-aminocamptothecin to five human cancer cell lines."( Anti-tumour activity and toxicity of the new prodrug 9-aminocamptothecin glucuronide (9ACG) in mice.
Chen, BM; Chern, JW; Leu, YL; Prijovich, ZM; Roffler, SR, 2002
)
0.31
" Moreover, toxicity is observed earlier than the therapeutic effect, so, toxic effects represent a major endpoint for pharmacodynamic studies of cytotoxic drugs."( Toxicity patterns of cytotoxic drugs.
Canal, P; Chatelut, E; Delord, JP, 2003
)
0.32
" Hematologic adverse events were significant, with 16 of 22 patients developing grade IV neutropenia; however, there were no septic deaths."( Topotecan in patients with advanced neuroendocrine tumors: a phase II study with significant hematologic toxicity.
Ansell, SM; Green, EM; Mahoney, MR; Rubin, J, 2004
)
1.77
" The most frequent non-haematological adverse experiences of all grades per patient were nausea (T/C: 43."( A randomised phase II study of the efficacy and safety of intravenous topotecan in combination with either cisplatin or etoposide in patients with untreated extensive disease small-cell lung cancer.
Breton, JL; Cardenal, F; Gervais, R; Lymboura, M; Mattson, K; Preston, A; Quoix, E; Ross, G; Schramel, F; Wilson, J, 2005
)
0.56
"To compare the therapeutic and toxic profile of topotecan given intraperitoneally with intravenously in human ovarian cancer xenografted into athymic nude mice."( Comparison of efficacy and toxicity profile between intraperitoneal and intravenous topotecan in human ovarian cancer xenografts.
Fan, SM; Feng, YJ; Yao, M; Yi, XF, 2006
)
0.81
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."( Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004
)
0.32
" Many patients with recurrent cancer may be predisposed to treatment-related adverse events because of advanced age, renal impairment or extensive prior therapy."( Safety of topotecan in the treatment of recurrent small-cell lung cancer and ovarian cancer.
Garst, J, 2007
)
0.74
"To evaluate the therapeutic and adverse effects of topotecan combined with cisplatin in the treatment of advanced squamous cell lung cancer and head and neck cancer."( [Therapeutic and adverse effects of topotecan combined with cisplatin for treatment of advanced squamous cell lung cancer and head and neck cancer].
Li, QY; Shao, JH; Xiang, Y; Yang, JZ, 2008
)
0.87
" The major adverse effects were bone marrow suppression and alopecia."( [Therapeutic and adverse effects of topotecan combined with cisplatin for treatment of advanced squamous cell lung cancer and head and neck cancer].
Li, QY; Shao, JH; Xiang, Y; Yang, JZ, 2008
)
0.62
"Topotecan combined with cisplatin may achieve a favorable response in patients with advanced squamous cell lung cancer and head and neck cancer, and causes tolerable adverse effect without accumulative toxicity."( [Therapeutic and adverse effects of topotecan combined with cisplatin for treatment of advanced squamous cell lung cancer and head and neck cancer].
Li, QY; Shao, JH; Xiang, Y; Yang, JZ, 2008
)
2.06
" Nine significant adverse events (all hematologic) were topotecan related."( A phase I study to characterize the safety, tolerability, and pharmacokinetics of topotecan at 4 mg/m2 administered weekly as a 30-minute intravenous infusion in patients with cancer.
Borad, MJ; Curtis, KK; Fitch, TR; Griffin, PP; Hartney, JT; Jewell, RC; Lebowitz, PF; Northfelt, DW; Park, JW, 2010
)
0.83
" The aim of this trial was to define the daily dose and treatment duration, which permits safe toxicity."( Myelotoxicity of oral topotecan in relation to treatment duration and dosage: a phase I study.
Anagnostopoulos, A; Antoniou, D; Ardavanis, A; Athanasiadis, A; Koutantos, J; Papadopoulos, G; Papakotoulas, P; Pectasides, D; Stathopoulos, GP; Trafalis, D; Vaslamatzis, M, 2010
)
0.68
" The most common adverse events (AEs) included fatigue and gastrointestinal events."( Safety and tolerability of the poly(ADP-ribose) polymerase (PARP) inhibitor, olaparib (AZD2281) in combination with topotecan for the treatment of patients with advanced solid tumors: a phase I study.
Carmichael, J; Cassidy, J; Macpherson, E; Ranson, M; Samol, J; Scott, E; Thomas, A, 2012
)
0.59
"The aim of this study was to determine the dose of weekly oral topotecan that allows safe administration and to evaluate the pharmacokinetics of this dose in patients with recurrent gynecologic malignancies."( Toxicity of weekly oral topotecan in relation to dosage for gynecologic malignancies: a phase I study.
DeBernardo, RL; Eaton, SM; Frasure, HE; Fusco, NL; Heugel, AM; Smith, DA; von Gruenigen, VE; Waggoner, SE, 2012
)
0.93
" The worst reported adverse events (AEs) were grade 1/2 in 11 (22%) patients and grade 3/4/5 in 39 (78%) patients."( Efficacy and safety of oral topotecan and bevacizumab combination as second-line treatment for relapsed small-cell lung cancer: an open-label multicenter single-arm phase II study.
Bhatt, K; Lane, S; Legenne, P; Spigel, DR; Waterhouse, DM, 2013
)
0.68
" The two-year event-free survival after complete remission was recorded and the chemotherapy-related toxicities were evaluated according to the Common Terminology Criteria for Adverse Events of the National Cancer Institute."( Topotecan plus cyclophosphamide as maintenance chemotherapy for children with high-risk neuroblastoma in complete remission: short-term curative effects and toxicity.
Feng, C; Liu, Y; Tang, S; Wang, J; Yang, G, 2013
)
1.83
"Topotecan plus cyclophosphamide for maintenance chemotherapy can be effective and relative safe for stage IV neuroblastoma in complete remission, thus giving a chance to those patients who choose not to have stem cell transplantation."( Topotecan plus cyclophosphamide as maintenance chemotherapy for children with high-risk neuroblastoma in complete remission: short-term curative effects and toxicity.
Feng, C; Liu, Y; Tang, S; Wang, J; Yang, G, 2013
)
3.28
" The most common adverse events with grade 3 or 4 were neutropenia in 13 patients (56."( Safety of topotecan monotherapy for relapsed small cell lung cancer patients with pre-existing interstitial lung disease.
Enomoto, Y; Hasegawa, H; Imokawa, S; Inui, N; Karayama, M; Matsui, T; Ozawa, Y; Suda, T; Yokomura, K, 2015
)
0.82
" We, therefore, investigated the cellular toxic effects of melphalan, topotecan and carboplatin on the RPE in a cell culture model."( Toxic effects of melphalan, topotecan and carboplatin on retinal pigment epithelial cells.
Aisenbrey, S; Hagemann, U; Januschowski, K; Schnichels, S; Schrader, M; Süsskind, D, 2016
)
0.96
"Morphological monitoring and toxicity assays indicate a direct toxic effect of melphalan and the other two cytostatic drugs on ARPE19 cells."( Toxic effects of melphalan, topotecan and carboplatin on retinal pigment epithelial cells.
Aisenbrey, S; Hagemann, U; Januschowski, K; Schnichels, S; Schrader, M; Süsskind, D, 2016
)
0.73
" In both cohorts, disease progression was the most common primary reason for discontinuing pertuzumab, and the most common all-grade adverse events (AEs) were fatigue/asthenia, anemia, and diarrhea."( Pertuzumab Plus Chemotherapy for Platinum-Resistant Ovarian Cancer: Safety Run-in Results of the PENELOPE Trial.
Bastiere-Truchot, L; Berton-Rigaud, D; Colombo, N; Del Campo, JM; du Bois, A; Gadducci, A; García, Y; González-Martín, A; Kiermaier, A; Kurzeder, C; Mahner, S; Marmé, F; Martin, N; Ortega, E; Ottevanger, P; Pautier, P; Rau, J; Selle, F, 2016
)
0.43
" However, there was no excess of other adverse events of specific interest for bevacizumab, including venous thromboembolic events, in older patients."( Safety and efficacy of single-agent bevacizumab-containing therapy in elderly patients with platinum-resistant recurrent ovarian cancer: Subgroup analysis of the randomised phase III AURELIA trial.
Coeffic, D; García, Y; Gebski, V; Gibbs, E; González-Martín, A; Hilpert, F; Huizing, M; Kaern, J; Kristensen, G; Lee, CK; Levaché, CB; Lück, HJ; Pujade-Lauraine, E; Roemer-Becuwe, C; Sorio, R; Witteveen, P; Zagouri, F, 2017
)
0.46
"A monocentric comparative before/after study was carried out in an oncology day hospital to evaluate the efficacy of Safe Infusion Devices in reducing drug exposure compared to usual infusion practices."( Evaluation of a safe infusion device on reducing occupational exposure of nurses to antineoplastic drugs: a comparative prospective study. Contamoins-1.
Blanc, E; Bouleftour, W; Forges, F; Guitton, J; Hugues, M; Macé, A; Macron, C; Menguy, S; Raymond, B; Simoëns, X; Tinquaut, F, 2021
)
0.62
"3% of contaminated samples while Safe Infusion Devices to a rate of 15%: Safe Infusion Devices reduced the risk of gloves contamination by 85% in multivariate analysis (Odds ratio = 0."( Evaluation of a safe infusion device on reducing occupational exposure of nurses to antineoplastic drugs: a comparative prospective study. Contamoins-1.
Blanc, E; Bouleftour, W; Forges, F; Guitton, J; Hugues, M; Macé, A; Macron, C; Menguy, S; Raymond, B; Simoëns, X; Tinquaut, F, 2021
)
0.62
"Despite the current practice of using neutral solvent-purged infusers, the occupational exposure remains high for nurses and Safe Infusion Devices significantly reduced this risk of exposure."( Evaluation of a safe infusion device on reducing occupational exposure of nurses to antineoplastic drugs: a comparative prospective study. Contamoins-1.
Blanc, E; Bouleftour, W; Forges, F; Guitton, J; Hugues, M; Macé, A; Macron, C; Menguy, S; Raymond, B; Simoëns, X; Tinquaut, F, 2021
)
0.62
" Four weekly intravitreal injections of topotecan up to 50 μg in the animal model or a 100 μg human equivalent dose were not toxic for the rabbit eye."( Ocular and systemic toxicity of high-dose intravitreal topotecan in rabbits: Implications for retinoblastoma treatment.
Abramson, DH; Cancela, B; Chantada, G; Clausse, M; Del Río, M; Del Sole, MJ; Francis, JH; Lamas, G; Lubieniecki, F; Nejamkin, P; Schaiquevich, P, 2022
)
1.24
"The objective of this study was to monitor and identify adverse events (AEs) associated with topotecan, a medication used for the treatment of solid tumors, in order to improve patient safety and guide medication usage."( A real-world data analysis of topotecan in the FDA Adverse Event Reporting System (FAERS) database.
Chen, M; Cui, W; Wan, Z; Yang, H; Zhang, X; Zhao, B, 2023
)
1.42
" Among these reports, 1,896 were identified as primary suspected (PS) AEs related to topotecan, and 155 topotecan-related adverse drug reactions (ADRs) at the preferred terms (PTs) level were selected."( A real-world data analysis of topotecan in the FDA Adverse Event Reporting System (FAERS) database.
Chen, M; Cui, W; Wan, Z; Yang, H; Zhang, X; Zhao, B, 2023
)
1.42
"This study identified new and unexpected signals of adverse drug reactions (ADRs) related to topotecan, providing valuable insights into the relationship between ADRs and topotecan usage."( A real-world data analysis of topotecan in the FDA Adverse Event Reporting System (FAERS) database.
Chen, M; Cui, W; Wan, Z; Yang, H; Zhang, X; Zhao, B, 2023
)
1.42

Pharmacokinetics

Topotecan (the active lactone) had a short half-life in plasma. A population pharmacokinetic model has been developed that incorporates measures of body size and renal function to predict total clearance.

ExcerptReferenceRelevance
" The plasma concentration-time curves were not compatible with standard linear pharmacokinetic models, and indications were found for the occurrence of nonlinear (saturation) kinetics at the dosages studied."( Phase I clinical and pharmacokinetic study of topotecan administered by a 24-hour continuous infusion.
Beijnen, JH; Davies, BE; Koier, I; Maes, RA; Rodenhuis, S; Rosing, H; ten Bokkel Huinink, WW; van Warmerdam, LJ, 1995
)
0.55
" We performed a pharmacokinetic study as part of a phase I study in patients with various types of solid tumors, where topotecan was administered in a 30-min infusion daily on 5 consecutive days every 3 weeks."( Pharmacokinetics and pharmacodynamics of topotecan administered daily for 5 days every 3 weeks.
Beijnen, JH; Davies, BE; de Boer-Dennert, M; Maes, RA; Rosing, H; Schellens, JH; van Warmerdam, LJ; Verweij, J, 1995
)
0.77
"To determine the feasibility of escalating the hydrophilic topoisomerase I (topo I)-inhibitor topotecan (TPT) above myelosuppressive doses in adults with refractory or relapsed acute leukemias and to assess pharmacodynamic determinants of TPT action."( Phase I and pharmacodynamic study of the topoisomerase I-inhibitor topotecan in patients with refractory acute leukemia.
Adjei, A; Burke, PJ; Cheng, YC; Donehower, RC; Gore, SD; Grochow, LB; Jones, RJ; Kaufmann, SH; Rowinsky, EK, 1994
)
0.74
" Early human studies showed that topotecan (the active lactone) had a short half-life in plasma."( Phase I/pharmacokinetic study of topotecan by 24-hour continuous infusion weekly.
Brennan, JM; Haas, NB; Hudes, GR; LaCreta, FP; O'Dwyer, PJ; Ozols, RF; Walczak, J, 1994
)
0.85
" In all cases, considerable effort has gone into detailed pharmacokinetic studies conducted before and during the clinical phase I studies."( Pharmacokinetics and early clinical studies of selected new drugs.
Cassidy, J; Graham, MA; Jodrell, D; Kaye, SB; Workman, P, 1993
)
0.29
"The models were developed and validated using 34 pharmacokinetic curves in 19 patients who participated in a phase I study."( Limited sampling models for topotecan pharmacokinetics.
Beijnen, JH; Maes, RA; Rosing, H; Schellens, JH; van Warmerdam, LJ; Verweij, J, 1994
)
0.58
" Half-life values could not be predicted with acceptable precision and accuracy."( Limited sampling models for topotecan pharmacokinetics.
Beijnen, JH; Maes, RA; Rosing, H; Schellens, JH; van Warmerdam, LJ; Verweij, J, 1994
)
0.58
" This study was undertaken to better define the pharmacokinetic behavior of this highly unstable compound in both plasma and cerebrospinal fluid (CSF) and to measure the degree of CSF penetration of this novel antineoplastic agent."( Plasma and cerebrospinal fluid pharmacokinetic study of topotecan in nonhuman primates.
Balis, FM; Blaney, SM; Cole, DE; Godwin, K; Poplack, DG, 1993
)
0.53
" A phase I and pharmacokinetic study was performed to determine the maximum tolerated dose (MTD) and dose-limiting toxicities, the incidence and severity of other toxicities, and the pharmacokinetics of topotecan in children."( Pediatric phase I trial and pharmacokinetic study of topotecan administered as a 24-hour continuous infusion.
Ames, MM; Balis, FM; Blaney, SM; Cole, DE; Craig, C; Hammond, D; Krailo, M; Poplack, DG; Reaman, G; Reid, JM, 1993
)
0.72
"The purpose of this study was to describe the cerebrospinal fluid (CSF) penetration of topotecan in humans, to generate a pharmacokinetic model to simultaneously describe topotecan lactone and total concentrations in the plasma and CSF, and to characterize the CSF and plasma pharmacokinetics of topotecan administered as a continuous infusion (CI)."( Cerebrospinal fluid pharmacokinetics and penetration of continuous infusion topotecan in children with central nervous system tumors.
Baker, SD; Crom, WR; Gajjar, A; Heideman, RL; Kuttesch, JF; Stewart, CF, 1996
)
0.75
" However, despite the large interpatient pharmacokinetic variability, the importance of regular drug monitoring on this schedule can be questioned, as the pharmacodynamic variability was relatively small."( Pharmacokinetics and pharmacodynamics of topotecan given on a daily-times-five schedule in phase II clinical trials using a limited-sampling procedure.
Beijnen, JH; Creemers, GJ; Davies, BE; de Boer-Dennert, M; Maes, RA; Rodenhuis, S; Rosing, H; Schellens, JH; ten Bokkel Huinink, WW; van Warmerdam, LJ; Verweij, J, 1996
)
0.56
" The mean total body clearance of the lactone form is 30 L/h/m2, with a mean elimination half-life (t1/2 beta) of 3 hours; renal clearance accounts for approximately 40% of the administered dose with a large interindividual variability."( Clinical pharmacokinetics of topotecan.
Beijnen, JH; Herben, VM; ten Bokkel Huinink, WW, 1996
)
0.59
" Pharmacokinetic studies were performed during the first infusion course."( Phase I trial and pharmacokinetic (PK) and pharmacodynamics (PD) study of topotecan using a five-day course in children with refractory solid tumors: a pediatric oncology group study.
Bell, B; Dryer, ZA; Grier, H; Kurtzberg, J; Pratt, CB; Santana, VM; Stewart, CF; Tubergen, DG; Vietti, TJ; Winick, N; Zamboni, WC, 1996
)
0.52
" Using a limited sampling model, pharmacokinetic studies were performed in 36 of the 40 patients."( Phase I trial and pharmacokinetic (PK) and pharmacodynamics (PD) study of topotecan using a five-day course in children with refractory solid tumors: a pediatric oncology group study.
Bell, B; Dryer, ZA; Grier, H; Kurtzberg, J; Pratt, CB; Santana, VM; Stewart, CF; Tubergen, DG; Vietti, TJ; Winick, N; Zamboni, WC, 1996
)
0.52
" The study also sought to identify pharmacodynamic (PD) determinants of both activity and toxicity."( High-dose topotecan with granulocyte-colony stimulating factor in fluoropyrimidine-refractory colorectal cancer: a phase II and pharmacodynamic study.
Baker, SD; Burks, K; Donehower, RC; Grochow, LB; O'Reilly, S; Rowinsky, EK, 1998
)
0.7
" Plasma sampling with performed during course 1 to characterize the pharmacokinetic (PK) and PD behavior of TPT."( High-dose topotecan with granulocyte-colony stimulating factor in fluoropyrimidine-refractory colorectal cancer: a phase II and pharmacodynamic study.
Baker, SD; Burks, K; Donehower, RC; Grochow, LB; O'Reilly, S; Rowinsky, EK, 1998
)
0.7
" A secondary objective was to measure the effect of prolonged topotecan infusion on topo-1 levels in peripheral blood mononuclear cells (PBMCs) as a pharmacodynamic end point."( Effect of prolonged topotecan infusion on topoisomerase 1 levels: a phase I and pharmacodynamic study.
Blum, RH; Chachoua, A; Hochster, H; Liebes, L; Oratz, R; Sorich, J; Speyer, J; Taubes, B; Wernz, J; Zeleniuch-Jacquotte, A, 1997
)
0.86
" Pharmacokinetic analyses were performed at the recommended phase II dose."( Phase I and pharmacokinetic study of intraperitoneal topotecan.
Braly, PS; Christen, RD; Freddo, JL; Heath, D; Howell, SB; McClay, E; O'Quigley, J; Plaxe, SC, 1998
)
0.55
" Pharmacokinetic analysis was performed in 55 patients using a validated high-performance liquid chromatographic assay and noncompartmental pharmacokinetic methods."( A comparison of clinical pharmacodynamics of different administration schedules of oral topotecan (Hycamtin)
Burris, H; Eckardt, JR; Gerrits, CJ; Hudson, I; Loos, WJ; Planting, AS; Rodriguez, GI; Schellens, JH; van Beurden, V; van der Burg, ME; Verweij, J; Von Hoff, DD, 1999
)
0.53
" Weekly blood levels of topotecan and topoisomerase-1 (topo-1) levels in peripheral-blood mononuclear cells (PBMCs) were determined for pharmacodynamic correlation."( Activity and pharmacodynamics of 21-Day topotecan infusion in patients with ovarian cancer previously treated with platinum-based chemotherapy. New York Gynecologic Oncology Group.
Cohen, H; Hochster, H; Liebes, L; Runowicz, C; Sorich, J; Speyer, J; Taubes, B; Wadler, S; Wallach, R, 1999
)
0.88
" Pharmacodynamic analysis demonstrated a statistically significant decrease in free PBMC topo-1 level at weeks 2 and 3 of drug administration."( Activity and pharmacodynamics of 21-Day topotecan infusion in patients with ovarian cancer previously treated with platinum-based chemotherapy. New York Gynecologic Oncology Group.
Cohen, H; Hochster, H; Liebes, L; Runowicz, C; Sorich, J; Speyer, J; Taubes, B; Wadler, S; Wallach, R, 1999
)
0.57
" Pharmacodynamic studies demonstrate correlations between (1) the week of infusion and the PBMC topo-1 level, (2) the AUC of topotecan and the decrease in topo-1 levels, and (3) the change in topo-1 level and the neutrophil nadir."( Activity and pharmacodynamics of 21-Day topotecan infusion in patients with ovarian cancer previously treated with platinum-based chemotherapy. New York Gynecologic Oncology Group.
Cohen, H; Hochster, H; Liebes, L; Runowicz, C; Sorich, J; Speyer, J; Taubes, B; Wadler, S; Wallach, R, 1999
)
0.78
" The population pharmacokinetic model was built in sequential manner, starting with a covariate-free model and progressing to a covariate model with the aid of generalized additive modeling."( Population pharmacokinetic model for topotecan derived from phase I clinical trials.
Baker, SD; Gallo, JM; Grochow, LB; Laub, PB; Rowinsky, EK, 2000
)
0.58
" Four primary pharmacokinetic parameters (total clearance, volume of the central compartment, distributional clearance, and volume of the peripheral compartment) were related to various combinations of covariates."( Population pharmacokinetic model for topotecan derived from phase I clinical trials.
Baker, SD; Gallo, JM; Grochow, LB; Laub, PB; Rowinsky, EK, 2000
)
0.58
"A population pharmacokinetic model for total topotecan has been developed that incorporates measures of body size and renal function to predict total clearance."( Population pharmacokinetic model for topotecan derived from phase I clinical trials.
Baker, SD; Gallo, JM; Grochow, LB; Laub, PB; Rowinsky, EK, 2000
)
0.84
"The current practice for the dose calculation of most anticancer agents is based on body surface area in m2, although lower interpatient variation in pharmacokinetic parameters has been reported with pharmacokinetically guided administration."( Pharmacokinetically guided administration of chemotherapeutic agents.
Beijnen, JH; Mathôt, RA; Schellens, JH; van den Bongard, HJ, 2000
)
0.31
"The inter- and intraindividual variabilities in topotecan clearance (CL) were explored using a population pharmacokinetic approach."( Population pharmacokinetics of topotecan: intraindividual variability in total drug.
Albin, N; Boucaud, M; Bugat, R; Canal, P; Chatelut, E; Culine, S; Déporte-Féty, R; Goupil, A; Laguerre, B; Lokiec, F; Montazeri, A; Pinguet, F, 2000
)
0.85
"Gender-dependent differences in the clinical pharmacokinetic behavior of various drugs have been documented previously."( Gender-dependent pharmacokinetics of topotecan in adult patients.
Brouwer, E; de Jonge, MJ; Gelderblom, HJ; Loos, WJ; Sparreboom, A; Verweij, J, 2000
)
0.58
"4 is an appropriate drug carrier for T-0128 regarding plasma half-life and passive tumor targeting."( Carrier and dose effects on the pharmacokinetics of T-0128, a camptothecin analogue-carboxymethyl dextran conjugate, in non-tumor- and tumor-bearing rats.
Harada, M; Murata, J; Okuno, S; Sakakibara, H; Sakamura, Y; Suzuki, T, 2001
)
0.31
" A pharmacokinetic study was conducted to identify parameters related to the efficacy and toxicity of topotecan in our model."( Schedule-dependent activity of topotecan in OVCAR-3 ovarian carcinoma xenograft: pharmacokinetic and pharmacodynamic evaluation.
Bugat, R; Canal, P; Chatelut, E; Guichard, S; Hennebelle, I; Montazeri, A, 2001
)
0.81
" During the first and the second courses of treatment, each patient underwent pharmacokinetic evaluation."( Salivary and plasma pharmacokinetics of topotecan in patients with metastatic epithelial ovarian cancer.
Astre, C; Boucaud, M; Bressolle, F; Culine, S; Cupissol, D; Pinguet, F; Poujol, S; Romieu, G, 2001
)
0.58
"Fifteen patients with recurrent ovarian cancer in a phase I trial were treated with escalating IP topotecan doses (5-30 mg/m(2)) for pharmacokinetic analysis."( A phase I and pharmacokinetic study of intraperitoneal topotecan.
Aalders, JG; Beijnen, JH; Bos, AM; de Vries, EG; Hofstra, LS; Mulder, NH; Rosing, H; van der Zee, AG; Willemse, PH, 2001
)
0.78
" A large intra-individual pharmacokinetic of topotecan between cycles 1 and 2 was also observed."( No evidence that amifostine influences the plasma pharmacokinetics of topotecan in ovarian cancer patients.
Malmström, H; Peterson, C; Zackrisson, AL, 2002
)
0.81
"We designed a pharmacokinetic and pharmacodynamic phase I study of sequential topotecan (2."( A phase I and pharmacodynamic study of sequential topotecan and etoposide in patients with relapsed or refractory acute myelogenous and lymphoblastic leukemia.
Berger, SJ; Cooper, BW; Donaher, E; Gerson, SL; Gosky, DM; Green, SB; Hoppel, CL; Ingalls, ST; Lazarus, HM; Li, X; Rosenthal, NS, 2003
)
0.8
" With the pharmacokinetic targeting approach, we observed that 78% (46 of 59) of the measured AUC values were within the target range."( A pilot study of protracted topotecan dosing using a pharmacokinetically guided dosing approach in children with solid tumors.
Gajjar, A; Houghton, PJ; Kirstein, MN; Liu, T; Santana, VM; Stewart, CF; Tan, M; Zamboni, WC, 2003
)
0.61
"Protracted topotecan dosing using a pharmacokinetic strategy was possible in this heavily pretreated group of children."( A pilot study of protracted topotecan dosing using a pharmacokinetically guided dosing approach in children with solid tumors.
Gajjar, A; Houghton, PJ; Kirstein, MN; Liu, T; Santana, VM; Stewart, CF; Tan, M; Zamboni, WC, 2003
)
1
" Topotecan pharmacokinetic analysis was performed in whole blood, plasma and RBCs."( Red blood cells: a neglected compartment in topotecan pharmacokinetic analysis.
Gelderblom, H; Loos, WJ; Nooter, K; Sparreboom, A; Stoter, G; van Boven-van Zomeren, DM; Verweij, J, 2003
)
1.49
" The timing of the drug sequence was based on the prior Phase I pharmacokinetic and pharmacodynamic studies of camptothecin and etoposide, and the level of the TOP targets in peripheral blood monocytes."( Sequencing topotecan and etoposide plus cisplatin to overcome topoisomerase I and II resistance: a pharmacodynamically based Phase I trial.
Aisner, J; Beers, S; Locsin, S; Musanti, R; Rubin, EH; Smith, S, 2003
)
0.71
" In conclusion, a population pharmacokinetic model for topotecan has been developed that incorporates measures of renal function and PS to predict CL."( Factors affecting pharmacokinetic variability of oral topotecan: a population analysis.
Bugat, R; Chatelut, E; Fourcade, J; Goffinet, M; Léger, F; Loos, WJ; Mathijssen, RH; Sparreboom, A; Verweij, J, 2004
)
0.82
" Pharmacokinetic studies were conducted on day 1 to attain a topotecan lactone area under the plasma concentration-time curve (AUC) of 120 to 160 ng/mL."( Results of a phase II upfront window of pharmacokinetically guided topotecan in high-risk medulloblastoma and supratentorial primitive neuroectodermal tumor.
Ashley, D; Chintagumpala, M; Fouladi, M; Gajjar, A; Houghton, PJ; Iacono, LC; Kellie, SJ; Kirstein, MN; Seele, LG; Stewart, CF; Wallace, D; Zamboni, WC, 2004
)
0.8
" The desired CSF topotecan exposure was achieved in seven of eight pharmacokinetic studies when the topotecan plasma AUC was within target range."( Results of a phase II upfront window of pharmacokinetically guided topotecan in high-risk medulloblastoma and supratentorial primitive neuroectodermal tumor.
Ashley, D; Chintagumpala, M; Fouladi, M; Gajjar, A; Houghton, PJ; Iacono, LC; Kellie, SJ; Kirstein, MN; Seele, LG; Stewart, CF; Wallace, D; Zamboni, WC, 2004
)
0.9
"Fludarabine, carboplatin, topotecan regimen is a promising treatment based on potential pharmacodynamic interactions, which merits additional study in poor prognosis, acute leukemia patients."( A phase I and pharmacodynamic study of fludarabine, carboplatin, and topotecan in patients with relapsed, refractory, or high-risk acute leukemia.
Cooper, BW; Creger, RJ; Gerson, SL; Gosky, D; Hoppel, CL; Ingalls, ST; Koc, ON; Lazarus, HM; Meyerson, HJ; Nowell, GM; Pearson, G; Radivoyevitch, T; Tilby, MJ; Veal, GJ, 2004
)
0.86
" To that end, a novel method, based on physiologically based hybrid pharmacokinetic models, is presented to predict human tumor drug concentrations."( Pharmacokinetic model-predicted anticancer drug concentrations in human tumors.
Bookman, MA; Gallo, JM; Guo, P; Li, S; Ma, J; Orlansky, A; Pulfer, S; Vicini, P; Zhou, F, 2004
)
0.32
" The objective of the present study was to evaluate the potential for in vivo pharmacokinetic interactions by comparing the pharmacokinetics of topotecan (a model BCRP substrate) after oral administration of 2 mg/kg topotecan with and without different doses of the flavonoids chrysin or 7,8-benzoflavone (BF) in rats and mdr1a/1b (-/-) mice."( Flavonoids chrysin and benzoflavone, potent breast cancer resistance protein inhibitors, have no significant effect on topotecan pharmacokinetics in rats or mdr1a/1b (-/-) mice.
Morris, ME; Sagawa, K; Wang, X; Zhang, S, 2005
)
0.74
" Topotecan plasma concentrations versus time were analyzed using a nonlinear mixed effect model according to a two-compartment pharmacokinetic model and a first-order conditional estimation method."( Serum cystatin C is a better marker of topotecan clearance than serum creatinine.
Canal, P; Chatelut, E; Delord, JP; Hoppe, A; Malard, L; Séronie-Vivien, S; Thomas, F, 2005
)
1.51
"To develop and validate a pharmacokinetic limited sampling model (LSM) for intravenous and oral topotecan pharmacokinetic studies in children."( Development and validation of limited sampling models for topotecan lactone pharmacokinetic studies in children.
Daw, NC; Gajjar, A; Iacono, LC; Panetta, JC; Santana, VM; Stewart, CF; Turner, PK, 2006
)
0.8
" Pharmacokinetic parameter estimates did not differ between the once a day and twice a day dosing groups."( Pharmacokinetics, pharmacodynamics and adherence to oral topotecan in myelodysplastic syndromes: a Cancer and Leukemia Group B study.
Grinblatt, DL; Hollis, D; Kastrissios, H; Klein, CE; Larson, RA; Miller, AA; Ratain, MJ; Rosner, GL; Yu, D, 2006
)
0.58
" The optimal schedule cannot be determined from this study, as there was no evident relationship between any pharmacokinetic parameter and clinical response."( Pharmacokinetics, pharmacodynamics and adherence to oral topotecan in myelodysplastic syndromes: a Cancer and Leukemia Group B study.
Grinblatt, DL; Hollis, D; Kastrissios, H; Klein, CE; Larson, RA; Miller, AA; Ratain, MJ; Rosner, GL; Yu, D, 2006
)
0.58
"The purpose of this study was to estimate ventricular cerebrospinal fluid (vCSF) topotecan lactone (TPT) exposures in pediatric medulloblastoma patients from plasma concentration-time data by using a pharmacokinetic (PK) model."( Using plasma topotecan pharmacokinetics to estimate topotecan exposure in cerebrospinal fluid of children with medulloblastoma.
Freeman, BB; Gajjar, A; Iacono, LC; Panetta, JC; Stewart, CF, 2006
)
0.93
" The aim of this study was to evaluate qualitatively and quantitatively the influence of patient-specific characteristics on the neutrophil concentration-time course, to identify patient subgroups, and to compare covariates on system-related pharmacodynamic variable between drugs."( Population pharmacokinetic-pharmacodynamic model for neutropenia with patient subgroup identification: comparison across anticancer drugs.
Chatelut, E; Henningsson, A; Karlsson, MO; Kloft, C; Wallin, J, 2006
)
0.33
", age) had minor (clinically irrelevant) influences but consistently shifted the pharmacodynamic variable in the same direction."( Population pharmacokinetic-pharmacodynamic model for neutropenia with patient subgroup identification: comparison across anticancer drugs.
Chatelut, E; Henningsson, A; Karlsson, MO; Kloft, C; Wallin, J, 2006
)
0.33
" The disposition of TPT did not normalize in UN-ARF rats when treated with caffeine, a non-selective adenosine A1 receptor antagonist, whereas the selective adenosine A1 receptor antagonist (1,3-dipropyl-8-phenylxanthine, DPPX) normalized TPT pharmacokinetic disposition by improving renal function."( Altered intravenous pharmacokinetics of topotecan in rats with acute renal failure (ARF) induced by uranyl nitrate: do adenosine A1 antagonists (selective/non-selective) normalize the altered topotecan kinetics in ARF?
Mullangi, R; Mustafa, S; Pasha, K; Srinivas, NR; Venkatesh, P, 2006
)
0.6
"A two-compartment model was fit to topotecan lactone plasma concentrations (n = 1874), and large pharmacokinetic variability was observed among studies, among individuals, and within individuals."( Population pharmacokinetic analysis of topotecan in pediatric cancer patients.
Freeman, BB; Gajjar, A; Iacono, LC; Panetta, JC; Santana, VM; Schaiquevich, P; Stewart, CF, 2007
)
0.89
"We developed a descriptive and robust population pharmacokinetic model which identified patient covariates that account for topotecan disposition in pediatric patients."( Population pharmacokinetic analysis of topotecan in pediatric cancer patients.
Freeman, BB; Gajjar, A; Iacono, LC; Panetta, JC; Santana, VM; Schaiquevich, P; Stewart, CF, 2007
)
0.82
"Pharmacokinetic and pharmacodynamic data were obtained from a phase II study for pediatric patients with high-risk neuroblastoma."( Using pharmacokinetic and pharmacodynamic modeling and simulation to evaluate importance of schedule in topotecan therapy for pediatric neuroblastoma.
Panetta, JC; Santana, VM; Schaiquevich, P; Stewart, CF, 2008
)
0.56
" pharmacokinetic data on 670 drugs representing, to our knowledge, the largest publicly available set of human clinical pharmacokinetic data."( Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
Lombardo, F; Obach, RS; Waters, NJ, 2008
)
0.35
" Based on pharmacokinetic theory that suggests that penetration depth is primarily determined by the rate of drug removal via tumor capillaries, we have hypothesized that co-administration of antiangiogenic therapy will allow for decreased drug removal, increased drug concentrations in tumor, and increased efficacy of intraperitoneal chemotherapy."( Use of an anti-vascular endothelial growth factor antibody in a pharmacokinetic strategy to increase the efficacy of intraperitoneal chemotherapy.
Balthasar, JP; Bernacki, RJ; Shah, DK; Shin, BS; Tóth, K; Veith, J, 2009
)
0.35
" Other pharmacodynamic factors than the ones investigated must explain the schedule-dependent differences in toxicities."( Phase I pharmacokinetic and pharmacodynamic study of Carboplatin and topotecan administered intravenously every 28 days to patients with malignant solid tumors.
Beijnen, JH; Boss, DS; Pluim, D; Rosing, H; Schellens, JH; Siegel-Lakhai, WS; Ten Bokkel Huinink, WW; van Egmond-Schoemaker, NE, 2009
)
0.59
" Pharmacokinetic studies, together with the expression analysis of mRNA for enzymes involved in delimotecan metabolism, showed that T-2513 and other cytotoxic metabolites of delimotecan (SN 38 and T-0055) are generated in greater quantities in the tumor tissue than in toxicity target tissues, such as liver, thus accounting for the antitumoral activity."( Antitumor activity of delimotecan against human metastatic melanoma: pharmacokinetics and molecular determinants.
Animati, F; Bellarosa, D; Bigioni, M; Binaschi, M; Bressan, A; Bugianesi, R; Crea, A; Maggi, CA; Manzini, S; Parlani, M; Rivoltini, L, 2009
)
0.35
" Topotecan pharmacokinetic parameters were determined in vitreous, aqueous and plasma using a compartmental analysis."( Pharmacokinetic analysis of topotecan after intra-vitreal injection. Implications for retinoblastoma treatment.
Abramson, DH; Bramuglia, GF; Buitrago, E; Chantada, G; Fandiño, A; Höcht, C; Navo, E; Schaiquevich, P, 2010
)
1.56
" In this article, we have developed a physiologically based pharmacokinetic model to characterize and predict topotecan concentrations in mouse plasma and tissues."( Physiologically based pharmacokinetic model for topotecan in mice.
Balthasar, JP; Shah, DK, 2011
)
0.84
" Topotecan pharmacokinetic analyses were carried out, and topoisomerase I levels and activity were measured."( Phase I Study of Topotecan, Ifosfamide, and Etoposide (TIME) with autologous stem cell transplant in refractory cancer: pharmacokinetic and pharmacodynamic correlates.
Dawson, JL; Field, TL; Fields, KK; Goldstein, SC; Kim, J; Lush, RM; Maddox, BL; Neuger, AM; Partyka, JS; Perkins, JB; Simonelli, CE; Sullivan, DM, 2011
)
1.62
" Pharmacokinetic monitoring may be a valuable tool for optimizing the use of topotecan and to avoid toxicity seen with high-systemic exposures."( Phase I Study of Topotecan, Ifosfamide, and Etoposide (TIME) with autologous stem cell transplant in refractory cancer: pharmacokinetic and pharmacodynamic correlates.
Dawson, JL; Field, TL; Fields, KK; Goldstein, SC; Kim, J; Lush, RM; Maddox, BL; Neuger, AM; Partyka, JS; Perkins, JB; Simonelli, CE; Sullivan, DM, 2011
)
0.94
" Topotecan dosing based on simultaneous drug monitoring and pharmacokinetic analysis can yield more accurate and precise estimation of the topotecan systemic exposure than that attainable with the fixed dosing approach."( Topotecan exposure estimation in pediatric acute myeloid leukemia supported by LC-MS-based drug monitoring and pharmacokinetic analysis.
Adamkiewicz-Drożyńska, E; Bączek, T; Balcerska, A; Belka, M; Konieczna, L; Maciejka-Kapuścińska, L; Niedźwiecki, M; Wachowiak, J; Wiśniewski, J, 2012
)
2.73
"We performed a phase-1 pharmacokinetic optimal dosing study of intraventricular topotecan (IT), administered daily 5×, to determine whether, the maximum tolerated dose of IT topotecan was also the pharmacokinetic optimal dose."( A phase-1 pharmacokinetic optimal dosing study of intraventricular topotecan for children with neoplastic meningitis: a Pediatric Brain Tumor Consortium study.
Berg, SL; Blaney, SM; Boyett, J; Goldman, S; Gururangan, S; Kieran, MW; Kun, L; Onar-Thomas, A; Scorsone, K; Stewart, C; Su, J; Tagen, M, 2013
)
0.85
" Pharmacokinetic evaluation after accrual of the first seven patients revealed that a topotecan lactone concentration >1 ng/ml for 8 hours was attained in all patients and thus, further dose escalation was not pursued."( A phase-1 pharmacokinetic optimal dosing study of intraventricular topotecan for children with neoplastic meningitis: a Pediatric Brain Tumor Consortium study.
Berg, SL; Blaney, SM; Boyett, J; Goldman, S; Gururangan, S; Kieran, MW; Kun, L; Onar-Thomas, A; Scorsone, K; Stewart, C; Su, J; Tagen, M, 2013
)
0.85
"2 mg, administered daily for 5 days with concomitant dexamethasone is well tolerated and was defined to be the pharmacokinetic optimal dose in this trial."( A phase-1 pharmacokinetic optimal dosing study of intraventricular topotecan for children with neoplastic meningitis: a Pediatric Brain Tumor Consortium study.
Berg, SL; Blaney, SM; Boyett, J; Goldman, S; Gururangan, S; Kieran, MW; Kun, L; Onar-Thomas, A; Scorsone, K; Stewart, C; Su, J; Tagen, M, 2013
)
0.63
" By comparing the pharmacokinetic profiles of lipid vesicles and entrapped topotecan, it was found that "empty pegylated vesicles" be formed in circulation, which might be responsible for the occurrence of ABC phenomenon."( Prolongation of time interval between doses could eliminate accelerated blood clearance phenomenon induced by pegylated liposomal topotecan.
Cui, J; Li, C; Li, H; Tian, W; Wang, Y; Yang, H; Yang, J; Zhao, X, 2013
)
0.82
" Both agents are substrates for ATP-binding cassette family transporters so there is an increased likelihood for pharmacokinetic (PK) drug-drug interactions."( Combination metronomic oral topotecan and pazopanib: a pharmacokinetic study in patients with gynecological cancer.
Harstead, KE; Stewart, CF; Throm, SL; Tillmanns, TD; Turner, DC, 2013
)
0.68
"Oral topotecan (Hycamtin(®)) has been recently approved for the treatment of relapsed small cell lung cancer (SCLC) in 2007, however, the bioavailability and pharmacokinetic data of topotecan for Chinese patients is still limited."( Oral topotecan: Bioavailability, pharmacokinetics and impact of ABCG2 genotyping in Chinese patients with advanced cancers.
Du, P; Gui, L; Han, X; Li, N; Shen, Y; Shi, Y; Song, Y; Sun, Y; Wang, J; Wang, S; Yang, J, 2013
)
1.42
"Single-center, prospective, clinical pharmacokinetic study."( Clinical pharmacokinetics of intra-arterial melphalan and topotecan combination in patients with retinoblastoma.
Buitrago, E; Ceciliano, A; Chantada, GL; Fandino, A; Lucena, E; Romero, L; Sampor, C; Schaiquevich, P; Taich, P; Villasante, F, 2014
)
0.65
" Plasma samples were obtained for pharmacokinetic studies, and a population approach via nonlinear mixed effects modeling was used."( Clinical pharmacokinetics of intra-arterial melphalan and topotecan combination in patients with retinoblastoma.
Buitrago, E; Ceciliano, A; Chantada, GL; Fandino, A; Lucena, E; Romero, L; Sampor, C; Schaiquevich, P; Taich, P; Villasante, F, 2014
)
0.65
"Melphalan and topotecan pharmacokinetic parameters and efficacy and safety parameters."( Clinical pharmacokinetics of intra-arterial melphalan and topotecan combination in patients with retinoblastoma.
Buitrago, E; Ceciliano, A; Chantada, GL; Fandino, A; Lucena, E; Romero, L; Sampor, C; Schaiquevich, P; Taich, P; Villasante, F, 2014
)
1.01
" Concomitant topotecan administration did not influence melphalan pharmacokinetic parameters."( Clinical pharmacokinetics of intra-arterial melphalan and topotecan combination in patients with retinoblastoma.
Buitrago, E; Ceciliano, A; Chantada, GL; Fandino, A; Lucena, E; Romero, L; Sampor, C; Schaiquevich, P; Taich, P; Villasante, F, 2014
)
1.02
" To this end, we analyze previously published mathematical models of neutropenia to identify a pharmacokinetic (PK) predictor of the neutrophil nadir, and confirm this PK predictor in an in vivo experimental system."( Dose schedule optimization and the pharmacokinetic driver of neutropenia.
Chakravarty, A; Mettetal, JT; Palani, S; Patel, M; Shyu, WC; Yang, J, 2014
)
0.4
"A multicentre phase I toxicity and pharmacokinetic study of oral topotecan was conducted in patients with advanced solid tumours."( Pharmacodynamics and pharmacokinetics of oral topotecan in patients with advanced solid tumours and impaired renal function.
Bang, YJ; Beijnen, JH; Chung, HC; Dar, MM; Devriese, LA; Huitema, AD; Lewis, LD; Mendelson, DS; Mergui-Roelvink, M; Schellens, JH; Smith, DA; Voest, EE; Witteveen, PE, 2015
)
0.91
" Therefore, this study aimed to determine the population pharmacokinetics of oral topotecan in infants and very young children, specifically evaluating the effects of age and ABCG2 and ABCB1 on the absorption rate constant (Ka), as well as other covariate effects on all pharmacokinetic parameters."( Population Pharmacokinetics of Oral Topotecan in Infants and Very Young Children with Brain Tumors Demonstrates a Role of ABCG2 rs4148157 on the Absorption Rate Constant.
Birg, AV; Broniscer, A; Daryani, VM; Gajjar, AJ; Lin, T; Panetta, JC; Roberts, JK; Robinson, GW; Stewart, CF, 2016
)
0.93
"05 fold) conferred by TOPO NPs from the in vivo pharmacokinetic study."( Formulation and optimization of topotecan nanoparticles: In vitro characterization, cytotoxicity, cellular uptake and pharmacokinetic outcomes.
Iqbal, Z; Kapoor, R; Padhi, S; Panda, AK; Verma, D, 2018
)
0.76
"We sought to examine the pharmacodynamic activation of the DNA damage response (DDR) pathway in tumors following anticancer treatment for confirmation of target engagement."( Evaluation of Pharmacodynamic Responses to Cancer Therapeutic Agents Using DNA Damage Markers.
Barrett, AM; Chen, A; Doroshow, JH; Dull, AB; Hollingshead, MG; Kinders, RJ; Kummar, S; Lawrence, SM; Parchment, RE; Wilsker, DF, 2019
)
0.51
"Because of inherent biological variability, baseline DDR biomarker levels were evaluated in a colorectal cancer microarray to establish clinically relevant thresholds for pharmacodynamic activation."( Evaluation of Pharmacodynamic Responses to Cancer Therapeutic Agents Using DNA Damage Markers.
Barrett, AM; Chen, A; Doroshow, JH; Dull, AB; Hollingshead, MG; Kinders, RJ; Kummar, S; Lawrence, SM; Parchment, RE; Wilsker, DF, 2019
)
0.51
" Based on in vivo results, pharmacokinetic properties, distribution in the body, and delivery efficiency of these formulated nanoparticles were confirmed."( Oral delivery of topotecan in polymeric nanoparticles: Lymphatic distribution and pharmacokinetics.
Jang, JH; Jeong, SH; Lee, YB, 2021
)
0.96
" Here, we investigate the pharmacokinetic drug-drug interaction potential of trilaciclib."( Pharmacokinetic Drug-Drug Interaction Studies Between Trilaciclib and Midazolam, Metformin, Rifampin, Itraconazole, and Topotecan in Healthy Volunteers and Patients with Extensive-Stage Small-Cell Lung Cancer.
Beelen, A; Curd, L; Goti, V; Horton, JK; Li, C; Sale, M; Tao, W, 2022
)
0.93
" Population pharmacokinetic modeling showed no significant effect of trilaciclib on topotecan clearance."( Pharmacokinetic Drug-Drug Interaction Studies Between Trilaciclib and Midazolam, Metformin, Rifampin, Itraconazole, and Topotecan in Healthy Volunteers and Patients with Extensive-Stage Small-Cell Lung Cancer.
Beelen, A; Curd, L; Goti, V; Horton, JK; Li, C; Sale, M; Tao, W, 2022
)
1.15
" Samples were quantified by high-performance liquid chromatography, and population pharmacokinetic analysis was conducted using MonolixSuite."( Pharmacokinetics of Orbital Topotecan After Ophthalmic Artery Chemosurgery and Intravenous Infusion in the Swine Model.
Abramson, DH; Asprea, M; Chantada, G; Fandiño, A; Francis, JH; Lagomarsino, E; Opezzo, J; Requejo, F; Sampor, C; Schaiquevich, P; Vater, A, 2023
)
1.2
"Topotecan, an antitumor drug with systemic exposure (SE)-dependent activity against many pediatric tumors has wide interpatient pharmacokinetic variability, making it challenging to attain the desired topotecan SE."( Topotecan clearance based on a single sample and a population pharmacokinetic model: Application to a pediatric high-risk neuroblastoma clinical trial.
Campagne, O; Daryani, VM; Gajjar, AJ; Naranjo, A; Park, JR; Stewart, CF; Wu, H; Wu, J, 2023
)
3.8
"Our previous population pharmacokinetic and covariate model was updated using data from 13 clinical pediatric studies."( Topotecan clearance based on a single sample and a population pharmacokinetic model: Application to a pediatric high-risk neuroblastoma clinical trial.
Campagne, O; Daryani, VM; Gajjar, AJ; Naranjo, A; Park, JR; Stewart, CF; Wu, H; Wu, J, 2023
)
2.35

Compound-Compound Interactions

The combination of topotecan and cyclophosphamide shows activity in a wide variety of pediatric solid tumors and can be given with acceptable hematopoietic toxicity with the use of filgrastim support. The activity of bevacizumab, either alone or in combination with the HIF-1alpha inhibitor topot Cecan was evaluated in U251-HRE xenografts.

ExcerptReferenceRelevance
"The cytotoxic effects of various antimetabolites (fluorouracil, methotrexate, or cytarabine), antimicrotubule agents (vincristine or paclitaxel [Taxol]), DNA alkylating agents (melphalan, bis[chloroethyl]nitrosourea [BCNU], or 4-hydroperoxycyclophosphamide [4HC]), and a DNA-platinating agent (cisplatin), alone and in combination with TPT, were measured in clonogenic (i."( Cytotoxic effects of topotecan combined with various anticancer agents in human cancer cell lines.
Buckwalter, CA; Donehower, RC; Grochow, LB; Kaufmann, SH; Peereboom, D; Rowinsky, EK; Svingen, PA, 1996
)
0.61
"TPT cytotoxicity appears to be enhanced more by combination with certain DNA-damaging agents than by combination with antimetabolites or antimicrotubule agents."( Cytotoxic effects of topotecan combined with various anticancer agents in human cancer cell lines.
Buckwalter, CA; Donehower, RC; Grochow, LB; Kaufmann, SH; Peereboom, D; Rowinsky, EK; Svingen, PA, 1996
)
0.61
"Based on preclinical data that demonstrated synergy between alkylating agents and topoisomerase (topo) I poisons, we determined the maximum-tolerated dose (MTD) of topotecan, using a 5 day bolus schedule, that could be given in combination with a single, fixed dose of cyclophosphamide."( Dose-escalation and pharmacodynamic study of topotecan in combination with cyclophosphamide in patients with refractory cancer.
Anderson, S; Beidler, D; Belliveau, D; Burtness, BA; Cheng, YC; Fedele, J; Flynn, SD; Murren, JR; Pizzorno, G; Tocino, I; Zelterman, D, 1997
)
0.75
"0 mg/ m2/d if it is administered with G-CSF."( Dose-escalation and pharmacodynamic study of topotecan in combination with cyclophosphamide in patients with refractory cancer.
Anderson, S; Beidler, D; Belliveau, D; Burtness, BA; Cheng, YC; Fedele, J; Flynn, SD; Murren, JR; Pizzorno, G; Tocino, I; Zelterman, D, 1997
)
0.56
"To determine the maximum-tolerated dose (MTD) and dose-limiting toxicity of topotecan when combined with cyclophosphamide in pediatric patients with recurrent or refractory malignant solid tumors."( Phase I study of topotecan in combination with cyclophosphamide in pediatric patients with malignant solid tumors: a Pediatric Oncology Group Study.
Bell, B; Saylors, RL; Stewart, CF; Stine, KC; Vietti, TJ; Wall, DA; Zamboni, WC, 1998
)
0.87
"The combination of topotecan and cyclophosphamide shows activity in a wide variety of pediatric solid tumors and can be given with acceptable hematopoietic toxicity with the use of filgrastim support."( Phase I study of topotecan in combination with cyclophosphamide in pediatric patients with malignant solid tumors: a Pediatric Oncology Group Study.
Bell, B; Saylors, RL; Stewart, CF; Stine, KC; Vietti, TJ; Wall, DA; Zamboni, WC, 1998
)
0.97
" A previous Cancer and Leukemia Group B (CALGB) trial of topotecan, given on a daily bolus schedule in combination with cisplatin, produced more hematologic toxicity than expected with either drug alone."( Phase I and pharmacologic study of continuous infusion topotecan in combination with cisplatin in patients with advanced cancer: a Cancer and LeukemiaGroup B study.
Batist, G; Bernard, S; Egorin, MJ; Hollis, DR; Lilenbaum, RC; Miller, AA; Ratain, MJ; Rosner, GL; Schilsky, RL, 1998
)
0.79
"Cisplatin can be given safely in combination with CIVI topotecan."( Phase I and pharmacologic study of continuous infusion topotecan in combination with cisplatin in patients with advanced cancer: a Cancer and LeukemiaGroup B study.
Batist, G; Bernard, S; Egorin, MJ; Hollis, DR; Lilenbaum, RC; Miller, AA; Ratain, MJ; Rosner, GL; Schilsky, RL, 1998
)
0.79
" In conclusion, our findings further support the potential cytotoxic role of TPT in combination with other active drugs when the correct schedule of administration is applied."( Cytotoxic effects of topotecan combined with various active G2/M-phase anticancer drugs in human tumor-derived cell lines.
Abad, A; Guillot, M; Martin, C; Plasencia, C; Taron, M, 2000
)
0.63
" The studies were conducted to evaluate the antitumor activity of MGI 114 as a single agent and in combination with topotecan against pediatric solid tumor cell lines and xenograft models."( MGI 114: augmentation of antitumor activity when combined with topotecan.
Barrera, H; Gonzalez, C; Hilsenbeck, S; MacDonald, JR; Marty, J; Moore, R; Von Hoff, D; Waters, SJ; Weitman, S,
)
0.58
" In this study, the potential application of MGI 114 in the treatment of lung cancer was explored by evaluating the activity of MGI 114 in combination with either topotecan (TPT) or paclitaxel."( Enhanced antitumour activity of 6-hydroxymethylacylfulvene in combination with topotecan or paclitaxel in the MV522 lung carcinoma xenograft model.
Eckhardt, SG; Hammond, LA; Hilsenbeck, SG; MacDonald, JR; Mangold, G; Marty, J; Rowinsky, EK; Von Hoff, DD; Weitman, S, 2000
)
0.73
" A phase I trial was initiated to identify the optimal sequence and maximum-tolerated dose of topotecan in combination with paclitaxel and carboplatin."( Phase I dose escalation study of topotecan combined with alternating schedules of paclitaxel and carboplatin in advanced solid tumors.
Cantrell, CL; Dunleavy, TL; Dunphy, FR; Harrison, BR; Petruska, PJ; Pincus, SM; Richart, JM; Visconti, JL, 2001
)
0.81
"To define the dose-limiting toxicities (DLTs) and the maximum tolerated doses (MTDs) of topotecan in combination with epirubicin in pretreated patients with small-cell lung cancer (SCLC)."( A dose escalation study of topotecan in combination with epirubicin in pretreated patients with small-cell lung cancer.
Agelaki, S; Georgoulias, V; Kakolyris, S; Kalbakis, K; Kouroussis, C; Mavroudis, D; Palamidas, P; Raptis, A, 2001
)
0.83
"This daily-times-3-day schedule of topotecan in combination with carboplatin is safe."( A phase I/II study of topotecan in combination with carboplatin in recurrent epithelial ovarian cancer.
Bolis, G; Guarnerio, P; Parazzini, F; Polverino, GP; Rosa, C; Scarfone, G; Sciatta, C, 2001
)
0.9
" Survival was comparable to that of patients of other studies with secondary cytoreductive surgery in combination with chemotherapy."( Adenovirus-mediated thymidine kinase gene therapy in combination with topotecan for patients with recurrent ovarian cancer: 2.5-year follow-up.
Aguilar-Cordova, E; Fischer, DC; Hasenburg, A; Kaplan, AL; Kaufman, RH; Kieback, DG; Nyberg-Hoffman, C; Ramzy, I; Rojas-Martinez, A; Tong, XW, 2001
)
0.54
"This study was designed to evaluate the efficacy and toxicity of topotecan hydrochloride, used singly or combined with other drugs in patients with recurrent advanced ovarian cancer."( [Single topotecan or in combination with other chemotherapeutic agents for 18 recurrent advanced ovarian cancer patients].
Li, H; Liu, L; Zhang, W, 2001
)
0.98
" Topotecan combined with cisplatin and taxol would be effective even if single topotecan has failed."( [Single topotecan or in combination with other chemotherapeutic agents for 18 recurrent advanced ovarian cancer patients].
Li, H; Liu, L; Zhang, W, 2001
)
1.66
"A mouse model of human ovarian cancer was used to investigate the effect of adenovirus-mediated thymidine kinase gene therapy (gt) in combination with chemotherapy."( Intraperitoneal adenovirus-mediated suicide gene therapy in combination with either topotecan or paclitaxel in nude mice with human ovarian cancer.
Aguilar-Cordova, E; Engehausen, DG; Fischer, DC; Kieback, DG; Oehler, MK; Sauerbrei, W; Tong, XW, 2002
)
0.54
" As carboplatin is less nephrotoxic and increasingly replacing cisplatin in clinical practice, the aim of this study was to define the optimal sequence and dose for topotecan in combination with carboplatin."( Topotecan in combination with carboplatin: phase I trial evaluation of two treatment schedules.
Boddy, AV; Calvert, AH; Calvert, PM; Fishwick, K; Griffin, MJ; Ross, GA; Schätzlein, A; Simpson, AB; Sludden, JA; Twelves, CJ; Wheatley, A; Wilson, P, 2002
)
1.95
" A pilot study of Mylotarg combined with topotecan and ara-C (MTA) was conducted in patients with refractory AML."( Mylotarg combined with topotecan and cytarabine in patients with refractory acute myelogenous leukemia.
Alvarez, R; Beran, M; Cortes, J; Estey, E; Giles, FJ; Kantarjian, H; Thomas, D; Tsimberidou, AM, 2002
)
0.89
" This study was conducted to define the dose-limiting toxicities (DLTs) of its combination with cytarabine (ara-C), idarubicin, or topotecan."( Randomized phase I/II study of troxacitabine combined with cytarabine, idarubicin, or topotecan in patients with refractory myeloid leukemias.
Cortes, JE; Douer, D; Estey, EH; Faderl, S; Garcia-Manero, G; Giles, FJ; Jeha, SS; Kantarjian, HM; Koller, CA; Levine, AM; O'Brien, SM; Thomas, DA, 2003
)
0.75
" Preclinical in vitro studies have shown synergism with ZD0473 in combination with several agents, including vinorelbine and topotecan."( ZD0473 combined with other chemotherapeutic agents for the treatment of solid malignancies.
Douillard, JY; Schiller, J, 2002
)
0.52
" We report results from two open-label, multicentre, phase I and phase II trials, investigating the pharmacokinetics, tolerability and efficacy of ZD9331, when used in combination with topotecan in patients with relapsed or refractory tumours."( ZD9331 in combination with topotecan: phase I and II experience.
Benson, A; Poplin, E; Vergote, I, 2003
)
0.81
"ZD9331, in combination with topotecan, showed manageable toxicity and some evidence of activity in patients with ovarian cancer."( ZD9331 in combination with topotecan: phase I and II experience.
Benson, A; Poplin, E; Vergote, I, 2003
)
0.91
"A phase I study was performed to determine the maximum tolerated dose and the recommended dose of continuous intravenous infusion of topotecan in combination with radiotherapy (RT) in patients with previously untreated glioblastoma multiforme (GBM)."( Phase I study of topotecan in combination with concurrent radiotherapy in adults with glioblastoma.
Carsin, B; Gédouin, D; Guégan, Y; Hamlat, A; Hassel, MB; Lesimple, T; Malhaire, JP; Riffaud, L; Seigneuret, E; Simon, H, 2003
)
0.86
" infusion compared to single doses, but this regimen has not yet been combined with oxaliplatin."( Phase I/II trial of topotecan given as continuous infusion in combination with oxaliplatin in 5-FU-pretreated patients with colorectal cancer.
Deckert, PM; Hütter, G; Keilholz, U; Szélenyi, H; Thiel, E, 2004
)
0.65
"Topotecan and pegylated liposomal doxorubicin (Doxil) interact with topoisomerase I and II (topo I and II), respectively, with schedule dependent, and potentially synergistic cytotoxicity."( Phase I trial of escalating doses of topotecan in combination with a fixed dose of pegylated liposomal doxorubicin in women with müllerian malignancies.
Atkinson, T; Berkowitz, RS; Campos, SM; Fuller, AF; Goodman, A; Krasner, C; Lee, H; Matulonis, UA; Penson, RT; Seiden, MV, 2004
)
2.04
"To determine maximum tolerated dose (MTD) and evidence of antitumor activity of topotecan in combination with gemcitabine in refractory cancer patients."( Phase I trial of topotecan in combination with gemcitabine in refractory solid tumor patients.
Adams, N; Cunningham, CC; MacEachern, JB; Nemunaitis, J; Paulson, AS; Rich, D; Ruxer, RL; Vukelja, S, 2004
)
0.89
" We therefore investigated the therapeutic efficacy of STI571, alone or combined with chemotherapy, in human SCLC cells or tumors xenografted into nude mice."( In vivo efficacy of STI571 in xenografted human small cell lung cancer alone or combined with chemotherapy.
de Cremoux, P; Decaudin, D; Fréneaux, P; Judde, JG; Livartowski, A; Nemati, F; Pouillart, P; Poupon, MF; Sastre, X; Tran-Perennou, C, 2005
)
0.33
") topotecan combined with standard doses of intravenous (i."( A phase I study of intraperitoneal topotecan in combination with intravenous carboplatin and paclitaxel in advanced ovarian cancer.
Beijnen, JH; Bos, AM; De Vos, FY; de Vries, EG; Gietema, JA; Mourits, MJ; Rosing, H; van der Zee, AG; Willemse, PH, 2005
)
1.33
"05 microM), and was modified differentially in fibroblasts and in glioblastoma cells in combination with irradiation."( Cell cycle effects of topotecan alone and in combination with irradiation.
Kehlbach, R; Ohneseit, PA; Prager, D; Rodemann, HP, 2005
)
0.64
" This phase II study investigated the efficacy and safety of topotecan in combination with either cisplatin or etoposide in untreated extensive disease SCLC (ED SCLC)."( A randomised phase II study of the efficacy and safety of intravenous topotecan in combination with either cisplatin or etoposide in patients with untreated extensive disease small-cell lung cancer.
Breton, JL; Cardenal, F; Gervais, R; Lymboura, M; Mattson, K; Preston, A; Quoix, E; Ross, G; Schramel, F; Wilson, J, 2005
)
0.8
" Due to the difference of concentration between batches containing irinotecan or topotecan, HPLC and HPTLC both combined with fluorescence detection were investigated."( Fluorescence detection combined with either HPLC or HPTLC for pharmaceutical quality control in a hospital chemotherapy production unit: application to camptothecin derivatives.
Bourget, P; Gravel, E; Mercier, L; Paci, A, 2005
)
0.55
"75 mg/m2 was combined with paclitaxel 70 mg/m2; these cytotoxic agents were administered once every week (day 1) for 3 consecutive weeks (one cycle), and repeated every 28 days (three infusions per cycle) for a minimum of three cycles."( Second-line chemotherapy in small cell lung cancer in a modified administration of topotecan combined with paclitaxel: a phase II study.
Antoniou, D; Armenaki, O; Athanasiadis, A; Christodoulou, Ch; Dimitroulis, J; Georgatou, N; Giamboudakis, P; Giannakakis, T; Katis, K; Rigatos, SK; Skarlos, D; Stathopoulos, GP; Stathopoulos, J, 2006
)
0.56
"Topotecan combined with paclitaxel, given on day 1 on a weekly basis, produced a response rate of 26."( Second-line chemotherapy in small cell lung cancer in a modified administration of topotecan combined with paclitaxel: a phase II study.
Antoniou, D; Armenaki, O; Athanasiadis, A; Christodoulou, Ch; Dimitroulis, J; Georgatou, N; Giamboudakis, P; Giannakakis, T; Katis, K; Rigatos, SK; Skarlos, D; Stathopoulos, GP; Stathopoulos, J, 2006
)
2
" The purpose of this Phase I trial was to determine the maximally tolerated systemic exposure (MTSE) of topotecan in combination with carboplatin and etoposide."( A phase I trial defining the maximum tolerated systemic exposure of topotecan in combination with Carboplatin and Etoposide in extensive stage small cell lung cancer.
Donahue, A; Faucette, S; Gillenwater, HH; Kirstein, MN; Lindley, C; McCune, JS; Moore, D; Shord, S; Socinski, MA; Stewart, CF; Zamboni, WC, 2005
)
0.78
"Thirty-four chemotherapy-naïve ES-SCLC patients received topotecan in combination with carboplatin AUC 5 mg/mL*min and oral etoposide 100 mg/m2/day."( A phase I trial defining the maximum tolerated systemic exposure of topotecan in combination with Carboplatin and Etoposide in extensive stage small cell lung cancer.
Donahue, A; Faucette, S; Gillenwater, HH; Kirstein, MN; Lindley, C; McCune, JS; Moore, D; Shord, S; Socinski, MA; Stewart, CF; Zamboni, WC, 2005
)
0.81
" We sought to determine the therapeutic potential of TRA-8 (anti-DR5 monoclonal antibody) in combination with chemotherapy and radiation therapy in a cervical cancer model."( Anti-tumor activity of TRA-8 anti-death receptor 5 (DR5) monoclonal antibody in combination with chemotherapy and radiation therapy in a cervical cancer model.
Alvarez, RD; Buchsbaum, DJ; Grizzle, WE; Oliver, PG; Straughn, JM; Wang, W; Zhou, T, 2006
)
0.33
"DR5 expression in 7 human cervical cancer cell lines was analyzed by indirect immunofluorescence using murine TRA-8 in combination with flow cytometry."( Anti-tumor activity of TRA-8 anti-death receptor 5 (DR5) monoclonal antibody in combination with chemotherapy and radiation therapy in a cervical cancer model.
Alvarez, RD; Buchsbaum, DJ; Grizzle, WE; Oliver, PG; Straughn, JM; Wang, W; Zhou, T, 2006
)
0.33
"Aims of this study were to determine the toxicity profile and the recommended dose of pegylated liposomal doxorubicin (Caelyx) in combination with topotecan in patients with advanced malignancies."( Phase I dose escalation study of pegylated liposomal doxorubicin (Caelyx) in combination with topotecan in patients with advanced malignancies.
Armand, JP; Djafari, L; Djazouli, K; Faivre, S; Ghesquières, H; Lhommé, C; Lozahic, S; Pautier, P; Raymond, E, 2006
)
0.75
"Topotecan, a camptothecin analog previously approved for the treatment of ovarian cancer and small-cell lung cancer, was granted regular approval by the US Food and Drug Administration (FDA) on June 14, 2006, for use in combination with cisplatin to treat women with stage IVB, recurrent, or persistent carcinoma of the cervix not amenable to curative treatment with surgery and/or radiation therapy."( Topotecan in combination with cisplatin for the treatment of stage IVB, recurrent, or persistent cervical cancer.
Abraham, S; Booth, B; Brave, M; Dagher, R; Farrell, A; Gobburu, J; Jiang, X; Justice, R; Pazdur, R; Ramchandani, R; Sridhara, R, 2006
)
3.22
"A regimen comprising single-agent topotecan given with a standard 3-drug combination was effective in inducing remission in pediatric patients with relapsed ALL and was tolerated well."( Phase II study of topotecan in combination with dexamethasone, asparaginase, and vincristine in pediatric patients with acute lymphoblastic leukemia in first relapse.
Campana, D; Coustan-Smith, E; Gajjar, A; Hijiya, N; Pui, CH; Relling, MV; Rivera, GK; Stewart, CF; Zhou, Y, 2008
)
0.96
"To evaluate the therapeutic and adverse effects of topotecan combined with cisplatin in the treatment of advanced squamous cell lung cancer and head and neck cancer."( [Therapeutic and adverse effects of topotecan combined with cisplatin for treatment of advanced squamous cell lung cancer and head and neck cancer].
Li, QY; Shao, JH; Xiang, Y; Yang, JZ, 2008
)
0.87
"2 mg/m2 (for 5 consecutive days) combined with intravenous infusion of cisplantin at 25-30 mg/m2 for 3 consecutive days."( [Therapeutic and adverse effects of topotecan combined with cisplatin for treatment of advanced squamous cell lung cancer and head and neck cancer].
Li, QY; Shao, JH; Xiang, Y; Yang, JZ, 2008
)
0.62
"Topotecan combined with cisplatin may achieve a favorable response in patients with advanced squamous cell lung cancer and head and neck cancer, and causes tolerable adverse effect without accumulative toxicity."( [Therapeutic and adverse effects of topotecan combined with cisplatin for treatment of advanced squamous cell lung cancer and head and neck cancer].
Li, QY; Shao, JH; Xiang, Y; Yang, JZ, 2008
)
2.06
"In vitro assessment of drug candidates' affinity for multi-drug resistance proteins is of crucial importance for the prediction of in vivo pharmacokinetics and drug-drug interactions."( Characterization of substrates and inhibitors for the in vitro assessment of Bcrp mediated drug-drug interactions.
Gnoth, MJ; Grieshop, B; Ickenroth, K; Muenster, U, 2008
)
0.35
" In order to not overlook potential drug-drug interactions when testing drug candidates for inhibitory potential towards Bcrp, distinct Bcrp probe substrates should be used."( Characterization of substrates and inhibitors for the in vitro assessment of Bcrp mediated drug-drug interactions.
Gnoth, MJ; Grieshop, B; Ickenroth, K; Muenster, U, 2008
)
0.35
" Topotecan in combination with radiotherapy was well tolerated."( Topotecan in combination with radiotherapy in unresectable glioblastoma: a phase 2 study.
Bay, JO; Ben Hassel, M; Carsin, B; Fabbro, M; Frappaz, D; Gédouin, D; Guégan, Y; Hamlat, A; Lesimple, T; Linassier, C; Piot, G; Riffaud, L; Saïkali, S, 2009
)
2.71
"The aim of this trial was to investigate the efficacy and toxicity of a relative high-dose of topotecan combined with carboplatin in recurrent or persistent epithelial ovarian cancer (EOC)."( Topotecan combined with carboplatin in recurrent epithelial ovarian cancer: results of a single-institutional phase II study.
Bae, DS; Choi, CH; Kang, H; Kim, BG; Kim, TJ; Lee, JW; Lee, YY, 2009
)
2.01
"0 mg/m(2)/day intravenously (IV) on days 1 to 5 in combination with carboplatin AUC 5 IV on day 5, every 21 days."( Topotecan combined with carboplatin in recurrent epithelial ovarian cancer: results of a single-institutional phase II study.
Bae, DS; Choi, CH; Kang, H; Kim, BG; Kim, TJ; Lee, JW; Lee, YY, 2009
)
1.8
"The relative high-dose of topotecan combined with carboplatin was feasible and produced modest activity in recurrent or persistent EOC."( Topotecan combined with carboplatin in recurrent epithelial ovarian cancer: results of a single-institutional phase II study.
Bae, DS; Choi, CH; Kang, H; Kim, BG; Kim, TJ; Lee, JW; Lee, YY, 2009
)
2.1
" The activity of bevacizumab, either alone or in combination with the HIF-1alpha inhibitor topotecan, was evaluated in U251-HRE xenografts."( Increased antitumor activity of bevacizumab in combination with hypoxia inducible factor-1 inhibition.
Anver, MR; Bonomi, CA; Borgel, SD; Carter, JP; Gehrs, B; Hollingshead, M; Kinders, RJ; Melillo, G; Parchment, R; Raffeld, M; Rapisarda, A; Shoemaker, RH; Uranchimeg, B, 2009
)
0.57
"We designed a phase I clinical trial of escalating doses of topotecan with CY and carboplatin in combination with autologous hematopoietic SCT (AHSCT) for the treatment of relapsed or persistent platinum sensitive ovarian or primary peritoneal carcinoma."( Phase I trial of autologous hematopoietic SCT with escalating doses of topotecan combined with CY and carboplatin in patients with relapsed or persistent ovarian or primary peritoneal carcinoma.
Ames, MM; Ansell, SM; Barrette, BA; Dispenzieri, A; Elliott, MA; Frost, MH; Gastineau, DA; Gertz, MA; Hartmann, LC; Inwards, DJ; Kaufmann, SH; Keeney, GL; Lacy, MQ; Lingle, WL; Litzow, MR; Long, HJ; Micallef, IN; Peethambaram, PP; Porrata, LF; Reid, JM; Safgren, SL; Suman, VJ, 2010
)
0.84
"Activity and toxiciy of gefitinib in combination with topotecan and cyclophosphamide (CPA) were evaluated in a case-series of relapsed neuroblastoma (NB) patients."( Gefitinib in combination with oral topotecan and cyclophosphamide in relapsed neuroblastoma: pharmacological rationale and clinical response.
Castellano, A; Cialfi, S; De Ioris, MA; De Laurentis, C; De Pasquale, MD; Dominici, C; Donfrancesco, A; Ilari, I; Jenkner, A; McDowell, HP, 2010
)
0.89
" Antitumor activity of gefitinib as single agent and in combination with either topotecan or CPA was assessed in a panel of NB cell lines."( Gefitinib in combination with oral topotecan and cyclophosphamide in relapsed neuroblastoma: pharmacological rationale and clinical response.
Castellano, A; Cialfi, S; De Ioris, MA; De Laurentis, C; De Pasquale, MD; Dominici, C; Donfrancesco, A; Ilari, I; Jenkner, A; McDowell, HP, 2010
)
0.86
" To evaluate further the potential therapeutic impact of metronomic chemotherapy for ovarian cancer, we developed a preclinical model of advanced human ovarian cancer and tested various low-dose metronomic chemotherapy regimens alone or in concurrent combination with an antiangiogenic drug, pazopanib."( Potent preclinical impact of metronomic low-dose oral topotecan combined with the antiangiogenic drug pazopanib for the treatment of ovarian cancer.
Cruz-Munoz, W; Hashimoto, K; Kerbel, RS; Kumar, R; Man, S; Tang, T; Xu, P, 2010
)
0.61
"To evaluate maximum tolerated dose and recommended dose (RD) for phase II studies of topotecan (TPT) combined with temozolomide (TMZ) (TOTEM) in children and adolescents with relapsed or refractory solid malignancies."( Phase I study of topotecan in combination with temozolomide (TOTEM) in relapsed or refractory paediatric solid tumours.
Aerts, I; Chastagner, P; Chatelut, E; Corradini, N; Dias, N; Djafari, L; Frappaz, D; Gentet, JC; Geoerger, B; Landman-Parker, J; Le Deley, MC; Leblond, P; Ndiaye, A; Paci, A; Pasquet, M; Rubie, H; Schmitt, A; Vassal, G, 2010
)
0.92
"This phase I study evaluated the safety, tolerability, preliminary antitumor activity, and pharmacokinetic interaction of weekly topotecan (days 1 and 8) in combination with pemetrexed (day 1 only) in patients with advanced solid tumors."( A phase I study of weekly topotecan in combination with pemetrexed in patients with advanced malignancies.
Burris, HA; Greco, FA; Infante, JR; Jewell, RC; Jones, SF; Spigel, DR; Thompson, DS, 2010
)
0.87
"Patients with ROC after first- or second-line treatment including a platinum and taxane and progression within 6 months were randomized to weekly paclitaxel (wP, 80 mg/m(2)/week) alone or in combination with carboplatin (C, area under the curve of 5 mg/ml/min every 4 weeks) or weekly topotecan (wT, 3 mg/m(2)/week)."( Weekly paclitaxel as a single agent or in combination with carboplatin or weekly topotecan in patients with resistant ovarian cancer: the CARTAXHY randomized phase II trial from Groupe d'Investigateurs Nationaux pour l'Etude des Cancers Ovariens (GINECO).
Alexandre, J; Dauba, J; Durando, X; Gladieff, L; Largillier, R; Lortholary, A; Paraiso, D; Pujade-Lauraine, E; Slama, B; Weber, B, 2012
)
0.78
"The aim of this phase I study was to determine the safety and tolerability and to establish the maximum tolerated dose (MTD) of orally administered olaparib (AZD2281) in combination with topotecan in patients with advanced solid tumors."( Safety and tolerability of the poly(ADP-ribose) polymerase (PARP) inhibitor, olaparib (AZD2281) in combination with topotecan for the treatment of patients with advanced solid tumors: a phase I study.
Carmichael, J; Cassidy, J; Macpherson, E; Ranson, M; Samol, J; Scott, E; Thomas, A, 2012
)
0.78
"0 mg/m(2)/day × 3 days) intravenously in combination with oral olaparib 50, 100 or 200 mg bid for six cycles."( Safety and tolerability of the poly(ADP-ribose) polymerase (PARP) inhibitor, olaparib (AZD2281) in combination with topotecan for the treatment of patients with advanced solid tumors: a phase I study.
Carmichael, J; Cassidy, J; Macpherson, E; Ranson, M; Samol, J; Scott, E; Thomas, A, 2012
)
0.59
"A phase I trial of ABT-888 (veliparib), a PARP inhibitor, in combination with topotecan, a topoisomerase I-targeted agent, was carried out to determine maximum tolerated dose (MTD), safety, pharmacokinetics, and pharmacodynamics of the combination in patients with refractory solid tumors and lymphomas."( Phase I study of PARP inhibitor ABT-888 in combination with topotecan in adults with refractory solid tumors and lymphomas.
Ames, M; Bonner, W; Carter, J; Chen, A; Doroshow, JH; Hollingshead, M; Ji, J; Jia, L; Kinders, R; Kummar, S; Melillo, G; Murgo, AJ; Parchment, RE; Pommier, Y; Reid, JM; Rubinstein, L; Speranza, G; Stotler, H; Tomaszewski, JE; Wang, L; Weil, M; Zhang, Y, 2011
)
0.84
"The hepatic organic anion transporting polypeptides (OATPs) influence the pharmacokinetics of several drug classes and are involved in many clinical drug-drug interactions."( Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
Artursson, P; Haglund, U; Karlgren, M; Kimoto, E; Lai, Y; Norinder, U; Vildhede, A; Wisniewski, JR, 2012
)
0.38
" This study evaluates the toxicity of escalating doses of topotecan alone or in combination with thiotepa or treosulfan."( Escalating topotecan in combination with treosulfan has acceptable toxicity in advanced pediatric sarcomas.
Bauer, F; Burdach, S; Filipiak-Pittroff, B; von Luettichau, I; Wawer, A, 2013
)
1.02
"To assess objective response rate (ORR) after two cycles of temozolomide in combination with topotecan (TOTEM) in children with refractory or relapsed neuroblastoma."( Phase II study of temozolomide in combination with topotecan (TOTEM) in relapsed or refractory neuroblastoma: a European Innovative Therapies for Children with Cancer-SIOP-European Neuroblastoma study.
Aerts, I; Amoroso, L; Boubaker, A; Casanova, M; Chastagner, P; Courbon, F; Devos, A; Di Giannatale, A; Dias-Gastellier, N; Ducassoul, S; Geoerger, B; Landman-Parker, J; Le Deley, MC; Malekzadeh, K; Mc Hugh, K; Munzer, C; Riccardi, R; Rubie, H; Verschuur, A; Zwaan, CM, 2014
)
0.87
" We evaluated the optimal schedule of oral topotecan in combination with everolimus in patients with endometrial cancer."( Phase I clinical trial of the mammalian target of rapamycin inhibitor everolimus in combination with oral topotecan for recurrent and advanced endometrial cancer.
Abu-Khalaf, MM; Acevedo-Gadea, C; Azodi, M; Higgins, SA; Ratner, E; Rutherford, T; Santin, AD; Schwartz, PE; Silasi, DA; Urva, S, 2014
)
0.88
"9 mg/m on days 1 to 5 in combination with oral everolimus 5 mg every other day."( Phase I clinical trial of the mammalian target of rapamycin inhibitor everolimus in combination with oral topotecan for recurrent and advanced endometrial cancer.
Abu-Khalaf, MM; Acevedo-Gadea, C; Azodi, M; Higgins, SA; Ratner, E; Rutherford, T; Santin, AD; Schwartz, PE; Silasi, DA; Urva, S, 2014
)
0.62
" No drug-drug interactions were apparent."( A phase 1b study of trebananib in combination with pegylated liposomal doxorubicin or topotecan in women with recurrent platinum-resistant or partially platinum-sensitive ovarian cancer.
Adewoye, H; Ananda, S; Bass, MB; Dirix, L; Gordon, AN; Kridelka, F; Leach, JW; Litten, J; Melara, R; Nanayakkara, N; Pippitt, CH; Schilder, RJ; Scudder, S; Vergote, I; Wenham, RM; Wong, S, 2014
)
0.63
" Inhibition of PARP-1 is tested in combination with DNA damaging agents such as topoisomerase I inhibitors or ionizing radiations (RT) for the treatment of glioblastoma (GBM)."( Effect of p53 activity on the sensitivity of human glioblastoma cells to PARP-1 inhibitor in combination with topoisomerase I inhibitor or radiation.
Carlomagno, C; Della Vittoria Scarpati, G; Ferrone, S; Fusciello, C; Leonardi, A; Pacelli, R; Pepe, S; Pepin, D; Poudel, R; Sabbatino, F; Somma, D, 2014
)
0.4
"Thymoquinone, when combined with topotecan in noncytotoxic doses, produced synergistic antiproliferative and proapoptotic effects in AML cells."( Antiproliferative and proapoptotic effects of topotecan in combination with thymoquinone on acute myelogenous leukemia.
El-Hayek, S; Hodroj, MH; Khalife, R; Rizk, S; Stephany, el-H; Tarras, O, 2014
)
0.94
"This retrospective study aimed to observe the cura-tive effect and adverse reactions of three-dimensional conformal radiotherapy combined with topotecan chemotherapy in patients with platinum-resistant recurrent epithelial ovarian carcinoma."( Clinical observational study of conformal radiotherapy combined with topotecan chemotherapy in patients with platinum-resistant recurrent ovarian cancer.
Du, XL; Li, L; Shan, CP; Sheng, XG; Wei, P; Zhang, ZH, 2015
)
0.85
"This phase I study evaluated the safety, tolerability, maximum tolerated dose (MTD) and pharmacokinetics of two dosing schedules of oral topotecan in combination with pazopanib in patients with advanced solid tumours."( Phase I and pharmacological study of pazopanib in combination with oral topotecan in patients with advanced solid tumours.
Devriese, LA; Giantonio, BJ; Kerklaan, BM; Lane, S; Langenberg, M; Legenne, P; Lolkema, MP; Mergui-Roelvink, M; Mykulowycz, K; Nol-Boekel, A; Schellens, JH; Smith, DA; Stoebenau, J; Voest, EE; Wissel, P; Witteveen, PO, 2015
)
0.85
" In stage II, the MTD and safety profile of oral topotecan given weekly on days 1, 8 and 15 in a 28-day cycle; or daily-times-five on days 1-5 in a 21-day cycle, both in combination with daily pazopanib, were explored."( Phase I and pharmacological study of pazopanib in combination with oral topotecan in patients with advanced solid tumours.
Devriese, LA; Giantonio, BJ; Kerklaan, BM; Lane, S; Langenberg, M; Legenne, P; Lolkema, MP; Mergui-Roelvink, M; Mykulowycz, K; Nol-Boekel, A; Schellens, JH; Smith, DA; Stoebenau, J; Voest, EE; Wissel, P; Witteveen, PO, 2015
)
0.9
"Various cytotoxic agents were evaluated in combination with (131) I-MIP-1095 for their capacity to delay the growth of LNCaP cells cultured as multicellular tumour spheroids."( Preliminary evaluation of prostate-targeted radiotherapy using (131) I-MIP-1095 in combination with radiosensitising chemotherapeutic drugs.
Babich, JW; Mairs, RJ; Nixon, C; Rae, C; Tesson, M, 2016
)
0.43
"To determine the maximum tolerated dose (MTD), toxicities, and pharmacodynamics effects of sirolimus combined with oral metronomic topotecan and cyclophosphamide in a pediatric population."( Phase 1 study of sirolimus in combination with oral cyclophosphamide and topotecan in children and young adults with relapsed and refractory solid tumors.
Allen, S; DuBois, SG; Gustafson, WC; Hollinger, F; Karski, EE; Long-Boyle, JR; Matthay, KK; Nasholm, NM; Shiboski, S; Vo, KT, 2017
)
0.89
"The aim of this study was to evaluate the outcomes of patients with advanced or recurrent ovarian cancer treated with cisplatin combined with topotecan as second- or higher-line palliative chemotherapy."( Efficacy of cisplatin combined with topotecan in patients with advanced or recurrent ovarian cancer as second- or higher-line palliative chemotherapy.
Jo, DY; Ko, YB; Lee, HJ; Lee, MW; Ryu, H; Song, IC; Yun, HJ, 2020
)
1.03
" Conclusions Once weekly selinexor in combination with topotecan was viable and showed some preliminary tumor efficacy."( Selinexor in combination with topotecan in patients with advanced or metastatic solid tumors: Results of an open-label, single-center, multi-arm phase Ib study.
Bean, S; Carter, BW; Colen, R; Gong, J; Janku, F; Karp, DD; McQuinn, L; Meric-Bernstam, F; Milton, DR; Naing, A; Ogbonna, DC; Pant, S; Piha-Paul, SA; Shah, J; Subbiah, V; Thein, KZ; Tsimberidou, A; Zarifa, A, 2021
)
1.16
" In the present research, the impact of beta-particles of iodine-131 in combination with Topotecan (TPT), as the inhibitor of topoisomerase I, and A-966492, as the inhibitor of the PARP enzyme on the possible increase of radio-sensitivity of glioblastoma cells was assessed."( The effect of iodine-131 beta-particles in combination with A-966492 and Topotecan on radio-sensitization of glioblastoma: An in-vitro study.
Eynali, S; Eyvazzadeh, N; Kamalabadi, MA; Koosha, F, 2021
)
1.07
" Here, we investigate the pharmacokinetic drug-drug interaction potential of trilaciclib."( Pharmacokinetic Drug-Drug Interaction Studies Between Trilaciclib and Midazolam, Metformin, Rifampin, Itraconazole, and Topotecan in Healthy Volunteers and Patients with Extensive-Stage Small-Cell Lung Cancer.
Beelen, A; Curd, L; Goti, V; Horton, JK; Li, C; Sale, M; Tao, W, 2022
)
0.93
"Overall, the drug-drug interaction and safety profiles of trilaciclib in these studies support its continued use in patients with extensive-stage small-cell lung cancer."( Pharmacokinetic Drug-Drug Interaction Studies Between Trilaciclib and Midazolam, Metformin, Rifampin, Itraconazole, and Topotecan in Healthy Volunteers and Patients with Extensive-Stage Small-Cell Lung Cancer.
Beelen, A; Curd, L; Goti, V; Horton, JK; Li, C; Sale, M; Tao, W, 2022
)
0.93

Bioavailability

Oral bioavailability of topotecan was not satisfactory in previous studies. The low bioavailability may be caused by hydrolysis of topOTecan lactone in the gut, yielding substantial amounts of the open-ring form.

ExcerptReferenceRelevance
"7-fold that of parenteral administration, indicative of excellent oral bioavailability in the mouse."( Comparative activity of oral and parenteral topotecan in murine tumor models: efficacy of oral topotecan.
Johnson, RK; McCabe, FL, 1994
)
0.55
" The drug is well absorbed from small intestine."( [Topoisomerase inhibitors developing in Japan].
Furue, H, 1993
)
0.29
" We determined the apparent bioavailability and pharmacokinetics of topotecan administered orally to 12 patients with solid tumours in a two-part crossover study."( Bioavailability and pharmacokinetics of oral topotecan: a new topoisomerase I inhibitor.
Beijnen, JH; Creemers, GJ; Davies, B; de Boer-Dennert, M; McDonald, M; Rosing, H; Schellens, JH; Verweij, J, 1996
)
0.79
" The low bioavailability may be caused by hydrolysis of topotecan lactone in the gut, yielding substantial amounts of the open-ring form, which is poorly absorbed."( Clinical pharmacokinetics of topotecan.
Beijnen, JH; Herben, VM; ten Bokkel Huinink, WW, 1996
)
0.83
" Recently bioavailability of an oral formulation of approximately 30% with limited variability was reported."( Phase I and pharmacologic study of oral topotecan administered twice daily for 21 days to adult patients with solid tumors.
Broom, C; Burris, HA; Creemers, GJ; Eckardt, JR; Gerrits, CJ; Hudson, I; Loos, WJ; Planting, AS; Rodriguez, GI; Schellens, JH; Verweij, J; Von Hoff, DD, 1997
)
0.56
" After oral administration the bioavailability varied between 30 and 35%."( [Topoisomerase I inhibitor with potential radiosensitizing effect].
Heuser, A; Sauer, R, 1997
)
0.3
" Any SK&F 105,992 formed in the GI tract did not appear to be well absorbed following oral administration of topotecan to dogs."( The pharmacokinetics of topotecan and its carboxylate form following separate intravenous administration to the dog.
Beijnen, JH; Davies, BE; Dennis, MJ; Minthorn, EA; Rosing, H, 1997
)
0.82
" An oral bioavailability of TPT of 32-44% enables convenient prolonged administration."( Oral topotecan given once or twice daily for ten days: a phase I pharmacology study in adult patients with solid tumors.
Burris, H; Eckardt, JR; Fields, S; Gerrits, CJ; Hudson, I; Loos, WJ; Planting, AS; Rodriguez, GI; Schellens, JH; van Beurden, V; van der Burg, ME; Verweij, J; Von Hoff, DD, 1998
)
0.81
" An oral formulation of topotecan is available with a bioavailability of 32-44% in humans."( Five days of oral topotecan (Hycamtin), a phase I and pharmacological study in adult patients with solid tumours.
Burris, H; Fields, S; Gerrits, CJ; Hudson, I; Loos, WJ; Planting, AS; Rodriguez, GI; Schellens, JH; van Beurden, V; van den Burg, ME; Verweij, J; von Hoff, DD, 1998
)
0.94
" An oral formulation of topotecan with a bioavailability of 32-44% in humans enables convenient prolonged administration."( A comparison of clinical pharmacodynamics of different administration schedules of oral topotecan (Hycamtin)
Burris, H; Eckardt, JR; Gerrits, CJ; Hudson, I; Loos, WJ; Planting, AS; Rodriguez, GI; Schellens, JH; van Beurden, V; van der Burg, ME; Verweij, J; Von Hoff, DD, 1999
)
0.83
"Evaluation of inter- and intrapatient variability of topotecan oral bioavailability and disposition was performed in children with malignant solid tumors."( Interpatient variability in bioavailability of the intravenous formulation of topotecan given orally to children with recurrent solid tumors.
Bowman, LC; Gajjar, AJ; Heideman, RL; Houghton, PJ; Meyer, WH; Pappo, AS; Pratt, CB; Santana, VM; Stewart, CF; Tan, M; Zamboni, WC, 1999
)
0.78
"The aims of the study were twofold: (1) to evaluate the effect of food on the relative oral bioavailability of topotecan gelatin capsules in patients with solid tumours, and (2) to determine the absolute bioavailability of oral topotecan with reference to the intravenous (i."( Oral topotecan: bioavailablity and effect of food co-administration.
Batchelor, D; Beijnen, JH; Beusenberg, FD; Doyle, E; Herben, VM; Rosing, H; Schellens, JH; ten Bokkel Huinink, WW; van Zomeren, DM, 1999
)
1.03
"Although topoisomerase inhibitors, such as camptothecin and topotecan, have been widely used in the treatment of nonglial tumors, their application for gliomas has been limited by poor efficacy relative to toxicity that may in part reflect limited bioavailability and blood stability of these agents."( Potent topoisomerase I inhibition by novel silatecans eliminates glioma proliferation in vitro and in vivo.
Bom, D; Burke, TG; Curran, DP; Erff, M; Pollack, IF; Strode, JT, 1999
)
0.55
"Temozolomide (TMZ) is a new, orally administered, second-generation imidazotetrazine prodrug with essentially 100% oral bioavailability that has demonstrated meaningful efficacy and an acceptable safety profile in the treatment of patients with recurrent glioblastoma multiforme."( Future directions in the treatment of malignant gliomas with temozolomide.
Prados, MD, 2000
)
0.31
" In spite of the low bioavailability of oral topotecan (23."( Efficacy and toxicity profile of oral topotecan in a panel of human tumour xenografts.
De Cesare, M; Pace, S; Pisano, C; Pratesi, G; Zunino, F, 2000
)
0.84
" A slightly faster rate of absorption of topotecan was also observed, which is unlikely to be of clinical significance."( Pretreatment with ranitidine does not reduce the bioavailability of orally administered topotecan.
Akhtar, S; Beckman, RA; Doyle, E; Fields, SZ; Mould, DR; Wright, J, 2000
)
0.8
" To avoid the confounding drug transport provided by P-glycoprotein (P-gp), the roles of Bcrp1 in the bioavailability of topotecan and the effect of GF120918 were studied in both wild-type and P-gp-deficient mice and their fetuses."( Role of breast cancer resistance protein in the bioavailability and fetal penetration of topotecan.
Beijnen, JH; Brinkhuis, RF; Jonker, JW; Maliepaard, M; Schellens, JH; Schinkel, AH; Smit, JW, 2000
)
0.74
" When both topotecan and GF120918 were administered orally, the bioavailability (i."( Role of breast cancer resistance protein in the bioavailability and fetal penetration of topotecan.
Beijnen, JH; Brinkhuis, RF; Jonker, JW; Maliepaard, M; Schellens, JH; Schinkel, AH; Smit, JW, 2000
)
0.92
" These results may have therapeutic implications because the antitumor efficacy of ST1481 is in part related to a good bioavailability after oral administration, and the drug is currently under Phase I clinical evaluation."( A novel 7-modified camptothecin analog overcomes breast cancer resistance protein-associated resistance in a mitoxantrone-selected colon carcinoma cell line.
Beggiolin, G; Carenini, N; Carminati, P; De Cesare, M; De Isabella, P; Palumbo, M; Perego, P; Pezzoni, G; Pisano, C; Pratesi, G; Scheffer, GL; Tartaglia, L; Zunino, F, 2001
)
0.31
" Presently, several strategies are explored to alter the low and variable oral bioavailability of several important anticancer agents by taking advantage of an intentional interaction between anticancer agents and drugs that modulate active intestinal drug transporters or (intestinal) enzymes."( The use of oral cytotoxic and cytostatic drugs in cancer treatment.
de Jonge, MJ; Sparreboom, A; Verweij, J, 2002
)
0.31
"We discovered that breast cancer resistance protein (BCRP), a recently identified adenosine triphosphate-binding cassette drug transporter, substantially limits the oral bioavailability of topotecan in mdr1a/1b(-/-) P-glycoprotein (P-gp) knockout and wild-type mice."( Increased oral bioavailability of topotecan in combination with the breast cancer resistance protein and P-glycoprotein inhibitor GF120918.
Beijnen, JH; Jewell, RC; Kruijtzer, CM; Paul, EM; Rosing, H; Schellens, JH; Schot, M; ten Bokkel Huinink, WW, 2002
)
0.78
" The apparent bioavailability in this cohort increased significantly from 40."( Increased oral bioavailability of topotecan in combination with the breast cancer resistance protein and P-glycoprotein inhibitor GF120918.
Beijnen, JH; Jewell, RC; Kruijtzer, CM; Paul, EM; Rosing, H; Schellens, JH; Schot, M; ten Bokkel Huinink, WW, 2002
)
0.59
" The apparent oral bioavailability increased from 40."( Increased oral bioavailability of topotecan in combination with the breast cancer resistance protein and P-glycoprotein inhibitor GF120918.
Beijnen, JH; Jewell, RC; Kruijtzer, CM; Paul, EM; Rosing, H; Schellens, JH; Schot, M; ten Bokkel Huinink, WW, 2002
)
0.59
"The novel camptothecin derivative BNP1350 (7-[2-trimethylsilyl)ethyl]-20(S)-camptothecin), also known as Karenitecin, has been developed for superior oral bioavailability and increased lactone stability."( Novel camptothecin derivative BNP1350 in experimental human ovarian cancer: determination of efficacy and possible mechanisms of resistance.
Boven, E; Hausheer, FH; Pinedo, HM; Schlüper, HM; Van Hattum, AH, 2002
)
0.31
" Pharmacokinetic and pharmacodynamic biomodulation, to enhance the bioavailability of the active anticancer agent or to reduce drug related toxicities have currently reached clinical application."( Pharmacology of topoisomerase I inhibitors irinotecan (CPT-11) and topotecan.
Loos, WJ; Mathijssen, RH; Sparreboom, A; Verweij, J, 2002
)
0.55
" In this work we investigated the effect of association of temozolomide (TMZ), an orally bioavailable alkylating agent, with three chemotherapeutic drugs, liposomal doxorubicin (DOXO), cis-platinum (CDDP)."( Effect of association of temozolomide with other chemotherapic agents on cell growth inhibition in glioma cell lines.
Balzarotti, M; Boiardi, A; Calatozzolo, C; Ciusani, E; Croci, D; Salmaggi, A, 2004
)
0.32
" Coadministration of 50 mg/kg GF120918 [N-(4-[2-(1,2,3,4-tetrahydro-6,7-dimethoxy-2-isoquinolinyl)ethyl]-phenyl)-9, 10-dihydro-5-methoxy-9-oxo-4-acridine carboxamide] with 2 mg/kg topotecan significantly increased the area under the plasma concentration-time curve and bioavailability of topotecan by more than 4-fold in these animals, indicating the importance of BCRP in the bioavailability and disposition of topotecan in rats."( Flavonoids chrysin and benzoflavone, potent breast cancer resistance protein inhibitors, have no significant effect on topotecan pharmacokinetics in rats or mdr1a/1b (-/-) mice.
Morris, ME; Sagawa, K; Wang, X; Zhang, S, 2005
)
0.73
"34-fold increased oral bioavailability of topotecan compared to the bioavailability in ten patients with the wild-type allele (42."( Effect of ABCG2 genotype on the oral bioavailability of topotecan.
Burger, H; Figg, WD; Gelderblom, H; Loos, WJ; Nooter, K; Sissung, TM; Sparreboom, A; Verweij, J, 2005
)
0.84
", irinotecan), resulting in increased bioavailability and reduced clearance of these agents."( Cyclosporin A, tacrolimus and sirolimus are potent inhibitors of the human breast cancer resistance protein (ABCG2) and reverse resistance to mitoxantrone and topotecan.
Dai, Y; Gupta, A; Hebert, MF; Mao, Q; Ross, DD; Thummel, KE; Unadkat, JD; Vethanayagam, RR, 2006
)
0.53
" Oral administration of 4-AQ molecules, such as gefitinib, inhibits ATP-binding cassette (ABC) transporter-mediated drug efflux and strongly increases the apparent bioavailability of coadministered drug molecules that are transporter substrates."( Gefitinib modulates the function of multiple ATP-binding cassette transporters in vivo.
Bai, F; Houghton, PJ; Johnston, B; Leggas, M; Panetta, JC; Schuetz, JD; Sorrentino, B; Stewart, CF; Zhou, S; Zhuang, Y, 2006
)
0.33
" ABCG2 also appears influential in the inter-patient variation and generally poor oral bioavailability of certain chemotherapeutic drugs such as topotecan."( The emerging pharmacotherapeutic significance of the breast cancer resistance protein (ABCG2).
Hardwick, LJ; van Veen, HW; Velamakanni, S, 2007
)
0.54
"Breast cancer resistance protein (ABCG2) substantially limits the oral bioavailability of topotecan."( A phase I, randomized, open-label, parallel-cohort, dose-finding study of elacridar (GF120918) and oral topotecan in cancer patients.
Beijnen, JH; Jewell, RC; Kuppens, IE; Mangum, SG; Paul, EM; Radema, SA; Schellens, JH; Voest, EE; Witteveen, EO, 2007
)
0.78
" Human oral bioavailability is an important pharmacokinetic property, which is directly related to the amount of drug available in the systemic circulation to exert pharmacological and therapeutic effects."( Hologram QSAR model for the prediction of human oral bioavailability.
Andricopulo, AD; Moda, TL; Montanari, CA, 2007
)
0.34
" Topotecan, an anti-cancer drug widely used in metastatic carcinoma, is a P-glycoprotein substrate having oral bioavailability of 30% with large inter-patient variability."( Concurrent determination of topotecan and model permeability markers (atenolol, antipyrine, propranolol and furosemide) by reversed phase liquid chromatography: utility in Caco-2 intestinal absorption studies.
Bansal, T; Jaggi, M; Khar, RK; Mishra, G; Mukherjee, R; Singh, M; Talegaonkar, S, 2007
)
1.54
"The bioavailability of belotecan and topotecan in rats was determined following oral administration of each drug at a dose of 5 mg/kg body weight."( Involvement of P-glycoprotein, multidrug resistance protein 2 and breast cancer resistance protein in the transport of belotecan and topotecan in Caco-2 and MDCKII cells.
Chung, SJ; Han, YH; Jin, HE; Kim, DD; Kim, W; Li, H; Shim, CK, 2008
)
0.82
"The bioavailability of belotecan (11."( Involvement of P-glycoprotein, multidrug resistance protein 2 and breast cancer resistance protein in the transport of belotecan and topotecan in Caco-2 and MDCKII cells.
Chung, SJ; Han, YH; Jin, HE; Kim, DD; Kim, W; Li, H; Shim, CK, 2008
)
0.55
"The involvement of secretory transporters P-gp, MRP2 and BCRP, particularly for belotecan, as well as a low passive permeability, appears to be responsible for the low bioavailability of belotecan and topotecan."( Involvement of P-glycoprotein, multidrug resistance protein 2 and breast cancer resistance protein in the transport of belotecan and topotecan in Caco-2 and MDCKII cells.
Chung, SJ; Han, YH; Jin, HE; Kim, DD; Kim, W; Li, H; Shim, CK, 2008
)
0.74
" They determine the pharmacokinetics of the formulation and the bioavailability of the drugs."( Characterization of PEGylated nanoliposomes co-remotely loaded with topotecan and vincristine: relating structure and pharmacokinetics to therapeutic efficacy.
Andriyanov, AV; Barenholz, Y; Raviv, U; Steiner, A; Zucker, D, 2012
)
0.61
" Intravitreal drug injection is a promissing route for maximum bioavailability to the vitreous but it requires a well defined dose for achieving tumor control while limited toxicity to the retina."( Ocular and systemic toxicity of intravitreal topotecan in rabbits for potential treatment of retinoblastoma.
Asprea, M; Bramuglia, GF; Buitrago, E; Chantada, GL; Croxatto, JO; Del Sole, MJ; Fandino, A; Schaiquevich, P; Torbidoni, A, 2013
)
0.65
" As topotecan bioavailability and pharmacokinetic data for Chinese patients is limited, the aim of the study was to assess the absolute bioavailability and pharmacokinetics of Xinze(®) in Chinese patients with SCLC treated intravenously (i."( Absolute bioavailability studies of a new oral topotecan formulation in Chinese patients using UHPLC-MS/MS.
Du, P; Gui, L; Han, X; Li, N; Shi, Y; Song, Y; Yang, J, 2013
)
1.2
" This experimental system is useful for clarifying the cause of low bioavailability of various drugs."( In vivo assessment of the impact of efflux transporter on oral drug absorption using portal vein-cannulated rats.
Hashimoto, T; Konno, Y; Matsuda, Y; Nagai, M; Satsukawa, M; Taguchi, T; Yamashita, S, 2013
)
0.39
" However, in the periphery, venlafaxine treatment significantly reduced the topotecan oral bioavailability by nearly 40%, whereas the impact of desvenlafaxine on topotecan plasma levels was more modest (23%)."( Effect of venlafaxine and desvenlafaxine on drug efflux protein expression and biodistribution in vivo.
Bachmeier, C; Beaulieu-Abdelahad, D; Levin, GM; Mullan, M; Reed, J, 2013
)
0.62
"Oral topotecan (Hycamtin(®)) has been recently approved for the treatment of relapsed small cell lung cancer (SCLC) in 2007, however, the bioavailability and pharmacokinetic data of topotecan for Chinese patients is still limited."( Oral topotecan: Bioavailability, pharmacokinetics and impact of ABCG2 genotyping in Chinese patients with advanced cancers.
Du, P; Gui, L; Han, X; Li, N; Shen, Y; Shi, Y; Song, Y; Sun, Y; Wang, J; Wang, S; Yang, J, 2013
)
1.42
" It also showed a moderate oral bioavailability and good safety in vivo."( Novel N-substituted sophoridinol derivatives as anticancer agents.
Bi, CW; Deng, HB; Li, YH; Shao, RG; Song, DQ; Tang, S; Wang, Z; Zhang, CX; Zhao, WL, 2014
)
0.4
" Current treatment involves the administration of systemic chemotherapy combined with radiation, but there is a clear need for improvement of chemotherapy bioavailability in the optic nerve."( Topotecan Delivery to the Optic Nerve after Ophthalmic Artery Chemosurgery.
Abramson, DH; Asprea, M; Chantada, G; Gobin, P; Requejo, F; Schaiquevich, P; Sgroi, M; Taich, P, 2016
)
1.88
" However, high interpatient variability in oral drug bioavailability is common in children less than 3 years old."( Population Pharmacokinetics of Oral Topotecan in Infants and Very Young Children with Brain Tumors Demonstrates a Role of ABCG2 rs4148157 on the Absorption Rate Constant.
Birg, AV; Broniscer, A; Daryani, VM; Gajjar, AJ; Lin, T; Panetta, JC; Roberts, JK; Robinson, GW; Stewart, CF, 2016
)
0.71
"Fluorination is a well-known strategy for improving the bioavailability of bioactive molecules in the lead optimization phase of drug discovery projects."( Design, semisynthesis and potent cytotoxic activity of novel 10-fluorocamptothecin derivatives.
Goto, M; Hsu, PL; Lee, KH; Liu, YQ; Morris-Natschke, SL; Shang, XF; Song, ZL; Wang, MJ; Yang, CJ; Yang, QR; Zhang, XS, 2017
)
0.46
" These findings were further supported by the enhancement of bioavailability (13."( Formulation and optimization of topotecan nanoparticles: In vitro characterization, cytotoxicity, cellular uptake and pharmacokinetic outcomes.
Iqbal, Z; Kapoor, R; Padhi, S; Panda, AK; Verma, D, 2018
)
0.76
" The SD formulation was effective in improving the bioavailability of topotecan, a BCRP substrate in rats."( Improved In vivo Effect of Chrysin as an Absorption Enhancer Via the Preparation of Ternary Solid Dispersion with Brij®L4 and Aminoclay.
Han, HK; Lee, SH; Lee, YS; Song, JG, 2019
)
0.75
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" However, oral bioavailability of topotecan was not satisfactory in previous studies."( Oral delivery of topotecan in polymeric nanoparticles: Lymphatic distribution and pharmacokinetics.
Jang, JH; Jeong, SH; Lee, YB, 2021
)
1.24
" Pharmacokinetic studies showed enhanced bioavailability of the TPT with improved plasma concentration and AUC."( Development, Characterization, and Evaluation of SLN-Loaded Thermoresponsive Hydrogel System of Topotecan as Biological Macromolecule for Colorectal Delivery.
Ali, T; Ali, Z; Baseer, A; Batool, S; Din, F; Malik, M; Mukhtiar, M; Mustapha, O; Rehman, M; Shafique, S; Shah, F; Sohail, S; Xing, R; Yousaf, A; Zahid, F; Zaidi, SS; Zeb, A, 2021
)
0.84
" Future studies should focus not only on developing other active molecules but also on improving the bioavailability and pharmacokinetics of potent synthetic derivatives."( The design and discovery of topoisomerase I inhibitors as anticancer therapies.
Alonso, C; Martín-Encinas, E; Palacios, F; Selas, A, 2022
)
0.72
" For lead optimization in new drug discovery stages, fluorination is an effective and robust approach to increase the bioavailability and optimize the pharmacokinetics of candidate compounds, thereby improving their efficacy."( Improved anti-tumor activity of fluorinated camptothecin derivatives 9-fluorocamptothecin and 7-ethyl-9-fluorocamptothecin on hepatocellular carcinoma by targeting topoisomerase I.
Bai, YP; Li, L; Liu, YQ; Luo, HB; Peng, LZ; Wang, ZP; Xu, CR; Yan, JX; Yang, CJ; Zhang, M; Zhang, ZJ; Zhu, LZ, 2023
)
0.91
"P-glycoprotein (Pgp) plays a pivotal role in drug bioavailability and multi-drug resistance development."( Drug-Induced Conformational Dynamics of P-Glycoprotein Underlies the Transport of Camptothecin Analogs.
Bartlett, MG; King, GM; Mensah, GAK; Roberts, AG; Schaefer, KG, 2023
)
0.91

Dosage Studied

Topotecan combined with PE regimen with this schedule and dosage does not seem to provide any benefit in terms of response and survival in ED-SCLC patients.

ExcerptRelevanceReference
" The steady-state concentrations of total drug will be measured in several of these trials to establish its potential role in adaptive dosing using this schedule."( Clinical, pharmacokinetic and biological studies of topotecan.
Frucht, H; Goosenberg, E; Haas, NB; Halbherr, T; LaCreta, FP; O'Dwyer, PJ; Yao, KS, 1994
)
0.54
" Total drug steady-state plasma concentration provided a good estimate of neutropenia, suggesting a simple, easily monitored, pharmacokinetic parameter for adaptive dosing using this schedule."( Phase I/pharmacokinetic study of topotecan by 24-hour continuous infusion weekly.
Brennan, JM; Haas, NB; Hudes, GR; LaCreta, FP; O'Dwyer, PJ; Ozols, RF; Walczak, J, 1994
)
0.57
"0-mg/m2 dosage level; thus, additional patients were treated with this dosage, followed by human recombinant granulocyte-colony stimulating factor (G-CSF)."( Phase I study of topotecan for pediatric patients with malignant solid tumors.
Bowman, L; Furman, W; Heideman, R; Kuttesch, JF; Marina, N; Ochs, J; Pratt, CB; Sandlund, JT; Santana, VM; Stewart, C, 1994
)
0.63
" Css was calculated for each patient; if it differed by more than 20% of target, a new dosage was begun within 6 hours."( Escalating systemic exposure of continuous infusion topotecan in children with recurrent acute leukemia.
Baker, SD; Evans, WE; Furman, WL; Pratt, CB; Rivera, GK; Stewart, CF, 1996
)
0.54
" However, dosing guidelines for the administration of topotecan to patients with impaired hepatic function have not yet been established."( Phase I and pharmacologic studies of topotecan in patients with impaired hepatic function.
Bowling, K; Brubaker, A; Chen, TL; Donehower, RC; Ettinger, D; Forastiere, A; Grochow, LB; Ignacio, V; Lubejko, B; O'Reilly, S; Rowinsky, E; Sartorius, S; Slichenmyer, W; Smith, J, 1996
)
0.82
" Because the concurrent administration of TPT and G-CSF resulted in severe myelosuppression at the lowest TPT dose level, an alternate posttreatment G-CSF schedule in which G-CSF dosing began after TPT (starting on day 6) was subsequently evaluated."( Phase I and pharmacologic study of high doses of the topoisomerase I inhibitor topotecan with granulocyte colony-stimulating factor in patients with solid tumors.
Bowling, MK; Donehower, RC; Grochow, LB; Kaufmann, SH; Peereboom, D; Rowinsky, EK; Sartorius, SE, 1996
)
0.52
" Further exploration of topotecan in pancreatic carcinoma using different dosing schedules is warranted."( Phase II trial of topotecan in advanced or metastatic adenocarcinoma of the pancreas.
Alexander, R; Amfoh, K; Engstrom, PF; Fox, S; Green, F; Kosierowski, R; Lusch, C; O'Dwyer, PJ; Raskay, B; Redei, I; Scher, RM, 1996
)
0.93
" Neutropenia was the principal toxicity of topotecan on this dosing schedule."( A phase II trial of topotecan in patients with previously untreated pancreatic cancer.
Donehower, RC; Grochow, LB; O'Reilly, S; Ord, S; Rowinsky, EK, 1996
)
0.88
" Phase I trials found antitumor activity in many topotecan dosing schedules, one of which involved the administration of topotecan daily as a 30-minute infusion for 5 consecutive days, with the cycle repeated every 21 days."( Efficacy and safety of topotecan in the treatment of advanced ovarian carcinoma.
Armstrong, D; Carmichael, J; Gordon, A; Malfetano, J; ten Bokkel Huinink, W, 1997
)
0.86
" Proliferation does not seem to be necessary for the effect of Topo, and no superiority for protracted dosing schedules was observed."( Cytotoxic activity of topotecan in human tumour cell lines and primary cultures of human tumour cells from patients.
Csóka, K; Dhar, S; Fridborg, H; Jonsson, E; Larsson, R; Nygren, P; Sundström, C, 1997
)
0.61
" Reduction of the treatment interval to 3 weeks and prolonging etoposide dosing to 10 days did not permit further dose intensification, as a time delay to retreatment owing to unrecovered bone marrow rapidly emerged as the DLT."( Phase I and pharmacological study of sequential intravenous topotecan and oral etoposide.
Beijnen, JH; Dubbelman, AC; Groot, Y; Herben, VM; Mandjes, IA; ten Bokkel Huinink, WW; van Gortel-van Zomeren, DM, 1997
)
0.54
" A large number of phase I studies with topotecan have been conducted since 1992 in both adults and children with a broad range of refractory malignancies and as many as 14 different dosing schedules."( Review of phase I clinical studies with topotecan.
Rowinsky, EK; Verweij, J, 1997
)
0.83
" At this juncture, additional phase I and II trials are required to evaluate the toxicity and efficacy of topotecan in combination with other agents and address critical issues related to optimal drug dosing and sequencing."( Topotecan in combination chemotherapy.
Kaufmann, SH; Rowinsky, EK, 1997
)
1.95
" Clinical studies with topotecan have not yielded as promising results, with response rates of approximately 7% to 10%, but modifications in dosing schedule or combinations with other agents may enhance antitumor activity."( Topotecan in advanced colorectal cancer.
Creemers, GJ, 1997
)
2.05
" However, the degree of myelotoxicity that already occurs will preclude any substantially higher dosing with the weekly regimen."( Randomized phase II study of two schedules of topotecan in previously treated patients with ovarian cancer: a National Cancer Institute of Canada Clinical Trials Group study.
Beare, S; Bryson, P; Capstick, V; Drouin, P; Eisenhauer, E; Grimshaw, R; Hoskins, P; Roy, M; Stuart, G; Zee, B, 1998
)
0.56
" Dosage and administration, status of clinical application, pharmacokinetics, pharmacodynamics and drug interactions are discussed."( Clinical pharmacokinetics of camptothecin topoisomerase I inhibitors.
Beijnen, JH; Herben, VM; Schellens, JH; Ten Bokkel Huinink, WW, 1998
)
0.3
" Our hypothesis is that the camptothecins require a prolonged schedule of administration given continuously at low doses or frequent intermittent dosing schedules to be most effective."( Camptothecins: a review of their development and schedules of administration.
Muggia, FM; O'Leary, J, 1998
)
0.3
" Results of the study were: (a) VN coatings, in a dose-dependent manner, inhibited topoisomerase (Topo)-induced apoptosis by up to 50% (optimal coating density, 500 ng/cm2); in contrast, fibronectin (FN), an ECM protein present in abundance in the brain, demonstrated no protection; (b) in a dose-response study, VN clearly conferred a survival advantage (LD50 of Topo: on VN, 120 ng/ml; on FN, 35 ng/ml); (c) the protective effect of VN was not due to enhanced cell adhesion or alterations in the cell cycle distribution; (d) both of the classic integrin receptors that bind VN (alpha(v)beta3, alpha(v)beta5) were capable of mediating this protective effect, because ligation of either of the two classic integrins conferred chemoresistance to Topo; and (e) chemoresistance observed with VN was associated with an increase in expression of two antiapoptotic proteins, Bcl-2 and Bcl-X(L), with a consequent increase in the ratios for Bcl-2:Bax and Bcl-X(L):Bax."( Vitronectin, a glioma-derived extracellular matrix protein, protects tumor cells from apoptotic death.
Dooley, NP; Gladson, CL; Kyritsis, AP; Rao, JS; Uhm, JH, 1999
)
0.3
"Our aim was to compare and evaluate apoptosis formation as detected by propidium-iodide (PI)/annexin-V or PI/fluorescein-diacetate (FDA) as dose-response parameters in a human promyelocytic leukemia cell line, HL60."( Comparative analysis of apoptosis in HL60 detected by annexin-V and fluorescein-diacetate.
Bartkowiak, D; Baust, H; Högner, S; Nothdurft, W; Röttinger, EM, 1999
)
0.3
" A dose-response model with a logit link function was used to investigate whether the combination of topotecan and vincristine resulted in greater than expected responses compared with the activity of the agents when administered alone."( Synergy of topotecan in combination with vincristine for treatment of pediatric solid tumor xenografts.
Cheshire, PJ; de Graaf, SS; George, EO; Houghton, PJ; Ma, M; Poquette, CA; Richmond, LB; Stewart, CF; Thompson, J, 1999
)
0.91
" The type and degree of toxicity appeared to be related to the dosing schedule (number of days of consecutive treatment), but overall, oral topotecan appeared to be associated with less hematologic toxicity than the IV formulation."( The evolving role of oral topotecan.
Burris, HA, 1999
)
0.81
" Serial plasma and pleural or ascitic fluid samples were collected during each dosing and analyzed by high-performance liquid chromatography for both the intact lactone form of topotecan and its ring-opened carboxylate form."( Topotecan lacks third space sequestration.
de Jonge, MJ; Gelderblom, H; Loos, WJ; Sparreboom, A; Verweij, J, 2000
)
1.94
" A number of different dosing schedules are being investigated in clinical trials including oral administration, a daily infusion on 5- or 3-consecutive days and a continuous infusion for 21 days."( [Topotecan: prospects for using it in combination therapy for ovarian carcinoma].
Scarfone, G,
)
1.04
" The model can be used prospectively to obtain a revised and validated model that can then be used to design individualized dosing regimens."( Population pharmacokinetic model for topotecan derived from phase I clinical trials.
Baker, SD; Gallo, JM; Grochow, LB; Laub, PB; Rowinsky, EK, 2000
)
0.58
" This review discusses the mechanism of action of TMZ and strategies for overcoming pathways of resistance to this promising agent, including the use of TMZ in combination with other chemotherapeutic agents or radiation therapy, and exploration of alternate dosing schedules."( Future directions in the treatment of malignant gliomas with temozolomide.
Prados, MD, 2000
)
0.31
"Anticancer drugs still are dosed based on the body-surface area (BSA) of the individual patient, although the BSA is not the main predictor of the clearance for the majority of drugs."( Inter- and intrapatient variability in oral topotecan pharmacokinetics: implications for body-surface area dosage regimens.
de Jonge, MJ; Gelderblom, H; Loos, WJ; Sparreboom, A; Verweij, J, 2000
)
0.57
" Dosage adjustments of orally administered topotecan should not be necessary in patients who are pretreated with ranitidine, an H2 antagonist, or another agent that comparably raises gastric pH."( Pretreatment with ranitidine does not reduce the bioavailability of orally administered topotecan.
Akhtar, S; Beckman, RA; Doyle, E; Fields, SZ; Mould, DR; Wright, J, 2000
)
0.79
" We tested the hypothesis that much higher dosing would meet critical goals of salvage therapy: antitumor effect and a lack of toxicity to key organs, so as not to preclude subsequent consolidative treatments needed for cure."( Pilot study of topotecan and high-dose cyclophosphamide for resistant pediatric solid tumors.
Cheung, NK; Kramer, K; Kushner, BH; Meyers, PA; Wollner, N, 2000
)
0.66
" The released T-2513 levels in the liver and tumor of the tumor-bearing rats dosed with each conjugate increased with the length of Gly linker, suggesting a good in vitro to in vivo relationship."( Determinants for the drug release from T-0128, camptothecin analogue-carboxymethyl dextran conjugate.
Harada, M; Okuno, S; Sakakibara, H; Suzuki, T; Yano, T, 2000
)
0.31
" Patients received an assigned topotecan dosage in combination with fixed doses of carboplatin and thiotepa, followed by autologous hematopoietic stem cells infusion."( Phase I topotecan preparative regimen for high-risk neuroblastoma, high-grade glioma, and refractory/recurrent pediatric solid tumors.
Gooley, T; Hawkins, D; Lindsley, K; Matthay, KK; Park, JR; Sanders, JE; Slattery, J; Villablanca, JG, 2000
)
1.03
" Prospective studies of pharmacokinetically guided versus surface area-based administration should be performed to validate pharmacokinetic-pharmacodynamic relationships and to facilitate optimal dosage of anticancer agents in the clinic."( Pharmacokinetically guided administration of chemotherapeutic agents.
Beijnen, JH; Mathôt, RA; Schellens, JH; van den Bongard, HJ, 2000
)
0.31
" Animal weights during treatment were markedly reduced by intraperitoneal dosing (n = 6) but not by low-dose intracerebral clysis (32 microg/kg/d for 5 d; n = 6)."( Tissue distribution and antitumor activity of topotecan delivered by intracerebral clysis in a rat glioma model.
Bruce, JN; Chakrabarti, I; Fine, RL; Hall, JS; Kaiser, MG; Parsa, AT, 2000
)
0.57
" These studies provide compelling justification for further preclinical testing to formally evaluate toxicity and efficacy with variable dosing schedules."( Tissue distribution and antitumor activity of topotecan delivered by intracerebral clysis in a rat glioma model.
Bruce, JN; Chakrabarti, I; Fine, RL; Hall, JS; Kaiser, MG; Parsa, AT, 2000
)
0.57
" Severe hematologic toxicity was more common with topotecan and was more likely to be associated with dosage modification, or growth factor or blood product utilization."( Recurrent epithelial ovarian carcinoma: a randomized phase III study of pegylated liposomal doxorubicin versus topotecan.
Fleagle, JT; Gordon, AN; Gore, ME; Guthrie, D; Lacave, AJ; Parkin, DE, 2001
)
0.78
"The comparable efficacy, favorable safety profile, and convenient dosing support the role of PLD as a valuable treatment option in this patient population."( Recurrent epithelial ovarian carcinoma: a randomized phase III study of pegylated liposomal doxorubicin versus topotecan.
Fleagle, JT; Gordon, AN; Gore, ME; Guthrie, D; Lacave, AJ; Parkin, DE, 2001
)
0.52
" Maximum tolerated dosage (MTD) for the topotecan and irinotecan combination was defined as that which permitted 4 weeks of topotecan and irinotecan administration with G-CSF at or near the dose intensity reported for each single agent."( Phase I clinical trial of weekly combined topotecan and irinotecan.
Lokich, J, 2001
)
0.84
" The carboplatin dosage was escalated from an AUC of 4 to 5 to 6 (Calvert formula)."( Phase I and pharmacologic study of sequential topotecan, carboplatin, and etoposide.
Miller, AA; Niell, HB,
)
0.39
"The purpose of this study was to define the maximum tolerated dose (MTD) of topotecan given as escalating doses combined to a fixed dosage of carboplatin in late relapsing ovarian carcinomas."( A phase I/II study of topotecan in combination with carboplatin in recurrent epithelial ovarian cancer.
Bolis, G; Guarnerio, P; Parazzini, F; Polverino, GP; Rosa, C; Scarfone, G; Sciatta, C, 2001
)
0.85
" A multicentric clinical trial with individualized dosing of topotecan was performed in patients with platinum-refractory ovarian cancer."( Individual adaptive dosing of topotecan in ovarian cancer.
Albin, N; Bugat, R; Canal, P; Chatelut, E; Culine, S; Déporte-Féty, R; Goupil, A; Laguerre, B; Lokiec, F; Montazeri, A; Pinguet, F, 2002
)
0.84
"Phase I studies of nogitecan hydrochloride given by single and 5-day repeat dosing were carried out in patients with various solid tumors at 15 medical institutions in Japan."( Phase I studies of nogitecan hydrochloride for Japanese.
Fukuoka, M; Furuse, K; Hasegawa, K; Hino, M; Horikoshi, N; Kanamaru, R; Kimura, I; Kinoshita, H; Kobayashi, K; Niitani, H; Noda, K; Taguchi, T; Takeuchi, K; Yoneda, S, 2002
)
0.31
" The plasma concentration of nogitecan hydrochloride increased with increasing dose, and the half-life after single dosing ranged from 3 to 5h."( Phase I studies of nogitecan hydrochloride for Japanese.
Fukuoka, M; Furuse, K; Hasegawa, K; Hino, M; Horikoshi, N; Kanamaru, R; Kimura, I; Kinoshita, H; Kobayashi, K; Niitani, H; Noda, K; Taguchi, T; Takeuchi, K; Yoneda, S, 2002
)
0.31
" These preliminary data suggest that weekly topotecan is active; further evaluations are planned to confirm the activity and therapeutic index and to determine optimal dosing of a weekly schedule."( Weekly topotecan: an alternative to topotecan's standard daily x 5 schedule?
Rowinsky, EK, 2002
)
1.03
" 34 advanced cancer patients and 186 cycles were evaluable for toxicity over five dosing levels."( Topotecan preceded by oxaliplatin using a 3 week schedule: a phase I study in advanced cancer patients.
Goldwasser, F; Gross-Goupil, M; Hasbini, A; Lokiec, F; Lopez, G; Misset, JL; Romain, D; Tigaud, JM, 2002
)
1.76
" However, the optimal dosing for topotecan has not been established."( Alternate dosing schedules for topotecan in the treatment of recurrent ovarian cancer.
Morris, R; Munkarah, A, 2002
)
0.88
" Hematologic toxicity was significant and resulted in incomplete etoposide dosing in half of all cycles in 16/22 patients."( Phase II study of sequential topotecan and etoposide in patients with intermediate grade non-Hodgkin's lymphoma: a National Cancer Institute of Canada Clinical Trials Group study.
Couban, S; Crump, M; Eisenhauer, E; Gluck, S; Hoskins, P; Maksymiuk, A; Matthews, S; Meyer, R; Rudinskas, L; Zanke, B, 2002
)
0.61
" Dose-limiting thrombocytopenia at week 3 necessitated less frequent gemcitabine dosing (days 1 and 15 of each cycle)."( A dose-escalation study of weekly topotecan, cisplatin, and gemcitabine front-line therapy in patients with inoperable non-small cell lung cancer.
Biggs, DD; Grubbs, SS; Guarino, MJ; Himelstein, AL; Hogaboom, K; Schneider, CJ; Tilak, S, 2002
)
0.59
"Protracted topotecan dosing using a pharmacokinetic strategy was possible in this heavily pretreated group of children."( A pilot study of protracted topotecan dosing using a pharmacokinetically guided dosing approach in children with solid tumors.
Gajjar, A; Houghton, PJ; Kirstein, MN; Liu, T; Santana, VM; Stewart, CF; Tan, M; Zamboni, WC, 2003
)
1
" The goal is to predict a dosage regimen with controlled toxicity."( Population pharmacokinetics/pharmacodynamics relationships of an anticancer drug.
Ané, C; Concordet, D, 2003
)
0.32
" Topotecan administered by continuous infusion demonstrated response rates comparable to other dosing schedules with minimal hematologic toxicity."( The use of continuous infusion topotecan in persistent and recurrent ovarian cancer.
Berek, JS; Elkas, JC; Holschneider, CH; Katz, B; Li, AJ; Louie, R; McGonigle, KF,
)
1.33
" Among the newer agents available for the experimental treatment arms, three stood out-gemcitabine, polyethylene-glycol (PEG)-liposomal doxorubicin, and topotecan-based on evidence of their activity demonstrated in previous phase I and II trials and, with appropriate dosage modifications, manageable toxicity when used in combination with platinum."( Clinical trials of newer regimens for treating ovarian cancer: the rationale for Gynecologic Oncology Group Protocol GOG 182-ICON5.
Bookman, M; Copeland, LJ; Trimble, E, 2003
)
0.52
" The main toxicity associated with topotecan when used in the standard 5-day dosing schedule is myelosuppression, which is generally predictable, reversible, noncumulative, and manageable."( Clinical experience with topotecan in relapsed ovarian cancer.
Herzog, TJ, 2003
)
0.9
" Alternative dosing schedules also show promise."( Weekly topotecan in the management of ovarian cancer.
Morris, RT, 2003
)
0.77
" Topotecan tolerability and convenience may be improved by employing a lower dose, shorter schedule, 21-day continuous infusion or weekly dosing in relapsed/refractory disease."( Workshop: options for therapy in ovarian cancer.
Herzog, TJ; Holloway, RW; Stuart, GC, 2003
)
1.23
" Alternate dosing strategies have sought to improve toxicity."( Phase II evaluation of three-day topotecan in recurrent platinum-sensitive ovarian carcinoma: a gynecologic oncology group study.
Blessing, JA; Lentz, SS; McMeekin, DS; Miller, DS, 2003
)
0.6
" Preclinical data supported intermittent dosing with topotecan and clinical studies with weekly dosing in ovarian cancer have indicated reduced myelosuppression compared with the 5-day regimen."( Weekly topotecan in the management of lung cancer.
Treat, J, 2003
)
1.02
" Dose-response curves were interpolated to provide 50% lethal concentrations (LC(50))."( Ex vivo analysis of topotecan: advancing the application of laboratory-based clinical therapeutics.
Evans, SS; Harper, SM; Nagourney, RA; Radecki, S; Sommers, BL, 2003
)
0.64
"Topotecan dosing considerations and alternative dosing schedules to reduce and manage myelosuppression during the treatment of relapsed ovarian cancer were reviewed."( Topotecan dosing guidelines in ovarian cancer: reduction and management of hematologic toxicity.
Armstrong, DK, 2004
)
3.21
" A schedule in which the daily dose is split so that dosing is performed twice daily may be superior to the current schedule."( Oral topotecan in children with recurrent or progressive high-grade glioma: a Phase I/II study by the German Society for Pediatric Oncology and Hematology.
Albani, M; Bucsky, P; Emser, A; Erdlenbruch, B; Gnekow, A; Kühl, J; Längler, A; Peters, O; Völpel, S; Wagner, S; Wolff, JE, 2004
)
0.84
" Partial responses were documented in three patients with ovarian cancer dosed below the MTD."( Phase I and pharmacokinetic study of the combination of topotecan and ifosfamide administered intravenously every 3 weeks.
Ambaum, B; Beijnen, JH; Groenewegen, G; Herben, VM; Jansen, S; Kerbusch, T; Mathôt, RA; Rosing, H; Schellens, JH; Swart, M; ten Bokkel Huinink, WW; Voest, EE, 2004
)
0.57
"Treatment of recurrent ovarian cancer with low-dose continuous infusion of topotecan over 14 days demonstrated response rates comparable to other dosing schedules with minimal toxicity in a preliminary series of 12 patients."( Topotecan as a continuous infusion over 14 days in recurrent ovarian cancer patients.
Denschlag, D; Gitsch, G; Hörig, K; Kissel, C; Tempfer, C; Watermann, D,
)
1.8
"To assess the antitumor efficacy of pharmacokinetically guided topotecan dosing in previously untreated patients with medulloblastoma and supratentorial primitive neuroectodermal tumors, and to evaluate plasma and CSF disposition of topotecan in these patients."( Results of a phase II upfront window of pharmacokinetically guided topotecan in high-risk medulloblastoma and supratentorial primitive neuroectodermal tumor.
Ashley, D; Chintagumpala, M; Fouladi, M; Gajjar, A; Houghton, PJ; Iacono, LC; Kellie, SJ; Kirstein, MN; Seele, LG; Stewart, CF; Wallace, D; Zamboni, WC, 2004
)
0.8
" After 10 patients were enrolled, the infusion was modified to 4 hours, with dosage individualization."( Results of a phase II upfront window of pharmacokinetically guided topotecan in high-risk medulloblastoma and supratentorial primitive neuroectodermal tumor.
Ashley, D; Chintagumpala, M; Fouladi, M; Gajjar, A; Houghton, PJ; Iacono, LC; Kellie, SJ; Kirstein, MN; Seele, LG; Stewart, CF; Wallace, D; Zamboni, WC, 2004
)
0.56
" Pharmacokinetically guided dosing achieved the target plasma AUC in the majority of patients."( Results of a phase II upfront window of pharmacokinetically guided topotecan in high-risk medulloblastoma and supratentorial primitive neuroectodermal tumor.
Ashley, D; Chintagumpala, M; Fouladi, M; Gajjar, A; Houghton, PJ; Iacono, LC; Kellie, SJ; Kirstein, MN; Seele, LG; Stewart, CF; Wallace, D; Zamboni, WC, 2004
)
0.56
" Recently, topotecan has been studied on a weekly dosing schedule for the treatment of ovarian cancer and found to have efficacy with reduced toxicity."( Weekly topotecan for recurrent endometrial cancer: a case series and review of the literature.
Aghajanian, C; Dupont, J; Sabbatini, P; Traina, TA, 2004
)
1.17
" This review aims to evaluate the role of topotecan in the management of this disease by considering the properties of the compound, the clinical efficacy in Phase II and III studies, its role in first- and second-line treatment and alternative dosing strategies to overcome toxicity."( Review of the use of topotecan in ovarian carcinoma.
Ahmad, T; Gore, M, 2004
)
0.91
" Alternative dosing regimens (lower dose, weekly) and the introduction of an oral formulation may expand the use of topotecan as a single agent and in combination therapy in the second- and first-line treatment of this disease."( Topotecan in the treatment of recurrent small cell lung cancer: an update.
Ardizzoni, A, 2004
)
1.98
" Herein, the future role of topotecan in the first- and second-line treatment of NSCLC and the potential role of resistance mechanisms obtained from in vivo dose-response studies in designing future combination regimens are discussed."( Update on the role of topotecan in the treatment of non-small cell lung cancer.
Stewart, DJ, 2004
)
0.93
"Data were obtained from 59 patients who underwent drug monitoring for individual dosing of topotecan."( Serum cystatin C is a better marker of topotecan clearance than serum creatinine.
Canal, P; Chatelut, E; Delord, JP; Hoppe, A; Malard, L; Séronie-Vivien, S; Thomas, F, 2005
)
0.82
" It deserves to be further explored as a promising covariate for drug dosing as well as selection criteria for clinical studies of drugs eliminated mainly or partially by the kidney."( Serum cystatin C is a better marker of topotecan clearance than serum creatinine.
Canal, P; Chatelut, E; Delord, JP; Hoppe, A; Malard, L; Séronie-Vivien, S; Thomas, F, 2005
)
0.6
"We performed a phase I study of two fixed dosing schemes of cisplatin, a DNA cross-linker, with intravenous escalating topotecan, a DNA-topoisomerase I inhibitor."( Phase I trial of intravenous cisplatin-topotecan chemotherapy for three consecutive days in patients with advanced solid tumors: parallel topotecan escalation in two fixed platinum dosing schemes.
Briasoulis, E; Karavassilis, V; Mauri, D; Pavlidis, N; Pentheroudakis, G; Rammou, D; Tzamakou, E, 2005
)
0.81
"To estimate the response rate and toxicity associated with intravenous topotecan when it is administered on a protracted schedule according to a pharmacokinetically guided dosing approach to treat childhood high-risk neuroblastoma."( Improved response in high-risk neuroblastoma with protracted topotecan administration using a pharmacokinetically guided dosing approach.
Billups, CA; Davidoff, AM; Furman, WL; Hoffer, F; Houghton, PJ; Santana, VM; Stewart, CF, 2005
)
0.8
" Weekly topotecan may be an appropriate treatment option for patients with recurrent ovarian cancer, especially heavily pretreated patients who might require dosing schedules with improved tolerability."( Weekly topotecan in heavily pretreated patients with recurrent epithelial ovarian carcinoma.
Azodi, M; Kelly, M; Makkenchery, A; McAlpine, J; O'Malley, DM; Rutherford, T; Schwartz, P; Tangir, J, 2005
)
1.22
" We present a concise review of cancer chemotherapy dosing in the setting of liver dysfunction."( Chemotherapy dosing in the setting of liver dysfunction.
Eklund, JW; Mulcahy, MF; Trifilio, S, 2005
)
0.33
" Dosing histories were collected using electronic monitoring devices fitted to medication vials."( Pharmacokinetics, pharmacodynamics and adherence to oral topotecan in myelodysplastic syndromes: a Cancer and Leukemia Group B study.
Grinblatt, DL; Hollis, D; Kastrissios, H; Klein, CE; Larson, RA; Miller, AA; Ratain, MJ; Rosner, GL; Yu, D, 2006
)
0.58
" Pharmacokinetic parameter estimates did not differ between the once a day and twice a day dosing groups."( Pharmacokinetics, pharmacodynamics and adherence to oral topotecan in myelodysplastic syndromes: a Cancer and Leukemia Group B study.
Grinblatt, DL; Hollis, D; Kastrissios, H; Klein, CE; Larson, RA; Miller, AA; Ratain, MJ; Rosner, GL; Yu, D, 2006
)
0.58
" Significant interpatient variability in the topotecan systemic exposure results when it is dosed based on body surface area (mg/m2)."( A phase I trial defining the maximum tolerated systemic exposure of topotecan in combination with Carboplatin and Etoposide in extensive stage small cell lung cancer.
Donahue, A; Faucette, S; Gillenwater, HH; Kirstein, MN; Lindley, C; McCune, JS; Moore, D; Shord, S; Socinski, MA; Stewart, CF; Zamboni, WC, 2005
)
0.82
" Topotecan was administered as a 30-minute infusion either on Days 1-5 or Days 1-3 and the dosage was individualized to attain a topotecan lactone AUC range (ng/mL*hr) in successive patient cohorts from 7 to 23; 24 to 36; 37 to 53; 54 to 66."( A phase I trial defining the maximum tolerated systemic exposure of topotecan in combination with Carboplatin and Etoposide in extensive stage small cell lung cancer.
Donahue, A; Faucette, S; Gillenwater, HH; Kirstein, MN; Lindley, C; McCune, JS; Moore, D; Shord, S; Socinski, MA; Stewart, CF; Zamboni, WC, 2005
)
1.47
" Analysis of neutrophil and platelet nadirs and dosing for each course of therapy showed no apparent evidence of cumulative neutropenia or thrombocytopenia."( Hematologic safety and tolerability of topotecan in recurrent ovarian cancer and small cell lung cancer: an integrated analysis.
Armstrong, DK; Lane, S; Levin, J; Poulin, R; Spriggs, D, 2005
)
0.6
" Food and Drug Administration-approved dosage and schedule."( Topotecan: weighing in when there are many options.
Penson, RT; Seiden, MV, 2005
)
1.77
"These mechanistic models, including patient characteristics that influence drug-specific parameters, form the rationale basis for more tailored dosing of individual patients or subgroups to minimize the risk of infection and thus might contribute to a more successful therapy."( Population pharmacokinetic-pharmacodynamic model for neutropenia with patient subgroup identification: comparison across anticancer drugs.
Chatelut, E; Henningsson, A; Karlsson, MO; Kloft, C; Wallin, J, 2006
)
0.33
" However, this treatment requires the use of Filgrastim and attenuated dosing of topotecan in both a 5-day and 3-day topotecan infusion schedule."( A phase I study of paclitaxel, topotecan, cisplatin and Filgrastim in patients with newly diagnosed advanced ovarian epithelial malignancies: a Gynecologic Oncology Group study.
Armstrong, DK; Bookman, MA; Bristow, RE; McGuire, W; Schilder, JM, 2007
)
0.85
"Topotecan combined with PE regimen with this schedule and dosage does not seem to provide any benefit in terms of response and survival in ED-SCLC patients and does not deserve further studies."( Addition of topotecan to standard cisplatin/etoposide combination in patients with extended stage small cell lung carcinoma.
Aydiner, A; Camlica, H; Derin, D; Guney, N; Tas, F; Topuz, E, 2007
)
2.16
" PEG-liposomal doxorubicin was given intravenously at a dosage of 30-40 mg/m(2) over 4 h once every 4 weeks."( Pegylated-liposomal doxorubicin and oral topotecan in eight children with relapsed high-grade malignant brain tumors.
Fels, C; Hau, P; Janssen, G; Liebeskind, AK; Peters, O; Sauerbrey, A; Suttorp, M; Wagner, S; Wolff, JE, 2008
)
0.61
"Different dosing regimens of S-CKD602, free CKD-602 and topotecan were compared for antitumor activity in female athymic nude mice bearing human A375 melanoma, ES-2 ovarian, H82 SCLC or HT-29 colon tumor xenografts."( STEALTH liposomal CKD-602, a topoisomerase I inhibitor, improves the therapeutic index in human tumor xenograft models.
Chen, JY; Conway, C; Pena, RL; Yu, NY,
)
0.38
" In A375 tumors, once-weekly dosing of S-CKD602 was superior to once every 2 weeks or twice weekly schedules."( STEALTH liposomal CKD-602, a topoisomerase I inhibitor, improves the therapeutic index in human tumor xenograft models.
Chen, JY; Conway, C; Pena, RL; Yu, NY,
)
0.13
" We found that TPT-induced toxicity increased dose-dependently for each mode of dosing investigated."( Mathematical modeling of topotecan pharmacokinetics and toxicodynamics in mice.
Balthasar, JP; Chen, J; Lu, Q, 2007
)
0.64
" Additionally, dosing topotecan based on the covariate model led to a more accurate and precise estimation topotecan systemic exposure compared with a fixed dosing approach, and could be a tool to assist clinicians to individualize topotecan dosing."( Population pharmacokinetic analysis of topotecan in pediatric cancer patients.
Freeman, BB; Gajjar, A; Iacono, LC; Panetta, JC; Santana, VM; Schaiquevich, P; Stewart, CF, 2007
)
0.92
" Considerable hematologic toxicities have been reported with topotecan dosed for 5 consecutive days in combination with vinorelbine."( Phase I dose escalation study of vinorelbine and topotecan combination chemotherapy in patients with recurrent lung cancer.
Beldner, MA; Chaudhary, U; Garrett-Mayer, E; Green, MR; Kraft, AS; Meyer, ML; Montero, AJ; Sherman, CA, 2007
)
0.84
" The topotecan dosage was individualized to attain a topotecan lactone area under the plasma concentration-time curve between 80 and 120 ng/mL h and given over a protracted schedule (i."( Using pharmacokinetic and pharmacodynamic modeling and simulation to evaluate importance of schedule in topotecan therapy for pediatric neuroblastoma.
Panetta, JC; Santana, VM; Schaiquevich, P; Stewart, CF, 2008
)
1.07
") topotecan studies, 20 mg/m(2) dosing was tolerable."( Phase 2 study of intraperitoneal topotecan as consolidation chemotherapy in ovarian and primary peritoneal carcinoma.
Malpass, TW; McGonigle, KF; Muntz, HG; Robertson, MD; Weiden, PL, 2008
)
1.35
"To review the role of topotecan in the treatment of advanced and relapsed ovarian cancer, and the efficacy and safety of novel dosing regimens and formulations of topotecan."( Current role and future aspects of topotecan in relapsed ovarian cancer.
Oskay-Ozcelik, G; Sehouli, J, 2009
)
0.94
" A number of alternative dosing regimens and formulations have been investigated in an attempt to improve the toxicity profile of topotecan without compromising anti-tumour activity."( Current role and future aspects of topotecan in relapsed ovarian cancer.
Oskay-Ozcelik, G; Sehouli, J, 2009
)
0.83
"Individualization of topotecan dosing reduces inter-patient variability in topotecan exposure, presumably reducing toxicity and increasing efficacy."( Application of a highly specific and sensitive fluorescent HPLC method for topotecan lactone in whole blood.
Bai, F; Fraga, CH; Hubbard, KE; Miller, L; Panetta, JC; Schaiquevich, P; Stewart, CF, 2009
)
0.9
"5 and 15 mg/kg; weekly) dosing regimens reduced tumor growth in dose-finding experiments, but significant morbidity and mortality was observed with higher doses."( Anti-angiogenic properties of metronomic topotecan in ovarian carcinoma.
Chandra, J; Coleman, RL; Danes, CG; Gershenson, DM; Han, LY; Jaffe, RB; Kamat, AA; Kim, HS; Lin, YG; Mangala, LS; Merritt, WM; Nick, AM; Shahzad, MM; Sood, AK; Spannuth, WA; Stone, RL, 2009
)
0.62
"The MTD was not reached in Stratum 1, but a DLT occurred at the lowest cladribine dosage (9."( Combination of cladribine plus topotecan for recurrent or refractory pediatric acute myeloid leukemia.
Crews, KR; Inaba, H; Pounds, S; Pui, CH; Razzouk, BI; Ribeiro, RC; Rubnitz, JE; Stewart, CF; Yang, S, 2010
)
0.65
" Further studies using alternative dose levels could help define an optimal dosing schedule for this treatment combination in patients with platinum-sensitive recurrent disease."( An open-label, single-arm Phase II study of intravenous weekly (Days 1 and 8) topotecan in combination with carboplatin (Day 1) every 21 days as second-line therapy in patients with platinum-sensitive relapsed ovarian cancer.
Hartney, J; Lane, S; Legenne, P; Monk, BJ; Provencher, D; Rose, PG, 2011
)
0.6
" Grade 3/4 neutropenia rate was 93% with daily×5 dosing and 28% for weekly treatment."( A phase II study of two topotecan regimens evaluated in recurrent platinum-sensitive ovarian, fallopian tube or primary peritoneal cancer: a Gynecologic Oncology Group Study (GOG 146Q).
DeBernardo, RL; DeGeest, K; Herzog, TJ; Lentz, SS; Mutch, D; O'Malley, D; Shahin, M; Sill, MW; Walker, JL; Weiner, SA, 2011
)
0.68
" Sublethal dosage of NSC 19630 and the chemotherapy drug topotecan acted synergistically to inhibit cell proliferation and induce DNA damage."( Inhibition of helicase activity by a small molecule impairs Werner syndrome helicase (WRN) function in the cellular response to DNA damage or replication stress.
Aggarwal, M; Brosh, RM; Shoemaker, RH; Sommers, JA, 2011
)
0.61
" 3a and 3b demonstrated significant brain penetration when dosed orally in mice."( 14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
Ahluwalia, D; Bhupathi, D; Cai, X; Duan, JX; Hart, CP; Huang, H; Jiao, H; Jung, B; Jung, D; Liu, Q; Matteucci, J; Matteucci, M; Meng, F; Sun, JD, 2011
)
0.37
" Subsequently Genz-644282 was tested at 4, 3, 2, and 1 mg/kg in 3 models to assess the dose-response relationship."( Testing of the topoisomerase 1 inhibitor Genz-644282 by the pediatric preclinical testing program.
Anders Kolb, E; Billups, CA; Carol, H; Gorlick, R; Houghton, PJ; Kang, MH; Keir, ST; Lock, R; Madden, SL; Maris, JM; Morton, CL; Reynolds, CP; Smith, MA; Teicher, BA; Zhang, MX, 2012
)
0.38
") weekly dosing resulted in low-grade 3/4 toxicity but an overall response rate (ORR) < 10%."( A phase II study of higher dose weekly topotecan in relapsed small-cell lung cancer.
Arrowsmith, ER; Burris, HA; Clark, BL; Greco, FA; Hainsworth, JD; Shipley, DL; Spigel, DR; Whorf, RC, 2011
)
0.64
"The objective of this study was to determine the antitumor effects of alternate dosing schedules of topotecan in prostate cancer."( Enhanced antitumor activity of low-dose continuous administration schedules of topotecan in prostate cancer.
Aljuffali, IA; Arnold, RD; Costyn, LJ; Cummings, BS; Mock, JN; Nagy, T; Nguyen, H, 2011
)
0.81
"4-18 fold, after 72 hr) was observed following metronomic dosing compared to conventional dosing administration in both cell lines."( Enhanced antitumor activity of low-dose continuous administration schedules of topotecan in prostate cancer.
Aljuffali, IA; Arnold, RD; Costyn, LJ; Cummings, BS; Mock, JN; Nagy, T; Nguyen, H, 2011
)
0.6
"The cytotoxicity of topotecan after conventional or metronomic dosing was determined by examining cellular morphology, mitochondrial enzymatic activity (MTT), total cellular protein (SRB), annexin V and propidium iodine (PI) staining, cell cycle and western blot analysis in human prostate cancer cell lines (PC-3 and LNCaP) and the effects metronomic or continuous infusion on tumor growth in an in vivo tumor xenograft model."( Enhanced antitumor activity of low-dose continuous administration schedules of topotecan in prostate cancer.
Aljuffali, IA; Arnold, RD; Costyn, LJ; Cummings, BS; Mock, JN; Nagy, T; Nguyen, H, 2011
)
0.92
"These data support the hypothesis that low-dose continuous administration of topotecan increases potency compared to conventional dosing in prostate cancer."( Enhanced antitumor activity of low-dose continuous administration schedules of topotecan in prostate cancer.
Aljuffali, IA; Arnold, RD; Costyn, LJ; Cummings, BS; Mock, JN; Nagy, T; Nguyen, H, 2011
)
0.83
"In vitro dose-response study of topotecan and pazopanib was conducted on several neuroblastoma, osteosarcoma, and rhabdomyosarcoma cell lines."( Metronomic oral topotecan with pazopanib is an active antiangiogenic regimen in mouse models of aggressive pediatric solid tumor.
Baruchel, S; Kerbel, RS; Kumar, S; Man, S; Mokhtari, RB; Oliveira, ID; Sheikh, R; Wu, B; Xu, P; Yeger, H; Zhang, L, 2011
)
1
" Pharmacokinetically guided topotecan dosing (target systemic exposure with area under the curve of 50 to 70 ng/mL/hr) was performed."( Pilot induction regimen incorporating pharmacokinetically guided topotecan for treatment of newly diagnosed high-risk neuroblastoma: a Children's Oncology Group study.
Cohn, SL; London, WB; Matthay, KK; Naranjo, A; Park, JR; Santana, VM; Scott, JR; Shaw, PJ; Stewart, CF, 2011
)
0.9
" Once MTD was defined, we expanded this dosing cohort to include patients with high-risk lymphoma due to activity seen during dose escalation."( Phase I Study of Topotecan, Ifosfamide, and Etoposide (TIME) with autologous stem cell transplant in refractory cancer: pharmacokinetic and pharmacodynamic correlates.
Dawson, JL; Field, TL; Fields, KK; Goldstein, SC; Kim, J; Lush, RM; Maddox, BL; Neuger, AM; Partyka, JS; Perkins, JB; Simonelli, CE; Sullivan, DM, 2011
)
0.71
"Individualization of the topotecan dosing can reduce inter-patient variability, toxicity, and at the same time increases chemotherapy efficacy."( Topotecan exposure estimation in pediatric acute myeloid leukemia supported by LC-MS-based drug monitoring and pharmacokinetic analysis.
Adamkiewicz-Drożyńska, E; Bączek, T; Balcerska, A; Belka, M; Konieczna, L; Maciejka-Kapuścińska, L; Niedźwiecki, M; Wachowiak, J; Wiśniewski, J, 2012
)
2.13
"We performed a phase-1 pharmacokinetic optimal dosing study of intraventricular topotecan (IT), administered daily 5×, to determine whether, the maximum tolerated dose of IT topotecan was also the pharmacokinetic optimal dose."( A phase-1 pharmacokinetic optimal dosing study of intraventricular topotecan for children with neoplastic meningitis: a Pediatric Brain Tumor Consortium study.
Berg, SL; Blaney, SM; Boyett, J; Goldman, S; Gururangan, S; Kieran, MW; Kun, L; Onar-Thomas, A; Scorsone, K; Stewart, C; Su, J; Tagen, M, 2013
)
0.85
" The dosing schedule appears to affect the toxicity profile of the drug."( A systematic review on topoisomerase 1 inhibition in the treatment of metastatic breast cancer.
Balslev, E; Brünner, N; Kümler, I; Nielsen, DL; Stenvang, J, 2013
)
0.39
" No adjustment of low dose metronomic topotecan dosing is merited when used in conjunction with pazopanib."( Combination metronomic oral topotecan and pazopanib: a pharmacokinetic study in patients with gynecological cancer.
Harstead, KE; Stewart, CF; Throm, SL; Tillmanns, TD; Turner, DC, 2013
)
0.95
"Patients with brain metastasis from lung cancer received concurrent chemotherapy and radiotherapy: conventional fractionated whole-brain irradiation, 2 fields/time, 1 fraction/day, 2 Gy/fraction, 5 times/week, and DT 40 Gy/20 fractions; for the patients with ≤ 3 lesions with diameter ≥ 2 cm, a three-dimensional (3-D) conformal localised boost was given to increase the dosage to 56-60 Gy; and during radiotherapy, concurrent chemotherapy with topotecan was given (the chemoradiotherapy group, CRT)."( Phase II clinical trial of whole-brain irradiation plus three-dimensional conformal boost with concurrent topotecan for brain metastases from lung cancer.
Cao, B; Chen, XJ; Ge, XH; Li, ZG; Lin, Q; Liu, ML; Liu, YE; Ren, XC; Wang, DY; Wang, YQ, 2013
)
0.77
" Dose-response curves were constructed, and the combination index (CI) for drug interaction was calculated."( Dasatinib (BMS-35482) interacts synergistically with docetaxel, gemcitabine, topotecan, and doxorubicin in ovarian cancer cells with high SRC pathway activation and protein expression.
Adams, DJ; Grace, L; Jia, J; Murphy, SK; Nixon, AB; Secord, AA; Teoh, D, 2014
)
0.63
"We attempted to investigate the safety and efficacy of alternative weekly topotecan dosing in a heavily pretreated Taiwanese population with recurrent epithelial ovarian cancer (EOC) and primary peritoneal carcinoma (PPC)."( The use of weekly topotecan in the treatment of heavily pretreated recurrent epithelial ovarian and primary peritoneal cancer: the Kaohsiung Chang Gung experience.
Chang Chien, CC; Fu, HC; Hu, CF; Lin, H; Ou, YC; Tsai, CC; Wu, CH, 2015
)
0.98
"Topotecan administered as a weekly dosage (2."( The use of weekly topotecan in the treatment of heavily pretreated recurrent epithelial ovarian and primary peritoneal cancer: the Kaohsiung Chang Gung experience.
Chang Chien, CC; Fu, HC; Hu, CF; Lin, H; Ou, YC; Tsai, CC; Wu, CH, 2015
)
2.19
"This phase I study evaluated the safety, tolerability, maximum tolerated dose (MTD) and pharmacokinetics of two dosing schedules of oral topotecan in combination with pazopanib in patients with advanced solid tumours."( Phase I and pharmacological study of pazopanib in combination with oral topotecan in patients with advanced solid tumours.
Devriese, LA; Giantonio, BJ; Kerklaan, BM; Lane, S; Langenberg, M; Legenne, P; Lolkema, MP; Mergui-Roelvink, M; Mykulowycz, K; Nol-Boekel, A; Schellens, JH; Smith, DA; Stoebenau, J; Voest, EE; Wissel, P; Witteveen, PO, 2015
)
0.85
" An in silico pharmacodynamic model using established effects of each of these agents on the cell cycle was used to validate the regimen and to guide the dosing regimen."( Novel phase I study combining G1 phase, S phase, and G2/M phase cell cycle inhibitors in patients with advanced malignancies.
Gad, Y; Helgason, T; Hong, DS; Jain, RK; Kurzrock, R; Naing, A; Shi, NY; Wheler, J, 2015
)
0.42
" On the basis of their unique antiangiogenic effects, we tested the efficacy of nab-paclitaxel, which stimulates thrombospondin-1, and topotecan, which inhibits hypoxia-inducible factor 1-α, at metronomic dosing for the treatment of ovarian carcinoma."( Dual Metronomic Chemotherapy with Nab-Paclitaxel and Topotecan Has Potent Antiangiogenic Activity in Ovarian Cancer.
Armaiz-Pena, GN; Coleman, RL; Dalton, HJ; Davis, AN; Hansen, JM; Langley, RR; Lin, YG; Merritt, WM; Nick, AM; Pradeep, S; Previs, RA; Sood, AK, 2015
)
0.87
" Two dosing schedules of the novel indenoisoquinoline, indotecan (LMP400), were evaluated in patients with advanced solid tumors."( Clinical and pharmacologic evaluation of two dosing schedules of indotecan (LMP400), a novel indenoisoquinoline, in patients with advanced solid tumors.
Allen, D; Beumer, JH; Bonner, WM; Chen, A; Collins, J; Covey, JM; Doroshow, JH; Eiseman, JL; Gutierrez, M; Holleran, JL; Ji, J; Kinders, RJ; Kummar, S; Parchment, R; Pfister, TD; Pommier, Y; Redon, C; Rubinstein, L; Tomaszewski, J; Wang, L; Yutzy, W; Zhang, Y, 2016
)
0.43
"We established the MTD of two dosing schedules for a novel TopI inhibitor, indotecan."( Clinical and pharmacologic evaluation of two dosing schedules of indotecan (LMP400), a novel indenoisoquinoline, in patients with advanced solid tumors.
Allen, D; Beumer, JH; Bonner, WM; Chen, A; Collins, J; Covey, JM; Doroshow, JH; Eiseman, JL; Gutierrez, M; Holleran, JL; Ji, J; Kinders, RJ; Kummar, S; Parchment, R; Pfister, TD; Pommier, Y; Redon, C; Rubinstein, L; Tomaszewski, J; Wang, L; Yutzy, W; Zhang, Y, 2016
)
0.43
" This review discusses these problems and the means to overcome them, including modification of TLs using zwitterionic poly(carboxybetaine), prolongation in dosing interval (long-term therapy), and modified liposomal encapsulation techniques including active loading methods."( Topotecan Liposomes: A Visit from a Molecular to a Therapeutic Platform.
Hurkat, P; Jain, A; Jain, SK; Saraf, S, 2016
)
1.88
" This study aims to evaluate the success of the pharmacokinetically (PK) guided dosing process, which was used to achieve a target topotecan area under the concentration-time curve (AUC)."( Determining success rates of the current pharmacokinetically guided dosing approach of topotecan in pediatric oncology patients.
Gajjar, A; Mitchell, AB; Santana, VM; Stewart, CF; Vasilyeva, A, 2019
)
0.94
"Patients received an empiric topotecan dosage on the first day; the topotecan lactone AUC was determined, and based upon these values the topotecan dosage was adjusted."( Determining success rates of the current pharmacokinetically guided dosing approach of topotecan in pediatric oncology patients.
Gajjar, A; Mitchell, AB; Santana, VM; Stewart, CF; Vasilyeva, A, 2019
)
1.03
" The empiric dosing success rate was 35."( Determining success rates of the current pharmacokinetically guided dosing approach of topotecan in pediatric oncology patients.
Gajjar, A; Mitchell, AB; Santana, VM; Stewart, CF; Vasilyeva, A, 2019
)
0.74
"The low empiric dosing success rate indicates that additional studies are needed to refine the initial topotecan dosage."( Determining success rates of the current pharmacokinetically guided dosing approach of topotecan in pediatric oncology patients.
Gajjar, A; Mitchell, AB; Santana, VM; Stewart, CF; Vasilyeva, A, 2019
)
0.95
" One patient dosed at selinexor 80 mg had grade 3 nausea and vomiting and one patient dosed at selinexor 60 mg experienced grade 4 neutropenia and thrombocytopenia."( Selinexor in combination with topotecan in patients with advanced or metastatic solid tumors: Results of an open-label, single-center, multi-arm phase Ib study.
Bean, S; Carter, BW; Colen, R; Gong, J; Janku, F; Karp, DD; McQuinn, L; Meric-Bernstam, F; Milton, DR; Naing, A; Ogbonna, DC; Pant, S; Piha-Paul, SA; Shah, J; Subbiah, V; Thein, KZ; Tsimberidou, A; Zarifa, A, 2021
)
0.91
"The addition of LCL161 to oral topotecan caused more myelosuppression when dosed together than what was associated with either drug alone."( A Phase Ib Dose-Escalation Study of LCL161 Plus Oral Topotecan for Patients With Relapsed/Refractory Small Cell Lung Cancer and Select Gynecologic Malignancies.
Aljumaily, R; Burris Iii, HA; Johnson, ML; Jones, SF; Patel, MR; Spigel, DR, 2023
)
1.45
"Maximum tolerable dosing (MTD) of chemotherapeutics has long been the gold standard for aggressive malignancies."( Extended Exposure Topotecan Significantly Improves Long-Term Drug Sensitivity by Decreasing Malignant Cell Heterogeneity and by Preventing Epithelial-Mesenchymal Transition.
Arnold, RD; Bird, RC; Davis, JT; Ghosh, TM; Mazumder, S; Mitra, A, 2023
)
1.24
"A simple single-sample approach during topotecan therapy could guide dosing for patients, resulting in more patients reaching target attainment."( Topotecan clearance based on a single sample and a population pharmacokinetic model: Application to a pediatric high-risk neuroblastoma clinical trial.
Campagne, O; Daryani, VM; Gajjar, AJ; Naranjo, A; Park, JR; Stewart, CF; Wu, H; Wu, J, 2023
)
2.62
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
EC 5.99.1.2 (DNA topoisomerase) inhibitorA topoisomerase inhibitor that inhibits the bacterial enzymes of the DNA topoisomerases, Type I class (EC 5.99.1.2) that catalyze ATP-independent breakage of one of the two strands of DNA, passage of the unbroken strand through the break, and rejoining of the broken strand. These bacterial enzymes reduce the topological stress in the DNA structure by relaxing negatively, but not positively, supercoiled DNA.
antineoplastic agentA substance that inhibits or prevents the proliferation of neoplasms.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
pyranoindolizinoquinoline
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (16)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Fumarate hydrataseHomo sapiens (human)Potency0.04180.00308.794948.0869AID1347053
EWS/FLI fusion proteinHomo sapiens (human)Potency0.02620.001310.157742.8575AID1259252; AID1259253; AID1259255; AID1259256
polyproteinZika virusPotency0.04180.00308.794948.0869AID1347053
tyrosine-protein kinase YesHomo sapiens (human)Potency61.34940.00005.018279.2586AID686947
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Solute carrier family 22 member 2Homo sapiens (human)IC50 (µMol)61.00000.40003.10009.7000AID721751
Cytochrome P450 3A4Homo sapiens (human)IC50 (µMol)1.52110.00011.753610.0000AID625251
DNA topoisomerase 1Homo sapiens (human)IC50 (µMol)3.30000.02101.862610.0000AID1544048; AID1544076; AID1740932; AID1740933; AID1811235; AID210946; AID241607; AID56567; AID56570
DNA topoisomerase 2-alphaHomo sapiens (human)IC50 (µMol)0.60500.48004.35649.9400AID1600550; AID1600554
DNA topoisomerase 2-betaHomo sapiens (human)IC50 (µMol)0.60500.03002.77167.8000AID1600550; AID1600554
DNA topoisomerase 1Mus musculus (house mouse)IC50 (µMol)20.00004.00004.00004.0000AID211118
Hypoxia-inducible factor 1-alphaHomo sapiens (human)IC50 (µMol)1.53000.00072.46529.2100AID527977; AID527978
Multidrug and toxin extrusion protein 2Homo sapiens (human)IC50 (µMol)8.60000.16003.95718.6000AID721752
Multidrug and toxin extrusion protein 1Homo sapiens (human)IC50 (µMol)1.30000.01002.765610.0000AID721754
Broad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)IC50 (µMol)0.17000.00401.966610.0000AID679628
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
NPYLR7BAedes aegypti (yellow fever mosquito)EC50 (µMol)0.76900.03902.289918.3000AID1259426
DNA topoisomerase 1Homo sapiens (human)EC50 (µMol)0.06270.05000.33592.0150AID714170; AID714171
DNA topoisomerase 1Homo sapiens (human)Kd0.02650.02650.02650.0265AID610760
Hypoxia-inducible factor 1-alphaHomo sapiens (human)EC50 (µMol)0.07130.02001.29905.0100AID333717
Endothelial PAS domain-containing protein 1Homo sapiens (human)EC50 (µMol)0.07130.02000.93303.3000AID333717
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
DNA topoisomerase 1Homo sapiens (human)CC503.20000.80001.20293.2000AID56562
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (194)

Processvia Protein(s)Taxonomy
activation of cysteine-type endopeptidase activity involved in apoptotic processSolute carrier family 22 member 2Homo sapiens (human)
positive regulation of gene expressionSolute carrier family 22 member 2Homo sapiens (human)
organic cation transportSolute carrier family 22 member 2Homo sapiens (human)
monoatomic cation transportSolute carrier family 22 member 2Homo sapiens (human)
neurotransmitter transportSolute carrier family 22 member 2Homo sapiens (human)
serotonin transportSolute carrier family 22 member 2Homo sapiens (human)
body fluid secretionSolute carrier family 22 member 2Homo sapiens (human)
organic cation transportSolute carrier family 22 member 2Homo sapiens (human)
quaternary ammonium group transportSolute carrier family 22 member 2Homo sapiens (human)
prostaglandin transportSolute carrier family 22 member 2Homo sapiens (human)
amine transportSolute carrier family 22 member 2Homo sapiens (human)
putrescine transportSolute carrier family 22 member 2Homo sapiens (human)
spermidine transportSolute carrier family 22 member 2Homo sapiens (human)
acetylcholine transportSolute carrier family 22 member 2Homo sapiens (human)
choline transportSolute carrier family 22 member 2Homo sapiens (human)
dopamine transportSolute carrier family 22 member 2Homo sapiens (human)
norepinephrine transportSolute carrier family 22 member 2Homo sapiens (human)
xenobiotic transportSolute carrier family 22 member 2Homo sapiens (human)
epinephrine transportSolute carrier family 22 member 2Homo sapiens (human)
histamine transportSolute carrier family 22 member 2Homo sapiens (human)
serotonin uptakeSolute carrier family 22 member 2Homo sapiens (human)
histamine uptakeSolute carrier family 22 member 2Homo sapiens (human)
norepinephrine uptakeSolute carrier family 22 member 2Homo sapiens (human)
thiamine transmembrane transportSolute carrier family 22 member 2Homo sapiens (human)
purine-containing compound transmembrane transportSolute carrier family 22 member 2Homo sapiens (human)
amino acid import across plasma membraneSolute carrier family 22 member 2Homo sapiens (human)
dopamine uptakeSolute carrier family 22 member 2Homo sapiens (human)
L-arginine import across plasma membraneSolute carrier family 22 member 2Homo sapiens (human)
export across plasma membraneSolute carrier family 22 member 2Homo sapiens (human)
transport across blood-brain barrierSolute carrier family 22 member 2Homo sapiens (human)
L-alpha-amino acid transmembrane transportSolute carrier family 22 member 2Homo sapiens (human)
spermidine transmembrane transportSolute carrier family 22 member 2Homo sapiens (human)
L-arginine transmembrane transportSolute carrier family 22 member 2Homo sapiens (human)
cellular detoxificationSolute carrier family 22 member 2Homo sapiens (human)
xenobiotic transport across blood-brain barrierSolute carrier family 22 member 2Homo sapiens (human)
lipid hydroxylationCytochrome P450 3A4Homo sapiens (human)
lipid metabolic processCytochrome P450 3A4Homo sapiens (human)
steroid catabolic processCytochrome P450 3A4Homo sapiens (human)
xenobiotic metabolic processCytochrome P450 3A4Homo sapiens (human)
steroid metabolic processCytochrome P450 3A4Homo sapiens (human)
cholesterol metabolic processCytochrome P450 3A4Homo sapiens (human)
androgen metabolic processCytochrome P450 3A4Homo sapiens (human)
estrogen metabolic processCytochrome P450 3A4Homo sapiens (human)
alkaloid catabolic processCytochrome P450 3A4Homo sapiens (human)
monoterpenoid metabolic processCytochrome P450 3A4Homo sapiens (human)
calcitriol biosynthetic process from calciolCytochrome P450 3A4Homo sapiens (human)
xenobiotic catabolic processCytochrome P450 3A4Homo sapiens (human)
vitamin D metabolic processCytochrome P450 3A4Homo sapiens (human)
vitamin D catabolic processCytochrome P450 3A4Homo sapiens (human)
retinol metabolic processCytochrome P450 3A4Homo sapiens (human)
retinoic acid metabolic processCytochrome P450 3A4Homo sapiens (human)
long-chain fatty acid biosynthetic processCytochrome P450 3A4Homo sapiens (human)
aflatoxin metabolic processCytochrome P450 3A4Homo sapiens (human)
oxidative demethylationCytochrome P450 3A4Homo sapiens (human)
DNA topological changeDNA topoisomerase 1Homo sapiens (human)
chromatin remodelingDNA topoisomerase 1Homo sapiens (human)
circadian rhythmDNA topoisomerase 1Homo sapiens (human)
response to xenobiotic stimulusDNA topoisomerase 1Homo sapiens (human)
programmed cell deathDNA topoisomerase 1Homo sapiens (human)
phosphorylationDNA topoisomerase 1Homo sapiens (human)
peptidyl-serine phosphorylationDNA topoisomerase 1Homo sapiens (human)
circadian regulation of gene expressionDNA topoisomerase 1Homo sapiens (human)
embryonic cleavageDNA topoisomerase 1Homo sapiens (human)
chromosome segregationDNA topoisomerase 1Homo sapiens (human)
DNA replicationDNA topoisomerase 1Homo sapiens (human)
hematopoietic progenitor cell differentiationDNA topoisomerase 2-alphaHomo sapiens (human)
DNA topological changeDNA topoisomerase 2-alphaHomo sapiens (human)
DNA ligationDNA topoisomerase 2-alphaHomo sapiens (human)
DNA damage responseDNA topoisomerase 2-alphaHomo sapiens (human)
chromosome segregationDNA topoisomerase 2-alphaHomo sapiens (human)
female meiotic nuclear divisionDNA topoisomerase 2-alphaHomo sapiens (human)
apoptotic chromosome condensationDNA topoisomerase 2-alphaHomo sapiens (human)
embryonic cleavageDNA topoisomerase 2-alphaHomo sapiens (human)
regulation of circadian rhythmDNA topoisomerase 2-alphaHomo sapiens (human)
positive regulation of apoptotic processDNA topoisomerase 2-alphaHomo sapiens (human)
positive regulation of single stranded viral RNA replication via double stranded DNA intermediateDNA topoisomerase 2-alphaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIDNA topoisomerase 2-alphaHomo sapiens (human)
rhythmic processDNA topoisomerase 2-alphaHomo sapiens (human)
negative regulation of DNA duplex unwindingDNA topoisomerase 2-alphaHomo sapiens (human)
resolution of meiotic recombination intermediatesDNA topoisomerase 2-alphaHomo sapiens (human)
sister chromatid segregationDNA topoisomerase 2-alphaHomo sapiens (human)
neuron migrationDNA topoisomerase 2-betaHomo sapiens (human)
DNA topological changeDNA topoisomerase 2-betaHomo sapiens (human)
axonogenesisDNA topoisomerase 2-betaHomo sapiens (human)
B cell differentiationDNA topoisomerase 2-betaHomo sapiens (human)
forebrain developmentDNA topoisomerase 2-betaHomo sapiens (human)
positive regulation of single stranded viral RNA replication via double stranded DNA intermediateDNA topoisomerase 2-betaHomo sapiens (human)
cellular response to hydrogen peroxideDNA topoisomerase 2-betaHomo sapiens (human)
cellular response to ATPDNA topoisomerase 2-betaHomo sapiens (human)
cellular senescenceDNA topoisomerase 2-betaHomo sapiens (human)
positive regulation of double-strand break repair via nonhomologous end joiningDNA topoisomerase 2-betaHomo sapiens (human)
sister chromatid segregationDNA topoisomerase 2-betaHomo sapiens (human)
resolution of meiotic recombination intermediatesDNA topoisomerase 2-betaHomo sapiens (human)
positive regulation of chemokine-mediated signaling pathwayHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of signaling receptor activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
response to hypoxiaHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of DNA-templated transcriptionHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIHypoxia-inducible factor 1-alphaHomo sapiens (human)
response to reactive oxygen speciesHypoxia-inducible factor 1-alphaHomo sapiens (human)
angiogenesisHypoxia-inducible factor 1-alphaHomo sapiens (human)
response to hypoxiaHypoxia-inducible factor 1-alphaHomo sapiens (human)
intracellular glucose homeostasisHypoxia-inducible factor 1-alphaHomo sapiens (human)
neural crest cell migrationHypoxia-inducible factor 1-alphaHomo sapiens (human)
epithelial to mesenchymal transitionHypoxia-inducible factor 1-alphaHomo sapiens (human)
embryonic placenta developmentHypoxia-inducible factor 1-alphaHomo sapiens (human)
B-1 B cell homeostasisHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of endothelial cell proliferationHypoxia-inducible factor 1-alphaHomo sapiens (human)
heart loopingHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of neuroblast proliferationHypoxia-inducible factor 1-alphaHomo sapiens (human)
chondrocyte differentiationHypoxia-inducible factor 1-alphaHomo sapiens (human)
glandular epithelial cell maturationHypoxia-inducible factor 1-alphaHomo sapiens (human)
connective tissue replacement involved in inflammatory response wound healingHypoxia-inducible factor 1-alphaHomo sapiens (human)
outflow tract morphogenesisHypoxia-inducible factor 1-alphaHomo sapiens (human)
cardiac ventricle morphogenesisHypoxia-inducible factor 1-alphaHomo sapiens (human)
lactate metabolic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of glycolytic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of DNA-templated transcriptionHypoxia-inducible factor 1-alphaHomo sapiens (human)
intracellular iron ion homeostasisHypoxia-inducible factor 1-alphaHomo sapiens (human)
signal transductionHypoxia-inducible factor 1-alphaHomo sapiens (human)
neuroblast proliferationHypoxia-inducible factor 1-alphaHomo sapiens (human)
lactationHypoxia-inducible factor 1-alphaHomo sapiens (human)
visual learningHypoxia-inducible factor 1-alphaHomo sapiens (human)
response to iron ionHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of gene expressionHypoxia-inducible factor 1-alphaHomo sapiens (human)
vascular endothelial growth factor productionHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of vascular endothelial growth factor productionHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of gene expressionHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of gene expressionHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of epithelial cell migrationHypoxia-inducible factor 1-alphaHomo sapiens (human)
response to muscle activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
axonal transport of mitochondrionHypoxia-inducible factor 1-alphaHomo sapiens (human)
neural fold elevation formationHypoxia-inducible factor 1-alphaHomo sapiens (human)
cerebral cortex developmentHypoxia-inducible factor 1-alphaHomo sapiens (human)
bone mineralizationHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of bone mineralizationHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of vascular endothelial growth factor receptor signaling pathwayHypoxia-inducible factor 1-alphaHomo sapiens (human)
TOR signalingHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of TOR signalingHypoxia-inducible factor 1-alphaHomo sapiens (human)
intracellular oxygen homeostasisHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of chemokine productionHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of transforming growth factor beta2 productionHypoxia-inducible factor 1-alphaHomo sapiens (human)
collagen metabolic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
cellular response to oxidative stressHypoxia-inducible factor 1-alphaHomo sapiens (human)
embryonic hemopoiesisHypoxia-inducible factor 1-alphaHomo sapiens (human)
insulin secretion involved in cellular response to glucose stimulusHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of insulin secretion involved in cellular response to glucose stimulusHypoxia-inducible factor 1-alphaHomo sapiens (human)
hemoglobin biosynthetic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of blood vessel endothelial cell migrationHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of erythrocyte differentiationHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of angiogenesisHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of DNA-templated transcriptionHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of growthHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIHypoxia-inducible factor 1-alphaHomo sapiens (human)
muscle cell cellular homeostasisHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of hormone biosynthetic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
digestive tract morphogenesisHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of nitric-oxide synthase activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
neuron apoptotic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
elastin metabolic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
intestinal epithelial cell maturationHypoxia-inducible factor 1-alphaHomo sapiens (human)
epithelial cell differentiation involved in mammary gland alveolus developmentHypoxia-inducible factor 1-alphaHomo sapiens (human)
iris morphogenesisHypoxia-inducible factor 1-alphaHomo sapiens (human)
retina vasculature development in camera-type eyeHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of thymocyte apoptotic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
cellular response to interleukin-1Hypoxia-inducible factor 1-alphaHomo sapiens (human)
cellular response to hypoxiaHypoxia-inducible factor 1-alphaHomo sapiens (human)
dopaminergic neuron differentiationHypoxia-inducible factor 1-alphaHomo sapiens (human)
mesenchymal cell apoptotic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
hypoxia-inducible factor-1alpha signaling pathwayHypoxia-inducible factor 1-alphaHomo sapiens (human)
cellular response to virusHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of cytokine production involved in inflammatory responseHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of mitophagyHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of miRNA transcriptionHypoxia-inducible factor 1-alphaHomo sapiens (human)
positive regulation of miRNA transcriptionHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of oxidative stress-induced neuron intrinsic apoptotic signaling pathwayHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of aerobic respirationHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of reactive oxygen species metabolic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of protein neddylationHypoxia-inducible factor 1-alphaHomo sapiens (human)
negative regulation of mesenchymal cell apoptotic processHypoxia-inducible factor 1-alphaHomo sapiens (human)
regulation of transcription by RNA polymerase IIHypoxia-inducible factor 1-alphaHomo sapiens (human)
organic cation transportMultidrug and toxin extrusion protein 2Homo sapiens (human)
transmembrane transportMultidrug and toxin extrusion protein 2Homo sapiens (human)
proton transmembrane transportMultidrug and toxin extrusion protein 2Homo sapiens (human)
xenobiotic detoxification by transmembrane export across the plasma membraneMultidrug and toxin extrusion protein 2Homo sapiens (human)
xenobiotic transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
organic cation transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
putrescine transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
xenobiotic transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
thiamine transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
amino acid import across plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-arginine import across plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-alpha-amino acid transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
proton transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-arginine transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
xenobiotic detoxification by transmembrane export across the plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
response to hypoxiaEndothelial PAS domain-containing protein 1Homo sapiens (human)
angiogenesisEndothelial PAS domain-containing protein 1Homo sapiens (human)
embryonic placenta developmentEndothelial PAS domain-containing protein 1Homo sapiens (human)
blood vessel remodelingEndothelial PAS domain-containing protein 1Homo sapiens (human)
regulation of heart rateEndothelial PAS domain-containing protein 1Homo sapiens (human)
epithelial cell maturationEndothelial PAS domain-containing protein 1Homo sapiens (human)
response to oxidative stressEndothelial PAS domain-containing protein 1Homo sapiens (human)
mitochondrion organizationEndothelial PAS domain-containing protein 1Homo sapiens (human)
signal transductionEndothelial PAS domain-containing protein 1Homo sapiens (human)
visual perceptionEndothelial PAS domain-containing protein 1Homo sapiens (human)
erythrocyte differentiationEndothelial PAS domain-containing protein 1Homo sapiens (human)
lung developmentEndothelial PAS domain-containing protein 1Homo sapiens (human)
norepinephrine metabolic processEndothelial PAS domain-containing protein 1Homo sapiens (human)
mRNA transcription by RNA polymerase IIEndothelial PAS domain-containing protein 1Homo sapiens (human)
surfactant homeostasisEndothelial PAS domain-containing protein 1Homo sapiens (human)
positive regulation of transcription by RNA polymerase IIEndothelial PAS domain-containing protein 1Homo sapiens (human)
myoblast fate commitmentEndothelial PAS domain-containing protein 1Homo sapiens (human)
multicellular organismal-level iron ion homeostasisEndothelial PAS domain-containing protein 1Homo sapiens (human)
cellular response to hypoxiaEndothelial PAS domain-containing protein 1Homo sapiens (human)
positive regulation of cold-induced thermogenesisEndothelial PAS domain-containing protein 1Homo sapiens (human)
regulation of protein neddylationEndothelial PAS domain-containing protein 1Homo sapiens (human)
regulation of transcription by RNA polymerase IIEndothelial PAS domain-containing protein 1Homo sapiens (human)
lipid transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
organic anion transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
urate transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
biotin transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
sphingolipid biosynthetic processBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
riboflavin transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
urate metabolic processBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
transmembrane transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
transepithelial transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
renal urate salt excretionBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
export across plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
transport across blood-brain barrierBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
cellular detoxificationBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
xenobiotic transport across blood-brain barrierBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (91)

Processvia Protein(s)Taxonomy
amine transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
acetylcholine transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
neurotransmitter transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
monoamine transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
organic anion transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
organic cation transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
prostaglandin transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
L-amino acid transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
pyrimidine nucleoside transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
choline transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
thiamine transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
putrescine transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
efflux transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
spermidine transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
quaternary ammonium group transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
toxin transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
xenobiotic transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
L-arginine transmembrane transporter activitySolute carrier family 22 member 2Homo sapiens (human)
monooxygenase activityCytochrome P450 3A4Homo sapiens (human)
steroid bindingCytochrome P450 3A4Homo sapiens (human)
iron ion bindingCytochrome P450 3A4Homo sapiens (human)
protein bindingCytochrome P450 3A4Homo sapiens (human)
steroid hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
retinoic acid 4-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
oxidoreductase activityCytochrome P450 3A4Homo sapiens (human)
oxygen bindingCytochrome P450 3A4Homo sapiens (human)
enzyme bindingCytochrome P450 3A4Homo sapiens (human)
heme bindingCytochrome P450 3A4Homo sapiens (human)
vitamin D3 25-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
caffeine oxidase activityCytochrome P450 3A4Homo sapiens (human)
quinine 3-monooxygenase activityCytochrome P450 3A4Homo sapiens (human)
testosterone 6-beta-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
1-alpha,25-dihydroxyvitamin D3 23-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
anandamide 8,9 epoxidase activityCytochrome P450 3A4Homo sapiens (human)
anandamide 11,12 epoxidase activityCytochrome P450 3A4Homo sapiens (human)
anandamide 14,15 epoxidase activityCytochrome P450 3A4Homo sapiens (human)
aromatase activityCytochrome P450 3A4Homo sapiens (human)
vitamin D 24-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
estrogen 16-alpha-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
estrogen 2-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
1,8-cineole 2-exo-monooxygenase activityCytochrome P450 3A4Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingDNA topoisomerase 1Homo sapiens (human)
DNA bindingDNA topoisomerase 1Homo sapiens (human)
chromatin bindingDNA topoisomerase 1Homo sapiens (human)
double-stranded DNA bindingDNA topoisomerase 1Homo sapiens (human)
single-stranded DNA bindingDNA topoisomerase 1Homo sapiens (human)
RNA bindingDNA topoisomerase 1Homo sapiens (human)
DNA topoisomerase type I (single strand cut, ATP-independent) activityDNA topoisomerase 1Homo sapiens (human)
protein serine/threonine kinase activityDNA topoisomerase 1Homo sapiens (human)
protein bindingDNA topoisomerase 1Homo sapiens (human)
ATP bindingDNA topoisomerase 1Homo sapiens (human)
DNA binding, bendingDNA topoisomerase 1Homo sapiens (human)
protein domain specific bindingDNA topoisomerase 1Homo sapiens (human)
supercoiled DNA bindingDNA topoisomerase 1Homo sapiens (human)
magnesium ion bindingDNA topoisomerase 2-alphaHomo sapiens (human)
DNA bindingDNA topoisomerase 2-alphaHomo sapiens (human)
chromatin bindingDNA topoisomerase 2-alphaHomo sapiens (human)
RNA bindingDNA topoisomerase 2-alphaHomo sapiens (human)
DNA topoisomerase type II (double strand cut, ATP-hydrolyzing) activityDNA topoisomerase 2-alphaHomo sapiens (human)
protein kinase C bindingDNA topoisomerase 2-alphaHomo sapiens (human)
protein bindingDNA topoisomerase 2-alphaHomo sapiens (human)
ATP bindingDNA topoisomerase 2-alphaHomo sapiens (human)
ATP-dependent activity, acting on DNADNA topoisomerase 2-alphaHomo sapiens (human)
DNA binding, bendingDNA topoisomerase 2-alphaHomo sapiens (human)
protein homodimerization activityDNA topoisomerase 2-alphaHomo sapiens (human)
ubiquitin bindingDNA topoisomerase 2-alphaHomo sapiens (human)
protein heterodimerization activityDNA topoisomerase 2-alphaHomo sapiens (human)
DNA bindingDNA topoisomerase 2-betaHomo sapiens (human)
chromatin bindingDNA topoisomerase 2-betaHomo sapiens (human)
DNA topoisomerase type II (double strand cut, ATP-hydrolyzing) activityDNA topoisomerase 2-betaHomo sapiens (human)
protein bindingDNA topoisomerase 2-betaHomo sapiens (human)
ATP bindingDNA topoisomerase 2-betaHomo sapiens (human)
ribonucleoprotein complex bindingDNA topoisomerase 2-betaHomo sapiens (human)
metal ion bindingDNA topoisomerase 2-betaHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificHypoxia-inducible factor 1-alphaHomo sapiens (human)
sequence-specific DNA bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
RNA polymerase II transcription regulatory region sequence-specific DNA bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificHypoxia-inducible factor 1-alphaHomo sapiens (human)
cis-regulatory region sequence-specific DNA bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
DNA-binding transcription activator activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
DNA-binding transcription repressor activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
transcription coactivator bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificHypoxia-inducible factor 1-alphaHomo sapiens (human)
p53 bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
DNA-binding transcription factor activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
protein bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
nuclear receptor bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
enzyme bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
protein kinase bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
protein domain specific bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
ubiquitin protein ligase bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
histone deacetylase bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
protein heterodimerization activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
Hsp90 protein bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
RNA polymerase II-specific DNA-binding transcription factor bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
E-box bindingHypoxia-inducible factor 1-alphaHomo sapiens (human)
transcription regulator activator activityHypoxia-inducible factor 1-alphaHomo sapiens (human)
organic cation transmembrane transporter activityMultidrug and toxin extrusion protein 2Homo sapiens (human)
antiporter activityMultidrug and toxin extrusion protein 2Homo sapiens (human)
transmembrane transporter activityMultidrug and toxin extrusion protein 2Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug and toxin extrusion protein 2Homo sapiens (human)
polyspecific organic cation:proton antiporter activityMultidrug and toxin extrusion protein 2Homo sapiens (human)
protein bindingMultidrug and toxin extrusion protein 1Homo sapiens (human)
organic cation transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-amino acid transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
thiamine transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
antiporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
putrescine transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-arginine transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
polyspecific organic cation:proton antiporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
sequence-specific DNA bindingEndothelial PAS domain-containing protein 1Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingEndothelial PAS domain-containing protein 1Homo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificEndothelial PAS domain-containing protein 1Homo sapiens (human)
transcription coactivator bindingEndothelial PAS domain-containing protein 1Homo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificEndothelial PAS domain-containing protein 1Homo sapiens (human)
protein bindingEndothelial PAS domain-containing protein 1Homo sapiens (human)
protein heterodimerization activityEndothelial PAS domain-containing protein 1Homo sapiens (human)
RNA polymerase II-specific DNA-binding transcription factor bindingEndothelial PAS domain-containing protein 1Homo sapiens (human)
RNA polymerase II transcription regulatory region sequence-specific DNA bindingEndothelial PAS domain-containing protein 1Homo sapiens (human)
protein bindingBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ATP bindingBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
organic anion transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ABC-type xenobiotic transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
urate transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
biotin transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
efflux transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ATP hydrolysis activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
riboflavin transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ATPase-coupled transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
identical protein bindingBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
protein homodimerization activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
xenobiotic transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
sphingolipid transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (39)

Processvia Protein(s)Taxonomy
plasma membraneSolute carrier family 22 member 2Homo sapiens (human)
basal plasma membraneSolute carrier family 22 member 2Homo sapiens (human)
membraneSolute carrier family 22 member 2Homo sapiens (human)
basolateral plasma membraneSolute carrier family 22 member 2Homo sapiens (human)
apical plasma membraneSolute carrier family 22 member 2Homo sapiens (human)
extracellular exosomeSolute carrier family 22 member 2Homo sapiens (human)
presynapseSolute carrier family 22 member 2Homo sapiens (human)
cytoplasmCytochrome P450 3A4Homo sapiens (human)
endoplasmic reticulum membraneCytochrome P450 3A4Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 3A4Homo sapiens (human)
nuclear chromosomeDNA topoisomerase 1Homo sapiens (human)
P-bodyDNA topoisomerase 1Homo sapiens (human)
fibrillar centerDNA topoisomerase 1Homo sapiens (human)
male germ cell nucleusDNA topoisomerase 1Homo sapiens (human)
nucleusDNA topoisomerase 1Homo sapiens (human)
nucleoplasmDNA topoisomerase 1Homo sapiens (human)
nucleolusDNA topoisomerase 1Homo sapiens (human)
perikaryonDNA topoisomerase 1Homo sapiens (human)
protein-DNA complexDNA topoisomerase 1Homo sapiens (human)
nucleolusDNA topoisomerase 1Homo sapiens (human)
nucleolusDNA topoisomerase 2-alphaHomo sapiens (human)
nuclear chromosomeDNA topoisomerase 2-alphaHomo sapiens (human)
centrioleDNA topoisomerase 2-alphaHomo sapiens (human)
chromosome, centromeric regionDNA topoisomerase 2-alphaHomo sapiens (human)
condensed chromosomeDNA topoisomerase 2-alphaHomo sapiens (human)
male germ cell nucleusDNA topoisomerase 2-alphaHomo sapiens (human)
nucleusDNA topoisomerase 2-alphaHomo sapiens (human)
nucleoplasmDNA topoisomerase 2-alphaHomo sapiens (human)
nucleolusDNA topoisomerase 2-alphaHomo sapiens (human)
cytoplasmDNA topoisomerase 2-alphaHomo sapiens (human)
DNA topoisomerase type II (double strand cut, ATP-hydrolyzing) complexDNA topoisomerase 2-alphaHomo sapiens (human)
protein-containing complexDNA topoisomerase 2-alphaHomo sapiens (human)
ribonucleoprotein complexDNA topoisomerase 2-alphaHomo sapiens (human)
nucleusDNA topoisomerase 2-alphaHomo sapiens (human)
nucleolusDNA topoisomerase 2-betaHomo sapiens (human)
heterochromatinDNA topoisomerase 2-betaHomo sapiens (human)
nucleusDNA topoisomerase 2-betaHomo sapiens (human)
nucleoplasmDNA topoisomerase 2-betaHomo sapiens (human)
nucleolusDNA topoisomerase 2-betaHomo sapiens (human)
cytosolDNA topoisomerase 2-betaHomo sapiens (human)
ribonucleoprotein complexDNA topoisomerase 2-betaHomo sapiens (human)
nucleusDNA topoisomerase 2-betaHomo sapiens (human)
nucleusHypoxia-inducible factor 1-alphaHomo sapiens (human)
nucleoplasmHypoxia-inducible factor 1-alphaHomo sapiens (human)
cytoplasmHypoxia-inducible factor 1-alphaHomo sapiens (human)
cytosolHypoxia-inducible factor 1-alphaHomo sapiens (human)
nuclear bodyHypoxia-inducible factor 1-alphaHomo sapiens (human)
nuclear speckHypoxia-inducible factor 1-alphaHomo sapiens (human)
motile ciliumHypoxia-inducible factor 1-alphaHomo sapiens (human)
axon cytoplasmHypoxia-inducible factor 1-alphaHomo sapiens (human)
chromatinHypoxia-inducible factor 1-alphaHomo sapiens (human)
euchromatinHypoxia-inducible factor 1-alphaHomo sapiens (human)
protein-containing complexHypoxia-inducible factor 1-alphaHomo sapiens (human)
RNA polymerase II transcription regulator complexHypoxia-inducible factor 1-alphaHomo sapiens (human)
plasma membraneMultidrug and toxin extrusion protein 2Homo sapiens (human)
apical plasma membraneMultidrug and toxin extrusion protein 2Homo sapiens (human)
membraneMultidrug and toxin extrusion protein 2Homo sapiens (human)
plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
basolateral plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
apical plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
nucleoplasmEndothelial PAS domain-containing protein 1Homo sapiens (human)
cytosolEndothelial PAS domain-containing protein 1Homo sapiens (human)
nuclear speckEndothelial PAS domain-containing protein 1Homo sapiens (human)
chromatinEndothelial PAS domain-containing protein 1Homo sapiens (human)
transcription regulator complexEndothelial PAS domain-containing protein 1Homo sapiens (human)
nucleoplasmBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
apical plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
brush border membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
mitochondrial membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
membrane raftBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
external side of apical plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (821)

Assay IDTitleYearJournalArticle
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID46485Cytotoxicity measured using the COR-L23 parental (COR-L23/P) human non small cell lung carcinoma cell line2002Journal of medicinal chemistry, Jan-31, Volume: 45, Issue:3
Novel angular benzophenazines: dual topoisomerase I and topoisomerase II inhibitors as potential anticancer agents.
AID1462689Cytotoxicity against human KB cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 09-01, Volume: 27, Issue:17
Design, synthesis, and cytotoxic activity of novel 7-substituted camptothecin derivatives incorporating piperazinyl-sulfonylamidine moieties.
AID143176Complete response in CD1 mice with human Non-Small-Cell tumor xenograft at a oral dose of 9 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1127187Antiproliferative activity against human H1299 cells after 3 days by XTT assay2014European journal of medicinal chemistry, May-22, Volume: 79Synthesis, antiproliferative and anti-dengue virus evaluations of 2-aroyl-3-arylquinoline derivatives.
AID1274795Antiproliferative activity against human MRC5 cells after 72 hrs by XTT assay2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID389685Cytotoxicity against camptothecin-resistant human CPT-K5 cells after MTT assay2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID7477Potentiation of growth inhibition of A2780 cells along with 10 uM NU1085 in experiment 22000Journal of medicinal chemistry, Nov-02, Volume: 43, Issue:22
Resistance-modifying agents. 9. Synthesis and biological properties of benzimidazole inhibitors of the DNA repair enzyme poly(ADP-ribose) polymerase.
AID1127190Antiproliferative activity against human HuH7 cells after 3 days by XTT assay2014European journal of medicinal chemistry, May-22, Volume: 79Synthesis, antiproliferative and anti-dengue virus evaluations of 2-aroyl-3-arylquinoline derivatives.
AID1127186Antiproliferative activity against human A549 cells after 3 days by XTT assay2014European journal of medicinal chemistry, May-22, Volume: 79Synthesis, antiproliferative and anti-dengue virus evaluations of 2-aroyl-3-arylquinoline derivatives.
AID78568Cytotoxicity measured using the drug resistant, P-glycoprotein (Pgp) expressing human small cell lung carcinoma cell line H69/LX42002Journal of medicinal chemistry, Jan-31, Volume: 45, Issue:3
Novel angular benzophenazines: dual topoisomerase I and topoisomerase II inhibitors as potential anticancer agents.
AID721753Inhibition of human MATE1-mediated ASP+ uptake expressed in HEK293 cells at 20 uM after 1.5 mins by fluorescence assay2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Discovery of potent, selective multidrug and toxin extrusion transporter 1 (MATE1, SLC47A1) inhibitors through prescription drug profiling and computational modeling.
AID1433676Cell cycle arrest in human A549 cells assessed as accumulation at S phase at 25 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 32.80%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID101466Percentage of body weight loss in mice bearing lung carcinoma LX-1 at a oral dose of 15 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID46271Tumor volume index was measured on colon carcinoma (COCF) cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID331826Antiproliferative activity against BCRP overexpressing mitoxantrone-resistant human HT29 cells after 1 hr of drug exposure measured after 72 hrs2008Bioorganic & medicinal chemistry letters, May-01, Volume: 18, Issue:9
E-ring-modified 7-oxyiminomethyl camptothecins: Synthesis and preliminary in vitro and in vivo biological evaluation.
AID307321Growth inhibition of HeLa cells after 4 days2007Bioorganic & medicinal chemistry, Jun-15, Volume: 15, Issue:12
Synthesis and topoisomerase poisoning activity of A-ring and E-ring substituted luotonin A derivatives.
AID431819Cytotoxicity against p53-deficient human Hep3B cells after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID414759Cytotoxicity against MDR1 overexpressing human KBV1 cells after 4 days by MTT method2009Bioorganic & medicinal chemistry, Apr-01, Volume: 17, Issue:7
12-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridines as novel topoisomerase I-targeting antitumor agents.
AID1702824Inhibition of topoisomerase 1 in human A549 cells nuclear extract assessed as reduction in supercoiled DNA relaxation at 0.2 uM preincubated for 6 hrs followed by supercoiled DNA addition and further incubated for 30 mins by SYBR-green staining based agar2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID1239182Cytotoxicity against human HCT116 cells after 72 hrs by MTT assay2015Journal of medicinal chemistry, Aug-27, Volume: 58, Issue:16
Scaffold Diversity Inspired by the Natural Product Evodiamine: Discovery of Highly Potent and Multitargeting Antitumor Agents.
AID214576Tested in vitro for cytotoxicity against human tumor cell line UACC 62 (melanoma)2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID167217Cytotoxic activity against human lymphoblast tumor cell line RPMI8402 after 4 days of treatment2003Journal of medicinal chemistry, May-22, Volume: 46, Issue:11
Nitro and amino substitution in the D-ring of 5-(2-dimethylaminoethyl)- 2,3-methylenedioxy-5H-dibenzo[c,h][1,6]naphthyridin-6-ones: effect on topoisomerase-I targeting activity and cytotoxicity.
AID588218FDA HLAED, lactate dehydrogenase (LDH) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID600080Cell cycle arrest in human PC3 cells assessed as accumulation at G1 phase at 2 uM after 48 hrs using propidium iodide staining by flow cytometry (Rvb = 54.14 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID321330Antitumor activity against human A549 cells after 4 hrs by MTT assay2008Bioorganic & medicinal chemistry, Feb-01, Volume: 16, Issue:3
New homocamptothecins: synthesis, antitumor activity, and molecular modeling.
AID1854773Antiproliferative activity against human SW-620 cells assessed as inhibition of cell growth incubated for 72 hrs by SRB assay2022European journal of medicinal chemistry, Nov-05, Volume: 241Design, synthesis, and biological evaluation of novel 7-substituted 10,11-methylenedioxy-camptothecin derivatives against drug-resistant small-cell lung cancer in vitro and in vivo.
AID10169In vitro cytotoxicity against A2780 (human ovarian cancer)2003Bioorganic & medicinal chemistry letters, Nov-03, Volume: 13, Issue:21
Regioselective synthesis and cytotoxicities of camptothecin derivatives modified at the 7-, 10- and 20-positions.
AID431817Cytotoxicity against human AGS cells expressing wild type p53 after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID111467The no. of deaths of mice(infected with HT-29 cells) was reported at a dose of 11 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID721725Antiproliferative activity against human H1299 cells after 72 hrs by XTT assay2013European journal of medicinal chemistry, Jan, Volume: 59Synthesis and antiproliferative evaluation of 3-phenylquinolinylchalcone derivatives against non-small cell lung cancers and breast cancers.
AID1387399Toxicity in Balb/C mouse administered as daily dose for 1 week measured daily for up to 28 days2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID10041In vitro anti-cancer activity against ACHN(Renal) human tumor cell line1999Bioorganic & medicinal chemistry letters, Jun-21, Volume: 9, Issue:12
Novel C-ring analogues of 20(S)-camptothecin-part-2: synthesis and in vitro cytotoxicity of 5-C-substituted 20(S)-camptothecin analogues.
AID7476Potentiation of growth inhibition of A2780 cells along with 10 uM NU1085 in experiment 12000Journal of medicinal chemistry, Nov-02, Volume: 43, Issue:22
Resistance-modifying agents. 9. Synthesis and biological properties of benzimidazole inhibitors of the DNA repair enzyme poly(ADP-ribose) polymerase.
AID586342Cytotoxicity against human IGROV1 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1228611Growth inhibition of human MCF7 cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID56570Inhibition of topoisomerase I activity was determined in vitro by using the cleavable complex assay(calf thymus)1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID111314Compound was tested for number of deaths of the animals at a dose of 11 mg/Kg in mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1817017Induction of DNA damage in human MCF7/TDP1 cells assessed as increase in gammaH2AX foci at 1 uM measured after 6 hrs by DAPI staining based immunofluorescence assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID56881TOP-1 mediated DNA cleavage measured as effective concentration relative to topotecan = 12002Bioorganic & medicinal chemistry letters, Nov-18, Volume: 12, Issue:22
Diaza- and triazachrysenes: potent topoisomerase-targeting agents with exceptional antitumor activity against the human tumor xenograft, MDA-MB-435.
AID98921Inhibitory concentration against L1210 leukemia cell proliferation2003Bioorganic & medicinal chemistry letters, Aug-18, Volume: 13, Issue:16
Synthesis and pharmacological evaluation of novel non-lactone analogues of camptothecin.
AID143187Percentage inhibition of tumor volume in treated versus control mice against human Non-Small-Cell tumor xenograft at a oral dose of 9 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID746434Cytotoxicity against human PNT2 cells assessed as growth inhibition at 0.1 to 10 uM after 72 hrs by cell titre glo assay2013Bioorganic & medicinal chemistry letters, May-15, Volume: 23, Issue:10
Structure-based design of HSPA5 inhibitors: from peptide to small molecule inhibitors.
AID1823976Antiproliferative activity against human MGC-803 cells assessed as reduction in cell viability measured after 72 hrs by MTT assay2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID1600550Inhibition of DNA topoisomerase 2 in human HeLa cells incubated for 18 to 24 hrs by kinase assay2019Bioorganic & medicinal chemistry, 10-01, Volume: 27, Issue:19
Design, Synthesis and Anticancer Evaluation of New Substituted Thiophene-Quinoline Derivatives.
AID1410928Inhibition of colony formation of human A498 cells after 2 weeks by crystal violet staining-based microscopic analysis2018Journal of medicinal chemistry, Jul-26, Volume: 61, Issue:14
Small Molecule Inhibition of MicroRNA miR-21 Rescues Chemosensitivity of Renal-Cell Carcinoma to Topotecan.
AID1387394Cytotoxicity in human SGC7901 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID377022Cytotoxicity against human A549 cells after 96 hrs by MTT assay2006Journal of natural products, Jun, Volume: 69, Issue:6
Mono-, Bi-, and triphenanthrenes from the tubers of Cremastra appendiculata.
AID247768Inhibitory concentration against KB/V-1 cells overexpress MDR12005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID684316Toxicity in human A549 cells xenografted in BALB/c mouse assessed as mortality at 0.5 mg/kg, iv qd for 5 days measured after 14 days2012European journal of medicinal chemistry, Oct, Volume: 56Synthesis and preliminary bioevaluation of novel E-ring modified acetal analog of camptothecin as cytotoxic agents.
AID586343Cytotoxicity against human H460 cells after 72 hrs by alamar blue assay in presence of 40 mg/ml HSA2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID219146In Vitro cytotoxicity against human breast cancer cell line (SK-BR-3)2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID269222Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 5 mg/kg, po measured as body weight loss2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID269223Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 9 mg/kg, po measured as body weight loss2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID527988Antiproliferative activity against human MRC5 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID634951Growth inhibition of human Hep3B cells after 72 hrs by XTT assay2011Bioorganic & medicinal chemistry, Dec-15, Volume: 19, Issue:24
Synthesis and antiproliferative evaluation of 6-aryl-11-iminoindeno[1,2-c]quinoline derivatives.
AID489630Toxicity in C57BL/6 mouse at 0.5 mg/kg, ip qd for 5 days2010European journal of medicinal chemistry, Jul, Volume: 45, Issue:7
Trifluoromethyl-promoted homocamptothecins: synthesis and biological activity.
AID28644Rf is the resistance factor and is the ratio of the IC50 on the resistant cell line over the IC50 on the parental H69/P cell line2002Journal of medicinal chemistry, Jan-31, Volume: 45, Issue:3
Novel angular benzophenazines: dual topoisomerase I and topoisomerase II inhibitors as potential anticancer agents.
AID1387391Cytotoxicity in human MGC803 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID590392Cytotoxicity against human A549 cells after 3 days2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Synthesis and antitumor activity of 10-arylcamptothecin derivatives.
AID1255490Cell cycle arrest in human M21 cells assessed as accumulation at G0/G1 phase at 1.5 uM after 24 hrs by DAPI staining-based flow cytometry (Rvb = 65.1%)2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID1443373Cytotoxicity against human KB cells after 72 hrs by sulforhodamine B assay2017Bioorganic & medicinal chemistry letters, 04-15, Volume: 27, Issue:8
Design, synthesis and potent cytotoxic activity of novel 7-(N-[(substituted-sulfonyl)piperazinyl]-methyl)-camptothecin derivatives.
AID343607Cytotoxicity against human HepG2 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID599608Cell cycle arrest in human PC3 cells assessed as accumulation at S phase at 2 uM after 72 hrs using propidium iodide staining by flow cytometry (Rvb = 37.73 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID1221964Transporter substrate index ratio of permeability from basolateral to apical side in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of P-gp inhibitor LY3359792011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID377532Growth inhibition of RAD52/topoisomerase 1 deficient Saccharomyces cerevisiae RS321N harbouring plasmid containing human topoisomerase 1 in glucose medium after 48 hrs2000Journal of natural products, Sep, Volume: 63, Issue:9
Use of COMPARE analysis to discover new natural product drugs: isolation of camptothecin and 9-methoxycamptothecin from a new source.
AID586400Antitumor activity against human H460 cells xenografted in nu/nu mouse assessed as tumor growth inhibition at 2 mg/kg, po QD for 5 days followed by 2days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID247676In vitro cytotoxicity against human lung carcinoma A549 cells2004Journal of medicinal chemistry, Oct-21, Volume: 47, Issue:22
Design, synthesis, and evaluation of 3,4-dihydro-2H-[1,4]diazepino[6,7,1-hi]indol-1-ones as inhibitors of poly(ADP-ribose) polymerase.
AID78397Toxic deaths was recorded on non-small-cell lung carcinoma H460 cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1464542Cytotoxicity against human MCF7 cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 10-15, Volume: 27, Issue:20
Design, semisynthesis and potent cytotoxic activity of novel 10-fluorocamptothecin derivatives.
AID101472Percentage inhibition of tumor volume in treated versus control mice bearing lung carcinoma LX-1 at a oral dose of 15 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID143175Complete response in CD1 mice with human Non-Small-Cell tumor at a oral dose of 5 mg/kg after treatment with compound2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID379519Cytotoxicity against human BGC-823 cells after 96 hrs by MTT assay2006Journal of natural products, Nov, Volume: 69, Issue:11
A nitrogen-containing 3-alkyl-1,4-benzoquinone and a gomphilactone derivative from Embelia ribes.
AID113231Efficacy against HT-29 human colon xenograft infected mice expressed as tumor growth ratio at dose 9 mg/Kg1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID527984Antiproliferative activity against human U251 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID377530Growth inhibition of RAD52/topoisomerase 1 deficient Saccharomyces cerevisiae RS321N harbouring plasmid containing human topoisomerase 1 in galactose medium after 48 hrs2000Journal of natural products, Sep, Volume: 63, Issue:9
Use of COMPARE analysis to discover new natural product drugs: isolation of camptothecin and 9-methoxycamptothecin from a new source.
AID247760Concentration required to inhibit cell proliferation in KB3-1 tumor cell line2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID1600549Inhibition of DNA topoisomerase 2 in human HeLa cells at 0.2 uM incubated for 18 to 24 hrs by kinase assay relative to control2019Bioorganic & medicinal chemistry, 10-01, Volume: 27, Issue:19
Design, Synthesis and Anticancer Evaluation of New Substituted Thiophene-Quinoline Derivatives.
AID56567Average concentration of compound to cause 50% inhibition of topoisomerase-1 isolated from calf thymus1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID214578In vitro anti-cancer activity against UACC 62(Melanoma) human tumor cell line1999Bioorganic & medicinal chemistry letters, Jun-21, Volume: 9, Issue:12
Novel C-ring analogues of 20(S)-camptothecin-part-2: synthesis and in vitro cytotoxicity of 5-C-substituted 20(S)-camptothecin analogues.
AID586389Ratio of IC50 for mouse bone marrow cell to IC50 for human bone marrow cell2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID586346Cytotoxicity against human MES-SA/Dx5 cells overexpressing MDR1 after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1405132Cell cycle arrest in human M21 cells assessed as accumulation at S phase at 1.8 uM after 24 hrs by DAPI staining based flow cytometry relative to control2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID684300Antiproliferative activity against human A549 cells after 3 days by MTT assay2012European journal of medicinal chemistry, Oct, Volume: 56Synthesis and preliminary bioevaluation of novel E-ring modified acetal analog of camptothecin as cytotoxic agents.
AID1826597Antiproliferative activity against human A549 cells assessed as cell growth inhibition incubated for 8 hrs by CCK8 assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Evodiamine-Inspired Topoisomerase-Histone Deacetylase Dual Inhibitors: Novel Orally Active Antitumor Agents for Leukemia Therapy.
AID314507Cytotoxicity against human NCI-H460 cells after 1 hr2008Bioorganic & medicinal chemistry letters, Feb-15, Volume: 18, Issue:4
Synthesis and cytotoxic activity of a new series of topoisomerase I inhibitors.
AID1387392Cytotoxicity in human SK-N-SH cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID588975Substrates of transporters of clinical importance in the absorption and disposition of drugs, BCRP2010Nature reviews. Drug discovery, Mar, Volume: 9, Issue:3
Membrane transporters in drug development.
AID586334Cytotoxicity against human H460 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID111698Mean body weight loss for animals in all experimental conditions at dose 11 mg/Kg in HT-29 human colon xenograft infected mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID426064Antitumor activity against human NCI-H460 cells by SRB method2009Bioorganic & medicinal chemistry letters, Aug-01, Volume: 19, Issue:15
7-Cycloalkylcamptothecin derivatives: Preparation and biological evaluation.
AID81349In vitro anti-cancer activity against HOP 62(Lung) human tumor cell line1999Bioorganic & medicinal chemistry letters, Jun-21, Volume: 9, Issue:12
Novel C-ring analogues of 20(S)-camptothecin-part-2: synthesis and in vitro cytotoxicity of 5-C-substituted 20(S)-camptothecin analogues.
AID26144Half-life in PBS buffer solution in the absence of human serum albumin1994Journal of medicinal chemistry, Jan-07, Volume: 37, Issue:1
The structural basis of camptothecin interactions with human serum albumin: impact on drug stability.
AID389688Cytotoxicity against human KB3-1 cells after MTT assay2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID680978TP_TRANSPORTER: intracellular concentration of the drug is lower compared with IGROV1 in T8 cells1999Cancer research, Sep-15, Volume: 59, Issue:18
Overexpression of the BCRP/MXR/ABCP gene in a topotecan-selected ovarian tumor cell line.
AID396726Antitumor activity against human HCT8 xenografted in BALB/c nu/nu mouse assessed as change in body weight at 10 mg/kg, ip q3d for 3 days2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1182908Cytotoxicity against human KB cells after 72 hrs sulforhodamine B colorimetric assay2014Bioorganic & medicinal chemistry letters, Aug-15, Volume: 24, Issue:16
Design and synthesis of new 7-(N-substituted-methyl)-camptothecin derivatives as potent cytotoxic agents.
AID537735Binding affinity to Candida albicans CaMdr1p expressed in yeast AD1-8u2010European journal of medicinal chemistry, Nov, Volume: 45, Issue:11
Analysis of physico-chemical properties of substrates of ABC and MFS multidrug transporters of pathogenic Candida albicans.
AID1817001Synergistic cytotoxicity against human MCF7 cells at 50 nM after 96 hrs in presence of 12-(2-(Dimethylamino)ethyl)-1,2-dihydroxy-[1,3]dioxolo[4',5':4,5]benzo[1,2-c]phenanthridine-13(12H)-one by MTT assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID1339542Antiproliferative activity against human HMLE cells assessed as reduction in cell viability by MTT assay2017ACS medicinal chemistry letters, Feb-09, Volume: 8, Issue:2
Synthesis, Biological Evaluation, and Autophagy Mechanism of 12
AID146559In vivo antitumor activity in NSCLC H460 xenografted sc in athymic nude mice expressed as percent Body weight loss (BWL) at a dose of 15 mg/kg orally for q4dx42001Bioorganic & medicinal chemistry letters, Feb-12, Volume: 11, Issue:3
Novel cytotoxic 7-iminomethyl and 7-aminomethyl derivatives of camptothecin.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID684301Antiproliferative activity against human HCT116 cells after 3 days by MTT assay2012European journal of medicinal chemistry, Oct, Volume: 56Synthesis and preliminary bioevaluation of novel E-ring modified acetal analog of camptothecin as cytotoxic agents.
AID489626Antitumor activity against mouse LLC transplanted in C57BL/6 mouse assessed as tumor weight at 0.5 mg/kg, ip qd for 5 days (RVb = 1.8 +/- 0.47 g)2010European journal of medicinal chemistry, Jul, Volume: 45, Issue:7
Trifluoromethyl-promoted homocamptothecins: synthesis and biological activity.
AID599606Cell cycle arrest in human PC3 cells assessed as accumulation at G1 phase at 2 uM after 72 hrs using propidium iodide staining by flow cytometry (Rvb = 42.19 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID248138Concentration required to inhibit cell proliferation in KBV-1 tumor cell line; overexpress MDR12004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID1702896Toxicity in FVB/N mouse model of pCMV/SB/pT3-Caggs-NRasV12/myr-AKT/pT3-EF1alpha plasmids-induced primary hepatocellular carcinoma assessed as reduction in liver weight at 2 mg/kg, iv administered every other day for 2 weeks relative to control2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID136690The compound (2.5 mg/kg) administered intravenously was tested for antitumor activity against DU-145 (prostate) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID379518Cytotoxicity against human Bel-7402 cells after 96 hrs by MTT assay2006Journal of natural products, Nov, Volume: 69, Issue:11
A nitrogen-containing 3-alkyl-1,4-benzoquinone and a gomphilactone derivative from Embelia ribes.
AID46274Toxic deaths was recorded on colon carcinoma (COCF) cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1824013Induction of apoptosis in human MGC-803 cells assessed as viable cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 99.9%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID586336Cytotoxicity against human HT-29 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID276577Inhibition of HIF1alpha production in c4-2 cells at 10 uM after 24 hrs relative to control2006Bioorganic & medicinal chemistry letters, Dec-01, Volume: 16, Issue:23
Microwave expedited synthesis of 5-aminocamptothecin analogs: Inhibitors of hypoxia inducible factor HIF-1alpha.
AID681572TP_TRANSPORTER: drug resistance in BCRP-expressing MEF3.8 cells2003Cancer research, Mar-15, Volume: 63, Issue:6
Mouse breast cancer resistance protein (Bcrp1/Abcg2) mediates etoposide resistance and transport, but etoposide oral availability is limited primarily by P-glycoprotein.
AID411092Cytotoxicity against human A549 cells by SRB method2008Bioorganic & medicinal chemistry letters, Dec-15, Volume: 18, Issue:24
Semi-synthesis and biological activity of gamma-lactones analogs of camptothecin.
AID1824015Induction of apoptosis in human MGC-803 cells assessed as late apoptic cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 0.05%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID1387418Toxicity in human HepG2 cells xenografted Balb/C mouse assessed as reduction in body weight at 2 mg/kg, iv dosed once per week for 30 days followed by 2 weeks observation2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID1188716Antiproliferative activity against human H184B5F5/M10 cells after 24 hrs by MTT assay2014European journal of medicinal chemistry, Oct-06, Volume: 85Synthesis and biological evaluation of hydroxycinnamic acid hydrazide derivatives as inducer of caspase-3.
AID156211Toxic deaths was recorded on small--cell lung carcinoma (POVD) cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID431811Cytotoxicity against human HepG2 cells expressing wild type p53 after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID113225Efficacy against HT-29 human colon xenograft infected mice expressed as tumor growth ratio at dose 11 mg/Kg1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1433646Antiproliferative activity against human Bel7402 cells after 96 hrs by MTT assay2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1211552In vitro intrinsic biliary clearance in sandwich cultured Sprague-Dawley rat hepatocytes by LC-MS/MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID586341Cytotoxicity against human LNCAP cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID599601Induction of apoptosis in human PC3 cells at 2 uM after 48 hrs using propidium iodide staining by flow cytometry (Rvb = 0.84 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID1410926Inhibition of miR-21 RNA (unknown origin) transfected in human HeLa cells at 0.1 to 1000 nM after 48 hrs by Bright-Glo luciferase reporter gene assay2018Journal of medicinal chemistry, Jul-26, Volume: 61, Issue:14
Small Molecule Inhibition of MicroRNA miR-21 Rescues Chemosensitivity of Renal-Cell Carcinoma to Topotecan.
AID156017Antiproliferative activity measured against PC-3 human prostate adenocarcinoma1998Journal of medicinal chemistry, Dec-31, Volume: 41, Issue:27
Homocamptothecins: synthesis and antitumor activity of novel E-ring-modified camptothecin analogues.
AID1221975Transporter substrate index ratio of permeability from apical to basolateral side in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of BCRP inhibitor Ko1432011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID86087In vivo efficacy of tumor growth ratio(T/B) of compound was calculated by using the HT-29 Human colon Xenograft model in mice at a dose of 7 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1854772Antiproliferative activity against human 2008 cells assessed as inhibition of cell growth incubated for 72 hrs by SRB assay2022European journal of medicinal chemistry, Nov-05, Volume: 241Design, synthesis, and biological evaluation of novel 7-substituted 10,11-methylenedioxy-camptothecin derivatives against drug-resistant small-cell lung cancer in vitro and in vivo.
AID586340Cytotoxicity against human DU145 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID228735MDR ratio as the ratio of IC50 value against SKVLB to that of SKOV31995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1299122Cytotoxicity against human HCT116 cells at 3 uM2016Bioorganic & medicinal chemistry, 06-15, Volume: 24, Issue:12
Synthesis and biological evaluation of 1,2-dithiol-3-thiones and pyrrolo[1,2-a]pyrazines as novel hypoxia inducible factor-1 (HIF-1) inhibitor.
AID431818Cytotoxicity against estrogen receptor-positive human MCF7 cells expressing wild type p53 after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID389689Cytotoxicity against multidrug resistant human KBV-1 cells overexpressing MDR1 after MTT assay2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID721721Antiproliferative activity against human MDA-MB-231 cells after 72 hrs by XTT assay2013European journal of medicinal chemistry, Jan, Volume: 59Synthesis and antiproliferative evaluation of 3-phenylquinolinylchalcone derivatives against non-small cell lung cancers and breast cancers.
AID746435Cytotoxicity against human HCT116 cells assessed as cell viability at 0.1 to 100 uM after 48 hrs by cell titre glo assay2013Bioorganic & medicinal chemistry letters, May-15, Volume: 23, Issue:10
Structure-based design of HSPA5 inhibitors: from peptide to small molecule inhibitors.
AID409906Cytotoxicity against human KB3-1 cells by MTT method2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID1544048Poison activity at recombinant human TOP1 expressed in baculovirus infected Sf9 insect cells assessed as decrease in relaxed supercoiled pBS(SK+) DNA mobility measured after 30 mins by ethidium bromide staining based agarose gel electrophoresis2019Journal of medicinal chemistry, 04-11, Volume: 62, Issue:7
Discovery and Mechanistic Study of Tailor-Made Quinoline Derivatives as Topoisomerase 1 Poison with Potent Anticancer Activity.
AID1228603Growth inhibition of human NCI60 cells assessed as cell growth at 10 uM2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID588217FDA HLAED, serum glutamic pyruvic transaminase (SGPT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1387402Antitumor activity against human HepG2 cells xenografted in Balb/C mouse assessed as inhibition of tumor growth at 2 mg/kg, iv dosed once per week for 30 days followed by 2 weeks observation relative untreated control2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID1274796Selectivity index, ratio of IC50 for human MRC5 cells to IC50 for human MDA-MB-231 cells2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID248382Concentration required to inhibit cell proliferation in P388/CPT-45 tumor cell line; camptothecin resistant2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID586350Resistance ratio of of IC50 for human H69AR cells overexpressing MDR1 after 72 hrs s to IC50 for human H69 cells after 72 hrs2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID600074Cell cycle arrest in human PC3 cells assessed as accumulation at S phase at 2 uM after 24 hrs using propidium iodide staining by flow cytometry (Rvb = 34.84 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID1188714Antiproliferative activity against human NL20 cells after 24 hrs by MTT assay2014European journal of medicinal chemistry, Oct-06, Volume: 85Synthesis and biological evaluation of hydroxycinnamic acid hydrazide derivatives as inducer of caspase-3.
AID379520Cytotoxicity against human HCT8 cells after 96 hrs by MTT assay2006Journal of natural products, Nov, Volume: 69, Issue:11
A nitrogen-containing 3-alkyl-1,4-benzoquinone and a gomphilactone derivative from Embelia ribes.
AID269224Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 15 mg/kg, po measured as body weight loss2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID221332In Vitro cytotoxicity against human lung cancer cell line (A549)2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID1464538Cytotoxicity against human A549 cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 10-15, Volume: 27, Issue:20
Design, semisynthesis and potent cytotoxic activity of novel 10-fluorocamptothecin derivatives.
AID1254847Selectivity index, ratio of IC50 for normal human astrocytes to IC50 for human GBM3 cells2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID1387389Cytotoxicity in human Bel7402 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID1075765Cytotoxicity against human mitoxantrone-resistant H460 cells after 72 hrs by MTT assay2014Journal of medicinal chemistry, Feb-27, Volume: 57, Issue:4
Optimization of the lactam side chain of 7-azaindenoisoquinoline topoisomerase I inhibitors and mechanism of action studies in cancer cells.
AID527977Inhibition of HIF1alpha in human U251 cells under hypoxic condition by luciferase reporter gene assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID1182907Cytotoxicity against human MDA-MB-231 cells after 72 hrs sulforhodamine B colorimetric assay2014Bioorganic & medicinal chemistry letters, Aug-15, Volume: 24, Issue:16
Design and synthesis of new 7-(N-substituted-methyl)-camptothecin derivatives as potent cytotoxic agents.
AID241607Inhibition of topoisomerase I-DNA complex in trapping assay2005Journal of medicinal chemistry, Apr-07, Volume: 48, Issue:7
Structures of three classes of anticancer agents bound to the human topoisomerase I-DNA covalent complex.
AID1826596Antiproliferative activity against human MCF7 cells assessed as cell growth inhibition incubated for 8 hrs by CCK8 assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Evodiamine-Inspired Topoisomerase-Histone Deacetylase Dual Inhibitors: Novel Orally Active Antitumor Agents for Leukemia Therapy.
AID1405120Antiproliferative activity against human M21 cells after 48 hrs by SRB assay2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID612418Antiproliferative activity against human NCI-H460 cells after 72 hrs by coulter counter analysis2011Bioorganic & medicinal chemistry, Aug-15, Volume: 19, Issue:16
Synthesis and topoisomerase I inhibitory activity of a novel diazaindeno[2,1-b]phenanthrene analogue of Lamellarin D.
AID269215Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 15 mg/kg, po measured as log10 of cell kill to reach 1000 mm3 tumor volume2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID1221966Ratio of plasma AUC in po dosed mdr1 knock out mouse to plasma AUC in po dosed wild type mouse2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID432403Induction of covalent human topoisomerase 1-plasmid O6#7 DNA adduct stabilization assessed as appearance of nicked plasmid at 1.6 uM by agarose gel electrophoresis2009Bioorganic & medicinal chemistry letters, Aug-01, Volume: 19, Issue:15
On the role of topoisomerase I in mediating the cytotoxicity of 9-aminoacridine-based anticancer agents.
AID1816999Synergistic cytotoxicity against human MCF7/TDP1 cells at 100 nM after 96 hrs in presence of 12-(2-(Dimethylamino)ethyl)-1,2-dihydroxy-[1,3]dioxolo[4',5':4,5]benzo[1,2-c]phenanthridine-13(12H)-one by MTT assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID1387390Cytotoxicity in human SMMC7721 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID745328Cytotoxicity against human HT-29 cells2013European journal of medicinal chemistry, May, Volume: 63Evolution in medicinal chemistry of E-ring-modified Camptothecin analogs as anticancer agents.
AID421978Reduction in VEGF mRNA expression in wild type human U251 cells under hypoxic condition after 8 hrs2009Journal of natural products, May-22, Volume: 72, Issue:5
Cytotoxic and HIF-1alpha inhibitory compounds from Crossosoma bigelovii.
AID1228607Growth inhibition of human UACC62 cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID1433714Antitumor activity against human Bel7402 cells xenografted in BALB/c nude mouse assessed as tumor volume at 5 mg/kg, ip administered once in a week for two weeks starting from 6 days post tumor transplantation measured 27 to 30 days post tumor transplanta2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID401948Cytotoxicity against human MCF7 cells after 96 hrs by MTT assay2004Journal of natural products, May, Volume: 67, Issue:5
Phelligridins C-F: cytotoxic pyrano[4,3-c][2]benzopyran-1,6-dione and furo[3,2-c]pyran-4-one derivatives from the fungus Phellinus igniarius.
AID401946Cytotoxicity against human A549 cells after 96 hrs by MTT assay2004Journal of natural products, May, Volume: 67, Issue:5
Phelligridins C-F: cytotoxic pyrano[4,3-c][2]benzopyran-1,6-dione and furo[3,2-c]pyran-4-one derivatives from the fungus Phellinus igniarius.
AID331827Resistant index, ratio of IC50 for BCRP overexpressing mitoxantrone-resistant human HT29 cells to IC50 for human HT29 cells2008Bioorganic & medicinal chemistry letters, May-01, Volume: 18, Issue:9
E-ring-modified 7-oxyiminomethyl camptothecins: Synthesis and preliminary in vitro and in vivo biological evaluation.
AID46268log10 cell kill was measured on colon carcinoma (COCF) cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1824003Induction of apoptosis in human SGC-7901 cells assessed as late apoptic cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 0.03%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID373532Cytotoxicity against multidrug resistant human KBH5.0 cells overexpressing BCRP by MTT method2009European journal of medicinal chemistry, Apr, Volume: 44, Issue:4
Cytotoxicity and TOP1-targeting activity of 8- and 9-amino derivatives of 5-butyl- and 5-(2-N,N-dimethylamino)ethyl-5H-dibenzo[c,h][1,6]naphthyridin-6-ones.
AID100989Cytotoxicity was determined in vitro in LOX cells (melanoma) of human tumor cell lines by using MTT assay1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1532293Toxicity in C57BL/6 mouse implanted with C57BL mouse LLC cells assessed as change in body weight at 1.5 mg/kg, ip administered on day 4, 5, 7 and 9 post-transplantation (Rvb = 90%)2019European journal of medicinal chemistry, Jan-01, Volume: 161Novel tyrosyl-DNA phosphodiesterase 1 inhibitors enhance the therapeutic impact of topoteсan on in vivo tumor models.
AID414758Cytotoxicity against human KB3-1 cells after 4 days by MTT method2009Bioorganic & medicinal chemistry, Apr-01, Volume: 17, Issue:7
12-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridines as novel topoisomerase I-targeting antitumor agents.
AID22193Excited-state lifetime value for free lactone form of compound in solution1994Journal of medicinal chemistry, Jan-07, Volume: 37, Issue:1
The structural basis of camptothecin interactions with human serum albumin: impact on drug stability.
AID156206log10 cell kill was measured on small--cell lung carcinoma (POVD) cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID426065Antitumor activity against human HL60 cells by SRB method2009Bioorganic & medicinal chemistry letters, Aug-01, Volume: 19, Issue:15
7-Cycloalkylcamptothecin derivatives: Preparation and biological evaluation.
AID634882Growth inhibition of human H1299 cells after 72 hrs by XTT assay2011Bioorganic & medicinal chemistry, Dec-15, Volume: 19, Issue:24
Synthesis and antiproliferative evaluation of 6-aryl-11-iminoindeno[1,2-c]quinoline derivatives.
AID760275Cytotoxicity against human PC3 cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID540212Mean residence time in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1702779Cytotoxicity against human Hep3B cells assessed as growth inhibition measured after 72 hrs by MTT assay2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID7482Potentiation factor at 50% growth inhibition (IC50 of compound to that of compound along with PARP inhibitor) in experiment 12000Journal of medicinal chemistry, Nov-02, Volume: 43, Issue:22
Resistance-modifying agents. 9. Synthesis and biological properties of benzimidazole inhibitors of the DNA repair enzyme poly(ADP-ribose) polymerase.
AID453824Antiproliferative activity against human HepG2 cells after 72 hrs by XTT assay2009Bioorganic & medicinal chemistry, Nov-01, Volume: 17, Issue:21
Synthesis and antiproliferative evaluation of 6-arylindeno[1,2-c]quinoline derivatives.
AID145909Tested in vitro for cytotoxicity against human tumor cell line OVCAR8 (ovarian).2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID760274Cytotoxicity against human K562 cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID1274791Antiproliferative activity against human MDA-MB-231 cells after 72 hrs by XTT assay2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID431809Cytotoxicity against estrogen receptor-negative human MDA-MB-261 cells expressing p53 mutant after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID1387386Cytotoxicity in human MDA-MB-231 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID1532290Toxicity in C57BL/6 mouse implanted with C57BL mouse LLC cells assessed as death at 1.5 mg/kg, ip administered on day 4, 5, 7 and 9 post-transplantation2019European journal of medicinal chemistry, Jan-01, Volume: 161Novel tyrosyl-DNA phosphodiesterase 1 inhibitors enhance the therapeutic impact of topoteсan on in vivo tumor models.
AID1600551Inhibition of DNA topoisomerase 2 in human MCF7 cells at 25 uM incubated for 18 to 24 hrs by kinase assay relative to control2019Bioorganic & medicinal chemistry, 10-01, Volume: 27, Issue:19
Design, Synthesis and Anticancer Evaluation of New Substituted Thiophene-Quinoline Derivatives.
AID1404366Cytotoxicity against CD133 positive human HCT116 cells2018Journal of natural products, 03-23, Volume: 81, Issue:3
Quest for Efficacious Next-Generation Taxoid Anticancer Agents and Their Tumor-Targeted Delivery.
AID1656701Induction of apoptosis in human LNCAP cells assessed as increase in cleaved PARP expression at 10 uM measured after 24 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 02-01, Volume: 28, Issue:3
Molecular mechanism of C-phycocyanin induced apoptosis in LNCaP cells.
AID78418Concentration causing 50% decrease of topotecan-resistant subline (H460/TPT) cell growth over that of untreated control. 2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID679173TP_TRANSPORTER: drug resistance in BCRP-expressing K562 cells2003Molecular cancer therapeutics, Jan, Volume: 2, Issue:1
Reversal of breast cancer resistance protein-mediated drug resistance by estrogen antagonists and agonists.
AID588215FDA HLAED, alkaline phosphatase increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID78581Cytotoxicity measured using the H69 parental (H69/P) human small cell lung carcinoma cell line2002Journal of medicinal chemistry, Jan-31, Volume: 45, Issue:3
Novel angular benzophenazines: dual topoisomerase I and topoisomerase II inhibitors as potential anticancer agents.
AID431840Cell cycle distribution in human HT-29 cells assessed as accumulation at sub-G1 phase at 0.1 uM after 48 hrs by flow cytometry2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID277800Cytotoxicity against human A549 cells2007Journal of natural products, Feb, Volume: 70, Issue:2
Structures, biogenesis, and biological activities of pyrano[4,3-c]isochromen-4-one derivatives from the Fungus Phellinus igniarius.
AID421969Inhibition of HIF1 activation in human U251 cells stably transfected in pGL3 plasmid under hypoxic condition after 16 to 24 hrs by luciferase reporter gene assay2009Journal of natural products, May-22, Volume: 72, Issue:5
Cytotoxic and HIF-1alpha inhibitory compounds from Crossosoma bigelovii.
AID586337Cytotoxicity against human SK-MEL-2 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID600065Induction of apoptosis human PC3 cells assessed as externalization of phosphatidylserine on the outer layer of plasma membrane at 1 uM after 24 to 48 hrs using Annexin-V-FITC staining by flow cytometry2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID527989Antiproliferative activity against human WI38 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID44518No. of dead mice/ total No. of mice with human Non-Small-Cell tumor xenograft at a oral dose of 9 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID377271Cytotoxicity against human BGC823 cells after 96 hrs by MTT assay2006Journal of natural products, Jun, Volume: 69, Issue:6
Mono-, Bi-, and triphenanthrenes from the tubers of Cremastra appendiculata.
AID136562The compound (10 mg/kg) administered intravenously was tested for antitumor activity against A-498 (renal) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID277802Cytotoxicity against human HCT8 cells2007Journal of natural products, Feb, Volume: 70, Issue:2
Structures, biogenesis, and biological activities of pyrano[4,3-c]isochromen-4-one derivatives from the Fungus Phellinus igniarius.
AID215601Inhibitory concentration against human solid tumor cell line DU145 prostate and HT-29 colon2003Bioorganic & medicinal chemistry letters, Aug-18, Volume: 13, Issue:16
Synthesis and pharmacological evaluation of novel non-lactone analogues of camptothecin.
AID431842Induction of apoptosis in human HT-29 cells assessed as increase in accumulation at sub-G1 phase at 0.1 uM after 48 hrs by flow cytometry2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID1464539Cytotoxicity against human MDA-MB-231 cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 10-15, Volume: 27, Issue:20
Design, semisynthesis and potent cytotoxic activity of novel 10-fluorocamptothecin derivatives.
AID402203Cytotoxicity against human HCT8 cells after 96 hrs by MTT assay2004Journal of natural products, May, Volume: 67, Issue:5
Phelligridins C-F: cytotoxic pyrano[4,3-c][2]benzopyran-1,6-dione and furo[3,2-c]pyran-4-one derivatives from the fungus Phellinus igniarius.
AID136689The compound (2.5 mg/kg) administered intravenously was tested for antitumor activity against A-498 (renal) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID7708Antiproliferative activity measured against A427 human lung carcinoma1998Journal of medicinal chemistry, Dec-31, Volume: 41, Issue:27
Homocamptothecins: synthesis and antitumor activity of novel E-ring-modified camptothecin analogues.
AID269214Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 9 mg/kg, po measured as log10 of cell kill to reach 1000 mm3 tumor volume2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID111701Mean body weight loss for animals in all experimental conditions at dose 5 mg/Kg in HT-29 human colon xenograft infected mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID396722Cytotoxicity against human MCF7 cells by MTT assay2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID21758Solubility was measured in D2O using 1H NMR integration of the C-20 ethyl group against internal standard 1,4-dioxane1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1228606Growth inhibition of human SF539 cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID143197No. of dead mice/ total no of mice with human Non-Small-Cell tumor xenograft at a oral dose of 5 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID409907Cytotoxicity against human KBV1 cells by MTT method2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID431810Cytotoxicity against human A549 cells expressing wild type p53 after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID1221969Apparent permeability from basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of BCRP inhibitor Ko1432011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID143201Complete response in CD1 mice with human Non-Small-Cell tumor at a oral dose of 15 mg/kg after treatment with compound2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID601002Cytotoxicity against human MDA-MB-435 cells after 3 days by MTT assay2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis and biological evaluation of novel 7-acyl homocamptothecins as Topoisomerase I inhibitors.
AID156209Tumor volume index was measured on small--cell lung carcinoma (POVD) cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1433645Antiproliferative activity against human A549 cells after 96 hrs by MTT assay2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1811231Antiproliferative activity against human U-87 MG cells assessed as inhibition of cell growth measured after 72 hrs by CCK-8 assay2021European journal of medicinal chemistry, Dec-15, Volume: 226N-2-(phenylamino) benzamide derivatives as novel anti-glioblastoma agents: Synthesis and biological evaluation.
AID1433679Cell cycle arrest in human A549 cells assessed as accumulation at S phase at 75 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 32.80%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1255452Antiproliferative activity against human HT-29 cells assessed as growth inhibition incubated for 48 hrs by sulforhodamine B assay2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID143200Percentage inhibition of tumor volume in treated versus control mice against human Non-Small-Cell tumor xenograft at a oral dose of 15 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1254840Antiproliferative activity against human GBM1 cells assessed as reduction in cell viability incubated for 72 hrs by WST-1 method2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID78973In vitro cytotoxicity against HCT-8 (human colon cancer)2003Bioorganic & medicinal chemistry letters, Nov-03, Volume: 13, Issue:21
Regioselective synthesis and cytotoxicities of camptothecin derivatives modified at the 7-, 10- and 20-positions.
AID1269399Antiproliferative activity against human A549 cells after 48 hrs by MTT assay2016Bioorganic & medicinal chemistry letters, Feb-01, Volume: 26, Issue:3
Design, synthesis and biological evaluation of 3-substituted indenoisoquinoline derivatives as topoisomerase I inhibitors.
AID1143385Antiproliferative activity against human HepG2 cells assessed as growth inhibition at 10 ug/ml after 48 hrs by MTT assay2014European journal of medicinal chemistry, Jun-23, Volume: 81Novel N-substituted sophoridinol derivatives as anticancer agents.
AID588216FDA HLAED, serum glutamic oxaloacetic transaminase (SGOT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID588219FDA HLAED, gamma-glutamyl transferase (GGT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1274792Antiproliferative activity against human H1299 cells after 72 hrs by XTT assay2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID1174152Inhibition of HIF-1 in human U251 cells at 10 uM by luciferase reporter gene assay2015European journal of medicinal chemistry, Jan-07, Volume: 89Novel chalcone derivatives as hypoxia-inducible factor (HIF)-1 inhibitor: synthesis, anti-invasive and anti-angiogenic properties.
AID1255451Antiproliferative activity against human M21 cells assessed as growth inhibition incubated for 48 hrs by sulforhodamine B assay2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID101474Log 10 cell kill induced in mice bearing lung carcinoma LX-1 at a oral dose of 15 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID590393Cytotoxicity against human Bel7402 cells after 3 days2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Synthesis and antitumor activity of 10-arylcamptothecin derivatives.
AID453826Antiproliferative activity against human HepG2(2.2.1) cells after 72 hrs by XTT assay2009Bioorganic & medicinal chemistry, Nov-01, Volume: 17, Issue:21
Synthesis and antiproliferative evaluation of 6-arylindeno[1,2-c]quinoline derivatives.
AID57877Tested in vitro for cytotoxicity against human tumor cell line DU-145 (prostate)2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID103920In vitro anti-cancer activity against MCF-7/ADR (Breast) human tumor cell line1999Bioorganic & medicinal chemistry letters, Jun-21, Volume: 9, Issue:12
Novel C-ring analogues of 20(S)-camptothecin-part-2: synthesis and in vitro cytotoxicity of 5-C-substituted 20(S)-camptothecin analogues.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID431838Cell cycle distribution in human HT-29 cells assessed as accumulation at S phase at 0.1 uM after 24 hrs by flow cytometry2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID166892Cytotoxicity against human lymphoblast tumor cell line RPM184022002Bioorganic & medicinal chemistry letters, Nov-18, Volume: 12, Issue:22
Diaza- and triazachrysenes: potent topoisomerase-targeting agents with exceptional antitumor activity against the human tumor xenograft, MDA-MB-435.
AID1221976Transporter substrate index ratio of permeability from basolateral to apical side in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of BCRP inhibitor Ko1432011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID680979TP_TRANSPORTER: intracellular concentration of the drug is lower compared with IGROV1 in MX3 cells1999Cancer research, Sep-15, Volume: 59, Issue:18
Overexpression of the BCRP/MXR/ABCP gene in a topotecan-selected ovarian tumor cell line.
AID46275Toxic deaths was recorded on colon carcinoma (COCF) cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1817015Resistance index,ratio of GI50 for growth inhibition of human MCF-7/TDP1 cells to GI50 for growth inhibition of human MCF-7 cells2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID431821Cytotoxicity against human U937 cells expressing p53 mutant after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID1255493Cell cycle arrest in human M21 cells assessed as accumulation at subG1 phase at 1.5 uM after 24 hrs by DAPI staining-based flow cytometry (Rvb = 1.5%)2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID396721Chemical stability assessed as half life in PBS at pH 7.4 by HPLC2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID1254846Antiproliferative activity against human GBM3 cells assessed as reduction in cell viability incubated for 72 hrs by WST-1 method2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID111706The body weight loss was measured in mice in vivo by using the HT-29 Human colon Xenograft model at a dose of 11 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID775810Antitumor activity against human A549 cells xenografted in BALB/C nude mouse assessed as tumor growth inhibition at 0.5 mg/kg, ip administered for 5 days measured after day 30 to 33 relative to vehicle-treated control2013Journal of medicinal chemistry, Oct-24, Volume: 56, Issue:20
A new strategy to improve the metabolic stability of lactone: discovery of (20S,21S)-21-fluorocamptothecins as novel, hydrolytically stable topoisomerase I inhibitors.
AID146569In vivo antitumor activity in NSCLC H460 xenografted sc in athymic nude mice expressed as percent tumor volume inhibition (TVI) at a dose of 15 mg/kg perorally for q4dx42001Bioorganic & medicinal chemistry letters, Feb-12, Volume: 11, Issue:3
Novel cytotoxic 7-iminomethyl and 7-aminomethyl derivatives of camptothecin.
AID1428726Drug excretion in human urine upto 24 hrs2017Bioorganic & medicinal chemistry letters, 02-15, Volume: 27, Issue:4
The long story of camptothecin: From traditional medicine to drugs.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID78392log10 cell kill was measured on non-small-cell lung carcinoma H460 cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1811235Inhibition of human topoisomerase I using DNA pBR322 as substrate assessed as DNA relaxation incubated for 45 mins by ethidium bromide staining based agarose gel electrophoresis2021European journal of medicinal chemistry, Dec-15, Volume: 226N-2-(phenylamino) benzamide derivatives as novel anti-glioblastoma agents: Synthesis and biological evaluation.
AID247812Inhibitory concentration against KB3-1 cell line was determined2005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID1228608Growth inhibition of human OVCAR3 cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID590391Cytotoxicity against human HL60 cells after 3 days2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Synthesis and antitumor activity of 10-arylcamptothecin derivatives.
AID481182Cytotoxicity against human LoVo cells after 72 hrs by MTT assay2010Bioorganic & medicinal chemistry, May-01, Volume: 18, Issue:9
Phosphate ester derivatives of homocamptothecin: synthesis, solution stabilities and antitumor activities.
AID396731Toxicity to BALB/c nu/nu mouse assessed as mortality at 5 mg/kg, ip q3d for 3 days2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID1221965Transporter substrate index of efflux ratio in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of P-gp inhibitor LY3359792011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID586344Ratio IC50 for human H460 cells after 72 hrs in presence of 40 mg/ml HSA to IC50 for human H460 cells after 72 hrs2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1648758Toxicity in nude mouse xenografted with human HCT116 cells assessed as change in body weight at 0.5 mg/kg, ip qd measured every two days for 21 days2020ACS medicinal chemistry letters, Apr-09, Volume: 11, Issue:4
Natural Product Evodiamine with Borate Trigger Unit: Discovery of Potent Antitumor Agents against Colon Cancer.
AID586349Resistance ratio of of IC50 for human MES-SA/Dx5 cells overexpressing MDR1 after 72 hrs to IC50 for human MESSA cells after 72 hrs2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID343612Cytotoxicity against human KB cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID333717Inhibition of hypoxia-induced HIF1 activation in human U251 cells2004Journal of natural products, Dec, Volume: 67, Issue:12
Laurenditerpenol, a new diterpene from the tropical marine alga Laurenciaintricata that potently inhibits HIF-1 mediated hypoxic signaling in breast tumor cells.
AID601072Cytotoxicity against human HCT116 cells after 3 days by MTT assay2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis and biological evaluation of novel 7-acyl homocamptothecins as Topoisomerase I inhibitors.
AID93500Concentration causing 50% decrease of ovarian carcinoma (IGROV-1)cell growth over that of untreated control2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID600072Cell cycle arrest in human PC3 cells assessed as accumulation at G1 phase at 2 uM after 24 hrs using propidium iodide staining by flow cytometry (Rvb = 46.97 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID99195No. of dead mice/ total No. of mice bearing lung carcinoma LX-1 at a oral dose of 15 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1227812Antitumor activity against human MCF7 cells xenografted in BALB/c nude mouse assessed as decrease in tumor volume at 0.023 mmol/kg, ip administered every 2 days for 3 times measured after day 62015Bioorganic & medicinal chemistry letters, Jan-01, Volume: 25, Issue:1
The biological characteristics of a novel camptothecin-artesunate conjugate.
AID136695The compound (5 mg/kg) administered intravenously was tested for antitumor activity against DU-145 (prostate) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID269213Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 5 mg/kg, po measured as log10 of cell kill to reach 1000 mm3 tumor volume2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID401949Cytotoxicity against human Bel7402 cells after 96 hrs by MTT assay2004Journal of natural products, May, Volume: 67, Issue:5
Phelligridins C-F: cytotoxic pyrano[4,3-c][2]benzopyran-1,6-dione and furo[3,2-c]pyran-4-one derivatives from the fungus Phellinus igniarius.
AID396729Antitumor activity against human HCT8 xenografted in BALB/c nu/nu mouse assessed as tumor inhibition rate at 10 mg/kg, ip q3d for 3 days2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID537733Binding affinity to Candida albicans CaCdr1p expressed in yeast AD1-8u2010European journal of medicinal chemistry, Nov, Volume: 45, Issue:11
Analysis of physico-chemical properties of substrates of ABC and MFS multidrug transporters of pathogenic Candida albicans.
AID1143388Antiproliferative activity against human NCI-H1299 cells assessed as growth inhibition after 48 hrs by MTT assay2014European journal of medicinal chemistry, Jun-23, Volume: 81Novel N-substituted sophoridinol derivatives as anticancer agents.
AID136685The compound (10 mg/kg) administered intravenously was tested for antitumor activity against DU-145 (prostate) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID537734Antifungal activity against yeast AD1-8u expressing Candida albicans CaMdr1p by agar disk diffusion assay2010European journal of medicinal chemistry, Nov, Volume: 45, Issue:11
Analysis of physico-chemical properties of substrates of ABC and MFS multidrug transporters of pathogenic Candida albicans.
AID343610Cytotoxicity against human BEL-7402 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID343608Cytotoxicity against human A549 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID46871Cytotoxic activity against human lymphoblast tumor cell line CPT-K5 after 4 days of treatment2003Journal of medicinal chemistry, May-22, Volume: 46, Issue:11
Nitro and amino substitution in the D-ring of 5-(2-dimethylaminoethyl)- 2,3-methylenedioxy-5H-dibenzo[c,h][1,6]naphthyridin-6-ones: effect on topoisomerase-I targeting activity and cytotoxicity.
AID1462687Cytotoxicity against human A549 cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 09-01, Volume: 27, Issue:17
Design, synthesis, and cytotoxic activity of novel 7-substituted camptothecin derivatives incorporating piperazinyl-sulfonylamidine moieties.
AID1826598Antiproliferative activity against human HCT-116 cells assessed as cell growth inhibition incubated for 8 hrs by CCK8 assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Evodiamine-Inspired Topoisomerase-Histone Deacetylase Dual Inhibitors: Novel Orally Active Antitumor Agents for Leukemia Therapy.
AID775809Toxicity in BALB/C nude mouse xenografted with human A549 cells assessed as weight loss at 2 mg/kg, ip after 5 days relative to vehicle-treated control2013Journal of medicinal chemistry, Oct-24, Volume: 56, Issue:20
A new strategy to improve the metabolic stability of lactone: discovery of (20S,21S)-21-fluorocamptothecins as novel, hydrolytically stable topoisomerase I inhibitors.
AID143171Percentage of body weight loss in CD1 mice with human Non-Small-Cell tumor xenograft at a oral dose of 5 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1221957Apparent permeability from basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID111437Compound was tested for number of deaths of the animals at a dose of 7 mg/Kg in mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID247785Inhibitory concentration against KBH5.0 cells overexpress BCRP2005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID1702827Systemic toxicity in FVB/N x BALB/c mouse assessed as body weight loss at 50 mg/kg, ip measured every 3 days for 15 days2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID690587Cytotoxicity against human PC3 cells expressing alpha5beta3 integrin assessed as cell survival after 72 hrs by SRB assay2012Bioorganic & medicinal chemistry letters, Oct-15, Volume: 22, Issue:20
Camptothecins in tumor homing via an RGD sequence mimetic.
AID1702823Inhibition of topoisomerase 1 in human A549 cells nuclear extract assessed as reduction in supercoiled DNA relaxation at 0.2 uM incubated for 6 hrs by SYBR-green staining based agarose gel electrophoresis2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID527986Antiproliferative activity against human DU145 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID760272Cytotoxicity against human MDA-MB-231 cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID1172294Cytotoxicity against human KBVIN cells after 72 hrs by SRB assay2014Bioorganic & medicinal chemistry, Nov-15, Volume: 22, Issue:22
Design and synthesis of novel spin-labeled camptothecin derivatives as potent cytotoxic agents.
AID78398Toxic deaths was recorded on non-small-cell lung carcinoma H460 cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID610759Cytotoxicity against human H460 cells assessed as stimulation of topoisomerase 1-mediated DNA cleavage2011Journal of natural products, Jun-24, Volume: 74, Issue:6
Inverse virtual screening of antitumor targets: pilot study on a small database of natural bioactive compounds.
AID1656654Cytotoxicity against human LNCAP cells assessed as reduction in cell viability at 10 uM after 24 hrs by trypan blue dye exclusion assay2020Bioorganic & medicinal chemistry, 02-01, Volume: 28, Issue:3
Molecular mechanism of C-phycocyanin induced apoptosis in LNCaP cells.
AID333718Inhibition of iron chelator DFO-induced HIF1 activation in human U251 cells2004Journal of natural products, Dec, Volume: 67, Issue:12
Laurenditerpenol, a new diterpene from the tropical marine alga Laurenciaintricata that potently inhibits HIF-1 mediated hypoxic signaling in breast tumor cells.
AID1702780Cytotoxicity against human MCF7 cells assessed as growth inhibition measured after 72 hrs by MTT assay2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID1824002Induction of apoptosis in human SGC-7901 cells assessed as early apoptic cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 0.01%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID46486Cytotoxicity measured with the drug resistant human non small cell lung carcinoma cell line COR-L23 (COR-L23/R) which over expresses multidrug resistance associated with protein(MRP)2002Journal of medicinal chemistry, Jan-31, Volume: 45, Issue:3
Novel angular benzophenazines: dual topoisomerase I and topoisomerase II inhibitors as potential anticancer agents.
AID331823Antiproliferative activity against human H460 cells after 1 hr of drug exposure measured after 72 hrs2008Bioorganic & medicinal chemistry letters, May-01, Volume: 18, Issue:9
E-ring-modified 7-oxyiminomethyl camptothecins: Synthesis and preliminary in vitro and in vivo biological evaluation.
AID56864DNA topoisomerase I cleavage at 1 uM relative to SN382003Bioorganic & medicinal chemistry letters, Aug-18, Volume: 13, Issue:16
Synthesis and pharmacological evaluation of novel non-lactone analogues of camptothecin.
AID679781TP_TRANSPORTER: transepithelial transport in Bcrp-expressing MDCKII cells2004Cancer research, Aug-15, Volume: 64, Issue:16
Mechanism of the pharmacokinetic interaction between methotrexate and benzimidazoles: potential role for breast cancer resistance protein in clinical drug-drug interactions.
AID143198Percentage of body weight loss of CD1 mice after treatment with compound2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID1075785Inhibition of human recombinant topoisomerase 1 in human HCT116 cells assessed as stabilization of topoisomerase 1-DNA cleavage complex at 1 uM after 1 hr by DNA immunoblotting analysis2014Journal of medicinal chemistry, Feb-27, Volume: 57, Issue:4
Optimization of the lactam side chain of 7-azaindenoisoquinoline topoisomerase I inhibitors and mechanism of action studies in cancer cells.
AID56562Cytotoxicity against DNA topoisomerase I purified from calf thymus1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Synthesis of water-soluble (aminoalkyl)camptothecin analogues: inhibition of topoisomerase I and antitumor activity.
AID1433678Cell cycle arrest in human A549 cells assessed as accumulation at G0/G1 phase at 75 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 58.84%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID681273TP_TRANSPORTER: transepithelial transport (basal to apical) in Bcrp1-expressing LLC-PK1 cells2000Journal of the National Cancer Institute, Oct-18, Volume: 92, Issue:20
Role of breast cancer resistance protein in the bioavailability and fetal penetration of topotecan.
AID227412Dose modifying factor expressed as the ratio of IC50 for the chemotherapy drug to IC50 for drug + GG918; Range = 1.0-232004Bioorganic & medicinal chemistry letters, Feb-23, Volume: 14, Issue:4
Inhibitors of multidrug resistance (MDR) have affinity for MDR substrates.
AID343611Cytotoxicity against human HT29 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID431815Cytotoxicity against p53-deficient human HeLa cells after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID230378Resistance index expressed as the ratio of IC50 value in resistant cells to that of sensitive line2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1433673Cell cycle arrest in human A549 cells assessed as accumulation at S phase at 8 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 32.80%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1221978Transporter substrate index ratio of permeability from apical to basolateral side in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 10 uM of MRP2 inhibitor MK5712011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID527985Antiproliferative activity against human OVCAR-3 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID27126Equilibrium association constant interacting with unilamellar vesicles of negatively charged DMPG in PBS buffer at pH of 7.4 and 37 degrees celsius.2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
The novel silatecan 7-tert-butyldimethylsilyl-10-hydroxycamptothecin displays high lipophilicity, improved human blood stability, and potent anticancer activity.
AID1191162Cytotoxicity against human PC3 cells assessed as inhibition of cell growth2015European journal of medicinal chemistry, Jan-27, Volume: 90Synthetic approaches, functionalization and therapeutic potential of quinazoline and quinazolinone skeletons: the advances continue.
AID477295Octanol-water partition coefficient, log P of the compound2010European journal of medicinal chemistry, Apr, Volume: 45, Issue:4
QSPR modeling of octanol/water partition coefficient of antineoplastic agents by balance of correlations.
AID1339541Antiproliferative activity against human K562 cells assessed as reduction in cell viability by MTT assay2017ACS medicinal chemistry letters, Feb-09, Volume: 8, Issue:2
Synthesis, Biological Evaluation, and Autophagy Mechanism of 12
AID247637Inhibitory concentration against human Bel-7402 liver cancer cell line2005Bioorganic & medicinal chemistry letters, Apr-15, Volume: 15, Issue:8
Synthesis and antitumor activity of 7-ethyl-9-alkyl derivatives of camptothecin.
AID1817002Synergistic cytotoxicity against human MCF7 cells at 50 nM after 96 hrs by MTT assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID1255492Cell cycle arrest in human M21 cells assessed as accumulation at G2/M phase at 1.5 uM after 24 hrs by DAPI staining-based flow cytometry (Rvb = 16%)2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID489625Antitumor activity against mouse LLC transplanted in C57BL/6 mouse assessed as tumor growth inhibition at 0.5 mg/kg, ip qd for 5 days2010European journal of medicinal chemistry, Jul, Volume: 45, Issue:7
Trifluoromethyl-promoted homocamptothecins: synthesis and biological activity.
AID156208Tumor volume index was measured on small--cell lung carcinoma (POVD) cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID103786Tested in vitro for cytotoxicity against human tumor cell line MCF-7/ADR (breast)2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID1433675Cell cycle arrest in human A549 cells assessed as accumulation at G0/G1 phase at 25 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 58.84%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID527979Specificity index, ratio of IC50 for HIF1alpha in human U251 cells under normoxic condition to IC50 for HIF1alpha in human U251 cells under hypoxic condition2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID402279Cytotoxicity against human Ketr3 cells after 96 hrs by MTT assay2004Journal of natural products, May, Volume: 67, Issue:5
Phelligridins C-F: cytotoxic pyrano[4,3-c][2]benzopyran-1,6-dione and furo[3,2-c]pyran-4-one derivatives from the fungus Phellinus igniarius.
AID1656704Induction of apoptosis in human LNCAP cells assessed as decrease in uncleaved PARP expression at 10 uM measured after 24 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 02-01, Volume: 28, Issue:3
Molecular mechanism of C-phycocyanin induced apoptosis in LNCaP cells.
AID1824016Induction of apoptosis in human MGC-803 cells assessed as necrotic cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 0.05%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID56880Effective concentration required to cleave DNA, mediated by human DNA topoisomerase I (TOP1) reported as REC i.e. concentration relative to topotecan (assumed as 1)2003Journal of medicinal chemistry, May-22, Volume: 46, Issue:11
Nitro and amino substitution in the D-ring of 5-(2-dimethylaminoethyl)- 2,3-methylenedioxy-5H-dibenzo[c,h][1,6]naphthyridin-6-ones: effect on topoisomerase-I targeting activity and cytotoxicity.
AID721723Antiproliferative activity against human A549 cells after 72 hrs by XTT assay2013European journal of medicinal chemistry, Jan, Volume: 59Synthesis and antiproliferative evaluation of 3-phenylquinolinylchalcone derivatives against non-small cell lung cancers and breast cancers.
AID721722Antiproliferative activity against human MCF7 cells after 72 hrs by XTT assay2013European journal of medicinal chemistry, Jan, Volume: 59Synthesis and antiproliferative evaluation of 3-phenylquinolinylchalcone derivatives against non-small cell lung cancers and breast cancers.
AID200293Cytotoxicity was determined in vitro in SKVLB cells(ovarian with upregulated MDRp-glycoprotein) of human tumor cell lines by using MTT assay1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1143386Antiproliferative activity against human HepG2 cells assessed as growth inhibition after 48 hrs by MTT assay2014European journal of medicinal chemistry, Jun-23, Volume: 81Novel N-substituted sophoridinol derivatives as anticancer agents.
AID111702Mean body weight loss for animals in all experimental conditions at dose 7 mg/Kg in HT-29 human colon xenograft infected mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1211545Total clearance in rat2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID421975Inhibition of HIF1 activation in human U251 cells transiently transfected in pGL2-TK-HRE plasmid under hypoxic condition at 0.05 uM after 16 hrs by luciferase reporter gene assay2009Journal of natural products, May-22, Volume: 72, Issue:5
Cytotoxic and HIF-1alpha inhibitory compounds from Crossosoma bigelovii.
AID721724Antiproliferative activity against human H460 cells after 72 hrs by XTT assay2013European journal of medicinal chemistry, Jan, Volume: 59Synthesis and antiproliferative evaluation of 3-phenylquinolinylchalcone derivatives against non-small cell lung cancers and breast cancers.
AID1462691Cytotoxicity against human KBVIN cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 09-01, Volume: 27, Issue:17
Design, synthesis, and cytotoxic activity of novel 7-substituted camptothecin derivatives incorporating piperazinyl-sulfonylamidine moieties.
AID1221977Transporter substrate index of efflux ratio in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of BCRP inhibitor Ko1432011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID94333In vitro cytotoxicity against KB/VCR (Vincristine-resistant cancer cell line)2003Bioorganic & medicinal chemistry letters, Nov-03, Volume: 13, Issue:21
Regioselective synthesis and cytotoxicities of camptothecin derivatives modified at the 7-, 10- and 20-positions.
AID1824037Induction of cell cycle arrest in human MGC-803 cells assessed as accumulation at S phase at 0.9 uM after 24 hrs by propidium iodide staining based flow cytometry2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID699539Inhibition of human liver OATP1B1 expressed in HEK293 Flp-In cells assessed as reduction in E17-betaG uptake at 20 uM by scintillation counting2012Journal of medicinal chemistry, May-24, Volume: 55, Issue:10
Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
AID1255491Cell cycle arrest in human M21 cells assessed as accumulation at S phase at 1.5 uM after 24 hrs by DAPI staining-based flow cytometry (Rvb = 17.4%)2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID588214FDA HLAED, liver enzyme composite activity2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID145078The compound (2.5 mg/kg) administered intravenously was tested for antitumor activity against NCI-H23 (lung) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID1443372Cytotoxicity against human MDA-MB-231 cells after 72 hrs by sulforhodamine B assay2017Bioorganic & medicinal chemistry letters, 04-15, Volume: 27, Issue:8
Design, synthesis and potent cytotoxic activity of novel 7-(N-[(substituted-sulfonyl)piperazinyl]-methyl)-camptothecin derivatives.
AID1075783Inhibition of human recombinant topoisomerase 1 in human HCT116 cells assessed as reversal of topoisomerase 1-DNA cleavage complex stabilization at 1 uM incubated for 1 hr followed by compound washout measured after 24 hrs by DNA immunoblotting analysis2014Journal of medicinal chemistry, Feb-27, Volume: 57, Issue:4
Optimization of the lactam side chain of 7-azaindenoisoquinoline topoisomerase I inhibitors and mechanism of action studies in cancer cells.
AID1075764Resistance ratio of GI50 for human mitoxantrone-resistant H460 cells to GI50 for human H460 cells2014Journal of medicinal chemistry, Feb-27, Volume: 57, Issue:4
Optimization of the lactam side chain of 7-azaindenoisoquinoline topoisomerase I inhibitors and mechanism of action studies in cancer cells.
AID1817014Cytotoxicity against human MCF-7/TDP1 cells assessed as cell growth inhibition after 72 hrs by MTT assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID1211553Drug uptake in iv dosed Sprague-Dawley rat liver after 5 hrs by LC-MS/MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID26145Half-life in PBS buffer solution in the presence of human serum albumin1994Journal of medicinal chemistry, Jan-07, Volume: 37, Issue:1
The structural basis of camptothecin interactions with human serum albumin: impact on drug stability.
AID396723Cytotoxicity against human HCT8 cells by MTT assay2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID431839Cell cycle distribution in human HT-29 cells assessed as accumulation at S phase at 0.1 uM after 48 hrs by flow cytometry2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID1600555Inhibition of DNA topoisomerase 2 in human MCF7 cells at 5 uM incubated for 18 to 24 hrs by kinase assay relative to control2019Bioorganic & medicinal chemistry, 10-01, Volume: 27, Issue:19
Design, Synthesis and Anticancer Evaluation of New Substituted Thiophene-Quinoline Derivatives.
AID389690Cytotoxicity against multidrug resistant human KBH5.0 cells overexpressing BCRP after MTT assay2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID590485Cell cycle arrest in human A549 cells assessed as accumulation at G2/M phase at 25 uM after 24 hrs by flow cytometry (Rvb = 10.34%)2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Synthesis and antitumor activity of 10-arylcamptothecin derivatives.
AID1824004Induction of apoptosis in human SGC-7901 cells assessed as necrotic cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 0.01%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID22190Excited-state lifetime value for carboxylate form of compound bound to human serum albumin1994Journal of medicinal chemistry, Jan-07, Volume: 37, Issue:1
The structural basis of camptothecin interactions with human serum albumin: impact on drug stability.
AID1433677Cell cycle arrest in human A549 cells assessed as accumulation at G2/M phase at 25 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 8.36%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID16882Equilibrium association (binding) constant interacting with Unilamellar Vesicles of negatively charged DMPG in PBS buffer at pH 7.4 and 37 C1999Journal of medicinal chemistry, Aug-12, Volume: 42, Issue:16
Novel A,B,E-ring-modified camptothecins displaying high lipophilicity and markedly improved human blood stabilities.
AID425653Renal clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID1433695Toxicity in BALB/c nude mouse xenografted with human Bel7402 cells assessed as body weight at 5 mg/kg, ip administered once in a week for two weeks starting from 6 days post tumor transplantation measured every 3 days for 21 days (Rvb = 14.5 g)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID431820Cytotoxicity against p53-deficient human PC3 cells after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID373528Cytotoxicity against human RPMI8226 cells by MTT method2009European journal of medicinal chemistry, Apr, Volume: 44, Issue:4
Cytotoxicity and TOP1-targeting activity of 8- and 9-amino derivatives of 5-butyl- and 5-(2-N,N-dimethylamino)ethyl-5H-dibenzo[c,h][1,6]naphthyridin-6-ones.
AID321331Antitumor activity against human LOVO cells after 4 hrs by MTT assay2008Bioorganic & medicinal chemistry, Feb-01, Volume: 16, Issue:3
New homocamptothecins: synthesis, antitumor activity, and molecular modeling.
AID103947Antiproliferative activity measured against MCF-7-mdr cells.1998Journal of medicinal chemistry, Dec-31, Volume: 41, Issue:27
Homocamptothecins: synthesis and antitumor activity of novel E-ring-modified camptothecin analogues.
AID227859In Vitro cytotoxicity against human stomach cancer cell line (MKN45)2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID1387410Inhibition of human recombinant topoisomerase-1-mediated DNA cleavage in at 50 uM using supercoiled pHOT-1 DNA incubated for 30 mins by ethidium bromide staining based agarose gel elctrophoresis method2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID481180Cytotoxicity against human A549 cells after 72 hrs by MTT assay2010Bioorganic & medicinal chemistry, May-01, Volume: 18, Issue:9
Phosphate ester derivatives of homocamptothecin: synthesis, solution stabilities and antitumor activities.
AID586352Cytotoxicity against mouse bone marrow cell by CFU-GM assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1811234Inhibition of human recombinant COX-2 using arachidonic acid as substrate preincubated 10 mins followed by substrate addition and measured after 2 mins by ELISA2021European journal of medicinal chemistry, Dec-15, Volume: 226N-2-(phenylamino) benzamide derivatives as novel anti-glioblastoma agents: Synthesis and biological evaluation.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID200937Tested in vitro for cytotoxicity against human tumor cell line SF-268 (CNS).2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID219883In Vitro cytotoxicity against human colon cancer cell line (WiDr)2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID586335Cytotoxicity against human PC3 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID389686Cytotoxicity against mouse P388 cells after MTT assay2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID490171Cytotoxicity against human KB cells after 3 days by MTT assay2010European journal of medicinal chemistry, Jul, Volume: 45, Issue:7
Cytotoxicity and topo I targeting activity of substituted 10--nitrogenous heterocyclic aromatic group derivatives of SN-38.
AID1188713Antiproliferative activity against human H1299 cells after 24 hrs by MTT assay2014European journal of medicinal chemistry, Oct-06, Volume: 85Synthesis and biological evaluation of hydroxycinnamic acid hydrazide derivatives as inducer of caspase-3.
AID599609Induction of apoptosis in human PC3 cells at 2 uM after 72 hrs using propidium iodide staining by flow cytometry (Rvb = 1.79 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID1702828Systemic toxicity in FVB/N x BALB/c mouse assessed as mouse death at 50 mg/kg, ip measured within 14 days2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID16881Equilibrium association (binding) constant interacting with Unilamellar Vesicles of electroneutral DMPC in PBSbuffer at pH 7.4 and 37 C1999Journal of medicinal chemistry, Aug-12, Volume: 42, Issue:16
Novel A,B,E-ring-modified camptothecins displaying high lipophilicity and markedly improved human blood stabilities.
AID702840Cytotoxicity against human MDA-MB-435 cells incubated for 72 hrs by MTT assay2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
New tricks for an old natural product: discovery of highly potent evodiamine derivatives as novel antitumor agents by systemic structure-activity relationship analysis and biological evaluations.
AID1221972Apparent permeability from basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 10 uM of MRP2 inhibitor MK5712011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID702842Cytotoxicity against human A549 cells incubated for 72 hrs by MTT assay2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
New tricks for an old natural product: discovery of highly potent evodiamine derivatives as novel antitumor agents by systemic structure-activity relationship analysis and biological evaluations.
AID1823978Antiproliferative activity against human GES1 cells assessed as reduction in cell viability measured after 72 hrs by MTT assay2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID1221980Transporter substrate index of efflux ratio in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 10 uM of MRP2 inhibitor MK5712011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1172291Cytotoxicity against human A549 cells after 72 hrs by SRB assay2014Bioorganic & medicinal chemistry, Nov-15, Volume: 22, Issue:22
Design and synthesis of novel spin-labeled camptothecin derivatives as potent cytotoxic agents.
AID223634In Vitro cytotoxicity against human ovarian cancer cell line (SK-OV-3)2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID115141Maximally tolerated dose that caused <=30% body weight loss in mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1648756Antitumour activity against human HCT116 cells xenografted in nude mouse assessed as tumour growth inhibition at 0.5 mg/kg, ip qd measured every two days for 21 days by caliper method relative to control2020ACS medicinal chemistry letters, Apr-09, Volume: 11, Issue:4
Natural Product Evodiamine with Borate Trigger Unit: Discovery of Potent Antitumor Agents against Colon Cancer.
AID527978Inhibition of HIF1alpha in human U251 cells under normoxic condition by luciferase reporter gene assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID1254844Selectivity index, ratio of IC50 for normal human astrocytes to IC50 for human GBM2 cells2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID681208TP_TRANSPORTER: increase in intracellular accumulation by GF120918 in T8 cell2001Clinical cancer research : an official journal of the American Association for Cancer Research, Apr, Volume: 7, Issue:4
Circumvention of breast cancer resistance protein (BCRP)-mediated resistance to camptothecins in vitro using non-substrate drugs or the BCRP inhibitor GF120918.
AID143196No. of dead mice/ total No. of mice with human Non-Small-Cell tumor xenograft at a oral dose of 9 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1668358Induction of apoptosis in human S1 cells assessed as viable cells at 5 uM incubated for 48 hrs by annexin V/propidium iodide staining based flow cytometry (Rvb = 94.1%)2020Journal of natural products, 05-22, Volume: 83, Issue:5
Licochalcone A Selectively Resensitizes ABCG2-Overexpressing Multidrug-Resistant Cancer Cells to Chemotherapeutic Drugs.
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID540210Clearance in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID78394Tumor volume index was measured on non-small-cell lung carcinoma H460 cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID714171Inhibition of topoisomerase-1 in human U251 cells assessed as inhibition of hypoxia-induced HIF-1alpha accumulation in nuclear extract after 6 to 24 hrs by immunoblot analysis2012European journal of medicinal chemistry, Mar, Volume: 49Recent advances in hypoxia-inducible factor (HIF)-1 inhibitors.
AID600063Inhibition of serotonin-induced AKT phosphorylation in human PC3 cells at 2 uM after 48 hrs by Western blotting2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID681334TP_TRANSPORTER: transepithelial transport in Caco 2 cell2004Pharmaceutical research, May, Volume: 21, Issue:5
Predicting P-glycoprotein effects on oral absorption: correlation of transport in Caco-2 with drug pharmacokinetics in wild-type and mdr1a(-/-) mice in vivo.
AID1443375Cytotoxicity against human MCF7 cells after 72 hrs by sulforhodamine B assay2017Bioorganic & medicinal chemistry letters, 04-15, Volume: 27, Issue:8
Design, synthesis and potent cytotoxic activity of novel 7-(N-[(substituted-sulfonyl)piperazinyl]-methyl)-camptothecin derivatives.
AID332046Cytotoxicity against human H460 cells2008Bioorganic & medicinal chemistry letters, May-01, Volume: 18, Issue:9
Synthesis and cytotoxic activity of new 9-substituted camptothecins.
AID586338Cytotoxicity against human A375 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1433712Inhibition of Escherichia coli topoisomerase 1-mediated relaxation of supercoiled Pcmv-6 plasmid DNA at 1 to 50 uM after 30 mins by ethidium bromide staining based agarose gel electrophoretic analysis2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1221958Efflux ratio of permeability from apical to basolateral side over basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1228604Growth inhibition of human HOP62 cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID586390Ratio of IC90 for mouse bone marrow cell to IC90 for human bone marrow cell2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID211118Average concentration to cause 50% inhibition of topo 1 using the cleavable complex assay2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID247815Concentration required to inhibit cell proliferation in RPM18402 tumor cell line2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID721752Inhibition of human MATE2K-mediated ASP+ uptake expressed in HEK293 cells after 1.5 mins by fluorescence assay2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Discovery of potent, selective multidrug and toxin extrusion transporter 1 (MATE1, SLC47A1) inhibitors through prescription drug profiling and computational modeling.
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID760276Cytotoxicity against human MCF7 cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID699541Inhibition of human liver OATP2B1 expressed in HEK293 Flp-In cells assessed as reduction in [3H]E3S uptake at 20 uM incubated for 5 mins by scintillation counting2012Journal of medicinal chemistry, May-24, Volume: 55, Issue:10
Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
AID210946Inhibition of Topoisomerase I by cleavage complex formation in human HL-60 cells1993Journal of medicinal chemistry, Sep-03, Volume: 36, Issue:18
Plant antitumor agents. 30. Synthesis and structure activity of novel camptothecin analogs.
AID1387411Inhibition of human recombinant topoisomerase-1-mediated DNA cleavage in at 100 uM using supercoiled pHOT-1 DNA incubated for 30 mins by ethidium bromide staining based agarose gel elctrophoresis method2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID1443374Cytotoxicity against human KBVIN cells after 72 hrs by sulforhodamine B assay2017Bioorganic & medicinal chemistry letters, 04-15, Volume: 27, Issue:8
Design, synthesis and potent cytotoxic activity of novel 7-(N-[(substituted-sulfonyl)piperazinyl]-methyl)-camptothecin derivatives.
AID9868Tested in vitro for cytotoxicity against human tumor cell line ACHN (renal).2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID426062Antitumor activity against human A549/ATCC cells by SRB method2009Bioorganic & medicinal chemistry letters, Aug-01, Volume: 19, Issue:15
7-Cycloalkylcamptothecin derivatives: Preparation and biological evaluation.
AID1532298Toxicity in C57BL/6 mouse implanted with C57BL mouse LLC cells assessed as liver index at 1.5 mg/kg, ip administered on day 4, 5, 7 and 9 post-transplantation measured 17 days post-transplantation (Rvb = 5.8 +/- 0.38%)2019European journal of medicinal chemistry, Jan-01, Volume: 161Novel tyrosyl-DNA phosphodiesterase 1 inhibitors enhance the therapeutic impact of topoteсan on in vivo tumor models.
AID586417Toxicity in nu/nu mouse assessed as body weight loss at 2 mg/kg, po QD for 5 days followed by 4 days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1221982Fraction absorbed in human2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID431823Cytotoxicity against p53-deficient human K562 cells after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID17281Equilibrium association constant interacting with unilamellar vesicles of electroneutral in PBS buffer at pH 7.42000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
The novel silatecan 7-tert-butyldimethylsilyl-10-hydroxycamptothecin displays high lipophilicity, improved human blood stability, and potent anticancer activity.
AID537736Antifungal activity against yeast AD1-8u expressing Candida albicans CaCdr1p by agar disk diffusion assay2010European journal of medicinal chemistry, Nov, Volume: 45, Issue:11
Analysis of physico-chemical properties of substrates of ABC and MFS multidrug transporters of pathogenic Candida albicans.
AID586414Toxicity in nu/nu mouse assessed as body weight loss at 2 mg/kg, po QD for 5 days followed by 2 days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID248252Concentration required to inhibit cell proliferation in CPT-K5 tumor cell line; camptothecin resistant2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID145080The compound (5 mg/kg) administered intravenously was tested for antitumor activity against NCI-H23 (lung) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID377270Cytotoxicity against human Bel7402 cells after 96 hrs by MTT assay2006Journal of natural products, Jun, Volume: 69, Issue:6
Mono-, Bi-, and triphenanthrenes from the tubers of Cremastra appendiculata.
AID95164Antiproliferative activity measured against K562adr leukemia cells.1998Journal of medicinal chemistry, Dec-31, Volume: 41, Issue:27
Homocamptothecins: synthesis and antitumor activity of novel E-ring-modified camptothecin analogues.
AID247744Concentration required to inhibit cell proliferation in P388 tumor cell line2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID57904In vitro anti-cancer activity against DU-145 (Prostate) human tumor cell line1999Bioorganic & medicinal chemistry letters, Jun-21, Volume: 9, Issue:12
Novel C-ring analogues of 20(S)-camptothecin-part-2: synthesis and in vitro cytotoxicity of 5-C-substituted 20(S)-camptothecin analogues.
AID373531Cytotoxicity against multidrug resistant human KBV1 cells overexpressing MDR1 by MTT method2009European journal of medicinal chemistry, Apr, Volume: 44, Issue:4
Cytotoxicity and TOP1-targeting activity of 8- and 9-amino derivatives of 5-butyl- and 5-(2-N,N-dimethylamino)ethyl-5H-dibenzo[c,h][1,6]naphthyridin-6-ones.
AID590483Cell cycle arrest in human A549 cells assessed as accumulation at G0/G1 phase at 25 uM after 24 hrs by flow cytometry (Rvb = 62.14%)2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Synthesis and antitumor activity of 10-arylcamptothecin derivatives.
AID1433647Antiproliferative activity against human BGC823 cells after 96 hrs by MTT assay2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1143391Antiproliferative activity against human KB cells assessed as growth inhibition after 48 hrs by MTT assay2014European journal of medicinal chemistry, Jun-23, Volume: 81Novel N-substituted sophoridinol derivatives as anticancer agents.
AID1387384Cytotoxicity in human A549 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID146690Cytotoxicity against human non-small-cell lung carcinoma cell line H460 (NSCLC-H460)2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID95849In vitro cytotoxicity against KB (human epidermoid carcinoma of the nasopharynx)2003Bioorganic & medicinal chemistry letters, Nov-03, Volume: 13, Issue:21
Regioselective synthesis and cytotoxicities of camptothecin derivatives modified at the 7-, 10- and 20-positions.
AID600081Cell cycle arrest in human PC3 cells assessed as accumulation at G2 phase at 2 uM after 48 hrs using propidium iodide staining by flow cytometry (Rvb = 13.36 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID156205log10 cell kill was measured on small--cell lung carcinoma (POVD) cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID1702784Cytotoxicity against human KB-VIN cells assessed as growth inhibition measured after 72 hrs by MTT assay2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID46269log10 cell kill was measured on colon carcinoma (COCF) cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1228610Growth inhibition of human DU145 cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID1668356Induction of apoptosis in human S1 cells assessed as late apoptotic cells at 5 uM incubated for 48 hrs by annexin V/propidium iodide staining based flow cytometry (Rvb = 3.6%)2020Journal of natural products, 05-22, Volume: 83, Issue:5
Licochalcone A Selectively Resensitizes ABCG2-Overexpressing Multidrug-Resistant Cancer Cells to Chemotherapeutic Drugs.
AID239852Relative effective concentration to cleave plasmid DNA with human topoisomerase I; compared to camptothecin=12004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID1269400Antiproliferative activity against human HCT116 cells after 48 hrs by MTT assay2016Bioorganic & medicinal chemistry letters, Feb-01, Volume: 26, Issue:3
Design, synthesis and biological evaluation of 3-substituted indenoisoquinoline derivatives as topoisomerase I inhibitors.
AID269231Toxicity in nude athymic mouse at 5 mg/kg, po2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID200271Human tumor cell cytotoxicity assay was performed using MTT (SK-OV3 cell line )1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1443371Cytotoxicity against human A549 cells after 72 hrs by sulforhodamine B assay2017Bioorganic & medicinal chemistry letters, 04-15, Volume: 27, Issue:8
Design, synthesis and potent cytotoxic activity of novel 7-(N-[(substituted-sulfonyl)piperazinyl]-methyl)-camptothecin derivatives.
AID7483Potentiation factor at 50% growth inhibition (IC50 of compound to that of compound along with PARP inhibitor) in experiment 22000Journal of medicinal chemistry, Nov-02, Volume: 43, Issue:22
Resistance-modifying agents. 9. Synthesis and biological properties of benzimidazole inhibitors of the DNA repair enzyme poly(ADP-ribose) polymerase.
AID1433648Antiproliferative activity against human HCT8 cells after 96 hrs by MTT assay2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID431816Cytotoxicity against human HT-29 cells expressing p53 mutant after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID269204Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 5 mg/kg, po measured as tumor volume inhibition relative to control2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID1600548Inhibition of DNA topoisomerase 2 in human HeLa cells at 1 uM incubated for 18 to 24 hrs by kinase assay relative to control2019Bioorganic & medicinal chemistry, 10-01, Volume: 27, Issue:19
Design, Synthesis and Anticancer Evaluation of New Substituted Thiophene-Quinoline Derivatives.
AID1075767Cytotoxicity against human H460 cells after 72 hrs by MTT assay2014Journal of medicinal chemistry, Feb-27, Volume: 57, Issue:4
Optimization of the lactam side chain of 7-azaindenoisoquinoline topoisomerase I inhibitors and mechanism of action studies in cancer cells.
AID1274797Selectivity index, ratio of IC50 for human MRC5 cells to IC50 for human H1299 cells2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID1387400Antitumor activity against human HepG2 cells xenografted in Balb/C mouse assessed as inhibition of tumor growth at 2 mg/kg, iv dosed once per week for 30 days followed by 2 weeks observation2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID230835MDR ratio is defined as the quotient of SKVLB IC50/SKOV3 IC501996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1433649Antiproliferative activity against human A2780 cells after 96 hrs by MTT assay2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID527982Antiproliferative activity against human PC3 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1211550In vivo intrinsic biliary clearance in iv dosed Sprague-Dawley rat by LC-MS/MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID121158Delay in tumor growth in drug treated animals compared to controls at a dose of 54(mg/kg)1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID202366Cytotoxic potentiation of Topotecan (TP) by the compound in human colon carcinoma SW620 cell line2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Novel tricyclic poly(ADP-ribose) polymerase-1 inhibitors with potent anticancer chemopotentiating activity: design, synthesis, and X-ray cocrystal structure.
AID1274793Antiproliferative activity against human PC3 cells after 72 hrs by XTT assay2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID411093Cytotoxicity against human HT-29 cells by SRB method2008Bioorganic & medicinal chemistry letters, Dec-15, Volume: 18, Issue:24
Semi-synthesis and biological activity of gamma-lactones analogs of camptothecin.
AID248502Inhibitory concentration against camptothecin-resistant variant of P388 cell line was determined2005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID1211551Drug uptake in sandwich cultured Sprague-Dawley rat hepatocytes by LC-MS/MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID1387385Cytotoxicity in human MCF7 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID721720Antiproliferative activity against human SKBR3 cells after 72 hrs by XTT assay2013European journal of medicinal chemistry, Jan, Volume: 59Synthesis and antiproliferative evaluation of 3-phenylquinolinylchalcone derivatives against non-small cell lung cancers and breast cancers.
AID540213Half life in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID277799Cytotoxicity against human A2708 cells2007Journal of natural products, Feb, Volume: 70, Issue:2
Structures, biogenesis, and biological activities of pyrano[4,3-c]isochromen-4-one derivatives from the Fungus Phellinus igniarius.
AID612417Antiproliferative activity against human NCI-H460 cells after 1 hr by coulter counter analysis2011Bioorganic & medicinal chemistry, Aug-15, Volume: 19, Issue:16
Synthesis and topoisomerase I inhibitory activity of a novel diazaindeno[2,1-b]phenanthrene analogue of Lamellarin D.
AID1274794Antiproliferative activity against human HuH7 cells after 72 hrs by XTT assay2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID78416In vitro cytotoxicity against H460 a human non-small lung carcinoma cell line after 1 hour drug exposure2001Bioorganic & medicinal chemistry letters, Feb-12, Volume: 11, Issue:3
Novel cytotoxic 7-iminomethyl and 7-aminomethyl derivatives of camptothecin.
AID89761Percentage inhibition of tumor volume in treated versus control mice against human Non-Small-Cell tumor xenograft at a oral dose of 5 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID486938Cytotoxicity against human MDA-MB-435 cells after 3 days by MTT assay2010European journal of medicinal chemistry, Jun, Volume: 45, Issue:6
Synthesis and evaluation of 9-benzylideneamino derivatives of homocamptothecin as potent inhibitors of DNA topoisomerase I.
AID745331Cytotoxicity against mouse L1210 cells2013European journal of medicinal chemistry, May, Volume: 63Evolution in medicinal chemistry of E-ring-modified Camptothecin analogs as anticancer agents.
AID377023Cytotoxicity against human A2780 cells after 96 hrs by MTT assay2006Journal of natural products, Jun, Volume: 69, Issue:6
Mono-, Bi-, and triphenanthrenes from the tubers of Cremastra appendiculata.
AID1227811Toxicity in BALB/c nude mouse assessed as animal death at 0.023 mmol/kg, ip administered every 2 days for 3 times measured on day 62015Bioorganic & medicinal chemistry letters, Jan-01, Volume: 25, Issue:1
The biological characteristics of a novel camptothecin-artesunate conjugate.
AID57214TOP-2 mediated DNA cleavage measured as effective concentration relative to VM262002Bioorganic & medicinal chemistry letters, Nov-18, Volume: 12, Issue:22
Diaza- and triazachrysenes: potent topoisomerase-targeting agents with exceptional antitumor activity against the human tumor xenograft, MDA-MB-435.
AID78391log10 cell kill was measured on non-small-cell lung carcinoma H460 cells at a dose of 15 mg/kg intravenously in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1462690Cytotoxicity against human MCF7 cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 09-01, Volume: 27, Issue:17
Design, synthesis, and cytotoxic activity of novel 7-substituted camptothecin derivatives incorporating piperazinyl-sulfonylamidine moieties.
AID111436Compound was tested for number of deaths of the animals at a dose of 5 mg/Kg in mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1299119Reduction of insulin-induced HIF-1 alpha expression in human HCT116 cells at 3 uM by western blot analysis2016Bioorganic & medicinal chemistry, 06-15, Volume: 24, Issue:12
Synthesis and biological evaluation of 1,2-dithiol-3-thiones and pyrrolo[1,2-a]pyrazines as novel hypoxia inducible factor-1 (HIF-1) inhibitor.
AID1221960Apparent permeability from apical to basolateral side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of P-gp inhibitor LY3359792011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID379516Cytotoxicity against human A549 cells after 96 hrs by MTT assay2006Journal of natural products, Nov, Volume: 69, Issue:11
A nitrogen-containing 3-alkyl-1,4-benzoquinone and a gomphilactone derivative from Embelia ribes.
AID156212Toxic deaths was recorded on small--cell lung carcinoma (POVD) cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID426063Antitumor activity against human HT-29 cells by SRB method2009Bioorganic & medicinal chemistry letters, Aug-01, Volume: 19, Issue:15
7-Cycloalkylcamptothecin derivatives: Preparation and biological evaluation.
AID453828Antiproliferative activity against human H1299 cells after 72 hrs by XTT assay2009Bioorganic & medicinal chemistry, Nov-01, Volume: 17, Issue:21
Synthesis and antiproliferative evaluation of 6-arylindeno[1,2-c]quinoline derivatives.
AID31609Percent inhibition of acetylcholinesterase using ATCh1 as a substrate2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID1702782Cytotoxicity against human KB cells assessed as growth inhibition measured after 72 hrs by MTT assay2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID7218Tested in vitro for cytotoxicity against 56 human tumor cell lines2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID1405118Antiproliferative activity against human HT1080 cells after 48 hrs by SRB assay2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID1075784Inhibition of human recombinant topoisomerase 1 in human HCT116 cells assessed as reversal of topoisomerase 1-DNA cleavage complex stabilization at 1 uM incubated for 1 hr followed by compound washout measured up to 6 hrs by DNA immunoblotting analysis2014Journal of medicinal chemistry, Feb-27, Volume: 57, Issue:4
Optimization of the lactam side chain of 7-azaindenoisoquinoline topoisomerase I inhibitors and mechanism of action studies in cancer cells.
AID1228598Inhibition of recombinant topoisomerase 1 (unknown origin) assessed as DNA cleavage using 3'-[32P]-labeled 117-bp DNA oligonucleotide at 1 uM by PAGE assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID490172Cytotoxicity against human MCF7 cells after 3 days by MTT assay2010European journal of medicinal chemistry, Jul, Volume: 45, Issue:7
Cytotoxicity and topo I targeting activity of substituted 10--nitrogenous heterocyclic aromatic group derivatives of SN-38.
AID1254839Antiproliferative activity against human GBM2 cells assessed as reduction in cell viability at 10 uM incubated for 72 hrs by WST-1 method2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID1826599Antiproliferative activity against human HepG2 cells assessed as cell growth inhibition incubated for 8 hrs by CCK8 assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Evodiamine-Inspired Topoisomerase-Histone Deacetylase Dual Inhibitors: Novel Orally Active Antitumor Agents for Leukemia Therapy.
AID600075Induction of apoptosis in human PC3 cells at 2 uM after 24 hrs using propidium iodide staining by flow cytometry (Rvb = 1.27 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID111477The no. of deaths of mice(infected with HT-29 cells) was reported at a dose of 9 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1221971Apparent permeability from apical to basolateral side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 10 uM of MRP2 inhibitor MK5712011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID414760Cytotoxicity against BCRP overexpressing human KBH5.0 cells after 4 days by MTT method2009Bioorganic & medicinal chemistry, Apr-01, Volume: 17, Issue:7
12-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridines as novel topoisomerase I-targeting antitumor agents.
AID401947Cytotoxicity against human BGC823 cells after 96 hrs by MTT assay2004Journal of natural products, May, Volume: 67, Issue:5
Phelligridins C-F: cytotoxic pyrano[4,3-c][2]benzopyran-1,6-dione and furo[3,2-c]pyran-4-one derivatives from the fungus Phellinus igniarius.
AID146563In vivo antitumor activity in NSCLC H460 xenografted sc in athymic nude mice expressed as lethal toxicity at a dose of 15 mg/kg orally for q4dx4;0/42001Bioorganic & medicinal chemistry letters, Feb-12, Volume: 11, Issue:3
Novel cytotoxic 7-iminomethyl and 7-aminomethyl derivatives of camptothecin.
AID111439Compound was tested for number of deaths of the animals at a dose of 9 mg/Kg in mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID307320Growth inhibition of adriamycin-resistant MCF7 cells after 4 days2007Bioorganic & medicinal chemistry, Jun-15, Volume: 15, Issue:12
Synthesis and topoisomerase poisoning activity of A-ring and E-ring substituted luotonin A derivatives.
AID269202Inhibition of human H460 cell growth2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID1462688Cytotoxicity against human MDA-MB-231 cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 09-01, Volume: 27, Issue:17
Design, synthesis, and cytotoxic activity of novel 7-substituted camptothecin derivatives incorporating piperazinyl-sulfonylamidine moieties.
AID1239181Cytotoxicity against human A549 cells after 72 hrs by MTT assay2015Journal of medicinal chemistry, Aug-27, Volume: 58, Issue:16
Scaffold Diversity Inspired by the Natural Product Evodiamine: Discovery of Highly Potent and Multitargeting Antitumor Agents.
AID1405130Cell cycle arrest in human M21 cells assessed as accumulation at sub-G1 phase at 1.8 uM after 24 hrs by DAPI staining based flow cytometry relative to control2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID760279Cytotoxicity against human HeLa cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID8660Cytotoxic potentiation of Topotecan (TP) by the compound in human lung carcinoma A549 cell line2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Novel tricyclic poly(ADP-ribose) polymerase-1 inhibitors with potent anticancer chemopotentiating activity: design, synthesis, and X-ray cocrystal structure.
AID610760Binding affinity to topoisomerase 12011Journal of natural products, Jun-24, Volume: 74, Issue:6
Inverse virtual screening of antitumor targets: pilot study on a small database of natural bioactive compounds.
AID1239183Cytotoxicity against human MDA-MB-435 cells after 72 hrs by MTT assay2015Journal of medicinal chemistry, Aug-27, Volume: 58, Issue:16
Scaffold Diversity Inspired by the Natural Product Evodiamine: Discovery of Highly Potent and Multitargeting Antitumor Agents.
AID486939Cytotoxicity against human LoVo cells after 3 days by MTT assay2010European journal of medicinal chemistry, Jun, Volume: 45, Issue:6
Synthesis and evaluation of 9-benzylideneamino derivatives of homocamptothecin as potent inhibitors of DNA topoisomerase I.
AID46272Tumor volume index was measured on colon carcinoma (COCF) cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1274798Selectivity index, ratio of IC50 for human MRC5 cells to IC50 for human PC3 cells2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID1817007Induction of TDP1-DNA complex formation in human MCF7 cells at 10 uM by ICE assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID396725Antitumor activity against human HCT8 xenografted in BALB/c nu/nu mouse assessed as change in body weight at 5 mg/kg, ip q3d for 3 days2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID1582321Toxicity in mouse xenografted with human HCT116 cells assessed as reduction in body weight at 0.5 mg/kg, ip qd for 21 days administration starting from 10 days after tumor cell implantation measured every 2 or 4 days till the end of the treatment period2020Journal of medicinal chemistry, 01-23, Volume: 63, Issue:2
Scaffold Hopping of Natural Product Evodiamine: Discovery of a Novel Antitumor Scaffold with Excellent Potency against Colon Cancer.
AID1221973Efflux ratio of permeability from apical to basolateral side over basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 10 uM of MRP2 inhibitor MK5712011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1143387Antiproliferative activity against human HCT116 cells assessed as growth inhibition after 48 hrs by MTT assay2014European journal of medicinal chemistry, Jun-23, Volume: 81Novel N-substituted sophoridinol derivatives as anticancer agents.
AID343605Cytotoxicity against human NCI446 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID1532287Toxicity in C57BL/6 mouse implanted with C57BL mouse LLC cells assessed as state and behavioral changes at 1.5 mg/kg, ip administered on day 4, 5, 7 and 9 post-transplantation2019European journal of medicinal chemistry, Jan-01, Volume: 161Novel tyrosyl-DNA phosphodiesterase 1 inhibitors enhance the therapeutic impact of topoteсan on in vivo tumor models.
AID200779In vitro anti-cancer activity against SF 268(CNS) human tumor cell line1999Bioorganic & medicinal chemistry letters, Jun-21, Volume: 9, Issue:12
Novel C-ring analogues of 20(S)-camptothecin-part-2: synthesis and in vitro cytotoxicity of 5-C-substituted 20(S)-camptothecin analogues.
AID684312Toxicity in human A549 cells xenografted in BALB/c mouse assessed as reduction in body weight at 0.5 mg/kg, iv qd for 5 days measured after 14 days2012European journal of medicinal chemistry, Oct, Volume: 56Synthesis and preliminary bioevaluation of novel E-ring modified acetal analog of camptothecin as cytotoxic agents.
AID431837Cell cycle distribution in human HT-29 cells assessed as accumulation at S phase at 0.1 uM after 12 hrs by flow cytometry2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID527987Antiproliferative activity against human PANC1 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID702841Cytotoxicity against human HCT116 cells incubated for 72 hrs by MTT assay2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
New tricks for an old natural product: discovery of highly potent evodiamine derivatives as novel antitumor agents by systemic structure-activity relationship analysis and biological evaluations.
AID100463Inhibitory activity in mice bearing L1210 leukemia1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Synthesis of water-soluble (aminoalkyl)camptothecin analogues: inhibition of topoisomerase I and antitumor activity.
AID1464540Cytotoxicity against human KB cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 10-15, Volume: 27, Issue:20
Design, semisynthesis and potent cytotoxic activity of novel 10-fluorocamptothecin derivatives.
AID111714The body weight loss was measured in mice in vivo by using the HT-29 Human colon Xenograft model at a dose of 7 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1702781Cytotoxicity against human A549 cells assessed as growth inhibition measured after 72 hrs by MTT assay2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID721751Inhibition of human OCT2-mediated ASP+ uptake expressed in HEK293 cells after 3 mins by fluorescence assay2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Discovery of potent, selective multidrug and toxin extrusion transporter 1 (MATE1, SLC47A1) inhibitors through prescription drug profiling and computational modeling.
AID1228605Growth inhibition of human HCT116 cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID745329Inhibition of topoisomerase 1 (unknown origin)-mediated DNA cleavage at 1 uM relative to SN-382013European journal of medicinal chemistry, May, Volume: 63Evolution in medicinal chemistry of E-ring-modified Camptothecin analogs as anticancer agents.
AID379517Cytotoxicity against human A2780 cells after 96 hrs by MTT assay2006Journal of natural products, Nov, Volume: 69, Issue:11
A nitrogen-containing 3-alkyl-1,4-benzoquinone and a gomphilactone derivative from Embelia ribes.
AID1221981Efflux ratio of permeability from apical to basolateral over basolateral to apical side of MDCK cells expressing BCRP2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID586345Cytotoxicity against human MESSA cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID111475The no. of deaths of mice(infected with HT-29 cells) was reported at a dose of 7 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1254845Antiproliferative activity against human GBM3 cells assessed as reduction in cell viability at 10 uM incubated for 72 hrs by WST-1 method2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID307322Growth inhibition of MCF7 cells after 4 days2007Bioorganic & medicinal chemistry, Jun-15, Volume: 15, Issue:12
Synthesis and topoisomerase poisoning activity of A-ring and E-ring substituted luotonin A derivatives.
AID321333Antitumor activity against mouse C26 cells implanted in C57BL/6 mouse at 1 mg/kg, sc QD for 5 days2008Bioorganic & medicinal chemistry, Feb-01, Volume: 16, Issue:3
New homocamptothecins: synthesis, antitumor activity, and molecular modeling.
AID453825Antiproliferative activity against human Hep3B cells after 72 hrs by XTT assay2009Bioorganic & medicinal chemistry, Nov-01, Volume: 17, Issue:21
Synthesis and antiproliferative evaluation of 6-arylindeno[1,2-c]quinoline derivatives.
AID343609Cytotoxicity against human A2780 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID634883Growth inhibition of human HepG2 cells after 72 hrs by XTT assay2011Bioorganic & medicinal chemistry, Dec-15, Volume: 19, Issue:24
Synthesis and antiproliferative evaluation of 6-aryl-11-iminoindeno[1,2-c]quinoline derivatives.
AID377274Cytotoxicity against human WISH cells after 96 hrs by MTT assay2006Journal of natural products, Jun, Volume: 69, Issue:6
Mono-, Bi-, and triphenanthrenes from the tubers of Cremastra appendiculata.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID113229Efficacy against HT-29 human colon xenograft infected mice expressed as tumor growth ratio at dose 7 mg/Kg1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1532301Toxicity in C57BL/6 mouse implanted with C57BL mouse LLC cells assessed as spleen weight at 1.5 mg/kg, ip administered on day 4, 5, 7 and 9 post-transplantation measured 17 days post-transplantation (Rvb = 252 +/- 12 mg)2019European journal of medicinal chemistry, Jan-01, Volume: 161Novel tyrosyl-DNA phosphodiesterase 1 inhibitors enhance the therapeutic impact of topoteсan on in vivo tumor models.
AID373530Cytotoxicity against human KB3-1 cells by MTT method2009European journal of medicinal chemistry, Apr, Volume: 44, Issue:4
Cytotoxicity and TOP1-targeting activity of 8- and 9-amino derivatives of 5-butyl- and 5-(2-N,N-dimethylamino)ethyl-5H-dibenzo[c,h][1,6]naphthyridin-6-ones.
AID396724Cytotoxicity against human PC3 cells by MTT assay2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID396728Antitumor activity against human HCT8 xenografted in BALB/c nu/nu mouse assessed as tumor inhibition rate at 5 mg/kg, ip q3d for 3 days2009Bioorganic & medicinal chemistry letters, Jan-15, Volume: 19, Issue:2
Synthesis and antitumor activity of novel 20s-camptothecin analogues.
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID248143Inhibitory concentration against P388 cell line in mouse leukemia was determine2005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID111473The no. of deaths of mice(infected with HT-29 cells) was reported at a dose of 5 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID540209Volume of distribution at steady state in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID113381In vivo efficacy of tumor growth ratio(T/B) of compound was calculated by using the HT-29 Human colon Xenograft model in mice at a dose of 9 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1817003Synergistic cytotoxicity against human MCF7 cells after 96 hrs in presence of 12-(2-(Dimethylamino)ethyl)-1,2-dihydroxy-[1,3]dioxolo[4',5':4,5]benzo[1,2-c]phenanthridine-13(12H)-one by MTT assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID1702783Cytotoxicity against human MDA-MB-231 cells assessed as growth inhibition measured after 72 hrs by MTT assay2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID1188715Antiproliferative activity against human MCF7 cells after 24 hrs by MTT assay2014European journal of medicinal chemistry, Oct-06, Volume: 85Synthesis and biological evaluation of hydroxycinnamic acid hydrazide derivatives as inducer of caspase-3.
AID343606Cytotoxicity against human MCF7 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID1387397Aqueous solubility of the compound2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID131159Effect in increasing life span of mice bearing L1210 leukemia1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Synthesis of water-soluble (aminoalkyl)camptothecin analogues: inhibition of topoisomerase I and antitumor activity.
AID1826600Antiproliferative activity against human K562 cells assessed as cell growth inhibition incubated for 8 hrs by CCK8 assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Evodiamine-Inspired Topoisomerase-Histone Deacetylase Dual Inhibitors: Novel Orally Active Antitumor Agents for Leukemia Therapy.
AID409902Inhibition of human topoisomerase 1 expressed in Escherichia coli assessed as drug level causing 10% mediated DNA cleavage relative to topotecan2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID113379In vivo efficacy of tumor growth ratio(T/B) of compound was calculated by using the HT-29 Human colon Xenograft model in mice at a dose of 5 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID377272Cytotoxicity against human HCT8 cells after 96 hrs by MTT assay2006Journal of natural products, Jun, Volume: 69, Issue:6
Mono-, Bi-, and triphenanthrenes from the tubers of Cremastra appendiculata.
AID93640Concentration causing 50% decrease of ovarian carcinoma cisplatin resistant variant (IGROV-1/pt1) cell growth over that of untreated control. 2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1255450Antiproliferative activity against human HT1080 cells assessed as growth inhibition incubated for 48 hrs by sulforhodamine B assay2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID453829Cytotoxicity against human MRC5 cells after 72 hrs by XTT assay2009Bioorganic & medicinal chemistry, Nov-01, Volume: 17, Issue:21
Synthesis and antiproliferative evaluation of 6-arylindeno[1,2-c]quinoline derivatives.
AID634881Growth inhibition of human A549 cells after 72 hrs by XTT assay2011Bioorganic & medicinal chemistry, Dec-15, Volume: 19, Issue:24
Synthesis and antiproliferative evaluation of 6-aryl-11-iminoindeno[1,2-c]quinoline derivatives.
AID1582355Antitumor activity against human HCT116 cells xenografted in mouse assessed as reduction in tumor growth at 0.5 mg/kg, ip qd for 21 days administration starting from 10 days after tumor cell implantation measured every 2 or 4 days till the end of the trea2020Journal of medicinal chemistry, 01-23, Volume: 63, Issue:2
Scaffold Hopping of Natural Product Evodiamine: Discovery of a Novel Antitumor Scaffold with Excellent Potency against Colon Cancer.
AID481181Cytotoxicity against human MDA-MB-435 cells after 72 hrs by MTT assay2010Bioorganic & medicinal chemistry, May-01, Volume: 18, Issue:9
Phosphate ester derivatives of homocamptothecin: synthesis, solution stabilities and antitumor activities.
AID679628TP_TRANSPORTER: drug resistance(Imatinib mesylate) in BCRP-expressing SaoS2 cells2004Cancer research, Apr-01, Volume: 64, Issue:7
Imatinib mesylate is a potent inhibitor of the ABCG2 (BCRP) transporter and reverses resistance to topotecan and SN-38 in vitro.
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID684310Antitumor activity against human A549 cells xenografted in BALB/c mouse assessed as decrease in tumor weight at 0.5 mg/kg, iv qd for 5 days measured after 14 days relative to control2012European journal of medicinal chemistry, Oct, Volume: 56Synthesis and preliminary bioevaluation of novel E-ring modified acetal analog of camptothecin as cytotoxic agents.
AID22191Excited-state lifetime value for lactone form of compound bound to human serum albumin1994Journal of medicinal chemistry, Jan-07, Volume: 37, Issue:1
The structural basis of camptothecin interactions with human serum albumin: impact on drug stability.
AID1211554Biliary excretion index in sandwich cultured Sprague-Dawley rat hepatocytes after 15 mins by LC-MS/MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID1702895Antitumor activity in FVB/N mouse model of pCMV/SB/pT3-Caggs-NRasV12/myr-AKT/pT3-EF1alpha plasmids-induced primary hepatocellular carcinoma assessed as suppression of tumor growth at 2 mg/kg, iv administered every other day for 2 weeks2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID1221956Apparent permeability from apical to basolateral side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1405121Antiproliferative activity against human MCF7 cells after 48 hrs by SRB assay2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID46874Cytotoxicity using camptothecin-resistant variant of RPM18402 (CPT-K5) possessing functional, but mutant TOP-12002Bioorganic & medicinal chemistry letters, Nov-18, Volume: 12, Issue:22
Diaza- and triazachrysenes: potent topoisomerase-targeting agents with exceptional antitumor activity against the human tumor xenograft, MDA-MB-435.
AID1702826Inhibition of human recombinant topoisomerase 1 expressed in baculovirus expression system at 0.5 uM using supercoiled plasmid DNA as substrate preincubated 20 mins followed by substrate addition and measured after 30 mins by SYBR-green staining based aga2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID1702897Antitumor activity in FVB/N mouse model of pCMV/SB/pT3-Caggs-NRasV12/myr-AKT/pT3-EF1alpha plasmids-induced primary hepatocellular carcinoma assessed as reduction in number of nodules on liver surface at 2 mg/kg, iv administered every other day for 2 weeks2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID311524Oral bioavailability in human2007Bioorganic & medicinal chemistry, Dec-15, Volume: 15, Issue:24
Hologram QSAR model for the prediction of human oral bioavailability.
AID600061Inhibition of serotonin-induced MAPK phosphorylation in human PC3 cells at 2 uM after 48 hrs by Western blotting2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID1274799Selectivity index, ratio of IC50 for human MRC5 cells to IC50 for human HuH7 cells2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID1410937Induction of apoptosis in human A498 cells assessed as increase in caspase-3/7 activity at 1 uM after 24 hrs by Caspase-Glo 3/7 assay relative to control2018Journal of medicinal chemistry, Jul-26, Volume: 61, Issue:14
Small Molecule Inhibition of MicroRNA miR-21 Rescues Chemosensitivity of Renal-Cell Carcinoma to Topotecan.
AID431836Cell cycle distribution in human HT-29 cells assessed as accumulation at S phase at 0.1 uM after 6 hrs by flow cytometry2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID1826601Antiproliferative activity against HEL cells assessed as cell growth inhibition incubated for 8 hrs by CCK8 assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Evodiamine-Inspired Topoisomerase-Histone Deacetylase Dual Inhibitors: Novel Orally Active Antitumor Agents for Leukemia Therapy.
AID1182909Cytotoxicity against multidrug-resistant human KBVIN cells after 72 hrs sulforhodamine B colorimetric assay2014Bioorganic & medicinal chemistry letters, Aug-15, Volume: 24, Issue:16
Design and synthesis of new 7-(N-substituted-methyl)-camptothecin derivatives as potent cytotoxic agents.
AID1211555In vitro apparent biliary clearance in sandwich cultured Sprague-Dawley rat hepatocytes after 15 mins by LC-MS/MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID540211Fraction unbound in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1811233Antiproliferative activity against rat C6 cells assessed as inhibition of cell growth measured after 72 hrs by CCK-8 assay2021European journal of medicinal chemistry, Dec-15, Volume: 226N-2-(phenylamino) benzamide derivatives as novel anti-glioblastoma agents: Synthesis and biological evaluation.
AID527983Antiproliferative activity against human HCT116 cells by [3H]thymidine incorporation assay2010Bioorganic & medicinal chemistry letters, Nov-15, Volume: 20, Issue:22
Development of novel inhibitors targeting HIF-1α towards anticancer drug discovery.
AID409908Cytotoxicity against human KBH5.0 cells by MTT method2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID22192Excited-state lifetime value for free carboxylate form of compound in solution1994Journal of medicinal chemistry, Jan-07, Volume: 37, Issue:1
The structural basis of camptothecin interactions with human serum albumin: impact on drug stability.
AID1255449Induction DNA DSBs in human M21 cells assessed as increase in gamma H2AX foci at 0.75 uM incubated for 24 hrs by DAPI staining based immunocytochemistry2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID113238In vivo efficacy of tumor growth ratio(T/B) of compound was calculated by using the HT-29 Human colon Xenograft model in mice at a dose of 11 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID760269Effective permeability of the compound in human Caco2 cells at 50 uM after 15 to 90 mins in presence of sodium azide2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID586339Cytotoxicity against human MALME-3M cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1433674Cell cycle arrest in human A549 cells assessed as accumulation at G2/M phase at 8 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 8.36%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1600554Inhibition of DNA topoisomerase 2 in human MCF7 cells incubated for 18 to 24 hrs by kinase assay2019Bioorganic & medicinal chemistry, 10-01, Volume: 27, Issue:19
Design, Synthesis and Anticancer Evaluation of New Substituted Thiophene-Quinoline Derivatives.
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID143189Log 10 cell kill induced in mice with human Non-Small-Cell tumor xenograft at a oral dose of 5 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID269233Toxicity in nude athymic mouse at 15 mg/kg, po2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID586347Cytotoxicity against human H69 cells after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID373529Cytotoxicity against mouse P388 cells by MTT method2009European journal of medicinal chemistry, Apr, Volume: 44, Issue:4
Cytotoxicity and TOP1-targeting activity of 8- and 9-amino derivatives of 5-butyl- and 5-(2-N,N-dimethylamino)ethyl-5H-dibenzo[c,h][1,6]naphthyridin-6-ones.
AID1227810Toxicity in BALB/c nude mouse assessed as body weight at 0.023 mmol/kg, ip administered every 2 days for 3 times measured on day 6 (Rvb = 17.5 to 17.9 gms)2015Bioorganic & medicinal chemistry letters, Jan-01, Volume: 25, Issue:1
The biological characteristics of a novel camptothecin-artesunate conjugate.
AID277801Cytotoxicity against human Bel7402 cells2007Journal of natural products, Feb, Volume: 70, Issue:2
Structures, biogenesis, and biological activities of pyrano[4,3-c]isochromen-4-one derivatives from the Fungus Phellinus igniarius.
AID321332Antitumor activity against human MCF7 cells after 4 hrs by MTT assay2008Bioorganic & medicinal chemistry, Feb-01, Volume: 16, Issue:3
New homocamptothecins: synthesis, antitumor activity, and molecular modeling.
AID490173Cytotoxicity against human HCT8 cells after 3 days by MTT assay2010European journal of medicinal chemistry, Jul, Volume: 45, Issue:7
Cytotoxicity and topo I targeting activity of substituted 10--nitrogenous heterocyclic aromatic group derivatives of SN-38.
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID143188Complete response in CD1 mice with human Non-Small-Cell tumor at a oral dose of 9 mg/kg after treatment with compound2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID760270Effective permeability of the compound in human Caco2 cells at 50 uM after 15 to 90 mins2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID250096Topoisomerase I-mediated cleavage value on the plasmid DNA2005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID1143389Antiproliferative activity against human U87 cells assessed as growth inhibition after 48 hrs by MTT assay2014European journal of medicinal chemistry, Jun-23, Volume: 81Novel N-substituted sophoridinol derivatives as anticancer agents.
AID1254842Cytotoxicity against normal human astrocytes assessed as cell viability incubated for 72 hrs by WST-1 method2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID247613Cytotoxicity against camptothecin-resistant RPMI 84022005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID111715The body weight loss was measured in mice in vivo by using the HT-29 Human colon Xenograft model at a dose of 9 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1221970Efflux ratio of permeability from apical to basolateral side over basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of BCRP inhibitor Ko1432011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID601001Cytotoxicity against human A549 cells after 3 days by MTT assay2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis and biological evaluation of novel 7-acyl homocamptothecins as Topoisomerase I inhibitors.
AID1127188Antiproliferative activity against human MDA-MB-231 cells after 3 days by XTT assay2014European journal of medicinal chemistry, May-22, Volume: 79Synthesis, antiproliferative and anti-dengue virus evaluations of 2-aroyl-3-arylquinoline derivatives.
AID113228Efficacy against HT-29 human colon xenograft infected mice expressed as tumor growth ratio at dose 5 mg/Kg1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1702898Antitumor activity in FVB/N mouse model of pCMV/SB/pT3-Caggs-NRasV12/myr-AKT/pT3-EF1alpha plasmids-induced primary hepatocellular carcinoma assessed as reduction in size of nodules on liver surface at 2 mg/kg, iv administered every other day for 2 weeks2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID431856Antitumor activity against human HT-29 cells xenografted in athymic BALB/c nude mouse at 5 mg/kg, ip for 2 days measured after 30 days relative to placebo control2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID102166Cytotoxic potentiation of Topotecan (TP) by the compound in (human colorectal cancer LoVo cell line2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Novel tricyclic poly(ADP-ribose) polymerase-1 inhibitors with potent anticancer chemopotentiating activity: design, synthesis, and X-ray cocrystal structure.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID1405131Cell cycle arrest in human M21 cells assessed as accumulation at G0/G1 phase at 1.8 uM after 24 hrs by DAPI staining based flow cytometry relative to control2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID586406Antitumor activity against human HT-29 cells xenografted in nu/nu mouse assessed as tumor growth inhibition at 2 mg/kg, po QD for 5 days followed by 4 days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID714170Inhibition of topoisomerase-1 in human U251 cells assessed as inhibition of HIF-1-mediated hypoxia-induced VEGF expression after 24 hrs by luciferase reporter gene assay2012European journal of medicinal chemistry, Mar, Volume: 49Recent advances in hypoxia-inducible factor (HIF)-1 inhibitors.
AID1254841Antiproliferative activity against human GBM2 cells assessed as reduction in cell viability incubated for 72 hrs by WST-1 method2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID7475Potentiation of growth inhibition of A2780 cells by compound alone in experiment 22000Journal of medicinal chemistry, Nov-02, Volume: 43, Issue:22
Resistance-modifying agents. 9. Synthesis and biological properties of benzimidazole inhibitors of the DNA repair enzyme poly(ADP-ribose) polymerase.
AID586410Antitumor activity against human PC3 cells xenografted in nu/nu mouse assessed as tumor growth inhibition at 2 mg/kg, po QD for 5 days followed by 2days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID586348Cytotoxicity against human H69AR cells overexpressing MDR1 after 72 hrs by alamar blue assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID431822Cytotoxicity against human THP1 cells expressing p53 mutant after 48 hrs by SRB assay2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Discovery of a novel series of quinolone and naphthyridine derivatives as potential topoisomerase I inhibitors by scaffold modification.
AID221333In Vitro cytotoxicity against human lung cancer cell line (H128)2001Journal of medicinal chemistry, May-10, Volume: 44, Issue:10
Synthesis and biological evaluation of novel A-ring modified hexacyclic camptothecin analogues.
AID389684Cytotoxicity against human RPMI8402 cells after MTT assay2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID409905Cytotoxicity against camptothecin-resistant mouse P388 cells by MTT method2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID599600Cell cycle arrest in human PC3 cells assessed as accumulation at S phase at 2 uM after 48 hrs using propidium iodide staining by flow cytometry (Rvb = 38.16 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID1823977Antiproliferative activity against human HGC-27 cells assessed as reduction in cell viability measured after 72 hrs by MTT assay2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID133755Maximally tolerated dose in mice bearing L1210 leukemia.1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Synthesis of water-soluble (aminoalkyl)camptothecin analogues: inhibition of topoisomerase I and antitumor activity.
AID1228609Growth inhibition of human SN12C cells by five-dose growth inhibition assay2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of potent indenoisoquinoline topoisomerase I poisons lacking the 3-nitro toxicophore.
AID111704Mean body weight loss for animals in all experimental conditions at dose 9 mg/Kg in HT-29 human colon xenograft infected mice1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID600073Cell cycle arrest in human PC3 cells assessed as accumulation at G2 phase at 2 uM after 24 hrs using propidium iodide staining by flow cytometry (Rvb = 18.19 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID684302Antiproliferative activity against human MDA-MB-435 cells after 3 days by MTT assay2012European journal of medicinal chemistry, Oct, Volume: 56Synthesis and preliminary bioevaluation of novel E-ring modified acetal analog of camptothecin as cytotoxic agents.
AID409903Cytotoxicity against camptothecin-resistant human CPT-K5 cells by MTT method2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID1211549Unbound fraction in Sprague-Dawley rat plasma at 100 uM by equilibrium dialysis method2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID1211548In vivo apparent biliary clearance in iv dosed Sprague-Dawley rat by LC-MS/MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID586351Cytotoxicity against human bone marrow cell by CFU-GM assay2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID453827Antiproliferative activity against human A549 cells after 72 hrs by XTT assay2009Bioorganic & medicinal chemistry, Nov-01, Volume: 17, Issue:21
Synthesis and antiproliferative evaluation of 6-arylindeno[1,2-c]quinoline derivatives.
AID247623Inhibitory concentration against human HCT116 colon cancer cell line2005Bioorganic & medicinal chemistry letters, Apr-15, Volume: 15, Issue:8
Synthesis and antitumor activity of 7-ethyl-9-alkyl derivatives of camptothecin.
AID389683Inhibition of human topoisomerase 1 mediated DNA cleavage assessed as effective drug concentration causing 10% YepG plasmid cleavage relative to camptothecin2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID1433713Toxicity in BALB/c nude mouse xenografted with human Bel7402 cells assessed as body volume at 5 mg/kg, ip administered once in a week for two weeks starting from 6 days post tumor transplantation measured every 3 days for 21 days (Rvb = 511 g)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID586412Antitumor activity against human PC3 cells xenografted in nu/nu mouse assessed as tumor growth delay at 2 mg/kg, po QD for 5 days followed by 2days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID78395Tumor volume index was measured on non-small-cell lung carcinoma H460 cells at a dose of 15 mg/kg perorally in mice2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID331825Antiproliferative activity against human HT29 cells after 1 hr of drug exposure measured after 72 hrs2008Bioorganic & medicinal chemistry letters, May-01, Volume: 18, Issue:9
E-ring-modified 7-oxyiminomethyl camptothecins: Synthesis and preliminary in vitro and in vivo biological evaluation.
AID760278Cytotoxicity against human MOLT4 cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID699540Inhibition of human liver OATP1B3 expressed in HEK293 Flp-In cells assessed as reduction in [3H]E17-betaG uptake at 20 uM incubated for 5 mins by scintillation counting2012Journal of medicinal chemistry, May-24, Volume: 55, Issue:10
Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
AID1817012Cytotoxicity against human MCF-7 cells assessed as cell growth inhibition after 72 hrs by MTT assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID586403Antitumor activity against human H460 cells xenografted in nu/nu mouse assessed as tumor growth delay at 2 mg/kg, po QD for 5 days followed by 2days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID1433698Antitumor activity against human Bel7402 cells xenografted in BALB/c nude mouse assessed as tumor growth inhibition at 5 mg/kg, ip administered once in a week for two weeks starting from 6 days post tumor transplantation measured 27 to 30 days post tumor 2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1817016Induction of DNA damage in human MCF7/TDP1 cells assessed as increase in gammaH2AX foci measured after 6 hrs by DAPI staining based immunofluorescence assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID1255453Antiproliferative activity against human MCF7 cells assessed as growth inhibition incubated for 48 hrs by sulforhodamine B assay2015European journal of medicinal chemistry, Oct-20, Volume: 103Synthesis and biological evaluation of novel N-phenyl ureidobenzenesulfonate derivatives as potential anticancer agents. Part 2. Modulation of the ring B.
AID269232Toxicity in nude athymic mouse at 9 mg/kg, po2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1702899Toxicity in FVB/N mouse model of pCMV/SB/pT3-Caggs-NRasV12/myr-AKT/pT3-EF1alpha plasmids-induced primary hepatocellular carcinoma assessed as decrease in body weight at 2 mg/kg, iv administered every other day for 2 weeks2020European journal of medicinal chemistry, Feb-01, Volume: 187Design, synthesis and antineoplastic activity of novel 20(S)-acylthiourea derivatives of camptothecin.
AID44517Percentage of body weight loss CD1 mice with human Non-Small-Cell tumor xenograft at a oral dose of 9 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1656686Induction of apoptosis in human LNCAP cells assessed as up regulation of p53 expression at 10 uM measured after 24 hrs by immunoblot analysis2020Bioorganic & medicinal chemistry, 02-01, Volume: 28, Issue:3
Molecular mechanism of C-phycocyanin induced apoptosis in LNCaP cells.
AID1387387Cytotoxicity in human HepG2 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID269205Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 9 mg/kg, po measured as tumor volume inhibition relative to control2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID634879Growth inhibition of human MCF7 cells after 72 hrs by XTT assay2011Bioorganic & medicinal chemistry, Dec-15, Volume: 19, Issue:24
Synthesis and antiproliferative evaluation of 6-aryl-11-iminoindeno[1,2-c]quinoline derivatives.
AID1405119Antiproliferative activity against human HT-29 cells after 48 hrs by SRB assay2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID1824001Induction of apoptosis in human SGC-7901 cells assessed as viable cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 99.95%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID1174156Reduction of hypoxia-induced HIF-1 beta expression in human Hep3B cells at 10 uM after 48 hrs by Western blotting analysis2015European journal of medicinal chemistry, Jan-07, Volume: 89Novel chalcone derivatives as hypoxia-inducible factor (HIF)-1 inhibitor: synthesis, anti-invasive and anti-angiogenic properties.
AID409904Cytotoxicity against mouse P388 cells by MTT method2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID599607Cell cycle arrest in human PC3 cells assessed as accumulation at G2 phase at 2 uM after 72 hrs using propidium iodide staining by flow cytometry (Rvb = 20.18 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 1-naphtylpiperazine derivatives as serotoninergic ligands and their evaluation as antiproliferative agents.
AID248159Concentration required to inhibit cell proliferation in KBH5.0 tumor cell line; overexpress BCRP2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Dimethoxybenzo[i]phenanthridine-12-carboxylic acid derivatives and 6H-dibenzo[c,h][2,6]naphthyridin-5-ones with potent topoisomerase I-targeting activity and cytotoxicity.
AID377273Cytotoxicity against human MCF7 cells after 96 hrs by MTT assay2006Journal of natural products, Jun, Volume: 69, Issue:6
Mono-, Bi-, and triphenanthrenes from the tubers of Cremastra appendiculata.
AID389687Cytotoxicity against camptothecin-resistant and TOP1 deficient mouse P388/CPT45 cells after MTT assay2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Synthesis of N-substituted 5-[2-(N-alkylamino)ethyl]dibenzo[c,h][1,6]naphthyridines as novel topoisomerase I-targeting antitumor agents.
AID78407In vitro cytotoxic activity against human non small cell lung carcinoma H460 cell line2000Journal of medicinal chemistry, Oct-19, Volume: 43, Issue:21
Novel 7-substituted camptothecins with potent antitumor activity.
AID1143390Antiproliferative activity against human MCF7 cells assessed as growth inhibition after 48 hrs by MTT assay2014European journal of medicinal chemistry, Jun-23, Volume: 81Novel N-substituted sophoridinol derivatives as anticancer agents.
AID1811232Antiproliferative activity against human U-251 cells assessed as inhibition of cell growth measured after 72 hrs by CCK-8 assay2021European journal of medicinal chemistry, Dec-15, Volume: 226N-2-(phenylamino) benzamide derivatives as novel anti-glioblastoma agents: Synthesis and biological evaluation.
AID1464541Cytotoxicity against human KBVIN cells after 72 hrs by SRB assay2017Bioorganic & medicinal chemistry letters, 10-15, Volume: 27, Issue:20
Design, semisynthesis and potent cytotoxic activity of novel 10-fluorocamptothecin derivatives.
AID7474Potentiation of growth inhibition of A2780 cells by compound alone in experiment 12000Journal of medicinal chemistry, Nov-02, Volume: 43, Issue:22
Resistance-modifying agents. 9. Synthesis and biological properties of benzimidazole inhibitors of the DNA repair enzyme poly(ADP-ribose) polymerase.
AID1433680Cell cycle arrest in human A549 cells assessed as accumulation at G2/M phase at 75 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 8.36%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID380252Antiproliferative activity against human NCI-H460 cells after 72 hrs2006Journal of natural products, Dec, Volume: 69, Issue:12
Cucurbitane triterpenes from the fruiting bodies and cultivated mycelia of Leucopaxillus gentianeus.
AID83595Cytotoxicity was determined in vitro in HT-29 cells(colon) of human tumor cell lines by using MTT assay1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID586408Antitumor activity against human HT-29 cells xenografted in nu/nu mouse assessed as tumor growth delay at 2 mg/kg, po QD for 5 days followed by 4 days without treatment for 2 weeks2011Journal of medicinal chemistry, Mar-24, Volume: 54, Issue:6
14-Aminocamptothecins: their synthesis, preclinical activity, and potential use for cancer treatment.
AID343604Cytotoxicity against human BXPC3 cells after 4 days by MTT assay2008Bioorganic & medicinal chemistry letters, Jul-15, Volume: 18, Issue:14
Novel hexacyclic camptothecin derivatives. Part 1: synthesis and cytotoxicity of camptothecins with an A-ring fused 1,3-oxazine ring.
AID147799In vitro anti-cancer activity against OVCAR 8(Ovarian) human tumor cell line1999Bioorganic & medicinal chemistry letters, Jun-21, Volume: 9, Issue:12
Novel C-ring analogues of 20(S)-camptothecin-part-2: synthesis and in vitro cytotoxicity of 5-C-substituted 20(S)-camptothecin analogues.
AID1221961Apparent permeability from basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of P-gp inhibitor LY3359792011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1254838Antiproliferative activity against human GBM1 cells assessed as reduction in cell viability at 10 uM incubated for 72 hrs by WST-1 method2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID97700Percentage of L1210 leukemia cells arrested in G2+ M phase of cell cycle by 0.28 uM concentration2003Bioorganic & medicinal chemistry letters, Aug-18, Volume: 13, Issue:16
Synthesis and pharmacological evaluation of novel non-lactone analogues of camptothecin.
AID1172292Cytotoxicity against human MDA-MB-231 cells after 72 hrs by SRB assay2014Bioorganic & medicinal chemistry, Nov-15, Volume: 22, Issue:22
Design and synthesis of novel spin-labeled camptothecin derivatives as potent cytotoxic agents.
AID1544076Poison activity at TOP1 in human MCF7 cells assessed as decrease in relaxed supercoiled pBS(SK+) DNA mobility measured after 30 mins by ethidium bromide staining based agarose gel electrophoresis2019Journal of medicinal chemistry, 04-11, Volume: 62, Issue:7
Discovery and Mechanistic Study of Tailor-Made Quinoline Derivatives as Topoisomerase 1 Poison with Potent Anticancer Activity.
AID634880Growth inhibition of human MDA-MB-231 cells after 72 hrs by XTT assay2011Bioorganic & medicinal chemistry, Dec-15, Volume: 19, Issue:24
Synthesis and antiproliferative evaluation of 6-aryl-11-iminoindeno[1,2-c]quinoline derivatives.
AID269206Antitumor activity against human MKN28 cell line xenografted in nude athymic mouse at 15 mg/kg, po measured as tumor volume inhibition relative to control2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Synthesis and cytotoxic activity of polyamine analogues of camptothecin.
AID1740932Inhibition of recombinant human Top1 expressed in baculovirus infected sf9 insect cells using supercoiled pBS (SK+) DNA as substrate incubated for 30 mins by ethidium bromide staining based agarose gel electrophoresis analysis2020European journal of medicinal chemistry, Sep-15, Volume: 202Development of a metabolically stable topoisomerase I poison as anticancer agent.
AID1656667Induction of apoptosis in human LNCAP cells assessed as increase in cleaved PARP expression at 500 ug/ml measured after 24 hrs by western blot analysis2020Bioorganic & medicinal chemistry, 02-01, Volume: 28, Issue:3
Molecular mechanism of C-phycocyanin induced apoptosis in LNCaP cells.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID760277Cytotoxicity against human A2780 cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID745327Cytotoxicity against human DU145 cells2013European journal of medicinal chemistry, May, Volume: 63Evolution in medicinal chemistry of E-ring-modified Camptothecin analogs as anticancer agents.
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID1221962Efflux ratio of permeability from apical to basolateral side over basolateral to apical side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of P-gp inhibitor LY3359792011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1221963Transporter substrate index ratio of permeability from apical to basolateral side in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of P-gp inhibitor LY3359792011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1127189Antiproliferative activity against human MCF7 cells after 3 days by XTT assay2014European journal of medicinal chemistry, May-22, Volume: 79Synthesis, antiproliferative and anti-dengue virus evaluations of 2-aroyl-3-arylquinoline derivatives.
AID143199Complete response CD1 mice with human Non-Small-Cell tumor xenograft at a oral dose of 15 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1211547Biliary excretion in rat2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
In vivo biliary clearance should be predicted by intrinsic biliary clearance in sandwich-cultured hepatocytes.
AID111712The body weight loss was measured in mice in vivo by using the HT-29 Human colon Xenograft model at a dose of 5 mg/kg1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID690722Cytotoxicity against human A2780 cells overexpressing alpha5beta3 integrin assessed as cell survival after 72 hrs by SRB assay2012Bioorganic & medicinal chemistry letters, Oct-15, Volume: 22, Issue:20
Camptothecins in tumor homing via an RGD sequence mimetic.
AID136694The compound (5 mg/kg) administered intravenously was tested for antitumor activity against A-498 (renal) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID486937Cytotoxicity against human A549 cells after 3 days by MTT assay2010European journal of medicinal chemistry, Jun, Volume: 45, Issue:6
Synthesis and evaluation of 9-benzylideneamino derivatives of homocamptothecin as potent inhibitors of DNA topoisomerase I.
AID8675In vitro cytotoxicity against A549 (human lung cancer)2003Bioorganic & medicinal chemistry letters, Nov-03, Volume: 13, Issue:21
Regioselective synthesis and cytotoxicities of camptothecin derivatives modified at the 7-, 10- and 20-positions.
AID1182906Cytotoxicity against human A549 cells after 72 hrs sulforhodamine B colorimetric assay2014Bioorganic & medicinal chemistry letters, Aug-15, Volume: 24, Issue:16
Design and synthesis of new 7-(N-substituted-methyl)-camptothecin derivatives as potent cytotoxic agents.
AID1668357Induction of apoptosis in human S1 cells assessed as early apoptotic cells at 5 uM incubated for 48 hrs by annexin V/propidium iodide staining based flow cytometry (Rvb = 2%)2020Journal of natural products, 05-22, Volume: 83, Issue:5
Licochalcone A Selectively Resensitizes ABCG2-Overexpressing Multidrug-Resistant Cancer Cells to Chemotherapeutic Drugs.
AID1824036Induction of cell cycle arrest in human SGC-7901 cells assessed as accumulation at S phase at 0.9 uM after 24 hrs by propidium iodide staining based flow cytometry2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID1221979Transporter substrate index ratio of permeability from basolateral to apical side in human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 10 uM of MRP2 inhibitor MK5712011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID83600Human tumor cell cytotoxicity assay was performed using MTT (HT-29 cell line )1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1675244Cytotoxicity against human HeLa cells assessed as reduction in cell viability after 3 days by fluorometric assay2020Journal of natural products, 08-28, Volume: 83, Issue:8
Usnic Acid Conjugates with Monoterpenoids as Potent Tyrosyl-DNA Phosphodiesterase 1 Inhibitors.
AID1269398Antiproliferative activity against human HepG2 cells after 48 hrs by MTT assay2016Bioorganic & medicinal chemistry letters, Feb-01, Volume: 26, Issue:3
Design, synthesis and biological evaluation of 3-substituted indenoisoquinoline derivatives as topoisomerase I inhibitors.
AID588979Substrates of transporters of clinical importance in the absorption and disposition of drugs, MRP42010Nature reviews. Drug discovery, Mar, Volume: 9, Issue:3
Membrane transporters in drug development.
AID1823975Antiproliferative activity against human SGC-7901 cells assessed as reduction in cell viability measured after 72 hrs by MTT assay2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID1405133Cell cycle arrest in human M21 cells assessed as accumulation at G2/M phase at 1.8 uM after 24 hrs by DAPI staining based flow cytometry relative to control2018European journal of medicinal chemistry, Jul-15, Volume: 155Preparation, characterisation and biological evaluation of new N-phenyl amidobenzenesulfonates and N-phenyl ureidobenzenesulfonates inducing DNA double-strand breaks. Part 3. Modulation of ring A.
AID1740933Inhibition of Top1 in human MCF7 cells using supercoiled pBS (SK+) DNA as substrate incubated for 30 mins by ethidium bromide staining based agarose gel electrophoresis analysis2020European journal of medicinal chemistry, Sep-15, Volume: 202Development of a metabolically stable topoisomerase I poison as anticancer agent.
AID208681Cytotoxicity was determined in vitro in T47D cells(breast) of human tumor cell lines by using MTT assay1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID1656687Induction of apoptosis in human LNCAP cells assessed as up regulation of p21 expression at 10 uM measured after 24 hrs by immunoblot analysis2020Bioorganic & medicinal chemistry, 02-01, Volume: 28, Issue:3
Molecular mechanism of C-phycocyanin induced apoptosis in LNCaP cells.
AID760273Cytotoxicity against human A549 cells after 72 hrs by MTT assay2013ACS medicinal chemistry letters, Jul-11, Volume: 4, Issue:7
Semisynthesis, cytotoxic activity, and oral availability of new lipophilic 9-substituted camptothecin derivatives.
AID202503Cytotoxicity was determined in vitro in SK-OV-3 cells (ovarian) of human tumor cell lines by using MTT assay1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Synthesis and antitumor activity of novel water soluble derivatives of camptothecin as specific inhibitors of topoisomerase I.
AID84358Tested in vitro for cytotoxicity against human tumor cell line HOP62 (lung)2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID590484Cell cycle arrest in human A549 cells assessed as accumulation at S phase at 25 uM after 24 hrs by flow cytometry (Rvb = 27.52%)2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Synthesis and antitumor activity of 10-arylcamptothecin derivatives.
AID1274790Binding affinity to Escherichia coli negative supercoiled pBR322 DNA at 10 uM after 12 hrs by ethidium bromide staining based agarose gel electrophoresis2016European journal of medicinal chemistry, Jan-27, Volume: 108Discovery of indeno[1,2-b]quinoxaline derivatives as potential anticancer agents.
AID1668355Induction of apoptosis in human S1 cells assessed as necrotic cells at 5 uM incubated for 48 hrs by annexin V/propidium iodide staining based flow cytometry (Rvb = 0.2%)2020Journal of natural products, 05-22, Volume: 83, Issue:5
Licochalcone A Selectively Resensitizes ABCG2-Overexpressing Multidrug-Resistant Cancer Cells to Chemotherapeutic Drugs.
AID1433672Cell cycle arrest in human A549 cells assessed as accumulation at G0/G1 phase at 8 nM after 24 hrs by propidium iodide staining based flow cytometry (Rvb = 58.84%)2017European journal of medicinal chemistry, Jan-05, Volume: 125Synthesis and antitumor activity of novel substituted uracil-1'(N)-acetic acid ester derivatives of 20(S)-camptothecins.
AID1817000Synergistic cytotoxicity against human MCF7/TDP1 cells at 100 nM after 96 hrs by MTT assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Synthesis of Methoxy-, Methylenedioxy-, Hydroxy-, and Halo-Substituted Benzophenanthridinone Derivatives as DNA Topoisomerase IB (TOP1) and Tyrosyl-DNA Phosphodiesterase 1 (TDP1) Inhibitors and Their Biological Activity for Drug-Resistant Cancer.
AID200289Human tumor cell cytotoxicity assay was performed using MTT (SKVLB cell line )1996Journal of medicinal chemistry, Feb-02, Volume: 39, Issue:3
Water soluble inhibitors of topoisomerase I: quaternary salt derivatives of camptothecin.
AID1387388Cytotoxicity in human KB cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID1254843Selectivity index, ratio of IC50 for normal human astrocytes to IC50 for human GBM1 cells2015European journal of medicinal chemistry, Oct-20, Volume: 103Discovery of potent and selective cytotoxic activity of new quinazoline-ureas against TMZ-resistant glioblastoma multiforme (GBM).
AID101469Complete response in mice bearing lung carcinoma LX-1 at a oral dose of 15 mg/kg2001Journal of medicinal chemistry, Sep-27, Volume: 44, Issue:20
Novel 7-oxyiminomethyl derivatives of camptothecin with potent in vitro and in vivo antitumor activity.
AID1239204Toxicity in human A549 cells xenografted BALB/C mouse assessed as change in body weight at 0.5 mg/kg, ip for 5 days2015Journal of medicinal chemistry, Aug-27, Volume: 58, Issue:16
Scaffold Diversity Inspired by the Natural Product Evodiamine: Discovery of Highly Potent and Multitargeting Antitumor Agents.
AID248146Inhibitory concentration against lymphoblast RPMI 8402 cell line was determined2005Journal of medicinal chemistry, Feb-10, Volume: 48, Issue:3
5-(2-aminoethyl)dibenzo[c,h][1,6]naphthyridin-6-ones: variation of n-alkyl substituents modulates sensitivity to efflux transporters associated with multidrug resistance.
AID145076The compound (10 mg/kg) administered intravenously was tested for antitumor activity against NCI-H23 (lung) xenograft model in mice2000Bioorganic & medicinal chemistry letters, Feb-21, Volume: 10, Issue:4
Novel C-ring analogues of 20(S)-camptothecin. Part 3: synthesis and their in vitro cytotoxicity of A-, B- and C-ring analogues.
AID489627Toxicity in C57BL/6 mouse assessed as body weight at 0.5 mg/kg, ip qd for 5 days ( RVb = 19.06 +/- 1.35 g)2010European journal of medicinal chemistry, Jul, Volume: 45, Issue:7
Trifluoromethyl-promoted homocamptothecins: synthesis and biological activity.
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID1221968Apparent permeability from apical to basolateral side of human Caco2 cells at 10 uM up to 120 mins by HPLC-MC analysis in presence of 1 uM of BCRP inhibitor Ko1432011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Attenuation of intestinal absorption by major efflux transporters: quantitative tools and strategies using a Caco-2 model.
AID1824014Induction of apoptosis in human MGC-803 cells assessed as early apoptic cells at 0.9 uM after 24 hrs by Annexin V-FITC/PI staining based flow cytometry method (Rvb = 0%)2022European journal of medicinal chemistry, Jan-15, Volume: 228Design, synthesis and bioactivity evaluation of novel evodiamine derivatives with excellent potency against gastric cancer.
AID1387393Cytotoxicity in human QGY7703 cells assessed as reduction in cell viability incubated for 48 hrs by MTT assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Structure-Based Drug Design and Identification of H
AID1172293Cytotoxicity against human KB cells after 72 hrs by SRB assay2014Bioorganic & medicinal chemistry, Nov-15, Volume: 22, Issue:22
Design and synthesis of novel spin-labeled camptothecin derivatives as potent cytotoxic agents.
AID425652Total body clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID409901Cytotoxicity against human RPMI8402 cells by MTT method2008Bioorganic & medicinal chemistry, Sep-15, Volume: 16, Issue:18
11-Substituted 2,3-dimethoxy-8,9-methylenedioxybenzo[i]phenanthridine derivatives as novel topoisomerase I-targeting agents.
AID1174154Reduction of hypoxia-induced HIF-1 alpha expression in human Hep3B cells at 10 uM after 48 hrs by Western blotting analysis2015European journal of medicinal chemistry, Jan-07, Volume: 89Novel chalcone derivatives as hypoxia-inducible factor (HIF)-1 inhibitor: synthesis, anti-invasive and anti-angiogenic properties.
AID41736In vitro cytotoxicity against Bel7402 (human liver cancer)2003Bioorganic & medicinal chemistry letters, Nov-03, Volume: 13, Issue:21
Regioselective synthesis and cytotoxicities of camptothecin derivatives modified at the 7-, 10- and 20-positions.
AID721754Inhibition of human MATE1-mediated ASP+ uptake expressed in HEK293 cells after 1.5 mins by fluorescence assay2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Discovery of potent, selective multidrug and toxin extrusion transporter 1 (MATE1, SLC47A1) inhibitors through prescription drug profiling and computational modeling.
AID721719Antiproliferative activity against human H184B5F5/M10 cells after 72 hrs by XTT assay2013European journal of medicinal chemistry, Jan, Volume: 59Synthesis and antiproliferative evaluation of 3-phenylquinolinylchalcone derivatives against non-small cell lung cancers and breast cancers.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347160Primary screen NINDS Rhodamine qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347159Primary screen GU Rhodamine qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID686947qHTS for small molecule inhibitors of Yes1 kinase: Primary Screen2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Identification of potent Yes1 kinase inhibitors using a library screening approach.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (2,296)

TimeframeStudies, This Drug (%)All Drugs %
pre-19901 (0.04)18.7374
1990's386 (16.81)18.2507
2000's1022 (44.51)29.6817
2010's729 (31.75)24.3611
2020's158 (6.88)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 64.57

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index64.57 (24.57)
Research Supply Index8.01 (2.92)
Research Growth Index6.91 (4.65)
Search Engine Demand Index110.07 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (64.57)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials626 (26.17%)5.53%
Reviews275 (11.50%)6.00%
Case Studies97 (4.06%)4.05%
Observational6 (0.25%)0.25%
Other1,388 (58.03%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (388)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
NCI 10147: A Phase II Randomized Study of Topotecan/Carboplatin With or Without Veliparib in Advanced Myeloproliferative Disorders and Chronic Myelomonocytic Leukemia (CMML) [NCT03289910]Phase 260 participants (Anticipated)Interventional2018-06-08Active, not recruiting
A Randomized Phase II Trial of Triplet Therapy (A PD-L1 Inhibitor Durvalumab (MEDI4736) in Combination With Olaparib and Cediranib) Compared to Olaparib and Cediranib or Durvalumab (MEDI4736) and Cediranib or Standard of Care Chemotherapy in Women With Pl [NCT04739800]Phase 2164 participants (Anticipated)Interventional2021-06-10Active, not recruiting
A Randomized Phase II/III Study of the Combination of Cediranib and Olaparib Compared to Cediranib or Olaparib Alone, or Standard of Care Chemotherapy in Women With Recurrent Platinum-Resistant or -Refractory Ovarian, Fallopian Tube, or Primary Peritoneal [NCT02502266]Phase 2/Phase 3562 participants (Anticipated)Interventional2016-05-03Active, not recruiting
Avatar-Directed Chemotherapy in Platinum-Resistant Ovarian, Primary Peritoneal and Fallopian Tube Cancers [NCT02312245]Phase 213 participants (Actual)Interventional2015-07-21Completed
A Randomized Phase III Trial Of Paclitaxel Plus Cisplatin Versus Vinorelbine Plus Cisplatin Versus Gemcitabine Plus Cisplatin Versus Topotecan Plus Cisplatin In Stage IVB, Recurrent Or Persistent Carcinoma of the Cervix [NCT00064077]Phase 3513 participants (Actual)Interventional2003-05-31Completed
A Randomized, Double-blind, Phase III Study of BD0801 Injection Combined With Chemotherapy Versus Placebo Combined With Chemotherapy in Patients With Recurrent, Platinum-resistant Epithelial Ovarian, Fallopian Tube , or Primary Peritoneal Cancer. [NCT04908787]Phase 3357 participants (Anticipated)Interventional2021-06-11Recruiting
A Phase 2/3, Multicenter, Randomized Study of Raludotatug Deruxtecan (R-DXd), a CDH6-directed Antibody-drug Conjugate, in Subjects With Platinum-resistant, High Grade Ovarian, Primary Peritoneal, or Fallopian Tube Cancer [NCT06161025]Phase 2/Phase 3650 participants (Anticipated)Interventional2024-02-29Not yet recruiting
A Phase II Study of Pazopanib and Oral Topotecan in Women With Recurrent Cervical Cancer [NCT02348398]Phase 20 participants (Actual)Interventional2016-08-31Withdrawn
NANT N2013-02 A Phase I Study of Sorafenib and Cyclophosphamide/Topotecan in Patients With Relapsed and Refractory Neuroblastoma [NCT02298348]Phase 118 participants (Anticipated)Interventional2015-04-30Active, not recruiting
N2012-01: Phase 1 Study of Difluoromethylornithine (DFMO) and Celecoxib With Cyclophosphamide/Topotecan for Patients With Relapsed or Refractory Neuroblastoma [NCT02030964]Phase 130 participants (Anticipated)Interventional2013-12-31Active, not recruiting
RAPID Feasibility Study: A Pilot Study for the Rapid Infusion of Dinutuximab [NCT05421897]Phase 411 participants (Anticipated)Interventional2022-10-24Recruiting
A Randomized, Open-label, Parallel Group, Multi-center Phase II Clinical Trial Evaluating Effect of Addition of DCVAC/OvCa to Standard Chemotherapy in Women With Relapsed Platinum (Pt)-Resistant Epithelial Ovarian Carcinoma [NCT02107378]Phase 222 participants (Actual)Interventional2014-01-31Terminated(stopped due to sponsor decision)
Ocular Conservative Treatment for Retinoblastoma: Efficacy of the New Management Strategies and Visual Outcome - RETINO 2018 [NCT04681417]Phase 2/Phase 3225 participants (Anticipated)Interventional2021-03-25Recruiting
[NCT01342237]Phase 233 participants (Anticipated)Interventional2011-03-31Recruiting
Indirect Comparison of the Efficacy Between Topotecan and Other Treatments for Recurrent Carcinoma of the Cervix [NCT01345279]1 participants (Actual)Observational2009-06-30Completed
Oral Topotecan, Utilization for a Metronomic Dosing Schedule to Treat Recurrent or Persistent Solid Tumors [NCT00382733]Phase 1/Phase 226 participants (Actual)Interventional2006-11-30Completed
A Phase II Study of Oxaliplatin Combined With Continuous Infusion Topotecan as Chemotherapy for Patients With Previously Treated Ovarian Cancer [NCT00313612]Phase 239 participants (Actual)Interventional2006-01-31Terminated
Phase II Study of High-Dose Topotecan, Cyclophosphamide and Melphalan for the Treatment of Multiple Myeloma [NCT01039025]Phase 260 participants (Actual)Interventional2002-02-18Completed
A Randomized Phase II Study: Sequencing Topoisomerase Inhibitors for Extensive Stage Small Cell Lung Cancer (SCLC): Topotecan Sequenced With Etoposide/Cisplatin, and Irinotecan/Cisplatin Sequenced With Etoposide [NCT00057837]Phase 2140 participants (Actual)Interventional2004-07-14Completed
PHASE 1/2 STUDY TO EVALUATE PALBOCICLIB (IBRANCE®) IN COMBINATION WITH IRINOTECAN AND TEMOZOLOMIDE OR IN COMBINATION WITH TOPOTECAN AND CYCLOPHOSPHAMIDE IN PEDIATRIC PATIENTS WITH RECURRENT OR REFRACTORY SOLID TUMORS [NCT03709680]Phase 2184 participants (Anticipated)Interventional2019-05-24Recruiting
An Open-label, Multicenter, Phase I/II Study of AT-101 in Combination With Topotecan in Patients With Relapsed or Refractory Small Cell Lung Cancer After Prior Platinum Containing First Line Chemotherapy [NCT00397293]Phase 1/Phase 236 participants (Actual)Interventional2006-11-30Completed
Pilot Study Using Myeloablative Busulfan/Melphalan (BuMel) Consolidation Following Induction Chemotherapy for Patients With Newly Diagnosed High-Risk Neuroblastoma [NCT01798004]Phase 1150 participants (Actual)Interventional2013-04-08Active, not recruiting
A COG Pilot Study of Intensive Induction Chemotherapy and 131I-MIBG Followed by Myeloablative Busulfan/Melphalan (Bu/Mel) for Newly Diagnosed High-Risk Neuroblastoma [NCT01175356]Phase 199 participants (Actual)Interventional2010-10-04Active, not recruiting
A Phase I and Enrichment Study of Low-dose Metronomic Topotecan and Pazopanib in Pediatric Patients With Recurrent or Refractory Solid Tumours [NCT02303028]Phase 1/Phase 230 participants (Actual)Interventional2015-03-31Completed
A Two Part, Phase I-IIa Study Evaluating MK1775 in Combination With Topotecan/Cisplatin in Adult Patients With Cervical Cancer [NCT01076400]Phase 1/Phase 27 participants (Actual)Interventional2010-05-31Terminated(stopped due to The sponsor permanently suspended new enrollment into the trial and discontinued the study; which was not related to any concerns over product safety.)
Open-label Multicenter Trial of Glivec® (Imatinib Mesylate, Formerly Known as STI571) in Combination With Chemotherapy (MTC) in Patients With Refractory or Relapsed Acute Myeloid Leukemia (AML) [NCT00744081]Phase 2130 participants (Anticipated)Interventional2004-07-31Completed
Phase I Dose-escalation Study of Topotecan in Moderate-severe COVID-19 Patients [NCT05083000]Phase 124 participants (Anticipated)Interventional2021-08-16Recruiting
A Phase II Trial of Nifurtimox for Refractory or Relapsed Neuroblastoma or Medulloblastoma. [NCT00601003]Phase 2112 participants (Actual)Interventional2008-01-14Completed
International, Multi-Center, Open-label, Treatment Extension Study of Iniparib as Monotherapy or in Combination Chemotherapeutic Regimens in Cancer Patients Who Have Derived Clinical Benefit From Iniparib Following Completion of a Phase 1, 2 or 3 Parental [NCT01593228]Phase 337 participants (Actual)Interventional2012-05-31Completed
Choice of Topotecan or Melphalan in Retinoblastoma Patients [NCT04799002]Phase 350 participants (Anticipated)Interventional2021-03-11Recruiting
Intra-Arterial (IA) Chemotherapy for Newly Diagnosed, Residual, or Recurrent Atypical Choroid Plexus Papilloma (ACPP) and Choroid Plexus Carcinoma (CPC) Prior to Second-Look Surgery [NCT04994977]Phase 16 participants (Anticipated)Interventional2023-05-04Recruiting
Phase I, Traditional 3+3, Trial of PO Sorafenib and Topotecan in Refractory or Recurrent Pediatric Solid Malignancies [NCT01683149]Phase 113 participants (Actual)Interventional2013-01-31Completed
A Multicenter, Randomized, Open-label, Parallel-design Phase 3 Study to Evaluate the Efficacy and Safety of LY01610 (Irinotecan Hydrochloride Liposome Injection) Versus Topotecan in Patients With Recurrent Small Cell Lung Cancer (SCLC) [NCT06128837]Phase 3686 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Treatment of Newly Diagnosed Diffuse Anaplastic Wilms Tumors (DAWT) and Relapsed Favorable Histology Wilms Tumors (FHWT) [NCT04322318]Phase 2221 participants (Anticipated)Interventional2020-10-19Recruiting
Phase 1 Trial of the LSD1 Inhibitor Seclidemstat (SP 2577) With and Without Topotecan and Cyclophosphamide in Patients With Relapsed or Refractory Ewing Sarcoma and Select Sarcomas [NCT03600649]Phase 150 participants (Anticipated)Interventional2018-06-04Active, not recruiting
Meta-analysis of Efficacy of Topotecan and Other Treatments for Recurrent Carcinoma of the Cervix [NCT01160185]1 participants (Actual)Observational2009-06-30Completed
Phase I Trial of High-dose Topotecan in Association With Carboplatin, With Peripheral Blood Stem Cell Support in Patients With First Relapsed Ovarian Carcinoma Without Platinum-treatment Since 6-12 Months [NCT01177501]Phase 13 participants (Actual)Interventional2009-04-30Terminated(stopped due to choice of the principal investigator)
A Phase 3 Study of 131I-Metaiodobenzylguanidine (131I-MIBG) or ALK Inhibitor Therapy Added to Intensive Therapy for Children With Newly Diagnosed High-Risk Neuroblastoma (NBL) [NCT03126916]Phase 3724 participants (Anticipated)Interventional2018-05-14Active, not recruiting
A Two-part, Open-label, Randomized, Phase 2/3 Study of Dinutuximab and Irinotecan Versus Irinotecan for Second Line Treatment of Subjects With Relapsed or Refractory Small Cell Lung Cancer [NCT03098030]Phase 2/Phase 3483 participants (Actual)Interventional2017-06-01Completed
A Phase Ib, Dose Escalation Study to Assess the Safety, Tolerability, and Pharmacokinetics of Humanized Anti-VEGF Monoclonal Antibody(Sevacizumab) Injection Plus Chemotherapy in Chinese Patients With Platinum-Resistant Recurrent Ovarian Cancer. [NCT03763123]Phase 148 participants (Anticipated)Interventional2018-04-24Recruiting
Clinical Research of Allogeneic Hematopoietic Stem Cell Transplantation for Treatment of Children With Stage 4/M Neuroblastoma: A Prospective, Single-arm, Phase II, Multi-center Trial [NCT05303727]Phase 264 participants (Anticipated)Interventional2022-08-31Not yet recruiting
A Phase II Prospective International Multicenter Clinical Trial for Eyes With Relapsed Retinoblastoma, With Randomization Depending on the Site of Relapse or on Previous Treatment [NCT04455139]Phase 22 participants (Actual)Interventional2021-11-15Terminated(stopped due to Difficulties in recruiting patients due to changing in treatment standards for the target population)
A Randomized Phase II Trial Comparing the Combination of PI3K Inhibitor Copanlisib (BAY 80-6946) and PARP Inhibitor Olaparib (AZD2281) to Standard Chemotherapy in Patients With Recurrent Platinum Resistant Ovarian, Fallopian Tube, or Primary Peritoneal Ca [NCT05295589]Phase 20 participants (Actual)Interventional2022-06-30Withdrawn(stopped due to Drug supply issues)
A Phase I Study of Weekly Doxorubicin and Oral Topotecan for Patients With Relapsed or Refractory Small Cell Lung Cancer (SCLC) [NCT00856037]Phase 122 participants (Actual)Interventional2009-02-02Completed
A Pharmacokinetic and Phase II Study of Oral Cyclophosphamide and Oral Topotecan in Children With Recurrent and or Refractory Solid Tumors [NCT00628732]Phase 236 participants (Anticipated)Interventional2005-01-31Completed
A Randomised Phase II Study Of Nintedanib (BIBF1120) Compared To Chemotherapy in Patients With Recurrent Clear Cell Carcinoma Of The Ovary Or Endometrium [NCT02866370]Phase 2120 participants (Anticipated)Interventional2015-04-30Recruiting
A Phase 1 Study of Topotecan Liposomes Injection (TLI) in Subjects With Small Cell Lung Cancer (SCLC), Ovarian Cancer and Other Advanced Solid Tumors [NCT00765973]Phase 114 participants (Actual)Interventional2008-11-10Completed
A Phase I Study of Temsirolimus, Topotecan, and Bortezomib in Patients With Advanced Malignancy [NCT00770731]Phase 180 participants (Actual)Interventional2008-09-30Completed
A Randomized, Double-blind, Placebo-controlled, Multi-center Phase 3 Study Evaluating Efficacy, Safety and Pharmacokinetics of Trilaciclib In Extensive-Stage Small Cell Lung Cancer Patients Receiving Carboplatin Combined With Etoposide or Topotecan [NCT04902885]Phase 395 participants (Actual)Interventional2021-05-25Completed
Phase I/II Study of Carboplatin in Association With Weekly Oral Topotecan in Patients With Metastatic or Recurrent Cervical Cancer [NCT00807079]Phase 1/Phase 212 participants (Actual)Interventional2008-09-30Completed
Phase II Study of Cisplatin Combined With Topotecan in Advanced (Stage IVB) Recurrent or Persistent Cervical Cancer [NCT00826891]Phase 240 participants (Anticipated)Interventional2009-02-28Not yet recruiting
AMR PH GL 2007 CL001 Phase 3 A Randomized, Open-Label, Multinational Phase 3 Trial Comparing Amrubicin Versus Topotecan in Patients With Extensive or Limited and Sensitive or Refractory Small Cell Lung Cancer After Failure of First-Line Chemotherapy [NCT00547651]Phase 3637 participants (Actual)Interventional2007-09-01Completed
A Randomized Phase 2 Trial Comparing Amrubicin Versus Topotecan as Second-Line Treatment in Patients With Extensive Small Cell Lung Cancer Sensitive to First-Line Chemotherapy [NCT00319969]Phase 276 participants (Actual)Interventional2006-04-30Completed
Liposomal Doxorubicin Versus Carboplatin/Paclitaxel in Patients With Ovarian Cancer Recurrence Between 6 and 12 Months After Previous Platinum Based Therapy: Phase III Randomized Multicenter Study Amendment Title Protocol Version 2.0: Phase III Internatio [NCT00657878]Phase 3215 participants (Actual)Interventional2008-11-30Active, not recruiting
Phase 1 Study of Cabozantinib in Combination With Topotecan-Cyclophosphamide for Patients With Relapsed Ewing Sarcoma or Osteosarcoma [NCT04661852]Phase 112 participants (Actual)Interventional2020-12-23Completed
A Randomized Phase II Study Evaluating Pembrolizumab vs Topotecan in the Second-Line Treatment of Patients With Small Cell Lung Cancer [NCT02963090]Phase 29 participants (Actual)Interventional2017-05-20Terminated(stopped due to Lack of enrollment)
A Phase 3 Study of Dinutuximab Added to Intensive Multimodal Therapy for Children With Newly Diagnosed High-Risk Neuroblastoma [NCT06172296]Phase 3478 participants (Anticipated)Interventional2024-02-14Not yet recruiting
N9: Pilot Study of Novel Shortened Induction Chemotherapy for High-Risk Neuroblastoma [NCT04947501]Early Phase 130 participants (Anticipated)Interventional2021-06-22Recruiting
A Phase I Study of Sequestered Transscleral, Controlled-Release Topotecan Delivered From an Episcleral Reservoir in Retinoblastoma Eyes [NCT04156347]Phase 142 participants (Anticipated)Interventional2021-06-16Active, not recruiting
A Randomized Phase II/III Study to Assess the Efficacy of Trametinib (GSK 1120212) in Patients With Recurrent or Progressive Low-Grade Serous Ovarian Cancer or Peritoneal Cancer [NCT02101788]Phase 2/Phase 3260 participants (Actual)Interventional2014-02-27Active, not recruiting
Phase 1 Study of Lorlatinib (PF-06463922), an Oral Small Molecule Inhibitor of ALK/ROS1, for Patients With ALK-Driven Relapsed or Refractory Neuroblastoma [NCT03107988]Phase 165 participants (Actual)Interventional2017-09-05Active, not recruiting
Protocol for the Study and Treatment of Participants With Intraocular Retinoblastoma [NCT01783535]Phase 2174 participants (Anticipated)Interventional2013-06-19Active, not recruiting
Avastin in Combination With Radiation and Temozolomide Followed by Avastin, Temozolomide, and Topotecan for Glioblastoma Multiformes and Gliosarcomas [NCT01004874]Phase 280 participants (Actual)Interventional2009-12-30Completed
Study EGF107671 - a Phase II Study of Lapatinib Plus Topotecan or Lapatinib Plus Capecitabine in the Treatment of Recurrent Brain Metastases From ErbB2-Positive Breast Cancer Following Cranial Radiotherapy [NCT00437073]Phase 222 participants (Actual)Interventional2007-05-31Terminated(stopped due to Lapatinib-topotecan arm enrollment closed early per protocol amendment 2. Then enrollment into remaining arm terminated due to operational issues.)
A Multicenter, Randomized, Open-Label Phase 2b Study to Investigate the Efficacy and Safety of Aldoxorubicin Compared to Topotecan in Subjects With Metastatic Small Cell Lung Cancer Who Either Relapsed or Were Refractory to Prior Chemotherapy [NCT02200757]Phase 2132 participants (Anticipated)Interventional2014-09-30Recruiting
Randomized Study Comparing Two Strategies Carboplatin and Etoposide Topotecan in Patients With SCLC on the Second Row With Relapsed at Least Three Months After Initial Response to Chemotherapy With Platinum-etoposide 6 Cycles [NCT02738346]Phase 3164 participants (Anticipated)Interventional2013-07-31Recruiting
Phase I Trial of Oral Topotecan Plus Temodar in the Treatment of Patients With Malignant Gliomas [NCT00610571]Phase 162 participants (Actual)Interventional2004-04-30Completed
A Phase II Trial of Twice Daily Oral Topotecan as a Radiation Sensitizer With Twice Daily Radiotherapy for Newly Diagnosed Small Cell Lung Cancer [NCT00043862]Phase 260 participants (Actual)Interventional2002-08-31Completed
Phase I/II Multicenter Study to Assess Efficacy and Safety of Ribociclib (LEE011) in Combination With Topotecan and Temozolomide (TOTEM) in Pediatric Patients With Relapsed or Refractory Neuroblastoma and Other Solid Tumors [NCT05429502]Phase 1/Phase 2231 participants (Anticipated)Interventional2022-12-27Recruiting
Phase II Study of the Association of Iodobenzylguanidine Meta-I131 (I131 MIBG) and Topotecan in the Treatment of Refractory or Relapsed Metastatic Neuroblastoma [NCT00960739]Phase 230 participants (Actual)Interventional2008-11-30Completed
Phase II Study of Weekly Topotecan in Patients Treated for Metastatic Colorectal Cancer [NCT00193167]Phase 240 participants Interventional2004-01-31Completed
A Pilot Study of Intravenous Topotecan and Vincristine in Combination With Subconjunctival Carboplatin for Patients With a History of Bilateral Retinoblastoma and Refractory/Recurrent Intraocular Disease (IND# 104,942) [NCT00980551]0 participants (Actual)Interventional2010-05-31Withdrawn(stopped due to No enrollment and competing studies)
European Proof-of-Concept Therapeutic Stratification Trial of Molecular Anomalies in Relapsed or Refractory Tumors [NCT02813135]Phase 1/Phase 2460 participants (Anticipated)Interventional2016-08-03Recruiting
Phase I/II Study of Obatoclax Mesylate (GX15-070MS), a Bcl-2 Antagonist, Plus Topotecan in Relapsed Small Cell Lung Carcinoma [NCT00521144]Phase 1/Phase 222 participants (Actual)Interventional2007-08-31Completed
A Phase 1 Study of FF-10850 Topotecan Liposome Injection in Advanced Solid Tumors Including Ovarian and Cervical Carcinoma, Sarcomas, and Neuroendocrine Tumors Including Small Cell Lung Cancer and Merkel Cell Carcinoma [NCT04047251]Phase 196 participants (Anticipated)Interventional2019-11-14Recruiting
Response- and Biology-Based Therapy for Intermediate-Risk Neuroblastoma [NCT00499616]Phase 3464 participants (Actual)Interventional2007-10-08Completed
An Open-label Phase II Study of Weekly Intravenous Hycamtin and Carboplatin as First-line Treatment of Chemonaive Subjects With Extensive Disease Small Cell Lung Cancer [NCT00316186]Phase 233 participants (Actual)Interventional2005-06-30Completed
Phase II Clinical Study of Weekly Topotecan in Combination With Avastin™ in Patients With Stage IIIB/IV Non-Small Cell Lung Cancer Who Have Failed Prior Systemic Chemotherapy [NCT00365547]Phase 246 participants (Actual)Interventional2006-09-30Completed
A Phase II Study of Topotecan in Patients With Anaplastic Oligodendroglioma or Anaplastic Mixed Oligoastrocytoma [NCT00003372]Phase 217 participants (Actual)Interventional1997-12-08Completed
Phase Ib Dose-Escalation Study of LCL161 in Combination With Oral Topotecan for Patients With Relapsed/Refractory Small Cell Lung Cancer (SCLC) and Select Gynecologic Malignancies [NCT02649673]Phase 134 participants (Actual)Interventional2016-03-23Terminated(stopped due to Clinical program was discontinued by Novartis)
A Phase 3 Study of Safety and Efficacy of Karenitecin Versus Topotecan Administered for 5 Consecutive Days Every 3 Weeks in Patients With Advanced Epithelial Ovarian Cancer [NCT00477282]Phase 3509 participants (Actual)Interventional2007-08-31Completed
A Dose Seeking Trial of Topotecan Combined With High-Dose Cyclophosphamide and Carboplatin With Peripheral Blood Stem Cell Transplant for the Treatment of Relapsed Ovarian Cancer and Primary Peritoneal Cancer [NCT00652691]Phase 148 participants (Anticipated)Interventional1998-08-31Completed
Neuroblastoma Protocol 2008: Therapy for Children With Advanced Stage High Risk Neuroblastoma [NCT00808899]Phase 24 participants (Actual)Interventional2008-12-31Terminated(stopped due to Voluntarily closed and terminated by the PI due to lack of feasibility)
A Pilot Prospective Trial Of Genomic Directed Salvage Chemotherapy With Either Liposomal Doxorubicin Or Topotecan In Recurrent Or Persistent Ovarian Cancer Within 12 Months Of Platinum-Based Chemotherapy [NCT00720096]4 participants (Actual)Interventional2008-07-31Terminated(stopped due to Funds for this project have been spent, and it is thereby terminated.)
Randomized Phase III Trial of Topotecan and Cisplatin Versus Etoposide and Carboplatin in the Treatment of Patients With Previously Untreated Small Cell Lung Cancer and Extensive Disease [NCT00812266]Phase 3281 participants (Actual)Interventional2006-01-31Terminated(stopped due to Slow accrual)
Phase 2 Single- Arm Studies of Temozolomide in Combination With Topotecan in Refractory and Relapsed Neuroblastoma and Other Paediatric Solid Tumours [NCT00918320]Phase 2129 participants (Actual)Interventional2009-06-30Completed
AURELIA: A Multi-center, Open-label, Randomised, Two-arm Phase III Trial of the Effect on Progression Free Survival of Bevacizumab Plus Chemotherapy Versus Chemotherapy Alone in Patients With Platinum-resistant, Epithelial Ovarian, Fallopian Tube or Prima [NCT00976911]Phase 3361 participants (Actual)Interventional2009-10-29Completed
A Randomized, Double-Blind, Multicenter, Phase Ⅲ Study of Anlotinib Hydrochloride Capsule Combined With Topotecan Versus Placebo Combined With Topotecan in Subjects With Small Cell Lung Cancer [NCT04073550]Phase 3184 participants (Anticipated)Interventional2019-10-31Not yet recruiting
Phase II Randomized Trial of the Polo-like Kinase 1 Inhibitor BI 6727 Monotherapy Versus Investigator´s Choice Chemotherapy in Ovarian Cancer Patients Resistant or Refractory to Platinum-based Cytotoxic Therapy [NCT01121406]Phase 2110 participants (Actual)Interventional2010-04-30Completed
A Phase I Study of Weekly Oral Topotecan in Gynecologic Malignancies [NCT00842452]Phase 126 participants (Actual)Interventional2009-02-28Completed
A Randomized, Multicenter, Open-label, Phase III Study of Lurbinectedin Single-Agent or Lurbinectedin in Combination With Irinotecan Versus Investigator's Choice (Topotecan or Irinotecan) in Relapsed Small Cell Lung Cancer Patients (LAGOON Trial) [NCT05153239]Phase 3705 participants (Anticipated)Interventional2022-07-22Recruiting
Protocol for the Study and Treatment of Patients With Intraocular Retinoblastoma [NCT00186888]Phase 3107 participants (Actual)Interventional2005-04-07Active, not recruiting
An Open-label, Multicenter, Non-Comparative Phase II Study of the Combination of Intravenous Topotecan and Gemcitabine Administered Once Weekly for Three Weeks Every 28 Days as Second-line Treatment in Patients With Recurrent Platinum Sensitive Ovarian Ca [NCT00061308]Phase 275 participants Interventional2002-12-31Completed
A Phase I, Open-label Study of the Safety, Tolerability, and Pharmacokinetics of Oral Topotecan in Combination With Lapatinib in Subjects With Advanced Solid Tumors [NCT00682279]Phase 10 participants (Actual)Interventional2008-09-30Withdrawn(stopped due to Cancelled before enrollment)
An Open Label, Multi-centre, Non-interventional Post-marketing Surveillance (PMS) to Monitor the Safety and Effectiveness of HYCAMTIN Administered in Korean Patients According to the Prescribing Information [NCT01037023]92 participants (Actual)Observational2010-10-31Completed
A Phase I Study of the Weekly Oral RAD001 in Combination With Oral Topotecan in Patients With Advanced or Recurrent Endometrial Cancers [NCT00703807]Phase 110 participants (Actual)Interventional2008-12-31Completed
A Pilot Study of Chemotherapy Intensification by Adding Vincristine, Topotecan and Cyclophosphamide to Standard Chemotherapy Agents With an Interval Compression Schedule in Newly Diagnosed Patients With Localized Ewing Sarcoma Family of Tumors [NCT00618813]35 participants (Actual)Interventional2008-03-31Completed
Phase I Trial of Tandem Chemotherapy Cycles as Consolidation Therapy for High-Risk Epithelial Ovarian and Primary Peritoneal Cancer Utilizing Intraperitoneal Paclitaxel/IV Cyclophosphamide Followed by IV Topotecan/Intraperitoneal Cisplatin/IV Melphalan Us [NCT00550784]Phase 18 participants (Actual)Interventional2001-01-31Completed
An Open-label, Multicenter, Non-comparative, Phase II Study of Oral Topotecan in Combination With Bevacizumab for Second-line Treatment in Subjects With Relapsed Small-cell Lung Cancer (SCLC) [NCT00698516]Phase 250 participants (Actual)Interventional2008-07-31Completed
Phase III Multicenter Study in Epithelial Ovarian Carcinoma FIGO Stage IIB-IV Comparing Treatment With Paclitaxel and Carboplatin to Paclitaxel and Carboplatin Sequentially Followed by Topotecan [NCT00102375]Phase 3900 participants Interventional1999-12-31Completed
A Pilot Induction Regimen Incorporating Chimeric 14.18 Antibody (ch14.18, Dinutuximab) (NSC# 764038) and Sargramostim (GM-CSF) for the Treatment of Newly Diagnosed High-Risk Neuroblastoma [NCT03786783]Phase 242 participants (Actual)Interventional2019-01-14Active, not recruiting
Phase III Randomized Trial of Single vs. Tandem Myeloablative Consolidation Therapy for High-Risk Neuroblastoma [NCT00567567]Phase 3665 participants (Actual)Interventional2007-11-05Completed
Circulating Tumor DNA Guiding (Olaparib) Lynparza® Treatment in Ovarian [NCT02822157]Phase 2160 participants (Actual)Interventional2016-08-31Active, not recruiting
Oral Topotecan Combined With Anlotinib in Patients With Platinum-resistant Recurrent Ovarian Cancer: [NCT05736952]Phase 20 participants (Actual)Interventional2023-03-01Withdrawn(stopped due to Program changed)
An Open-Label, Randomized, Phase 2 Study Comparing TAS-102 Versus Topotecan or Amrubicin in Patients Requiring Second-Line Chemotherapy for Small Cell Lung Cancer That is Refractory or Sensitive to First-Line Platinum-Based Chemotherapy [NCT01904253]Phase 218 participants (Actual)Interventional2013-07-31Terminated(stopped due to The preliminary data does not suggest any safety signal, but an ad hoc interim analysis showed an imbalance of PFS between the two arms)
A Phase II Trial of Oral Pazopanib Plus Oral Topotecan Metronomic Antiangiogenic Therapy for Recurrent Glioblastoma Multiforme (A)Without Prior Bevacizumab Exposure and (B) After Failing Prior Bevacizumab [NCT01931098]Phase 235 participants (Actual)Interventional2015-12-10Completed
A Rollover Protocol to Allow for Continued Access to the LSD1 Inhibitor Seclidemstat (SP-2577) [NCT05266196]Phase 1/Phase 210 participants (Anticipated)Interventional2022-01-15Enrolling by invitation
A Phase II Study of Intensive-Dose Topotecan, Ifosfamide/Mesna and Etoposide (Vepesid)(TIME) Followed by Autologous Stem Cell Rescue in High Risk Lymphoma [NCT00006373]Phase 227 participants (Actual)Interventional2000-02-29Completed
A Phase II Study of Intensive-Dose Topotecan, Ifosfamide/Mesna and Etoposide (TIME) Followed by Autologous Stem Cell Rescue in Metastatic Breast Cancer [NCT00006032]Phase 20 participants Interventional2000-03-31Terminated(stopped due to low accrual)
A Phase I Study of CCI-779 (Temsirolimus) in Combination With Topotecan in Patients With Gynecologic Malignancies [NCT00523432]Phase 115 participants (Actual)Interventional2007-08-31Completed
Safety and Dose Finding Study of Oral MP470, a Multi-targeted Tyrosine Kinase Inhibitor, in Combination With Standard-of-Care Chemotherapy Regimens [NCT00881166]Phase 1101 participants (Actual)Interventional2007-11-30Completed
A Phase II Study Evaluating the Association of Topotecan and Lapatinib in Early Recurrent (Less Than 12 Months)Ovarian or Peritoneal Cancer Patients After First Line of Platinum-Based Chemotherapy [NCT00888810]Phase 239 participants (Actual)Interventional2008-03-31Terminated(stopped due to lack of efficacy (intermediate analysis))
A Pilot Study of Tamoxifen, Carboplatin and Topotecan in the Treatment of Recurrent or Refractory Primary Brain or Spinal Cord Tumors or Metastatic Epithelial Cancers With Central Nervous System Metastases [NCT00541138]Phase 250 participants (Anticipated)Interventional2003-05-31Completed
A Phase II Trial of Lapatinib in Combination With Weekly Topotecan in Patients With Platinum-Refractory/Resistant Ovarian and Primary Peritoneal Carcinoma [NCT00436644]Phase 218 participants (Actual)Interventional2007-03-31Completed
SCOT Registry: Small Cell Lung Cancer Treatment and Outcome [NCT00997061]500 participants (Actual)Observational2009-11-30Completed
An Open-Label, Single-Arm, Phase II Study of IV Weekly (Days 1 and 8 Every 21 Days) HYCAMTIN in Combination With Carboplatin (Day 1 Every 21 Days) as Second-Line Therapy in Subjects With Potentially Platinum-Sensitive Relapsed Ovarian Cancer [NCT00316173]Phase 277 participants (Actual)Interventional2005-03-31Completed
A Randomized, Phase III, Open-Label Study of Oral Topotecan Plus Whole-Brain Radiation Therapy (WBRT) Compared With WBRT Alone in Patients With Brain Metastases From Non-Small Cell Lung Cancer [NCT00390806]Phase 3472 participants (Actual)Interventional2006-12-31Completed
A Randomized Phase II Evaluation of Topotecan (NSC #609699) Administered Daily x 5 Every 3 Weeks vs Weekly Topotecan in the Treatment of Recurrent Platinum-Sensitive Ovarian, Fallopian Tube, or Primary Peritoneal Cancer [NCT00114166]Phase 281 participants (Actual)Interventional2005-01-31Completed
A Phase I/II Study of Sorafenib in Combination With Topotecan for the Treatment of Platinum-Resistant Recurrent Ovarian Cancer or Primary Peritoneal Carcinomatosis: Hoosier Oncology Group GYN06-111 [NCT00526799]Phase 1/Phase 230 participants (Actual)Interventional2007-09-30Terminated(stopped due to Study closed to accrual due unfavorable interim analysis)
A Phase I/II Study of Weekly Topotecan and Gefitinib (Iressa) in Patients With Platinum-Resistant Ovarian, Peritoneal, of Fallopian Tube Cancer [NCT00317772]Phase 1/Phase 219 participants (Actual)Interventional2004-09-02Completed
A Study of Intensive-Dose Melphalan and Topotecan (MT) Followed by Autologous Stem Cell Rescue in Patients With Multiple Myeloma. [NCT00325416]Phase 1/Phase 2177 participants (Actual)Interventional2001-11-19Completed
WEEKLY IV TOPOTECAN/DOCETAXEL COMBINATION COMPARED TO DOCETAXEL IN PATIENTS WITH PRETREATED ADVANCED NSCLC: AN OPEN-LABEL MULTICENTER RANDOMIZED PHASE III TRIAL [NCT00065182]Phase 2399 participants (Actual)Interventional2003-08-14Completed
Phase II Trial of Weekly Topotecan in the Second-Line Treatment of Small Cell Lung Cancer [NCT00193388]Phase 2100 participants Interventional2002-09-30Completed
Evaluation of TRILACICLIB in Chinese Patients With Extensive-stage Small Cell Lung Cancer (ES-SCLC) for Chemotherapy-induced Myelosuppression, Antitumor Effects of Combination Regimens, and Safety in a Real-world Study [NCT05071703]Phase 430 participants (Actual)Interventional2021-08-11Completed
A Phase II Evaluation of ABT-888 (NCI Supplied Agent: ABT-888, NSC #737664), Topotecan (NSC # 609699) and Filgrastim or Pegfilgrastim in the Treatment of Persistent or Recurrent Squamous or Non-squamous Cell Carcinoma of the Cervix [NCT01266447]Phase 227 participants (Actual)Interventional2011-02-28Completed
Phase 1b/2a Safety and Pharmacokinetic Study of G1T28 in Patients With Previously Treated Extensive Stage Small Cell Lung Cancer (SCLC) Receiving Topotecan Chemotherapy [NCT02514447]Phase 1/Phase 2123 participants (Actual)Interventional2015-10-05Terminated(stopped due to Primary Analysis and survival follow up completed per protocol. Not stopped due to safety concerns.)
A Study of Intratumorally-Administered Topotecan Using Convection-Enhanced Delivery (CED) in Patients With Suspected Recurrent/Progressive World Health Organization (WHO) Grade III or IV (High Grade) Glioma Undergoing Stereotactic Biopsy [NCT03927274]Early Phase 13 participants (Actual)Interventional2019-06-20Terminated(stopped due to Funding unavailable)
A Phase 2 Open-label Randomized Study of Farletuzumab Ecteribulin (MORAb-202), a Folate Receptor Alpha-targeting Antibody-drug Conjugate, Versus Investigator's Choice Chemotherapy in Women With Platinum-resistant High-grade Serous (HGS) Ovarian, Primary P [NCT05613088]Phase 290 participants (Anticipated)Interventional2023-02-01Recruiting
A Phase I Protocol for Relapsed Pediatric AML to Determine the Safety and Efficacy of the PARP Inhibitor Talazoparib in Combination With Chemotherapy [NCT05101551]Phase 134 participants (Anticipated)Interventional2023-02-23Recruiting
Positron Emission Tomography Using 11C Topotecan in Predicting Response to Treatment in Patients With Brain Metastases Due to Ovarian, Small Cell Lung, or Other Cancer [NCT00253461]Early Phase 17 participants (Actual)Interventional2004-12-31Terminated(stopped due to Drugs unavailable:unable to make radioactive topotecan)
Phase I Study to Evaluate the Mass Balance, PK, Metabolism and Excretion of Berzosertib (Intravenous) Containing Microtracer [14C]Berzosertib in Participants With Advanced Solid Tumors (DDRiver Solid Tumors 208) [NCT05246111]Phase 16 participants (Actual)Interventional2022-02-15Completed
Phase I-II Study of Topotecan and Paclitaxel Followed by High-Dose Thoracic Radiation Therapy With Concomitant Cisplatin/Etoposide and Amifostine in Limited-Stage Small Cell Lung Cancer [NCT00006012]Phase 1/Phase 273 participants (Actual)Interventional2001-02-28Completed
Phase I Study of Weekly Bortezomib (VELCADE, PS-341) and Weekly Topotecan (HYCAMTIN) in Solid Tumor Patients With an Emphasis on Small Cell Lung Cancer (SCLC) [NCT00388089]Phase 124 participants (Actual)Interventional2004-12-31Completed
[NCT00006199]Phase 10 participants InterventionalRecruiting
A Phase I Dose-Finding Study of Oxaliplatin (NSC #266046) Combined With Continuous Infusion Topotecan Hydrochloride as Chemotherapy for Patients With Previously Treated Ovarian Cancer [NCT00006391]Phase 10 participants Interventional2000-08-31Completed
Phase III Multicenter Study in Epithelial Ovarian Carcinoma FIGO Stage IIB-IV Comparing Treatment With Paclitaxel and Carboplatin to Paclitaxel and Carboplatin Sequentially Followed by Topotecan [NCT00006454]Phase 30 participants Interventional1999-12-31Completed
An Open-label, Phase II, Multicenter Study of Intravenous Weekly Topotecan in Subjects With Recurrent or Persistent Endometrial Cancer [NCT00267488]Phase 270 participants (Actual)Interventional2005-10-31Completed
A Phase 1 Study of Crizotinib in Combination With Conventional Chemotherapy for Relapsed or Refractory Solid Tumors or Anaplastic Large Cell Lymphoma [NCT01606878]Phase 146 participants (Actual)Interventional2013-04-29Completed
A Phase 1b Study of AMG 386 in Combination With Either Pegylated Liposomal Doxorubicin or Topotecan in Subjects With Advanced Recurrent Epithelial Ovarian Cancer [NCT00770536]Phase 1103 participants (Actual)Interventional2009-01-31Completed
MIRASOL: A Randomized, Open-label, Phase 3 Study of Mirvetuximab Soravtansine vs. Investigator's Choice of Chemotherapy in Platinum-Resistant, Advanced High-Grade Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancers With High Folate Receptor- [NCT04209855]Phase 3453 participants (Actual)Interventional2019-12-31Active, not recruiting
Phase IB Study to Evaluate the Safety of Selinexor (KPT-330) in Combination With Multiple Standard Chemotherapy or Immunotherapy Agents in Patients With Advanced Malignancies [NCT02419495]Phase 1221 participants (Actual)Interventional2015-06-26Active, not recruiting
A Phase I Open-label Study of the Safety, Tolerability, and Pharmacokinetics of Two Schedules of Oral Topotecan in Combination With Pazopanib in Subjects With Advanced Solid Tumors [NCT00732420]Phase 168 participants (Actual)Interventional2008-09-24Completed
BAY 1895344 Plus Topoisomerase-1 (Top1) Inhibitors in Patients With Advanced Solid Tumors, Phase I Studies With Expansion Cohorts in Small Cell Lung Carcinoma (SCLC), Poorly Differentiated Neuroendocrine Carcinoma (PD-NEC) and Pancreatic Adenocarcinoma (P [NCT04514497]Phase 196 participants (Anticipated)Interventional2021-10-20Active, not recruiting
Phase I Study of Anti-GD2 3F8 Antibody and Allogeneic Natural Killer Cells for High-Risk Neuroblastoma [NCT00877110]Phase 171 participants (Actual)Interventional2009-04-02Completed
A Phase I Study of Weekly Topotecan With Cisplatin for the Management of Advanced Stage or Recurrent Carcinoma of the Cervix [NCT00322920]Phase 130 participants (Anticipated)Interventional2005-07-31Terminated(stopped due to Low accrual)
Phase I-II Study of Oral Suberoylanilide Hydroxamic Acid (Vorinostat) in Combination With Topotecan in Patients With Chemosensitive Recurrent Small Cell Lung Cancer (SCLC) [NCT00697476]Phase 1/Phase 22 participants (Actual)Interventional2009-01-31Terminated(stopped due to insufficient enrollment)
A Randomized Phase II Study of Bevacizumab (NSC 704865) Combined With Vincristine, Topotecan and Cyclophosphamide in Patients With First Recurrent Ewing Sarcoma [NCT00516295]Phase 27 participants (Actual)Interventional2008-02-29Completed
The Efficacy and Safety of Nab-paclitaxel Versus Topotecan As Second-Line Treatment for Patients With Extensive Stage Small Cell Lung Cancer: A Multicenter, Randomized Controlled Study [NCT04213937]Phase 2386 participants (Anticipated)Interventional2020-01-31Recruiting
A Phase I Study of Topotecan by Intracerebral Clysis for the Treatment of Recurrent Primary Malignant Brain Tumors [NCT00308165]Phase 1/Phase 218 participants (Actual)Interventional2004-03-31Active, not recruiting
A Phase II Study of Intraventricular Methotrexate With Systemic Topotecan and Cyclophosphamide in Children With Recurrent or Progressive Malignant Brain Tumors [NCT02684071]Phase 23 participants (Actual)Interventional2016-02-29Terminated(stopped due to Lack of additional funding; patients (3) no longer receiving intervention.)
A Randomized Phase II Trial of Weekly Topotecan With and Without AVE0005 (Aflibercept; NSC-724770) in Patients With Platinum Treated Extensive Stage Small Cell Lung Cancer (E-SCLC) [NCT00828139]Phase 2189 participants (Actual)Interventional2009-05-31Completed
A Dose Regimen-Finding Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Activity of Oral Topotecan With HM30181A Monotherapy in Patients With Advanced Malignancies [NCT03987685]Phase 110 participants (Actual)Interventional2018-07-19Completed
Randomized Phase III Trial on NIraparib-TSR-042 (Dostarlimab) vs Physician's Choice CHEmotherapy in Recurrent, Ovarian, Fallopian Tube or Primary Peritoneal Cancer Patients Not Candidate for Platinum Retreatment: NItCHE Trial (MITO 33) [NCT04679064]Phase 3427 participants (Anticipated)Interventional2020-12-01Recruiting
A Phase II Trial of SOM230(PasireotideLAR) and Topotecan in Patients With Relapsed or Refractory Small Cell Lung Cancer [NCT01417806]Phase 228 participants (Anticipated)Interventional2011-07-31Recruiting
Topotecan Plus Carboplatin im Vergleich Zur Standardtherapie (Paclitaxel Plus Carboplatin Oder Gemcitabin Plus Carboplatin) in Der Therapie Von Patientinnen Mit Platin-sensitivem Rezidivierten Epithelialen Ovarialkarzinom, Peritonealkarzinom Oder Tubenkar [NCT00437307]Phase 3550 participants (Actual)Interventional2007-03-31Completed
Open-label, Dose-escalation, Multiple Dosing Study to Evaluate the Safety, Tolerability, Immune Response and Pre Efficacy of BVAC-C in Patients With Multiple Metastatic Progressive or Recurrent HPV Type 16 or 18 Positive Cervical Cancer After Failure to S [NCT02866006]Phase 1/Phase 232 participants (Actual)Interventional2016-10-31Completed
International Phase II Studies of I-mIBG in Combination With Topotecan and Peripheral Blood Stem Cell Rescue for (A) Primary Resistant High Risk Neuroblastoma and (B) Relapsed Stage 4 Neuroblastoma [NCT00389766]Phase 20 participants (Actual)Interventional2008-07-31Withdrawn(stopped due to Withdrawn because protocol has been discontinued. It was never opened.)
A Limited Access Phase II Trial of Weekly Topotecan (NSC #609699), Paclitaxel (NSC #673089), and Cisplatin (NSC #119875) in the Treatment of Advanced, Persistent, or Recurrent Carcinoma of the Cervix [NCT00276796]Phase 266 participants (Anticipated)InterventionalCompleted
A Randomized Trial of Oral Topotecan Versus Docetaxel in Second-Line Treatment of Non-Small Cell Lung Cancer [NCT00193245]Phase 280 participants Interventional2000-11-30Completed
Phase II Trial of Weekly Topotecan in the First-line Treatment of Elderly Patients With Small Cell Lung Cancer [NCT00193401]Phase 240 participants Interventional2002-08-31Completed
A Phase I Study of ABT-888 in Combination With Topotecan Hydrochloride in Adults With Refractory Solid Tumors and Lymphomas [NCT00553189]Phase 131 participants (Actual)Interventional2007-08-09Completed
Phase II Study of the Activity of Weekly Paclitaxel, Topotecan Plus Oral Estramustine Phosphate in Metastatic Hormone-Refractory Prostate Carcinoma [NCT00084565]Phase 20 participants (Actual)Interventional2003-11-30Withdrawn(stopped due to Study was never activated at Fox Chase Cancer Center.)
A PHASE I STUDY OF PELVIC RADIATION THERAPY WITH CONCOMITANT WEEKLY CISPLATIN AND TOPOTECAN CHEMOTHERAPY IN PATIENTS WITH CERVICAL CARCINOMA WITHOUT EXTRA-PELVIC METASTASIS [NCT00054444]Phase 111 participants (Actual)Interventional2007-09-30Completed
A Phase II Study of Sequential Doxorubicin and Topotecan (Dox/Topo) in Relapsed or Refractory Intermediate- or High-Grade Non-Hodgkin's Lymphoma (NHL) [NCT00006125]Phase 20 participants Interventional2000-07-31Completed
NB2004 Trial Protocol for Risk Adapted Treatment of Children With Neuroblastoma [NCT00410631]Phase 3642 participants (Anticipated)Interventional2004-10-31Recruiting
A Phase I Pharmacokinetic Optimal Dosing Study of Intrathecal Topotecan for Children With Neoplastic Meningitis [NCT00674674]Phase 122 participants (Actual)Interventional2005-10-31Completed
DAREON™-9: A Phase Ib Open-label Dose Escalation and Dose Confirmation Safety Study of Intravenous BI 764532 in Combination With Topotecan for the Treatment of Patients With Small Cell Lung Cancer [NCT05990738]Phase 144 participants (Anticipated)Interventional2024-01-11Not yet recruiting
Therapy for Children With Advanced Stage High Risk Neuroblastoma [NCT00186849]Phase 230 participants (Actual)Interventional1997-10-31Completed
A Study of Children With Refractory or Relapsed Acute Lymphoblastic Leukemia (ALLR16) [NCT00187083]Phase 340 participants (Actual)Interventional1997-02-28Completed
Phase 3 Randomized Study of TLK286 (Telcyta) Versus Doxil/Caelyx or Hycamtin as Third-Line Therapy in Platinum Refractory or Resistant Ovarian Cancer [ASSIST-1 (Assessment of Survival In Solid Tumors-1)] [NCT00057720]Phase 3440 participants Interventional2003-06-30Completed
A Phase I Study of Oral Topotecan as a Radiosensitizing Agent in Patients With Rectal Cancer [NCT00158886]Phase 126 participants (Actual)Interventional2001-11-08Terminated
A Phase II Study of Topotecan in Children With Recurrent Wilms Tumor [NCT00187031]Phase 237 participants (Actual)Interventional2002-11-30Completed
National, Randomized, Phase II Study Comparing Efficacy of Weekly Administration of Paclitaxel in Monotherapy or in Combination With Topotecan or Carboplatin in Patients With Epithelial Ovarian Cancer in Early Relapse [NCT00189566]Phase 2165 participants (Anticipated)Interventional2004-04-30Completed
Phase 1 Study of Temozolomide Associated With Topotecan in Refractory or Relapsed Malignant Tumors in Children and Adolescents [NCT00412503]Phase 10 participants InterventionalCompleted
FORWARD I: A Randomized, Open Label Phase 3 Study to Evaluate the Safety and Efficacy of Mirvetuximab Soravtansine (IMGN853) Versus Investigator's Choice of Chemotherapy in Women With Folate Receptor Alpha Positive Advanced Epithelial Ovarian Cancer, Prim [NCT02631876]Phase 3366 participants (Actual)Interventional2016-03-02Completed
A Randomized, Open-Label, Multicenter, Phase 3 Study of Rovalpituzumab Tesirine Compared With Topotecan for Subjects With Advanced or Metastatic DLL3high Small Cell Lung Cancer (SCLC) Who Have First Disease Progression During or Following Front-Line Plati [NCT03061812]Phase 3444 participants (Actual)Interventional2017-04-11Completed
Evaluation of Topotecan in the Treatment of Persistent or Recurrent Carcinosarcoma (Mixed Mesodermal Tumors) of the Uterus [NCT00003156]Phase 20 participants Interventional1998-06-30Terminated
A Phase I Dose-Escalation Study of Topotecan and Ifosfamide in Patients With Refractory Non-Hematologic Malignancies. [NCT00003198]Phase 10 participants Interventional1997-11-30Completed
Phase 2 Study of Alisertib as a Single Agent in Recurrent or Progressive Central Nervous System (CNS) Atypical Teratoid Rhabdoid Tumors (AT/RT) and Extra-CNS Malignant Rhabdoid Tumors (MRT) and in Combination Therapy in Newly Diagnosed AT/RT [NCT02114229]Phase 2125 participants (Actual)Interventional2014-05-14Active, not recruiting
FLAT: Fludarabine, Cytarabine and Topotecan in Treating Patients With Refractory or Relapsed Acute Myeloid Leukemia [NCT00488709]Phase 447 participants (Actual)Interventional2003-05-31Completed
Phase I Study of Weekly Topotecan in Combination With Sorafenib in Treatment of Relapsed Small Cell Lung Cancer [NCT00466232]Phase 116 participants (Actual)Interventional2007-04-30Completed
A Phase I Study of Oral Topotecan in Subjects With Cancer and Impaired Renal Function [NCT00483860]Phase 159 participants (Actual)Interventional2007-06-20Completed
A Phase I Study of a Novel Chemotherapeutic Regimen: Topotecan, Ifosfamide and Carboplatin (TIC) in Children and Young Adults With Solid Tumors-- A Limited Multi-Institution Study [NCT00502892]Phase 12 participants (Actual)Interventional2004-08-31Completed
A Phase I, Open-Label, Study of the Safety and Tolerability of KU-0059436 and Topotecan in the Treatment of Patients With Advanced Solid Tumours [NCT00516438]Phase 148 participants (Anticipated)Interventional2007-07-31Completed
A Phase II Trial of Weekly Topotecan As Consolidation Therapy in Ovarian Cancer Patients After Initial Chemotherapy [NCT00194935]Phase 232 participants Interventional2003-02-28Terminated
Phase I Study of Concurrent Radiotherapy With Weekly Topotecan for Primary Treatment of Inoperable Localized Non-small Cell Lung Cancer (NSCLC) (Stage I to IIIA) [NCT00322751]Phase 110 participants (Anticipated)Interventional2006-04-30Completed
RESILIENT: A Randomized, Open Label Phase 3 Study of Irinotecan Liposome Injection (ONIVYDE®) Versus Topotecan in Patients With Small Cell Lung Cancer Who Have Progressed on or After Platinum-based First-Line Therapy [NCT03088813]Phase 3491 participants (Actual)Interventional2018-04-25Completed
A Phase I Trial of PS-341 in Combination With Topotecan in Advanced Solid Tumor Malignancies [NCT00541359]Phase 154 participants (Actual)Interventional2004-01-31Completed
A Phase 3, Multicenter, Open-Label, Randomized Study of Nemvaleukin Alfa in Combination With Pembrolizumab Versus Investigator's Choice Chemotherapy in Patients With Platinum-Resistant Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARTI [NCT05092360]Phase 3376 participants (Anticipated)Interventional2022-01-10Recruiting
Randomized Phase III Trial on Trabectedin (ET-743) vs Clinician's Choice Chemotherapy in Recurrent Ovarian, Primary Peritoneal or Fallopian Tube Cancers of BRCA Mutated or BRCAness Phenotype Patients [NCT02903004]Phase 3242 participants (Actual)Interventional2016-04-11Completed
A Phase I/II Study of Pazopanib and Weekly Topotecan in Patients With Platinum-resistant or Intermediate-sensitive Recurrent Ovarian Cancer [NCT01600573]Phase 1/Phase 268 participants (Anticipated)Interventional2012-05-31Recruiting
A Phase II Trial of Paclitaxel and Topotecan With Filgrastim in Patients With Recurrent or Refractory Glioblastoma Multiforme or Anaplastic Astrocytoma [NCT00002814]Phase 220 participants (Actual)Interventional1996-08-31Completed
A Phase I/II Study to Determine the Maximum Tolerated Doses of Oral Topotecan, Carboplatin and Paclitaxel Administered Every 21 Days to Patients With Epithelial Ovarian Cancer Stages IIb, IIc, III and IV [NCT00003732]Phase 280 participants (Anticipated)Interventional1998-09-30Completed
A Randomized Study of Purged Versus Unpurged Peripheral Blood Stem Cell Transplant Following Dose Intensive Induction Therapy for High Risk Neuroblastoma [NCT00004188]Phase 3495 participants (Actual)Interventional2001-02-28Completed
A Phase 1B, Open-Label, Dose Escalation Study Evaluating the Safety of BSI-201 in Combination With Chemotherapeutic Regimens in Subjects With Advanced Solid Tumors [NCT00422682]Phase 1136 participants (Actual)Interventional2007-01-31Completed
GSK - Doublet: A Phase I Study of Pegylated Liposomal Doxorubicin (Doxil) and Weekly Intravenous Topotecan in Patients With Advanced Solid Tumors [NCT00252889]Phase 120 participants (Actual)Interventional2004-05-31Completed
A Phase I Study of Adjuvant Topotecan and Cisplatin With Concurrent Radiation Therapy for Advanced Cervical Cancer [NCT00287911]Phase 118 participants (Actual)Interventional2005-02-28Completed
The Use Of Weekly Topotecan As Second Line Therapy In Small Cell Lung Cancer [NCT00087048]Phase 21 participants (Actual)Interventional2004-04-30Terminated(stopped due to Slow accrual)
A Phase II Study Of Higher Dose Weekly Topotecan In The Treatment Of Patients With Extensive Stage Small-Cell Lung Cancer [NCT00294190]Phase 238 participants (Actual)Interventional2006-02-28Completed
A Phase I Trial of the Dual Kinase Inhibitor GW572016 in Combination With Topotecan in Patients With Advanced Solid Malignancies [NCT00295243]Phase 125 participants (Anticipated)Interventional2004-09-30Completed
Topotecan-Monotherapy Vs. Topotecan + Etoposide Vs. Topotecan + Gemcitabine in Therapy in Patients With Recurrent Ovarian Cancer [NCT00312988]Phase 3450 participants Interventional2000-01-31Completed
A Phase 3 Trial of Balstilimab Versus Investigator Choice Chemotherapy in Patients With Recurrent Cervical Cancer After Platinum-Based Chemotherapy (BRAVA) [NCT04943627]Phase 30 participants (Actual)Interventional2021-08-02Withdrawn(stopped due to Strategic Business Decision)
Phase 2 Study of Weekly Topotecan With Docetaxel for Recurrent Small Cell Lung Cancer [NCT00315211]Phase 27 participants (Actual)Interventional2004-11-30Terminated(stopped due to Slow Accrual)
An Open-Label, Multicentre, Randomised, Phase III Study Comparing Topotecan/Cisplatin and Topotecan/Etoposide Versus Etoposide/Cisplatin as Treatment for Chemotherapy-naive Patients With Extensive Disease-Small Cell Lung Cancer [NCT00320359]Phase 3700 participants (Actual)Interventional2002-08-31Completed
A Phase I Study of Adjuvant Topotecan and Cisplatin With Concurrent Radiation Therapy for Advanced Cervical Cancer [NCT00320983]Phase 111 participants (Actual)Interventional2002-03-31Completed
A Phase III Randomized Trial of Adding Vincristine-Topotecan-Cyclophosphamide to Standard Chemotherapy in Initial Treatment of Non-Metastatic Ewing Sarcoma [NCT00334867]Phase 30 participants (Actual)Interventional2005-12-31Withdrawn(stopped due to withdrawn)
Weekly Administration of Topotecan in Combination With Gemcitabine in Patients With Platinum-resistant Ovarian Cancer [NCT00429559]Phase 1/Phase 231 participants (Actual)Interventional2006-06-30Completed
Neuroblastoma Protocol 2005: Therapy for Children With Advanced Stage High-Risk Neuroblastoma [NCT00135135]Phase 223 participants (Actual)Interventional2005-08-31Completed
A Phase I/II Study of Topotecan With G-CSF and Radiation Therapy in Children With Malignant Intrinsic Pontine Brainstem Gliomas of Childhood [NCT00107471]Phase 1/Phase 27 participants (Actual)Interventional2005-10-31Terminated(stopped due to The unpromising experience of the French group with topotecan given at a dosage of 0.4 mg/m2/day over 30 mins w/in 1 hr of radiation (Cancer 2005; 104: 2792).)
A Phase I Pharmacokinetic Optimal Dosing Study of Intraventricular Topotecan for Children With Neoplastic Meningitis [NCT00112619]Phase 119 participants (Actual)Interventional2005-08-31Terminated(stopped due to Slow accrual and company withdrawing support to supply the drug)
Toxicity and Activity of Periocular Topotecan in Children With Retinoblastoma [NCT00460876]Phase 15 participants (Actual)Interventional2007-03-31Completed
A Phase I Dose Escalation Trial of Clofarabine in Addition to Topotecan, Vinorelbine, Thiotepa, and Dexamethasone in Pediatric Patients With Relapsed or Refractory Acute Leukemia [NCT00462787]Phase 123 participants (Actual)Interventional2007-04-30Completed
Salvage Treatment With Topotecan in Patients With Irinotecan-Refractory Small Cell Lung Cancer [NCT00502762]Phase 20 participants Interventional2004-09-30Active, not recruiting
A Phase 3, Randomized, Open-Label Study of Combination Therapy With Avutometinib Plus Defactinib Versus Investigator's Choice of Treatment in Patients With Recurrent Low-Grade Serous Ovarian Cancer (LGSOC) (RAMP 301) [NCT06072781]Phase 3270 participants (Anticipated)Interventional2023-12-31Recruiting
A Phase II Study of Intrathecal Topotecan (NSC #609699) in Patients With Refractory Meningeal Malignancies [NCT00005811]Phase 277 participants (Actual)Interventional2000-04-30Completed
Phase II Trial of Topotecan, Cisplatin and Bevacizumab for Recurrent/Persistent Cervical Cancer [NCT00548418]Phase 227 participants (Actual)Interventional2007-02-28Completed
A Phase Ib Open Label Study of the Safety and Tolerability of ME-344 Given in Combination With Topotecan (Hycamtin®) in Patients With Solid Tumors [NCT02100007]Phase 1/Phase 246 participants (Actual)Interventional2014-04-30Terminated(stopped due to lack of efficacy)
Continuous Infusion Topotecan With Erlotinib for Topotecan Pretreated Ovarian Cancer: Tumor Features and Phase II/Pharmacokinetic Evaluation [NCT01003938]Phase 26 participants (Actual)Interventional2009-08-31Terminated(stopped due to due to administrative issue and financial sponsor decision to suspend ovarian cancer studies)
Phase I and Pharmacokinetic Study of the Farnesyl Transferase Inhibitor, R115777, in Combination With Topotecan [NCT00005990]Phase 10 participants Interventional2000-08-31Completed
Trial Protocol for the Treatment of Children With High Risk Neuroblastoma (NB2004-HR) [NCT00526318]360 participants (Anticipated)Interventional2007-01-31Recruiting
Phase I/II Open-Label, Dose Escalation Study To Determine The Maximum Tolerated Dose And To Evaluate The Safety Profile of Lenalidomide (Revlimid®) With Topotecan In Subjects With Advanced Ovarian and Primary Peritoneal Carcinoma [NCT00179712]Phase 1/Phase 260 participants Interventional2005-04-30Completed
A Phase I Study of Weekly Topotecan in Combination With Carboplatin in Two Different Schedules for Patients With Refractory and/or Advanced Solid Tumors [NCT00193583]Phase 118 participants Interventional2003-05-31Completed
Phase II Trial- Weekly Taxotere and Topotecan for Recurrent Ovarian, Primary Peritoneal, Endometrial and Uterine Cancers [NCT00231855]Phase 231 participants Interventional2004-11-30Completed
A Phase 1/2 Trial of ABT-888, an Inhibitor of Poly(ADP-ribose) Polymerase (PARP), and Topotecan (TPT) in Patients With Solid Tumors (Phase 1) and Relapsed Ovarian Cancer or Primary Peritoneal Cancer (Phase 2) After Prior Platinum Containing First-Line Che [NCT01012817]Phase 1/Phase 288 participants (Actual)Interventional2009-11-03Active, not recruiting
Phase I Study of Intrathecal Topotecan [NCT00001333]Phase 130 participants Interventional1993-02-28Completed
Study of Topoisomerase Inhibition in the Treatment of Acute Leukemia [NCT00100477]Phase 210 participants (Actual)Interventional1998-08-31Completed
An Open-Label, Multicenter, Randomized, Phase II Study of Topotecan/Paclitaxel vs Etoposide/Cisplatin as First-Line Therapy for Patients With Extensive Disease Small Cell Lung Cancer [NCT00006374]Phase 20 participants (Actual)Interventional1999-10-31Withdrawn(stopped due to Slow accrual)
A Phase I/II Combination Study of Topotecan, Fludarabine, Cytosine Arabinoside and G-CSF (T-FLAG) Induction Therapy in Patients With Poor Prognosis AML, MDS and Relapsed/Refractory ALL Followed by Maintenance of Either PBSC Transplant or 13 Cis-Retinoic A [NCT00003619]Phase 1/Phase 20 participants Interventional1998-02-28Completed
Phase II Trial of Salvage Chemotherapy With Temozolomide in Combination With Topotecan for Primary CNS Lymphoma [NCT00109798]0 participants (Actual)Interventional2005-03-31Withdrawn(stopped due to Sub-Investigator reloacted to another institution)
A Pilot Trial of Oral Topotecan for the Treatment of Refractory Advanced Solid Neoplasms Expressing HIF-1 Alpha [NCT00117013]Phase 116 participants (Actual)Interventional2005-06-28Completed
A Prospective Matched Cohort Study of Intravitreal Topotecan in the Repair of Rhegmatogenous Retinal Detachment With Proliferative Vitreoretinopathy [NCT05523869]Phase 250 participants (Anticipated)Interventional2023-02-23Recruiting
An International Multicenter Phase II Randomised Trial Evaluating and Comparing Two Intensification Treatment Strategies for Metastatic Neuroblastoma Patients With a Poor Response to Induction Chemotherapy [NCT03165292]Phase 234 participants (Actual)Interventional2018-10-01Terminated(stopped due to The Sponsor has been notified of an interruption in the international supply, and there is a possibility that 131I-mlBG would be unavailable to patients randomised to arm A of the trial)
A Phase II Study of Paclitaxel and Topotecan With Filgrastim-SD/01 Support For Patients With Relapsed and Refractory Aggressive Non-Hodgkin's Lymphoma [NCT00038545]Phase 225 participants (Actual)Interventional2001-05-18Completed
An Open-Label, Multicenter, Randomized, Phase III Study Comparing Oral Topotecan/Cisplatin Versus Etoposide/Cisplatin as Treatment for Chemotherapy-naive Patients With Extensive Disease-Small Cell Lung Cancer. [NCT00043927]Phase 3760 participants Interventional2001-04-30Completed
A Phase I Study of UCN-01 in Combination With Topotecan in Patients With Solid Tumors [NCT00045175]Phase 133 participants (Actual)Interventional2002-06-30Completed
A Study to Determine the Bioequivalence of an Oral Formulation of Topotecan Containing the Drug Substance Manufactured by New Process Relative to the Current Study Formulation of Topotecan in Patients With Advanced Solid Tumors [NCT00046111]Phase 11 participants (Actual)Interventional2001-09-30Completed
Phase II Study of Fludarabine, Carboplatin, and Topotecan With Thalidomide for Patients With Relapsed/Refractory or High Risk Acute Myelogenous Leukemia, Chronic Myeloid Leukemia and Advanced Myelodysplastic Syndromes [NCT00053287]Phase 242 participants (Actual)Interventional2002-09-30Completed
An Open-Label, Multicentre, Phase II Study of TVD as Treatment for Children With Stage 4 Neuroblastoma Failing to Respond to First-Line Treatment According to HR-NBL-01/ E-SIOP [Topotecan-Vincristine-Doxorubicin in Children With Stage 4 Neuroblastoma Fail [NCT00392340]Phase 263 participants (Anticipated)Interventional2008-03-31Active, not recruiting
Phase I/II Study of High Dose Topotecan, Mitoxantrone and Thiotepa (TMT) Followed by Autologous Stem Cell Transplant in Patients With Recurrent Platinum Resistant Ovarian Cancer [NCT00003297]Phase 1/Phase 250 participants (Anticipated)Interventional1997-12-31Completed
An Open-Label, Multicentre, Randomised, Phase III Comparator Study of Active Symptom Control Alone or in Combination With Oral Topotecan in Patients With Relapsed Resistant SCLC [NCT00276276]Phase 3141 participants Interventional2000-11-30Completed
A Phase II, Open, Randomized Multicenter Trial to Assess the Efficacy and Tolerability of Intravenous ZD9331 Given as Monotherapy (at Two Doses) or in Combination With Topotecan, in Patients With Ovarian Cancer Refractory or Recurrent After Failing Platin [NCT00014690]Phase 20 participants Interventional2001-03-31Completed
Phase II Study of Sequential Topotecan-Carboplatin-Etoposide in Patients With Extensive Stage Small Cell Lung Cancer [NCT00025272]Phase 214 participants (Actual)Interventional2001-11-01Completed
A Phase I Study Of Seven Day Continuous Intrathecal/Intraventricular Infusion Of Topotecan For Patients With Recurrent, Progressive Or Refractory Leptomingeal Disease [NCT00025311]Phase 10 participants Interventional2001-05-31Completed
A Phase 1b Study of the Dual MDMX/MDM2 Inhibitor, ALRN-6924, for the Prevention of Chemotherapy-induced Myelosuppression [NCT04022876]Phase 135 participants (Actual)Interventional2019-09-03Terminated(stopped due to With a favorable safety profile the difference between treatment groups for the primary composite endpoint was not sufficient to generate statistically significant results with the targeted sample size)
A Phase III Study of Cisplatin Plus Topotecan Followed by Paclitaxel Plus Carboplatin Versus Paclitaxel Plus Carboplatin as First Line Chemotherapy in Women With Newly Diagnosed Advanced Epithelial Ovarian Cancer [NCT00028743]Phase 3819 participants (Actual)Interventional2001-08-31Completed
Paclitaxel/Topotecan/Etoposide (EtopoTax) Induction Followed by Consolidation Chemoradiotherapy for Limited Stage Small Cell Lung Cancer: A Phase II Study [NCT00033696]Phase 265 participants (Actual)Interventional2001-09-30Completed
N8: Dose-Intensive Chemotherapy Plus Biologics in the Treatment of Neuroblastoma [NCT00040872]Phase 20 participants Interventional2000-06-30Completed
Phase II Study of Dose Attenuated Chemotherapy in Patients With Lung Cancer and Age > 70 and/or Comorbidities [NCT05800587]Phase 2280 participants (Anticipated)Interventional2023-02-22Recruiting
An Open-Label, Multicentre, Randomised, Phase III Study Comparing Oral Topotecan to Intravenous Docetaxel in Patients With Pretreated Advanced Non Small Cell Lung Cancer [NCT00049998]Phase 3760 participants Interventional2001-10-31Completed
Phase I Study of Oral Topotecan as Consolidation for Patients With Mullerian Origin Tumors (Ovary, Tube, Peritoneum) [NCT00055614]Phase 120 participants (Anticipated)Interventional2002-05-31Completed
Phase II Trial of Oral Topotecan and Intravenous Carboplatin With G-CSF (Filgrastim) Support in Previously Untreated Patients With Extensive Stage Small Cell Lung Cancer [NCT00028925]Phase 227 participants (Actual)Interventional2001-11-30Completed
Phase I Treatment of Adults With Primary Malignant Glioma With Topotecan (NSC #609699) Plus BCNU (NSC #409962) [NCT00002986]Phase 136 participants (Anticipated)Interventional1997-02-28Completed
Phase II Study of Continuous Infusion Carboplatin and Topotecan in the Treamtment of Relapsed Acute Myelogenous Leukemia (AML) [NCT00003255]Phase 238 participants (Actual)Interventional1999-11-30Completed
A Pilot Induction Regimen Incorporating Topotecan for Treatment of Newly Diagnosed High Risk Neuroblastoma [NCT00070200]Phase 131 participants (Actual)Interventional2004-03-31Completed
A Phase II Study of UCN-01 in Combination With Topotecan in Patients With Advanced Ovarian Cancer [NCT00072267]Phase 20 participants Interventional2004-01-31Completed
A Dose Finding Phase I Trial of the Combination of Topotecan and PS-341, a Novel Proteasome Inhibitor, in Advanced Malignancies [NCT00068484]Phase 125 participants (Actual)Interventional2003-07-31Completed
An Open-Label, Multicenter, Randomized, Phase III Study Comparing Oral Topotecan/Cisplatin Versus Etoposide/Cisplatin As Treatment For Chemotherapy-Naive Patients With Extensive Disease - Small Cell Lung [NCT00041015]Phase 34 participants (Actual)Interventional2001-09-30Completed
A Phase I Study of Oral Topotecan as a Radiosensitizing Agent in Patients With Rectal Carcinoma [NCT00215956]Phase 131 participants (Actual)Interventional2001-11-30Completed
Phase II Trial for the Treatment of Recurrent or Persistent Platinum-Refractory Ovarian, Fallopian Tube, or Primary Peritoneal Cancer With Gemcitabine and Topotecan [NCT00217555]Phase 20 participants Interventional2002-07-31Completed
a Multicenter Clinical Trial for the Treatment of Children and Adolescents With Soft Tissue Sarcoma Stage 4 [NCT00130858]Phase 290 participants (Anticipated)Interventional2005-01-31Completed
Topotecan Weekly Versus Topotecan Day 1-5 in Patient With Platin-resistant Ovarian Cancer [NCT00170677]Phase 2194 participants (Actual)Interventional2005-09-30Completed
A Phase II Study of a Three-Day Schedule of Topotecan Plus Paclitaxel and Carboplatin on Day Three in the Initial Treatment of Advanced Ovarian and Primary Peritoneal Carcinoma [NCT00193297]Phase 250 participants Interventional2002-02-28Completed
A Phase I Study of Topotecan in Combination With Docetaxel in Patients With Refractory and/or Advanced Solid Tumors [NCT00193570]Phase 120 participants Interventional2002-02-28Completed
Phase II Evaluation of Three-Day Topotecan (NSC 609699) in Recurrent Platinum-Sensitive Ovarian or Primary Peritoneal Cancer [NCT00005029]Phase 20 participants Interventional2000-02-29Terminated
MC1365, A Randomized Phase II Trial of a Genetically Engineered NIS-Expressing Strain of Measles Virus Versus Investigator's Choice Chemotherapy for Patients With Platinum-Resistant Ovarian, Fallopian, or Peritoneal Cancer [NCT02364713]Phase 266 participants (Anticipated)Interventional2015-03-13Active, not recruiting
Pilot Trial of Intratumorally-Administered Topotecan Using Convection-Enhanced Delivery (CED) in Patients With Suspected Recurrent/Progressive World Health Organization (WHO) Grade III or IV (High Grade) Glioma Undergoing Stereotactic Biopsy (IND 117,240) [NCT03193463]Early Phase 10 participants (Actual)Interventional2017-11-03Withdrawn(stopped due to PI left institution)
A Phase I Trial of Oral Metronomic Topotecan in Combination With Oral Pazopanib Utilizing a Daily Dosing Schedule to Treat Recurrent or Persistent Gynecologic Tumors [NCT00800345]Phase 133 participants (Actual)Interventional2009-04-30Completed
Chronic Convection Enhanced Delivery of Topotecan for Recurrent High Grade Gliomas [NCT03154996]Phase 15 participants (Actual)Interventional2018-01-18Completed
Phase I/II Study in Patients With Small Cell Lung Cancer (SCLC) of Veliparib in Combination With Topotecan [NCT03227016]Phase 130 participants (Anticipated)Interventional2016-10-31Recruiting
A Phase III Randomized Trial of Adding Vincristine-Topotecan-Cyclophosphamide to Standard Chemotherapy in Initial Treatment of Non-Metastatic Ewing Sarcoma [NCT01231906]Phase 3642 participants (Actual)Interventional2010-11-22Active, not recruiting
A Study to Determine the Bioequivalence of an Oral Formulation of Topotecan Containing the Drug Substance Manufactured by New Process Relative to the Current Study Formulation of Topotecan in Patients With Advanced Solid Tumors (4C) [NCT00259935]Phase 1107 participants (Actual)Interventional2004-10-04Completed
A Pilot Trial of Intraparenchymally-Administered Topotecan Using Convection-Enhanced Delivery (CED) in Patients With Suspected Recurrent/Progressive WHO Grade III or IV (High Grade) Glioma Requiring Stereotactic Biopsy [NCT02278510]Early Phase 13 participants (Actual)Interventional2014-12-09Completed
Clinical Benefit of Topoisomerase Downregulation: A Phase I Pilot Study [NCT00250094]Phase 115 participants (Actual)Interventional2004-05-31Completed
Phase I Study of Weekly Topotecan in Women With Progressive or Recurrent Ovarian Cancer and a Poor Performance Status [NCT00287859]Phase 15 participants (Actual)Interventional2004-08-31Terminated(stopped due to Withdrawn due to low accrual)
A Pilot Study of Weekly IV Topotecan and Cisplatin With Concurrent Pelvic Radiation in the Treatment of Stages IB2 - IVA Cervical Carcinoma [NCT00257816]Phase 212 participants (Actual)Interventional2004-01-31Completed
A Phase I Study of Topotecan in Combination With Pemetrexed in Patients With Advanced Malignancies [NCT00315861]Phase 115 participants (Anticipated)Interventional2006-03-31Completed
A Phase I Study of Topotecan in Combination With Vinorelbine in Recurrent Lung Cancer [NCT00287963]Phase 118 participants (Actual)Interventional2004-02-29Completed
A Phase 1b, Multicenter Study to Determine the Dose, Safety, Efficacy and Pharmacokinetics of TRK-950 When Used in Combinations With Selected Anti-Cancer Treatment Regimens in Patients With Selected Advanced Solid Tumors [NCT03872947]Phase 1169 participants (Anticipated)Interventional2019-04-26Recruiting
Cisplatin Induction Followed by Paclitaxel Consolidation for the Treatment of Stage III and IV Epithelial Ovarian Cancer and Primary Peritoneal Cancer With In Vitro Correlates of Response [NCT00314678]Phase 240 participants (Anticipated)Interventional2005-09-30Completed
A Phase IIb, Randomized, Open, Parallel-Group, Multi-Center Trial to Assess the Efficacy and Safety of Belotecan(CamtoBell Inj.) or Topotecan in Patients With Relapsed Small Cell Lung Cancer [NCT01497873]Phase 2164 participants (Actual)Interventional2010-09-30Completed
A Phase Ⅱb, Randomized, Open, Parallel-Group, Multi-Center Trial to Assess the Efficacy and Safety of Belotecan(CamtoBell Inj.) or Topotecan in Patients With Recurrent or Refractory Ovarian Cancer [NCT01630018]Phase 2141 participants (Actual)Interventional2011-01-31Completed
An Open Label, Multicenter, Randomized, Phase III Comparator Study of Oral Topotecan Versus Intravenous Topotecan for Second Line Therapy in Patients With Small Cell Lung Cancer Who Have Relapsed Greater Than or Equal to 90 Days After Completion of First [NCT00003917]Phase 34 participants (Actual)Interventional1999-03-31Completed
A Phase I Study of ARQ 197 in Combination With IV Topotecan in Advanced Solid Tumors With an Expansion Cohort in Small Cell Lung Cancer [NCT01654965]Phase 117 participants (Actual)Interventional2012-07-24Completed
Veliparib (ABT888) and Topotecan (Hycamtin®) for Patients With Platinum-Resistant or Partially Platinum-Sensitive Relapse of Epithelial Ovarian Cancer With Negative or Unknown BRCA Status [NCT01690598]Phase 1/Phase 222 participants (Actual)Interventional2012-11-30Completed
Phase II Individualized Therapies Selection Study for Patients With Metastatic Colorectal Carcinoma According to the Genomic Expression Profile in Tumor Samples. [NCT01703910]Phase 229 participants (Actual)Interventional2012-11-30Completed
Phase II Trial of Chemotherapy With Temozolomide in Combination With Topotecan for Central Nervous System (CNS) Metastasis of Solid Tumors [NCT01736800]Phase 20 participants (Actual)Interventional2007-03-31Withdrawn(stopped due to No enrollment and PI requested study termination per IRB system.)
A Phase III Randomized Trial Of Paclitaxel And Carboplatin Versus Triplet Or Sequential Doublet Combinations In Patients With Epithelial Ovarian Or Primary Peritoneal Carcinoma [NCT00011986]Phase 34,312 participants (Actual)Interventional2001-01-31Completed
A Phase I Study to Characterize the Pharmacokinetics of 4 mg/m2 Weekly Intravenous Topotecan in Patients With Cancer [NCT00361803]Phase 115 participants (Actual)Interventional2006-09-12Completed
A Phase II Study of UCN-01 in Combination With Topotecan in Patients With SCLC Who Relapsed or Progressed >= 3 Months After Completing First-Line Platinum-Based Chemotherapy [NCT00098956]Phase 219 participants (Actual)Interventional2005-01-31Completed
Phase III Randomized Clinical Trial of Lurbinectedin (PM01183) Versus Pegylated Liposomal Doxorubicin or Topotecan in Patients With Platinum-resistant Ovarian Cancer (CORAIL Trial) [NCT02421588]Phase 3442 participants (Actual)Interventional2015-05-31Completed
A Phase 1 Study Using Simvastatin in Combination With Topotecan and Cyclophosphamide in Relapsed and/or Refractory Pediatric Solid and CNS Tumors [NCT02390843]Phase 113 participants (Actual)Interventional2015-02-28Completed
A Two-Part, Randomized Phase III, Double-Blind, Multicenter Trial Assessing The Efficacy And Safety of Pertuzumab In Combination With Standard Chemotherapy Vs. Placebo Plus Standard Chemotherapy In Women With Recurrent Platinum-Resistant Epithelial Ovaria [NCT01684878]Phase 3208 participants (Actual)Interventional2012-10-22Completed
New Therapeutic Strategies for Patients With Ewing's Sarcoma Family of Tumors, High Risk Rhabdomyosarcoma, and Neuroblastoma [NCT00001335]Phase 290 participants Interventional1993-04-30Completed
PHASE I STUDY OF TOPOTECAN AND THORACIC RADIATION [NCT00002625]Phase 15 participants (Actual)Interventional1995-03-31Completed
INTENSIVE THERAPY WITH GROWTH FACTOR SUPPORT FOR PATIENTS WITH EWING'S TUMOR METASTATIC AT DIAGNOSIS: A PEDIATRIC ONCOLOGY GROUP PHASE II STUDY [NCT00002643]Phase 2130 participants (Actual)Interventional1995-04-30Completed
Phase I Dose Escalation and Expansion Study of Tazemetostat in Combination With Topotecan and Pembrolizumab in Recurrent Small Cell Lung Cancer [NCT05353439]Phase 160 participants (Anticipated)Interventional2022-07-27Recruiting
PHASE I STUDY OF PACLITAXEL COMBINED WITH TOPOTECAN AND CISPLATIN AND G-CSF IN PATIENTS WITH NEWLY DIAGNOSED ADVANCED OVARIAN EPITHELIAL MALIGNANCIES [NCT00002913]Phase 130 participants (Actual)Interventional1996-12-31Completed
An Open-label, Randomized, Phase 3 Study of Nivolumab or Chemotherapy in Subjects With Relapsed Small-cell Lung Cancer After Platinum-based First Line Chemotherapy (CheckMate 331: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 331) [NCT02481830]Phase 3569 participants (Actual)Interventional2015-09-14Completed
A Pilot Study of Intra-Ophthalmic Artery Topotecan Infusion for the Treatment of Retinoblastoma [NCT01466855]Early Phase 136 participants (Actual)Interventional2011-10-31Terminated(stopped due to Competing studies)
A Phase II Randomized Trial of Carboplatin and Topotecan; Flavopiridol, Mitoxantrone and Cytosine Arabinoside; and Sirolimus, Mitoxantrone, Etoposide and Cytosine Arabinoside for the Treatment of Adults With Primary Refractory or Initial Relapse of Acute [NCT00634244]Phase 292 participants (Actual)Interventional2008-10-31Completed
A Phase I Study of ABT-888 in Combination With Topotecan Plus Carboplatin for High-Risk Myeloproliferative Disorders and AML Out of Myeloproliferative Disorders [NCT00588991]Phase 112 participants (Actual)Interventional2007-11-28Active, not recruiting
PHASE I STUDY OF INTERFERON ENHANCED INTRAPERITONEAL RADIOIMMUNO-CHEMOTHERAPY FOR OVARIAN CANCER [NCT00002734]Phase 130 participants (Actual)Interventional1996-03-31Completed
Phase I/II Study of Topotecan (SKF 104864) With Recombinant GM-CSF (Sargramostim) Used as a Priming Agent in Advanced Malignancies [NCT00002950]Phase 1/Phase 225 participants (Anticipated)Interventional1996-09-26Completed
Phase I-II Study of Tandem Cycles of High Dose Chemotherapy Followed by Autologous Hematopoietic Stem Cell Support in Women With Persistent, Refractory or Recurrent Advanced (Stage III or IV), Epithelial Ovarian Cancer [NCT00003064]Phase 1/Phase 230 participants (Anticipated)Interventional1997-01-31Active, not recruiting
Randomized Study of Vincristine, Actinomycin-D, and Cyclophosphamide (VAC) Versus VAC Alternating With Vincristine, Topotecan and Cyclophosphamide for Patients With Intermediate Risk Rhabdomyosarcoma [NCT00003958]Phase 3702 participants (Actual)Interventional2002-09-30Completed
Treatment for Extrachoroidal or Metastatic Retinoblastoma [NCT00004006]Phase 24 participants (Actual)Interventional1997-11-30Completed
A Phase II Study of Cyclophosphamide Followed by Topotecan in Patients With Refractory or Relapsed Acute Myelogenous Leukemia [NCT00003340]Phase 20 participants Interventional1997-11-30Completed
A Phase I Study of Gemcitabine/Topotecan in Combination in Refractory Ovarian Cancer or Cancer of the Fallopian Tube [NCT00003382]Phase 10 participants Interventional1998-05-31Terminated
Phase I/IIA Study of Sequential Ifosfamide and Topotecan in Patients With Small Cell Lung Cancer [NCT00004186]Phase 1/Phase 255 participants (Anticipated)Interventional1996-12-31Completed
A Phase I Feasibility Trial of Carboplatin and Topotecan Followed by Carboplatin and Paclitaxel (Sequential Doublets) in Patients With Previously Untreated Epithelial Ovarian Carcinoma and Primary Peritoneal Carcinoma [NCT00005026]Phase 10 participants Interventional2000-02-29Completed
A Randomised Phase IIb Trial of Bevacizumab Added to Temozolomide ± Irinotecan for Children With Refractory/Relapsed Neuroblastoma - BEACON-Neuroblastoma Trial [NCT02308527]Phase 2225 participants (Actual)Interventional2013-07-31Active, not recruiting
Risk-Adapted Therapy for Young Children With Embryonal Brain Tumors, Choroid Plexus Carcinoma, High Grade Glioma or Ependymoma [NCT00602667]Phase 2293 participants (Actual)Interventional2007-12-17Active, not recruiting
Phase 1 Study of 9-ING-41, a Glycogen Synthase Kinase 3 Beta (GSK 3β) Inhibitor, as a Single Agent or With Irinotecan, Irinotecan Plus Temozolomide, or With Cyclophosphamide Plus Topotecan in Pediatric Patients With Refractory Malignancies. [NCT04239092]Phase 168 participants (Anticipated)Interventional2020-06-05Active, not recruiting
Topotecan Plus Apatinib Versus Topotecan Alone as Second-line Therapy in Small-cell Lung Cancer [NCT02980809]Phase 260 participants (Anticipated)Interventional2017-03-31Not yet recruiting
Evaluation of the Addition of N-Acetylcysteine to Topotecan in the Tumor Microenvironment of Persistent or Recurrent High Grade Endometrioid or Serous Ovarian Carcinoma [NCT02569957]Phase 21 participants (Actual)Interventional2015-10-02Terminated(stopped due to The trial was halted prematurely due to slow accrual.)
Phase II Study of Weekly Topotecan With Bevacizumab in Platinum Resistant Recurrent Ovarian, Fallopian Tube and Primary Peritoneal Cancers [NCT00343044]Phase 240 participants (Actual)Interventional2006-06-30Completed
Pilot Study of High-Dose Chemotherapy With Busulfan, Melphalan, and Topotecan Followed by Autologous Hematopoietic Stem Cell Transplant in Advanced Stage and Recurrent Tumors [NCT00638898]Phase 125 participants (Actual)Interventional2007-02-26Active, not recruiting
A Phase I/II, Multicenter, Open-Label, Multi-Arm Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Preliminary Activity of Idasanutlin in Combination With Either Chemotherapy or Venetoclax in the Treatment of Pediatric and Young Adult Patie [NCT04029688]Phase 1/Phase 2183 participants (Anticipated)Interventional2020-01-27Recruiting
A Phase 3, Randomized, Open-Label, Comparative Bridging Study of CAELYX® Versus Topotecan HCl in Subjects With Epithelial Ovarian Carcinoma Following Failure of First-Line, Platinum-Based Chemotherapy [NCT01840943]Phase 332 participants (Actual)Interventional2013-06-30Terminated(stopped due to the study was terminated due to medication supply issue from current manufacturer)
Phase I Trial of Sequential Topotecan(NSC 609699)and Etoposide for Patients With Relapsed, Refractory,or High Risk Acute Myeloid or Lymphoid Leukemia [NCT00002588]Phase 130 participants (Actual)Interventional1994-08-31Completed
A Phase I Study of High Dose Topotecan With Filgrastim and Peripheral Blood Stem Cell Support for Patients With Refractory Malignancies [NCT00002948]Phase 10 participants Interventional1996-10-31Terminated
An Open, Comparative Phase II Study of Immediate Versus Delayed Treatment With Topotecan HCl Given as a Continuous 21-Day Infusion Every 28 Days to Patients With AIDS-Related Progressive Multifocal Leukoencephalopathy [NCT00002395]Phase 254 participants InterventionalCompleted
Myeloablative Chemotherapy With Bone Marrow Rescue For Rare Poor-Prognosis Cancers [NCT00002515]Phase 20 participants Interventional1992-10-31Completed
A PHASE I STUDY OF PROLONGED LOW-DOSE TOPOTECAN INFUSION COMBINED WITH PACLITAXEL (TAXOL) [NCT00002587]Phase 120 participants (Actual)Interventional1994-09-30Completed
A Phase I Study of Thiotepa in Combination With Carboplatin and Topotecan With Peripheral Blood Progenitor Cell Support for the Treatment of Children With Recurrent or Refractory Solid Tumors. [NCT00003194]Phase 124 participants (Anticipated)Interventional1997-07-31Terminated(stopped due to Study enrollment did not meet expected goals)
A Phase II Trial Using Multiple Cycles of High Dose Sequential Carboplatin, Paclitaxel and Topotecan With Peripheral Blood Stem Cell (PBSC) Support as Initial Chemotherapy in Patients With Suboptimally Debulked Stage III or IV Ovarian, Fallopian Tube or P [NCT00003944]Phase 23 participants (Actual)Interventional1998-08-31Completed
Topotecan/Paclitaxel Induction Followed by Consolidation Chemoradiotherapy for Limited Stage Small Cell Lung Cancer: A Phase II Study [NCT00003812]Phase 275 participants (Actual)Interventional1999-03-31Completed
A Phase I/II Study of Intensive-Dose Etoposide, Topotecan and Carboplatin (ETC) Followed by Autologous Stem Cell Rescue in Chemosensitive Ovarian Cancer Patients With Either Minimal Residual Disease or at First Relapse [NCT00005612]Phase 1/Phase 23 participants (Actual)Interventional1999-08-31Terminated(stopped due to Low accrual)
A Study of Intensive-Dose Melphalan, Topotecan, and VP-16 Phosphate (MTV) Followed by Autologous Stem Cell Rescue in Patients With Multiple Myeloma [NCT00005792]Phase 1131 participants (Actual)Interventional1998-06-02Completed
A Phase II Trial of High Dose Paclitaxel, Carboplatin and Topotecan With Peripheral Blood Stem Cell Support in Extensive Stage Small Cell Cancer [NCT00003943]Phase 23 participants (Actual)Interventional1998-09-30Completed
A Phase I Study of Sequential Prolonged Oral Topotecan (IND# 58,131) and Prolonged Oral Etoposide as Second Line Therapy in Ovarian, Peritoneal or Tubal Carcinoma [NCT00003967]Phase 124 participants (Anticipated)Interventional1999-09-30Completed
A Phase II Study of Sequential Carboplatin, Paclitaxel and Hycamtin in Patients With Previously Untreated Advanced Ovarian Cancer [NCT00003733]Phase 240 participants (Anticipated)Interventional1997-12-31Active, not recruiting
A Phase I Study of Low Dose Continuous Infusion Topotecan in Combination With 5-Fluorouracil and Leucovorin for Advanced Malignancies [NCT00003331]Phase 130 participants (Anticipated)Interventional1998-01-31Completed
Phase I Study of Fludarabine, Carboplatin, and Topotecan for Patients With Relapsed/Refractory Acute Leukemia and Advanced Myelodysplastic Syndromes [NCT00005593]Phase 131 participants (Actual)Interventional1998-09-30Completed
A Protocol For Nonmetastatic Rhabdomyosarcoma [RMS-2005] [NCT00379457]Phase 3600 participants (Anticipated)Interventional2006-06-30Recruiting
A PHASE I STUDY OF PROLONGED LOW-DOSE TOPOTECAN INFUSION COMBINED WITH CHEST IRRADIATION [NCT00002537]Phase 120 participants (Actual)Interventional1993-09-30Completed
PHASE I STUDY OF CONTINUOUS INFUSION CARBOPLATIN AND TOPOTECAN IN THE TREATMENT OF RELAPSED ACUTE LEUKEMIA AND BLAST CRISIS CHRONIC MYELOGENOUS LEUKEMIA [NCT00002693]Phase 10 participants Interventional1995-10-31Completed
TOPOTECAN FOR CHILDREN WITH REFRACTORY LEUKEMIA, A PEDIATRIC ONCOLOGY GROUP PHASE I COOPERATIVE AGREEMENT STUDY [NCT00002705]Phase 13 participants (Actual)Interventional1996-04-30Completed
A Phase II, Open-label, Single-arm Study of Berzosertib (M6620) in Combination With Topotecan in Participants With Relapsed Platinum-resistant Small-Cell Lung Cancer (DDRiver SCLC 250) [NCT04768296]Phase 276 participants (Actual)Interventional2021-03-29Completed
A Randomized Phase III Study of Cisplatin Versus Cisplatin Plus Topotecan Versus MVAC in Stage IVB, Recurrent or Persistent Squamous Cell Carcinoma of the Cervix [NCT00003945]Phase 3400 participants (Anticipated)Interventional1999-06-30Completed
A Randomized Phase II Trial of Oral Topotecan Given Twice a Day for 5 Days or Once a Day for 10 Days to Patients With Myelodysplastic Syndromes (MDS) [NCT00003675]Phase 2100 participants (Actual)Interventional1999-03-31Completed
Phase II Trial of Paclitaxel, Carboplatin and Topotecan With G-CSF in Untreated Patients With Extensive Small Cell Lung Cancer [NCT00004137]Phase 288 participants (Actual)Interventional1999-10-31Completed
A Phase II Trial Using Multiple Cycles of High Dose Sequential Carboplatin, Paclitaxel and Topotecan With Peripheral Blood Stem Cell (PBSC) Support as Initial Chemotherapy in Patients With Optimally Debulked Stage III Ovarian and Primary Peritoneal Carcin [NCT00004221]Phase 212 participants (Actual)Interventional1999-11-30Terminated
A Phase II Study of Oral Topotecan in Children With Relapsed Acute Leukemia [NCT00003735]Phase 211 participants (Actual)Interventional1998-12-31Completed
A Phase I/II Study of Induction Chemotherapy With Daunorubicin, Cytarabine, Topotecan and Etoposide (DATE) for De Novo AML: In the Treatment of Young Patients Ages 16-59 [NCT00005793]Phase 1/Phase 241 participants (Actual)Interventional1999-07-31Completed
A Phase 1 Study of Aurora Kinase A Inhibitor LY3295668 Erbumine as a Single Agent and in Combination in Patients With Relapsed/Refractory Neuroblastoma [NCT04106219]Phase 171 participants (Anticipated)Interventional2020-06-11Active, not recruiting
A Safety Pilot Study of High Risk Induction Chemotherapy for Neuroblastoma Without Prophylactic Administration of Myeloid Growth Factors [NCT02786719]13 participants (Actual)Interventional2016-06-30Completed
Randomized Phase II Study of Single Agent OSI-906, an Oral, Small Molecule, Tyrosine Kinase Inhibitor (TKI) of the Insulin Growth Factor-1 Receptor (IGF-1R) Versus Topotecan for the Treatment of Patients With Relapsed Small Cell Lung Cancer (SCLC) [NCT01533181]Phase 244 participants (Actual)Interventional2012-02-29Completed
A Phase I/II Trial of Topotecan With VX-970 (M6620), an ATR Kinase Inhibitor in Small Cell Cancers [NCT02487095]Phase 1/Phase 262 participants (Actual)Interventional2015-07-30Active, not recruiting
A Randomized Non-comparative Phase II Study of Anti-PDL1 ATEZOLIZUMAB (MPDL3280A) or Chemotherapy as Second-line Therapy in Patients With Small Cell Lung Cancer (SCLC) [NCT03059667]Phase 273 participants (Actual)Interventional2017-03-13Completed
Combination Chemotherapy Followed by Stem Cell Transplant and Isotretinoin in Treating Young Patients With High-risk Neuroblastoma [NCT03042429]Phase 3360 participants (Actual)Interventional2007-01-01Completed
Phase I Sustained-Release Topotecan Episcleral Plaque (Chemoplaque) for Retinoblastoma [NCT04428879]Phase 130 participants (Anticipated)Interventional2020-06-16Recruiting
Phase I/II Study of Combined Treatment With Amifostine (Ethyol) and Topotecan (Hycamtin MS) in Patients With Myelodysplastic Syndrome [NCT00003415]Phase 1/Phase 226 participants (Anticipated)Interventional1998-09-30Completed
A Phase II Study of Continuous 21 Day Infusion of Topotecan (NSC # 609699) in Children With Relapsed Solid Tumors [NCT00003745]Phase 2125 participants (Actual)Interventional1999-05-31Completed
A Pilot Study Of Hycamtin (Topotecan) And Thalomid (Thalidomide) In Patients With Recurrent Malignant Gliomas [NCT00014443]Phase 25 participants (Anticipated)Interventional2000-08-31Terminated(stopped due to Poor enrollment)
Phase I/II Study of Oral Topotecan and Intravenous Paclitaxel in Patients With Advanced Non-Small Cell Lung Cancer (Phases I and II) and Other Advanced Solid Tumors (Phase I Only) [NCT00004979]Phase 1/Phase 20 participants InterventionalCompleted
A Phase II Randomized Trial of Immunologic and Chemotherapeutic Agents for Treatment of Patients With Relapsed or Refractory Acute Myelogenous Leukemia [NCT00005962]Phase 20 participants Interventional2000-10-04Completed
A Phase II Trial of Topotecan and Carboplatin in the First-Line Treatment of Patients With Extensive Stage Small Cell Lung Cancer [NCT00305942]Phase 261 participants (Actual)Interventional2006-03-31Completed
Phase III Randomized Clinical Trial of Lurbinectedin (PM01183)/Doxorubicin Versus Cyclophosphamide, Doxorubicin and Vincristine (CAV) or Topotecan as Treatment in Patients With Small-Cell Lung Cancer (SCLC) Who Failed One Prior Platinum-containing Line (A [NCT02566993]Phase 3613 participants (Actual)Interventional2016-08-30Completed
Safety Run-In and Phase II Trial of M7824 and Topotecan or Temozolomide in Relapsed Small Cell Cancers [NCT03554473]Phase 1/Phase 267 participants (Anticipated)Interventional2018-09-11Recruiting
A Randomized Phase III Trial of Cisplatin Plus Paclitaxel With and Without NCI-Supplied Bevacizumab (NSC #704865) Versus the Non-platinum Doublet, Topotecan Plus Paclitaxel, With and Without NCI-Supplied Bevacizumab, in Stage IVB, Recurrent or Persistent [NCT00803062]Phase 3452 participants (Actual)Interventional2009-04-30Completed
Randomized Phase II Trial of Topotecan Plus M6620 (VX-970, Berzosertib) vs. Topotecan Alone in Patients With Relapsed Small-Cell Lung Cancer [NCT03896503]Phase 298 participants (Anticipated)Interventional2019-08-23Active, not recruiting
Neuroblastoma Protocol 2012: Therapy for Children With Advanced Stage High-Risk Neuroblastoma [NCT01857934]Phase 2153 participants (Actual)Interventional2013-07-05Active, not recruiting
A Phase I Study of Sirolimus in Combination With Oral Cyclophosphamide and Oral Topotecan in Children and Young Adults With Relapsed and Refractory Solid Tumors [NCT01670175]Phase 121 participants (Actual)Interventional2012-08-31Completed
A Phase II Evaluation of Weekly Topotecan Hydrochloride (Hycamtin®, NSC #609699) in the Treatment of Persistent or Recurrent Carcinoma of the Cervix [NCT00087126]Phase 227 participants (Actual)Interventional2005-02-28Completed
A Randomized, Open-label, Phase 3 Study of Tarlatamab Compared With Standard of Care in Subjects With Relapsed Small Cell Lung Cancer After Platinum-based First-line Chemotherapy [NCT05740566]Phase 3700 participants (Anticipated)Interventional2023-05-31Recruiting
Phase II Investigation of Topotecan and Taxol in Patients With Recurrent/Metastatic Cancer of the Cervix [NCT00003065]Phase 225 participants (Anticipated)Interventional1997-01-31Completed
Phase II Trial of Oral Topotecan and Paclitaxel With G-CSF (Filgrastim) Support in Patients With Previously Untreated Extensive-Stage Small Cell Lung Cancer [NCT00004055]Phase 238 participants (Actual)Interventional1999-11-30Completed
Phase II Trial of Topotecan and Paclitaxel in Previously Treated Patients With Relapsed Small Cell Lung Cancer [NCT00003281]Phase 284 participants (Actual)Interventional1998-04-30Completed
Phase I Evaluation of Topotecan in Combination With Paclitaxel and Carboplatin [NCT00005021]Phase 117 participants (Actual)Interventional1996-07-31Completed
Phase II Study of First-Line Therapy of Ovarian Cancer With Sequential Regimens: Cisplatin-Prolonged Oral Topotecan (C-PORT) Followed by Paclitaxel/Carboplatin (PC) [NCT00005051]Phase 20 participants Interventional1999-08-31Completed
Treatment of Poor Risk Myelodysplasia With the Combination of Amifostine, Topotecan and ARA-C: A Phase II Study [NCT00003827]Phase 225 participants (Anticipated)Interventional1999-01-31Active, not recruiting
A Randomized, Open-Label, Phase 3 Trial of Tisotumab Vedotin vs Investigator's Choice Chemotherapy in Second- or Third-Line Recurrent or Metastatic Cervical Cancer [NCT04697628]Phase 3556 participants (Anticipated)Interventional2021-02-22Recruiting
A Pilot Study of Whole-body MRI-guided Intensity Modulated Radiation Therapy Combined With Systemic Chemotherapy Followed by High-Dose Chemotherapy With Busulfan, Melphalan and Topotecan and Stem Cell Rescue in Patients With Poor Risk Ewing's Sarcoma [NCT01795430]0 participants (Actual)Interventional2013-07-31Withdrawn(stopped due to No participants enrolled.)
A Phase I, Dosage-finding and Pharmacokinetic Study of Intravenous Topotecan and Oral Erlotinib in Adults With Refractory Solid Tumors [NCT00611468]Phase 129 participants (Actual)Interventional2006-06-30Completed
A Phase II Trial of Cyclophosphamide, Topotecan, and Bevacizumab (CTB) in Patients With Relapsed/Refractory Ewing's Sarcoma and Neuroblastoma [NCT01492673]Phase 29 participants (Actual)Interventional2011-12-31Completed
A Randomized Phase II Study of IV Topotecan Versus CRLX101 in the Second Line Treatment of Recurrent Small Cell Lung Cancer [NCT01803269]Phase 229 participants (Actual)Interventional2013-01-16Terminated(stopped due to Due to lack of activity and slow accrual)
Real-World Effectiveness of Bevacizumab Based on AURELIA in Platinum-resistant Recurrent Ovarian Cancer [NCT03367182]50 participants (Actual)Observational2017-09-01Completed
GALOP II Protocol for the Treatment of Unilateral Retinoblastoma [NCT03475121]Phase 3200 participants (Anticipated)Interventional2018-01-01Recruiting
A Randomized, Controlled, Open-Label, Phase 2 Trial of SGI-110 and Carboplatin in Subjects With Platinum-Resistant Recurrent Ovarian Cancer [NCT01696032]Phase 2120 participants (Actual)Interventional2012-09-30Completed
Randomized Phase II Study of Cabazitaxel Versus Topotecan in Small Cell Lung Cancer Patients With Progressive Disease During or After a First Line Platinum Based Chemotherapy [NCT01500720]Phase 2179 participants (Actual)Interventional2012-03-31Completed
A Phase I Study of SGT-53, a TfRscFv-Liposome-p53 Complex, in Children With Refractory or Recurrent Solid Tumors [NCT02354547]Phase 118 participants (Anticipated)Interventional2014-12-31Suspended
A Randomized, Double-Blind, Placebo-Controlled Study of Trilaciclib vs Placebo in Patients With Extensive Stage Small Cell Lung Cancer (ES-SCLC) Receiving Topotecan Chemotherapy [NCT05874401]Phase 4302 participants (Anticipated)Interventional2023-10-18Recruiting
SJiMB21: Phase 2 Study of Molecular and Clinical Risk-Directed Therapy for Infants and Young Children With Newly Diagnosed Medulloblastoma [NCT05535166]Phase 2120 participants (Anticipated)Interventional2022-12-20Recruiting
A Phase 1/2a/3 Evaluation of the Safety and Efficacy of Adding AL3818 (Anlotinib, INN: Catequentinib), a Dual Receptor Tyrosine Kinase Inhibitor, to Standard Platinum-Based Chemotherapy in Subjects With Recurrent or Metastatic Endometrial, Ovarian, Fallop [NCT02584478]Phase 3294 participants (Actual)Interventional2015-12-31Active, not recruiting
A Pilot Trial of Intraparenchymally-Administered Topotecan Using Convection-Enhanced Delivery (CED) in Patients With Suspected Recurrent/Progressive WHO Grade III or IV (High Grade) Glioma Undergoing A Clinically-Indicated Surgical Resection (IND 117,240) [NCT02500459]Early Phase 19 participants (Actual)Interventional2015-07-06Terminated(stopped due to PI Left institution)
A Phase II Study of Pazopanib With Oral Topotecan in Patients With Metastatic and Non-resectable Soft Tissue and Bone Sarcomas [NCT02357810]Phase 2178 participants (Actual)Interventional2015-03-21Completed
Multicenter, Prospective Phase-I/II-study: Topotecan and Carboplatin in the Therapy of Patients With Relapsed Ovarian Cancer [NCT00170625]Phase 1/Phase 228 participants (Actual)Interventional2004-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00011986 (3) [back to overview]Progression-free Survival
NCT00011986 (3) [back to overview]Number of Participants With Observed Adverse Effects (Grade 3 and Above) Assessed by Common Toxicity Criteria Version 2.0
NCT00011986 (3) [back to overview]Overall Survival
NCT00057837 (3) [back to overview]Overall Survival
NCT00057837 (3) [back to overview]Duration of Response
NCT00057837 (3) [back to overview]Proportion of Patients With Objective Response by Solid Tumor Response Criteria (RECIST)
NCT00064077 (5) [back to overview]Duration of Progression-free Survival (PFS)
NCT00064077 (5) [back to overview]Pain, Assessed by Brief Pain Inventory
NCT00064077 (5) [back to overview]Patient Reported Neurotoxicity Symptoms as Measured With the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - Neurotoxicity Subscale (Short Version) (FACT/GOG-Ntx Subscale).
NCT00064077 (5) [back to overview]Patient-reported Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT)-Cervical Trial Outcome of Index (FACT-Cx TOI)
NCT00064077 (5) [back to overview]Duration of Overall Survival (OS)
NCT00065182 (5) [back to overview]Number of Participants With Grade 3 or 4 Clinical Chemical Toxicities
NCT00065182 (5) [back to overview]Number of Participants With Grade 1, 2, 3 or 4 Hematologic Toxicities
NCT00065182 (5) [back to overview]Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
NCT00065182 (5) [back to overview]Number of Participants With Clinically Significant Abnormal Vital Signs Data
NCT00065182 (5) [back to overview]Median Time of Overall Survival
NCT00087126 (2) [back to overview]Proportion of Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0
NCT00087126 (2) [back to overview]Number of Participants With Adverse Effects as Assessed by Common Terminology Criteria for Adverse Events Version 3.0
NCT00098956 (3) [back to overview]Adverse Events, Graded Using the CTCAE Version 3.0
NCT00098956 (3) [back to overview]Objective Response Rates (Complete and Partial) Evaluated Using RECIST Criteria
NCT00098956 (3) [back to overview]Stable Disease Rate Evaluated Using RECIST Criteria
NCT00114166 (3) [back to overview]Number of Participants With Adverse Effects (Grade 3 or Higher) as Assessed by Common Toxicity Criteria for Adverse Events Version 2.0
NCT00114166 (3) [back to overview]Objective Tumor Response
NCT00114166 (3) [back to overview]Reason Off Study Therapy
NCT00170625 (2) [back to overview]Toxicity
NCT00170625 (2) [back to overview]Progression-free Survival
NCT00186888 (27) [back to overview]Event-free Survival of Eyes in Stratum A and Stratum B Patients Based on IC Classification
NCT00186888 (27) [back to overview]Event-free Survival of Eyes in Stratum B Patients Responding to Window Treatment
NCT00186888 (27) [back to overview]Event-free Survival of Eyes of Stratum B Patients
NCT00186888 (27) [back to overview]Event-free Survival of Stratum A Patients
NCT00186888 (27) [back to overview]Event-free Survival of Stratum B Patients Responding to Window Treatment
NCT00186888 (27) [back to overview]Event-free Survival Per Eye in Stratum A and Stratum B Patients Based on AJCC Classification
NCT00186888 (27) [back to overview]Mean Primary Visual Cortex Function: Cluster Size
NCT00186888 (27) [back to overview]Mean Primary Visual Cortex Function: Maximum T-value
NCT00186888 (27) [back to overview]Ocular Survival of Eyes in Stratum A and Stratum B Patients Based on IC Classification
NCT00186888 (27) [back to overview]Ocular Survival of Eyes in Stratum B Patients Responding to Window Treatment
NCT00186888 (27) [back to overview]Ocular Survival of Eyes of Stratum B Patients
NCT00186888 (27) [back to overview]Ocular Survival of Stratum A Patients
NCT00186888 (27) [back to overview]Ocular Survival of Stratum B Patients Responding to Window Treatment
NCT00186888 (27) [back to overview]Ocular Survival Per Eye in Stratum A and Stratum B Patients Based on AJCC Classification
NCT00186888 (27) [back to overview]Relationship Between Topotecan Clearance (CL) and ABCG2/B1 Genotype in Stratum B Participants.
NCT00186888 (27) [back to overview]Relationship Between Topotecan Clearance (CL) and CYP3A4/5 Genotype in Stratum B Participants.
NCT00186888 (27) [back to overview]Change in Distortion Product Otoacoustic Emissions (DPOAEs)
NCT00186888 (27) [back to overview]Change in Parenting Stress Index (PSI)
NCT00186888 (27) [back to overview]Number of Participants With Change in Size of Pineal Gland
NCT00186888 (27) [back to overview]Number of Participants With Development of Pineal Cysts
NCT00186888 (27) [back to overview]Number of Patients Recommended for and Utilizing Rehabilitation Services
NCT00186888 (27) [back to overview]Stratum B Response to Window Therapy
NCT00186888 (27) [back to overview]Stratum B Response Rate of Early Stage Eyes to Window Therapy
NCT00186888 (27) [back to overview]Assessment of School Readiness
NCT00186888 (27) [back to overview]Change in Cognitive Functioning
NCT00186888 (27) [back to overview]Change in Parent Report of Social-Emotional Factors
NCT00186888 (27) [back to overview]Change in Relevant Daily Living Skills
NCT00267488 (4) [back to overview]Best Overall Response
NCT00267488 (4) [back to overview]Time to Progression
NCT00267488 (4) [back to overview]Safety and Tolerability as Summarized Through Adverse Event Reporting
NCT00267488 (4) [back to overview]Overall Survival
NCT00305942 (3) [back to overview]Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
NCT00305942 (3) [back to overview]Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
NCT00305942 (3) [back to overview]Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
NCT00313612 (2) [back to overview]Time to Disease Progression by RECIST and/or CA 125
NCT00313612 (2) [back to overview]Clinical Response Rate (Complete and Partial Response by RECIST and/or CA [Cancer Antigen] 125)
NCT00316173 (6) [back to overview]Number of Participants Who Died From the Start of Treatment to Follow-up
NCT00316173 (6) [back to overview]Number of Participants With the Indicated Response
NCT00316173 (6) [back to overview]Duration of Response
NCT00316173 (6) [back to overview]Progression-free Survival
NCT00316173 (6) [back to overview]The Number of Participants Classified as Responders in Cancer Antigen 125 (CA-125)
NCT00316173 (6) [back to overview]Time to Response
NCT00316186 (5) [back to overview]Grade 1 (Mild) Hematological Toxicities
NCT00316186 (5) [back to overview]Grade 2 (Moderate) Hematological Toxicities
NCT00316186 (5) [back to overview]Grade 3 (Severe) Hematological Toxicities
NCT00316186 (5) [back to overview]Grade 4 (Life-threatening or Disabling) Hematological Toxicities
NCT00316186 (5) [back to overview]Overall Response Rate, as Determined by Radiologic Evaluation (Utilizing the World Health Organization [WHO] Criteria), Calculated as the Number of Participants With the Indicated Response
NCT00317772 (3) [back to overview]Dose Limiting Toxicity (DLT)
NCT00317772 (3) [back to overview]Maximum Tolerated Dose (MTD) of Topotecan
NCT00317772 (3) [back to overview]Response Rate
NCT00325416 (4) [back to overview]Phase II Event Free Survival (EFS)
NCT00325416 (4) [back to overview]Phase II Overall Survival (OS)
NCT00325416 (4) [back to overview]Phase II Participants - Overall Response Rate
NCT00325416 (4) [back to overview]Phase I - Maximum Tolerated Dose (MTD) Level
NCT00343044 (4) [back to overview]Number or Participants With Toxicity
NCT00343044 (4) [back to overview]Objective Response Rate
NCT00343044 (4) [back to overview]Evaluation of Overall Survival
NCT00343044 (4) [back to overview]Progression Free Survival
NCT00365547 (5) [back to overview]Median Duration of Response
NCT00365547 (5) [back to overview]Number of Tumor Responders
NCT00365547 (5) [back to overview]Median Time to Response
NCT00365547 (5) [back to overview]Median Time to Disease Progression
NCT00365547 (5) [back to overview]Median Overall Survival
NCT00382733 (3) [back to overview]Best Overall Response
NCT00382733 (3) [back to overview]Maximum Tolerated Dose (MTD) of Single Agent Metronomic Oral Topotecan
NCT00382733 (3) [back to overview]Dose Limiting Toxicities (DLT)
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Strength (Right Lower Extremity) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Strength (Right Upper Extremity) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Worst-case Change From Baseline in the Indicated Chemistry Parameters With Respect to the Normal Range
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Vertigo at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants Who Died or Progressed
NCT00390806 (29) [back to overview]Overall Survival
NCT00390806 (29) [back to overview]Six-month Survival
NCT00390806 (29) [back to overview]Time to Progression (TTP) (All Sites of Disease-radiologic)
NCT00390806 (29) [back to overview]Time to Progression (TTP) (CNS-radiologic)
NCT00390806 (29) [back to overview]Time to Response (TTR) (CNS-radiologic)
NCT00390806 (29) [back to overview]Number of Participants Who Ranked Each Individual Indicated Neurological Sign and Symptom as None, Mild, Moderate, or Severe at Months 1 and 3
NCT00390806 (29) [back to overview]Number of Participants With a Complete Response (CR) or a Partial Response (PR) (Central Nervous System [CNS]-Radiologic)
NCT00390806 (29) [back to overview]Number of Participants With Any Adverse Event (AE; Both Serious and Non-serious) or Serious Adverse Event (SAE)
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Dizziness/Lightheadedness at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Headache at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Level of Consciousness at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Nausea/Vomiting at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Other Neurological Symptoms at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Seizure at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Visual Problem at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Ataxia (Balance) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Ataxia (Gait) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Ataxia (Left Upper Extremity: Finger to Nose Testing) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Ataxia (Right Upper Extremity: Finger to Nose Testing) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Cranial Nerves II-XII at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Language (Dysphasia or Aphasia) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Sensation at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Strength (Left Lower Extremity) at Baseline, Month 1, and Month 3
NCT00390806 (29) [back to overview]Number of Participants With the Indicated Investigator Assessment of Strength (Left Upper Extremity) at Baseline, Month 1, and Month 3
NCT00436644 (4) [back to overview]Overall Survival
NCT00436644 (4) [back to overview]Response Rate (Complete Response (CR) or Partial Response (PR))
NCT00436644 (4) [back to overview]Time to Progression
NCT00436644 (4) [back to overview]Adverse Event Profile
NCT00437073 (2) [back to overview]Number of Participants With the Indicated Central Nervous System (CNS) Objective Response (OR)
NCT00437073 (2) [back to overview]Number of Participants With the Indicated CNS Responses
NCT00499616 (14) [back to overview]Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Event Free Survival (EFS)
NCT00499616 (14) [back to overview]Outcome of Patients With Stage 4S Neuroblastoma Who Are Unable to Undergo Biopsy for Biology-based Risk Assignment
NCT00499616 (14) [back to overview]Definitive Determination of the Prognostic Ability of 1p and 11q
NCT00499616 (14) [back to overview]Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Surgical Complication Rate
NCT00499616 (14) [back to overview]Definitive Determination of the Prognostic Ability of 1p and 11q
NCT00499616 (14) [back to overview]Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Overall Survival (OS) Rates
NCT00499616 (14) [back to overview]Second-Overall Survival
NCT00499616 (14) [back to overview]Second-event-free Survival (E2FS)
NCT00499616 (14) [back to overview]Reduced Surgical Morbidity for Patients With Stage 4S Neuroblastoma
NCT00499616 (14) [back to overview]Overall Survival (OS) Rates
NCT00499616 (14) [back to overview]Neurologic Symptoms
NCT00499616 (14) [back to overview]Image Defined Risk Factor (IDRF)
NCT00499616 (14) [back to overview]Comparison Between Reduce Intensity of Therapy for Patients With Unfavorable Histology Neuroblastoma and Patients Unfavorable Histology Neuroblastoma Treated on COG-A3961
NCT00499616 (14) [back to overview]Comparison Between Reduce Intensity of Therapy for Patients With Stage 4 Neuroblastoma and Favorable Biological Features and Patients < 1 Year of Age With Stage 4 Neuroblastoma Treated on COG-A3961
NCT00516295 (2) [back to overview]The Occurrence of Limiting Toxicity in an Eligible and Evaluable Patient.
NCT00516295 (2) [back to overview]Time to Disease Progression in Patients Receiving VTC With or Without Bevacizumab
NCT00521144 (1) [back to overview]Overall Response Rate (Phase II)
NCT00526799 (5) [back to overview]Maximum Tolerated Dose (MTD)
NCT00526799 (5) [back to overview]Clinical Benefit
NCT00526799 (5) [back to overview]Duration of Stable Disease
NCT00526799 (5) [back to overview]Percentage of Participants With Response
NCT00526799 (5) [back to overview]Progression-free Survival
NCT00548418 (3) [back to overview]Anti-tumor Activity as Measured by Surviving Progression-free
NCT00548418 (3) [back to overview]Overall Survival
NCT00548418 (3) [back to overview]Frequency of Response as Measured by RECIST Criteria (Imaging)
NCT00567567 (14) [back to overview]Intraspinal Extension
NCT00567567 (14) [back to overview]Duration of Greater Than or Equal to Grade 3 Neutropenia
NCT00567567 (14) [back to overview]Type of Surgical or Radiotherapy Complication
NCT00567567 (14) [back to overview]Topotecan Systemic Clearance
NCT00567567 (14) [back to overview]Surgical Response
NCT00567567 (14) [back to overview]Duration of Greater Than or Equal to Grade 3 Thrombocytopenia
NCT00567567 (14) [back to overview]Response After Induction Therapy
NCT00567567 (14) [back to overview]Proportion of Patients With a Polymorphism
NCT00567567 (14) [back to overview]Enumeration of Peripheral Blood Cluster of Differentiation (CD)3, CD4, and CD8 Cells
NCT00567567 (14) [back to overview]Peak Serum Concentration of Isotretinoin in Patients Enrolled on Either A3973, ANBL0032, ANBL0931, ANBL0532 and Future High Risk Studies
NCT00567567 (14) [back to overview]OS in Patients 12-18 Months, Stage 4, MYCN Nonamplified Tumor/Unfavorable Histopathology/Diploid DNA Content/Indeterminant Histology/Ploidy and Patients > 547 Days, Stage 3, MYCN Nonamplified Tumor AND Unfavorable Histopathology/Indeterminant Histology
NCT00567567 (14) [back to overview]EFS Pts Non-randomly Assigned to Single CEM (12-18 Mths, Stg. 4, MYCN Nonamplified Tumor/Unfavorable or Indeterminant Histopathology/Diploid DNA Content & Pts>547 Days, Stg.3, MYCN Nonamplified Tumor AND Unfavorable or Indeterminant Histopathology).
NCT00567567 (14) [back to overview]Event-free Survival Rate
NCT00567567 (14) [back to overview]Incidence Rate of Local Recurrence
NCT00601003 (1) [back to overview]Number of Participants With Related Adverse Events as a Measure of Safety and Tolerability
NCT00602667 (62) [back to overview]Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 3
NCT00602667 (62) [back to overview]Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 4
NCT00602667 (62) [back to overview]Methotrexate Volume of Central Compartment in Induction Cycle 1
NCT00602667 (62) [back to overview]Methotrexate Volume of Central Compartment in Induction Cycle 2
NCT00602667 (62) [back to overview]Event-free Survival (EFS) Compared to Historical Controls
NCT00602667 (62) [back to overview]Erlotinib AUC0-24h
NCT00602667 (62) [back to overview]Erlotinib Apparent Volume of Central Compartment
NCT00602667 (62) [back to overview]Erlotinib Apparent Oral Clearance
NCT00602667 (62) [back to overview]Cyclophosphamide Clearance in Induction Chemotherapy
NCT00602667 (62) [back to overview]Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 2
NCT00602667 (62) [back to overview]Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 1
NCT00602667 (62) [back to overview]Methotrexate Volume of Central Compartment in Induction Cycle 3
NCT00602667 (62) [back to overview]Methotrexate Volume of Central Compartment in Induction Cycle 4
NCT00602667 (62) [back to overview]OSI-420 AUC0-24h
NCT00602667 (62) [back to overview]Overall Survival (OS) Compared to Historical Controls
NCT00602667 (62) [back to overview]Participants With Empirical Dosage Achieving Target System Exposure of Intravenous Topotecan
NCT00602667 (62) [back to overview]Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1
NCT00602667 (62) [back to overview]Cyclophosphamide AUC0-24h in Induction Chemotherapy
NCT00602667 (62) [back to overview]Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2
NCT00602667 (62) [back to overview]Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1
NCT00602667 (62) [back to overview]Cyclophosphamide Apparent Oral Clearance in Maintenance Chemotherapy Cycle A1
NCT00602667 (62) [back to overview]Participants With PK-guided Dosage Adjustment Achieving Target System Exposure of Intravenous Topotecan
NCT00602667 (62) [back to overview]Percent of Patients With Sustained Objective Responses Rate After Consolidation
NCT00602667 (62) [back to overview]Percent Probability of Event-free Survival (EFS) for Medulloblastoma Patients
NCT00602667 (62) [back to overview]4-OH Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1
NCT00602667 (62) [back to overview]Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients
NCT00602667 (62) [back to overview]Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation Subgroup
NCT00602667 (62) [back to overview]Percentage of Patients With Objective Responses Rate to Induction Chemotherapy
NCT00602667 (62) [back to overview]Rate of Distant Disease Progression
NCT00602667 (62) [back to overview]Rate of Local Disease Progression
NCT00602667 (62) [back to overview]Topotecan Apparent Oral Clearance in Maintenance Chemotherapy
NCT00602667 (62) [back to overview]Topotecan AUC0-24h in Consolidation Chemotherapy
NCT00602667 (62) [back to overview]Topotecan AUC0-24h in Maintenance Chemotherapy
NCT00602667 (62) [back to overview]Topotecan Clearance in Consolidation Chemotherapy
NCT00602667 (62) [back to overview]Concentration of Cerebrospinal Fluid Neurotransmitters
NCT00602667 (62) [back to overview]Number and Type of Genetic Polymorphisms
NCT00602667 (62) [back to overview]Number of Participants With Chromosomal Abnormalities
NCT00602667 (62) [back to overview]Number of Successful Collections for Frozen and Fixed Tumor Samples
NCT00602667 (62) [back to overview]Numbers of Patients With Gene Alterations
NCT00602667 (62) [back to overview]Numbers of Patients With Molecular Abnormalities by Tumor Type
NCT00602667 (62) [back to overview]Pharmacogenetic Variation on Central Nervous System Transmitters
NCT00602667 (62) [back to overview]Percent of PET Scans With Loss of Signal Intensity
NCT00602667 (62) [back to overview]CEPM AUC0-24h in Maintenance Chemotherapy Cycle A1
NCT00602667 (62) [back to overview]CEPM AUC0-24h in Induction Chemotherapy
NCT00602667 (62) [back to overview]Methotrexate AUC0-66h in Induction Cycle 3
NCT00602667 (62) [back to overview]CEPM AUC0-24h in Consolidation Chemotherapy Cycle 2
NCT00602667 (62) [back to overview]CEPM AUC0-24h in Consolidation Chemotherapy Cycle 1
NCT00602667 (62) [back to overview]Feasibility and Toxicity of Administering Oral Maintenance Therapy in Children <3 Years of Age as Measured by the Percentage of Total Scheduled Maintenance Doses Received
NCT00602667 (62) [back to overview]4-OH Cyclophosphamide AUC0-24h in Induction Chemotherapy
NCT00602667 (62) [back to overview]4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2
NCT00602667 (62) [back to overview]4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1
NCT00602667 (62) [back to overview]Feasibility and Toxicity of Administering Consolidation Therapy Including Cyclophosphamide and Pharmacokinetically Targeted Topotecan to Patients With Metastatic Disease Based on the Percentage of Courses Delayed for More Than 7 Days Due to Toxicity
NCT00602667 (62) [back to overview]Feasibility and Toxicity of Administering Vinblastine With Induction Chemotherapy for Patients With Metastatic Disease as Measured by the Percentage of Courses Delayed for More Than 7 Days Due to Toxicity
NCT00602667 (62) [back to overview]Methotrexate AUC0-66h in Induction Cycle 1
NCT00602667 (62) [back to overview]Methotrexate AUC0-66h in Induction Cycle 2
NCT00602667 (62) [back to overview]Methotrexate AUC0-66h in Induction Cycle 4
NCT00602667 (62) [back to overview]Methotrexate Clearance in Induction Cycle 1
NCT00602667 (62) [back to overview]Methotrexate Clearance in Induction Cycle 2
NCT00602667 (62) [back to overview]Methotrexate Clearance in Induction Cycle 3
NCT00602667 (62) [back to overview]Methotrexate Clearance in Induction Cycle 4
NCT00602667 (62) [back to overview]Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 1
NCT00602667 (62) [back to overview]Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 2
NCT00611468 (7) [back to overview]Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Mean Clearance)
NCT00611468 (7) [back to overview]Pharmacogenetic Analysis (CYP3A4/5 Polymorphisms, UGT1A1, BCRP, and MDR1 Genotypes)
NCT00611468 (7) [back to overview]Objective Response (as Determined Using RECIST 1.0 Criteria)
NCT00611468 (7) [back to overview]Dosage Limiting Toxicities
NCT00611468 (7) [back to overview]Maximum Tolerated Dosage (MTD) of Intravenous Topotecan When Given in Combination With Oral Erlotinib
NCT00611468 (7) [back to overview]Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Renal Clearance)
NCT00611468 (7) [back to overview]Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Dose-Normalized AUC)
NCT00618813 (5) [back to overview]Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Enrollment to Week 12
NCT00618813 (5) [back to overview]Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Week 29 to Week 37
NCT00618813 (5) [back to overview]Incidence of Death
NCT00618813 (5) [back to overview]Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Week 23 to Week 28
NCT00618813 (5) [back to overview]Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Week 13 to Week 22
NCT00634244 (2) [back to overview]The Rate of Complete Remission (CR+CRi)
NCT00634244 (2) [back to overview]The Rate of Treatment Failure
NCT00698516 (7) [back to overview]Duration of Tumor Response (CR and PR)
NCT00698516 (7) [back to overview]Time to Tumor Response (CR and PR)
NCT00698516 (7) [back to overview]Number of Participants With a Tumor Response (CR and PR)
NCT00698516 (7) [back to overview]Overall Survival
NCT00698516 (7) [back to overview]Percentage of Participants With Progression-free Survival (PFS) at 3 Months
NCT00698516 (7) [back to overview]PFS - Overall
NCT00698516 (7) [back to overview]Number of Participants With Complete Response (CR), Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD)
NCT00720096 (2) [back to overview]Interpret Genomic Array
NCT00720096 (2) [back to overview]Assess Feasibility
NCT00800345 (2) [back to overview]Dose Limiting Toxicity (DLT)
NCT00800345 (2) [back to overview]Treatment Response
NCT00803062 (4) [back to overview]To Determine and Compare the Frequency and Severity of Adverse Events as Assessed by CTCAE Version 3.0 for the Regimens Administered on This Study.
NCT00803062 (4) [back to overview]Progression-free Survival
NCT00803062 (4) [back to overview]Overall Survival
NCT00803062 (4) [back to overview]Tumor Response
NCT00828139 (4) [back to overview]Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drugs
NCT00828139 (4) [back to overview]Progression-free Survival (PFS)
NCT00828139 (4) [back to overview]Overall Survival
NCT00828139 (4) [back to overview]Response Rate (Confirmed and Unconfirmed, Complete and Partial Responses)
NCT00976911 (7) [back to overview]Overall Survival (Data Cutoff 25 January 2013)
NCT00976911 (7) [back to overview]Duration of Objective Response (Data Cutoff 14 November 2011)
NCT00976911 (7) [back to overview]Percentage of Participants Who Died (Data Cutoff 25 January 2013)
NCT00976911 (7) [back to overview]Percentage of Participants With Best Overall Confirmed Objective Response of Complete Response (CR) or Partial Response (PR) Per Modified RECIST (Data Cutoff 14 November 2011)
NCT00976911 (7) [back to overview]Progression Free Survival (PFS; Data Cutoff 14 November 2011)
NCT00976911 (7) [back to overview]Percentage of Participants With Disease Progression or Death (Data Cutoff 14 November 2011)
NCT00976911 (7) [back to overview]European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Ovarian (OV) 28 Abdominal/Gastrointestinal (AB/GI) Symptom Scale - Percentage of Responders (Data Cutoff 14 November 2011)
NCT01003938 (2) [back to overview]CA125 Response Rate With Continuous-infusion Topotecan and Erlotinib
NCT01003938 (2) [back to overview]Toxicity Profile
NCT01004874 (6) [back to overview]Median Overall Survival
NCT01004874 (6) [back to overview]One and Two Year Overall Survival
NCT01004874 (6) [back to overview]6-month Progression-free Survival
NCT01004874 (6) [back to overview]Number of Patients Experiencing a Greater Than or Equal to Grade 4 Hematologic or a Greater Than or Equal to Grade 3 Non-hematologic Toxicity
NCT01004874 (6) [back to overview]Number of Patients Experiencing a Central Nervous System (CNS) Hemorrhage or a Systemic Hemorrhage
NCT01004874 (6) [back to overview]Median Progression-free Survival
NCT01012817 (2) [back to overview]Percent of Patients With Tumor Response, Defined as Complete Response or Partial Response as Assessed Using Response Evaluation Criteria In Solid Tumors
NCT01012817 (2) [back to overview]Maximum Tolerated Dose of Topotecan Hydrochloride and Veliparib, Determined According to Incidence of Dose-limiting Toxicity, Graded Using National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 (Phase I)
NCT01076400 (1) [back to overview]Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
NCT01121406 (26) [back to overview]Incidence and Intensity of Adverse Events According to the United States National Cancer Institute (US NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0
NCT01121406 (26) [back to overview]t1/2; Terminal Half-life of CD 10899 BS in Plasma
NCT01121406 (26) [back to overview]Tmax; Time From Dosing to Maximum Measured Concentration of CD 10899 BS in Plasma
NCT01121406 (26) [back to overview]AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for BI 6727 BS
NCT01121406 (26) [back to overview]AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for CD 10899 BS
NCT01121406 (26) [back to overview]AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for BI 6727 BS
NCT01121406 (26) [back to overview]AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for CD 10899 BS
NCT01121406 (26) [back to overview]Biological Progression-free Survival Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria
NCT01121406 (26) [back to overview]CL; Total Clearance of BI 6727 BS in Plasma After Intravenous Administration
NCT01121406 (26) [back to overview]Cmax; Maximum Measured Concentration of BI 6727 BS in Plasma
NCT01121406 (26) [back to overview]Cmax; Maximum Measured Concentration of CD 10899 BS in Plasma
NCT01121406 (26) [back to overview]Disease Control Rate (DCR) at Week 24 According to Response Evaluation Criteria In Solid Tumours (RECIST) Version 1.1
NCT01121406 (26) [back to overview]MRT; Mean Residence Time of BI 6727 BS in the Body
NCT01121406 (26) [back to overview]Overall Survival (OS)
NCT01121406 (26) [back to overview]Progression Free Survival (PFS)
NCT01121406 (26) [back to overview]t1/2; Terminal Half-life of BI 6727 BS in Plasma
NCT01121406 (26) [back to overview]Time to Deterioration in Abdominal Bloating/ Quality of Life (QOL)
NCT01121406 (26) [back to overview]Time to Deterioration in Fatigue/Quality of Life (QOL)
NCT01121406 (26) [back to overview]Time to Deterioration in Global Health Status/Quality of Life (QOL)
NCT01121406 (26) [back to overview]Time to Deterioration in Pain/ Quality of Life (QOL)
NCT01121406 (26) [back to overview]Time to Deterioration in the Three Most Troublesome Disease Specific Symptoms/ Quality of Life (QOL)
NCT01121406 (26) [back to overview]Tmax; Time From Dosing to Maximum Measured Concentration of BI 6727 BS in Plasma
NCT01121406 (26) [back to overview]Vss;Apparent Volume of Distribution at Steady State Following Intravenous Administration for BI 6727 BS
NCT01121406 (26) [back to overview]Best Overall Response
NCT01121406 (26) [back to overview]Biological Tumour Response Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria
NCT01121406 (26) [back to overview]Clinically Relevant Changes in Laboratory and ECG Data
NCT01175356 (3) [back to overview]Incidence of Unacceptable Toxicity and Sinusoidal Obstruction Syndrome (SOS), Assessed by Common Terminology Criteria (CTV)v.4.0 for Toxicity Assessment and Grading for I-MIBG
NCT01175356 (3) [back to overview]Percentage of MIBG Avid Patients Treated With MIBG Labeled With Iodine-131 and Bu/Mel Chemotherapy
NCT01175356 (3) [back to overview]Percentage of MIBG Avid Patients Treated With Meta-iodobenxylguanide (MIBG) Labeled With Iodine-131
NCT01231906 (1) [back to overview]Event-Free Survival
NCT01266447 (6) [back to overview]Duration of Objective Response
NCT01266447 (6) [back to overview]Number of Patients With Dose-limiting Toxicities (in Safety lead-in)
NCT01266447 (6) [back to overview]Overall Survival
NCT01266447 (6) [back to overview]Progression-free Survival
NCT01266447 (6) [back to overview]Tumor Response
NCT01266447 (6) [back to overview]Adverse Events (Grade 3 or Higher) During Treatment Period
NCT01492673 (1) [back to overview]Number of Participants With Adverse Events
NCT01500720 (4) [back to overview]Progression Free Survival (PFS)
NCT01500720 (4) [back to overview]Overall Objective Tumor Response Rate
NCT01500720 (4) [back to overview]Overall Survival
NCT01500720 (4) [back to overview]Progression Free Rate at Week 12
NCT01533181 (4) [back to overview]Disease Control Rate (DCR)
NCT01533181 (4) [back to overview]Overall Survival (OS)
NCT01533181 (4) [back to overview]Median Progression Free Survival (PFS)
NCT01533181 (4) [back to overview]Incidence of Serious Adverse Events (SAEs) Possibly/Probably Definitely Related to Study Drugs
NCT01684878 (9) [back to overview]Part 2: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QoL) Questionnaire (QLQ) of Core 30 (C30) Score
NCT01684878 (9) [back to overview]Part 2: Progression-free Survival (PFS) Assessed by the Investigator
NCT01684878 (9) [back to overview]Part 2: Progression Free Survival (PFS) as Assessed by a Blinded Independent Review Committee (IRC) Including Malignant Bowel Obstruction (MBO)
NCT01684878 (9) [back to overview]Part 2: Percentage of Participants With Adverse Events (AEs)
NCT01684878 (9) [back to overview]Part 2: Overall Survival
NCT01684878 (9) [back to overview]Part 2- Objective Response Rate (ORR)
NCT01684878 (9) [back to overview]Part 1: PFS Assessed by the Investigator
NCT01684878 (9) [back to overview]Part 1: Percentage of Participants With Adverse Events (AEs)
NCT01684878 (9) [back to overview]Part 1- Objective Response Rate (ORR)
NCT01696032 (11) [back to overview]Overall Survival
NCT01696032 (11) [back to overview]Progression Free Survival at 6 Months
NCT01696032 (11) [back to overview]Stage 1: Dose Limiting Toxicities
NCT01696032 (11) [back to overview]Stage 2: Progression Free Survival
NCT01696032 (11) [back to overview]Stage 1: Pharmacokinetic Parameter AUC0-8
NCT01696032 (11) [back to overview]Stage 1: Pharmacokinetic Parameter Cmax
NCT01696032 (11) [back to overview]Stage 1: Pharmacokinetic Parameter Tmax
NCT01696032 (11) [back to overview]Duration of Response
NCT01696032 (11) [back to overview]CA-125 Levels
NCT01696032 (11) [back to overview]Clinical Benefit Rate
NCT01696032 (11) [back to overview]Objective Response Rate
NCT01798004 (1) [back to overview]The Tolerability of BuMel Regimen
NCT01803269 (5) [back to overview]Progression-free Survival
NCT01803269 (5) [back to overview]Continuous Change in Tumor Size.
NCT01803269 (5) [back to overview]Frequency of Reported Side Effects
NCT01803269 (5) [back to overview]Overall Survival
NCT01803269 (5) [back to overview]Response Rates According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (Cohort A)
NCT01840943 (7) [back to overview]Duration of Progression-free Survival
NCT01840943 (7) [back to overview]Number of Participants With Progression-free Survival Incidence at Week 24
NCT01840943 (7) [back to overview]Time to Response
NCT01840943 (7) [back to overview]Number of Participants With Adverse Events
NCT01840943 (7) [back to overview]Number of Participants With Overall Survival
NCT01840943 (7) [back to overview]Number of Participants With Response
NCT01840943 (7) [back to overview]Duration of Response
NCT01857934 (6) [back to overview]Local Failure Rate and Pattern of Failure
NCT01857934 (6) [back to overview]Dose Limiting Toxicity (DLT)
NCT01857934 (6) [back to overview]Feasibility of Delivering hu14.18K322A to 6 Cycles of Induction Therapy
NCT01857934 (6) [back to overview]Overall Response Rate [Complete Response + Very Good Partial Response + Partial Response (CR + VGPR + PR)]
NCT01857934 (6) [back to overview]Dose Limiting Toxicity (DLT) or Severe (Grade 3 or 4) VOD With hu14.18K322A With Allogeneic NK Cells in Consolidation
NCT01857934 (6) [back to overview]Event-free Survival (EFS)
NCT01931098 (7) [back to overview]Proportion of Patients That Have Progressive Survival (PFS) at Six Months From Patient Registration for Bevacizumab Naive Patients and PFS at 3 Months for Patients With Prior Bevacizumab Treatment
NCT01931098 (7) [back to overview]Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
NCT01931098 (7) [back to overview]Mean Symptom Interference Score Between Responders and Non-responders at Baseline and by Cycle
NCT01931098 (7) [back to overview]Overall Survival
NCT01931098 (7) [back to overview]Mean Symptom Severity Score Between Responders and Non-responders at Baseline and by Cycle
NCT01931098 (7) [back to overview]Mean Symptom Severity Score Between Responders and Non-responders at Baseline and by Cycle
NCT01931098 (7) [back to overview]Mean Symptom Interference Score Between Responders and Non-responders at Baseline and by Cycle
NCT02100007 (8) [back to overview]Estimate Overall Response Rate for ME-344 Given in Combination With Topotecan
NCT02100007 (8) [back to overview]Number of Adverse Events
NCT02100007 (8) [back to overview]Number of Serious Adverse Events
NCT02100007 (8) [back to overview]Estimate the Overall Survival (OS)
NCT02100007 (8) [back to overview]Time to Maximum Plasma Concentration for ME-344 (Tmax)
NCT02100007 (8) [back to overview]Mean Terminal Half-life (t 1/2)
NCT02100007 (8) [back to overview]Minimum Plasma Concentration (Cmin) of ME-344
NCT02100007 (8) [back to overview]Maximum Plasma Concentration (Cmax)
NCT02101788 (7) [back to overview]Progression Free Survival
NCT02101788 (7) [back to overview]Objective Tumor Response Rate (Complete Response and Partial Response)
NCT02101788 (7) [back to overview]Overall Survival
NCT02101788 (7) [back to overview]Patients Reported Acute Quality of Life
NCT02101788 (7) [back to overview]Patient Reported Acute Peripheral Neuropathy Symptoms
NCT02101788 (7) [back to overview]Incidence of Adverse Events (AEs)
NCT02101788 (7) [back to overview]Progression-free Survival (PFS)
NCT02357810 (11) [back to overview]Clinical Benefit Rate (CBR) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.
NCT02357810 (11) [back to overview]Duration of Best Response in Patients With Liposarcoma Treated With Pazopanib and Topotecan Combination
NCT02357810 (11) [back to overview]Duration of Best Response in Patients With Soft Tissue Sarcoma Treated With Pazopanib and Topotecan Combination
NCT02357810 (11) [back to overview]Median Progression Free Survival (PFS) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.
NCT02357810 (11) [back to overview]Overall Response Rate (ORR) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.
NCT02357810 (11) [back to overview]Overall Survival (OS) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.
NCT02357810 (11) [back to overview]Overall Survival of Patients With Liposarcoma Treated With With Pazopanib and Oral Topotecan Combination
NCT02357810 (11) [back to overview]Progression Free Survival at 12 Weeks for Patients With Soft Tissue Sarcoma (STS) Treated With Pazopanib and Oral Topotecan
NCT02357810 (11) [back to overview]Progression Free Survival for Patients With Liposarcoma Treated With Combination Pazopanib and Topotecan.
NCT02357810 (11) [back to overview]Progression Free Survival in Patients With Osteosarcoma Treated With Combination Pazopanib and Topotecan.
NCT02357810 (11) [back to overview]Number of Patients With Significant Adverse Events, Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03
NCT02421588 (5) [back to overview]Progression-free Survival by Independent Review Committee
NCT02421588 (5) [back to overview]Overall Survival (OS)
NCT02421588 (5) [back to overview]Progression-free Survival by Investigator's Assessment
NCT02421588 (5) [back to overview]Duration of Response by Independent Review Committee
NCT02421588 (5) [back to overview]Duration of Response by Investigator's Assessment
NCT02481830 (4) [back to overview]Progression Free Survival (PFS)
NCT02481830 (4) [back to overview]Overall Survival (OS) - Extended Collection
NCT02481830 (4) [back to overview]Overall Survival (OS)
NCT02481830 (4) [back to overview]Objective Response Rate (ORR)
NCT02487095 (11) [back to overview]Phase I: Number of Participants With a Change in H2AX Phosphorylation (ƴH2AX) Levels in Peripheral Blood Mononuclear Cells (PBMCs) From Baseline (Day 1 Pre-Treatment)
NCT02487095 (11) [back to overview]Phase I: Number of Participants With a Change in H2AX Phosphorylation (ƴH2AX) Levels in Hairs From Baseline (Day 1 Pre-Treatment)
NCT02487095 (11) [back to overview]Ph II: Number of Participants With a Clinical Response
NCT02487095 (11) [back to overview]Percentage of Peripheral Blood Mononuclear Cells (PBMCs): Cluster of Differentiation 14 (CD14)+ Monocytes Among Viable Cells, and Regulatory T Cells Among Cluster of Differentiation 4 (CD4)+ T Cells At Baseline and Post-Treatment
NCT02487095 (11) [back to overview]Phase II: Progression-free Survival (PFS)
NCT02487095 (11) [back to overview]Phase I Number of Participants With a Dose Limiting Toxicity (DLT)
NCT02487095 (11) [back to overview]Phase I and Phase II: Duration of Response (DOR)
NCT02487095 (11) [back to overview]Ph I: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of VX-970 (M6620)
NCT02487095 (11) [back to overview]Ph I: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of Topotecan
NCT02487095 (11) [back to overview]Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
NCT02487095 (11) [back to overview]Ratio of Peripheral Blood Mononuclear Cells (PBMCs): Cluster of Differentiation 8 (CD8)/Cluster of Differentiation 4 (CD4) T Cells at Baseline and Post-Treatment
NCT02514447 (23) [back to overview]Occurrence of Platelet Transfusions
NCT02514447 (23) [back to overview]Occurrence of Intravenous (IV) Antibiotic Use
NCT02514447 (23) [back to overview]Occurrence of Infection Serious Adverse Events (SAEs)
NCT02514447 (23) [back to overview]Duration of Severe (Grade 4) Neutropenia in Cycle 1
NCT02514447 (23) [back to overview]Duration of Response (DOR)
NCT02514447 (23) [back to overview]Occurrence of Grade 3 and 4 Hematologic Toxicities
NCT02514447 (23) [back to overview]Tumor Response Based on RECIST, Version 1.1
NCT02514447 (23) [back to overview]Occurrence of Grade 4 and Grade 3/4 Decreased Platelet Count Laboratory Values (Thrombocytopenia)
NCT02514447 (23) [back to overview]Chemotherapy Cycles and Modifications Overall
NCT02514447 (23) [back to overview]Progression Free Survival (PFS)
NCT02514447 (23) [back to overview]Pharmacokinetic Profile for Trilaciclib (G1T28) When Administered With Topotecan
NCT02514447 (23) [back to overview]Pharmacokinetic Profile for Topotecan When Administered With Trilaciclib (G1T28)
NCT02514447 (23) [back to overview]Occurrence of Febrile Neutropenia Adverse Events
NCT02514447 (23) [back to overview]Occurrence of Erythropoietin-stimulating Agent (ESA) Administrations
NCT02514447 (23) [back to overview]Need for Treatment With Hematopoietic Growth Factors
NCT02514447 (23) [back to overview]Overall Survival (OS)
NCT02514447 (23) [back to overview]Occurrence of Severe (Grade 4) Neutropenia
NCT02514447 (23) [back to overview]Occurrence of Pulmonary Infection Serious Adverse Events (SAEs)
NCT02514447 (23) [back to overview]Occurrence of RBC Transfusions
NCT02514447 (23) [back to overview]Assess the Dose Limiting Toxicities (DLTs) of G1T28/Trilaciclib Administered With Topotecan in Part 1
NCT02514447 (23) [back to overview]Assess the Hematologic Profile of G1T28/Trilaciclib Administered With Topotecan
NCT02514447 (23) [back to overview]Chemotherapy Exposure
NCT02514447 (23) [back to overview]Dose Reductions in Chemotherapy (Topotecan)
NCT02566993 (25) [back to overview]Overall Response Rate in Patients With Chemotherapy-free Interval <90 Days
NCT02566993 (25) [back to overview]Overall Response Rate in Patients With Chemotherapy-free Interval ≥ 90 Days
NCT02566993 (25) [back to overview]Overall Response Rate in Patients Without Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Overall Survival (OS)
NCT02566993 (25) [back to overview]Duration of Response in Patients Without Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Overall Survival in Patients With Chemotherapy-free Interval < 90 Days
NCT02566993 (25) [back to overview]Overall Survival in Patients With Chemotherapy-free Interval ≥ 90 Days
NCT02566993 (25) [back to overview]Overall Survival in Patients Without Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Progression-free Survival (PFS) by Independent Review Committee
NCT02566993 (25) [back to overview]Progression-free Survival in Patients With Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Progression-free Survival in Patients With Chemotherapy-free Interval <90 Days
NCT02566993 (25) [back to overview]Progression-free Survival in Patients With Chemotherapy-free Interval ≥90 Days
NCT02566993 (25) [back to overview]Progression-free Survival in Patients Without Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Progression-free Survival Rate at 12 Months by Independent Review Committee
NCT02566993 (25) [back to overview]Progression-free Survival Rate at 6 Months by Independent Review Committee
NCT02566993 (25) [back to overview]Duration of Response in Patients With Chemotherapy-free Interval ≥ 90 Days
NCT02566993 (25) [back to overview]Duration of Response in Patients With Chemotherapy-free Interval <90 Days
NCT02566993 (25) [back to overview]Duration of Response in Patients With Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Duration of Response by Independent Review Committee
NCT02566993 (25) [back to overview]Overall Survival in Patients With Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Difference in Overall Survival Between Lurbinectedin/Doxorubicin (DOX) and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 12 Months
NCT02566993 (25) [back to overview]Difference in Overall Survival Between Lurbinectedin/DOX and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 24 Months
NCT02566993 (25) [back to overview]Difference in Overall Survival Between Lurbinectedin/DOX and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 18 Months
NCT02566993 (25) [back to overview]Overall Response Rate in Patients With Central Nervous System Involvement at Baseline
NCT02566993 (25) [back to overview]Overall Response Rate by Independent Review Committee
NCT02631876 (11) [back to overview]Progression-Free Survival (PFS), as Assessed by BIRC Per RECIST Version 1.1 in All Participants Randomized to the Study
NCT02631876 (11) [back to overview]PFS, as Assessed by Investigator Per RECIST Version 1.1
NCT02631876 (11) [back to overview]PFS, as Assessed by BIRC Per RECIST Version 1.1 in Participants With High Folate Receptor Alpha Level (≥ 75% of Tumor Staining)
NCT02631876 (11) [back to overview]Overall Survival (OS)
NCT02631876 (11) [back to overview]Objective Response Rate (ORR): Percentage of Participants With Objective Response, as Assessed by BIRC Per RECIST1.1
NCT02631876 (11) [back to overview]Number of Participants With Anti-Drug Antibodies (ADA)
NCT02631876 (11) [back to overview]Gynecologic Cancer Intergroup (GCIG) CA-125 Response Rate: Percentage of Participants With GCIG CA-125 Confirmed Clinical Responses
NCT02631876 (11) [back to overview]Duration of Response (DOR), as Assessed by BIRC Per RECIST v1.1
NCT02631876 (11) [back to overview]Number of Participants Achieving at Least a 15% (≥ 15-Point) Absolute Improvement From Baseline on the EORTC QLQ-OV28 Abdominal/Gastrointestinal (AB/GI) Symptom Subscale at Week 8/9 Assessment
NCT02631876 (11) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
NCT02631876 (11) [back to overview]Area Under the Plasma Concentration-Versus Time Curve From Time of Dose Until Tlast (AUClast) of Mirvetuximab Soravtansine,Total M9346A Antibody, DM4, and S-methyl DM4
NCT02786719 (2) [back to overview]Delay in Chemotherapy Administration Due to Prolonged Neutrophil Recovery
NCT02786719 (2) [back to overview]Incidence of Infection
NCT02963090 (3) [back to overview]Progression Free Survival
NCT02963090 (3) [back to overview]Overall Survival (OS)
NCT02963090 (3) [back to overview]Overall Response Percentage
NCT03061812 (6) [back to overview]Change From Baseline of the Physical Functioning Scale Score in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative Care (EORTC QLQ-C15-PAL) at Week 7
NCT03061812 (6) [back to overview]Progression Free Survival (PFS)
NCT03061812 (6) [back to overview]Overall Survival (OS)
NCT03061812 (6) [back to overview]Objective Response Rate (ORR)
NCT03061812 (6) [back to overview]Clinical Benefit Rate (CBR)
NCT03061812 (6) [back to overview]Duration of Objective Response (DOR)
NCT03088813 (12) [back to overview]Part 1: Number of Participants With Dose-Limiting Toxicities (DLT)
NCT03088813 (12) [back to overview]Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30)/Lung Cancer Supplement (LC13) Dyspnea Scale at Week 12
NCT03088813 (12) [back to overview]Change From Baseline in EORTC QLQ-LC13 Cough Scale at Week 12
NCT03088813 (12) [back to overview]Part 1: OS
NCT03088813 (12) [back to overview]Part 1: Objective Response Rate (ORR)
NCT03088813 (12) [back to overview]Part 1: Progression-Free Survival (PFS)
NCT03088813 (12) [back to overview]Part 2: Median Duration of Response (DoR)
NCT03088813 (12) [back to overview]Part 2: PFS
NCT03088813 (12) [back to overview]Part 2: Median Time to Objective Response (OR)
NCT03088813 (12) [back to overview]Part 2: ORR
NCT03088813 (12) [back to overview]Part 2: Overall Survival (OS)
NCT03088813 (12) [back to overview]Part 1: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (SAEs)
NCT03098030 (4) [back to overview]Progression-free Survival (PFS)
NCT03098030 (4) [back to overview]Overall Survival (OS)
NCT03098030 (4) [back to overview]Clinical Benefit Rate (CBR)
NCT03098030 (4) [back to overview]Objective Response Rate (ORR)
NCT03786783 (5) [back to overview]Overall Survival
NCT03786783 (5) [back to overview]Event-free Survival
NCT03786783 (5) [back to overview]"Percentage of Participants Who Are Feasibility Failure"
NCT03786783 (5) [back to overview]Response Rate
NCT03786783 (5) [back to overview]Percentage of Participants With Unacceptable Toxicity

Progression-free Survival

Median duration in months of progression free survival. (NCT00011986)
Timeframe: From the date of enrollment to first progression or death or last contact, if alive and progression free.

Interventionmonths (Median)
Carbo/Taxol16.0
Carbo/Taxol/Gemcitabine16.3
Carbo/Taxol/Doxil16.4
Carbo/Topotecan - Carbo/Taxol15.4
Carbo/Gemcitabine - Carbo/Taxol15.4

[back to top]

Number of Participants With Observed Adverse Effects (Grade 3 and Above) Assessed by Common Toxicity Criteria Version 2.0

(NCT00011986)
Timeframe: Up to 9 years

,,,,
InterventionParticipants (Count of Participants)
LeukopeniaNeutropeniaThrombocytopeniaAnemiaOther HematologicAllergyAuditoryCardiovascularCoagulationConstitutionalDermatologicEndocrineGastrointestinalGenitourinary/RenalHemorrhageHepaticInfection/FeverMetabolicMusculoskeletalNeurologicPeripheral NeurologicOcular/VisualPainPulmonarySexualSecond Primary
Grade 3 and Above on Carbo/Gemcitabine - Carbo/Taxol51376148620331526123757819293025824510352435237057
Grade 3 and Above on Carbo/Taxol/Doxil595782320160244283344841121241320111345513434517539151
Grade 3 and Above on Carbo/Taxol/Gemcitabine68679852019633820236109664145829321385518475937537066
Grade 3 and Above on Carbo/Topotecan - Carbo/Taxol4767793031672462121797361105681384378283536621141
Grade 3 and Above on ToxicityCarbo/Taxol4387491931021563852055413090981376617344515319034

[back to top]

Overall Survival

Proportion of participants whose overall survival exceeded 5 years. (NCT00011986)
Timeframe: Up to 9 years

InterventionProportion of participants (Number)
Carbo/Taxol0.35
Carbo/Taxol/Gemcitabine0.34
Carbo/Taxol/Doxil0.39
Carbo/Topotecan - Carbo/Taxol0.34
Carbo/Gemcitabine - Carbo/Taxol0.30

[back to top]

Overall Survival

Overall survival is defined as the time from randomization to death. (NCT00057837)
Timeframe: Assessed every 3 months for 2 years, then every 6 months for 1 years

InterventionMonths (Median)
PET (Topotecan/Etoposide/Cisplatin/G-CSF)11.9
PIE (Irinotecan/Cisplatin/Etoposide)11.0

[back to top]

Duration of Response

Duration of response is defined as the period measured from the time that measurement criteria are met for complete or partial response (whichever status is recorded first) until the first date that recurrent or progressive disease is objectively documented, taking as reference the smallest measurements recorded since treatment started. (NCT00057837)
Timeframe: Assessed every 6 weeks while on treatment, and then every 3 months for patients < 2 years from study entry, every 6 months if patient is 2-3 years from study entry.

InterventionMonths (Median)
PET (Topotecan/Etoposide/Cisplatin/G-CSF)6.0
PIE (Irinotecan/Cisplatin/Etoposide)6.0

[back to top]

Proportion of Patients With Objective Response by Solid Tumor Response Criteria (RECIST)

"Per RECIST criteria, Complete response (CR)= disappearance of all target and nontarget lesions Partial response (PR)= >=30% decrease in the sum of the longest diameters of target lesions from baseline, and persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker level above the normal limits.~Objective response = CR + PR" (NCT00057837)
Timeframe: Assessed every 6 weeks while on treatment, and then every 3 months for patients < 2 years from study entry, every 6 months if patient is 2-3 years from study entry.

Interventionproportion of participants (Number)
PET (Topotecan/Etoposide/Cisplatin/G-CSF)0.697
PIE (Irinotecan/Cisplatin/Etoposide)0.576

[back to top]

Duration of Progression-free Survival (PFS)

Progression-free survival (PFS) was defined as the period from study entry until disease progression, death, or the last date of contact. Progression is defined according to RECIST v1.0 as at least a 20% increase in the sum of LD target lesions taking as reference the smallest sum LD recorded since study entry, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, global deterioration in health status attributable to the disease requiring a change in therapy without objective evidence of progression, or unequivocal progression of existing non-target lesions. (NCT00064077)
Timeframe: Baseline, every other cycle during treatment, then every 3 months for 2 years, the every 6 months for 3 years (up to 5 years)

Interventionmonths (Median)
Arm I (Paclitaxel, Cisplatin)5.82
Arm II (Vinorelbine, Cisplatin)3.98
Arm III (Gemcitabine, Cisplatin)4.70
Arm IV (Topotecan, Cisplatin)4.57

[back to top]

Pain, Assessed by Brief Pain Inventory

"Single item from the Brief Pain Inventory (BPI) assessing worst pain in the past 24 hours, on a 0-10 scale with a higher score indicating more pain than a low score." (NCT00064077)
Timeframe: Baseline (pre-cycle 1), Pre-cycle 2, Pre-cycle 5, 9 months post cycle 1

,,,
Interventionunits on a scale (Mean)
BaselinePre-cycle 2Pre-cycle 59 months post cycle 1
Arm I (Paclitaxel, Cisplatin)4.03.53.62.3
Arm II (Vinorelbine, Cisplatin)3.93.54.03.2
Arm III (Gemcitabine, Cisplatin)3.33.43.53.7
Arm IV (Topotecan, Cisplatin)3.63.62.52.9

[back to top]

Patient Reported Neurotoxicity Symptoms as Measured With the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - Neurotoxicity Subscale (Short Version) (FACT/GOG-Ntx Subscale).

The FACT/GOG-Ntx subscale contains 4 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative items, reversal was performed prior to score calculation. According to the FACIT measurement system, the Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the scale. The Ntx score ranges 0-16 with a large score suggests less neurotoxicity. (NCT00064077)
Timeframe: Baseline (pre-cycle 1), Pre-cycle 2, Pre-cycle 5, 9 months post cycle 1

,,,
Interventionunits on a scale (Mean)
BaselinePre-cycle 2Pre-cycle 59 months post cycle 1
Arm I (Paclitaxel, Cisplatin)14.414.113.111.1
Arm II (Vinorelbine, Cisplatin)13.513.313.111.4
Arm III (Gemcitabine, Cisplatin)14.213.714.112.3
Arm IV (Topotecan, Cisplatin)14.114.214.413.1

[back to top]

Patient-reported Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT)-Cervical Trial Outcome of Index (FACT-Cx TOI)

The FACT-Cx TOI is a scale for assessing general QOL of cervical cancer patients.consisting of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Cervical Cancer subscale (15 items). Each item in the FACT-Cx TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative statements (or questions), reversal was performed prior to score calculation. According to the FACIT measurement system, a subscale score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the subscale. The score is calculated as the sum of the subscale scores if more than 80% of the FACT-Cx TOI items provide valid answers and all of the component subscales have valid scores. The score ranges 0-116 with a large score suggesting better QOL. (NCT00064077)
Timeframe: Baseline (pre-cycle 1), Pre-cycle 2, Pre-cycle 5, 9 months post cycle 1

,,,
Interventionunits on a scale (Mean)
BaselinePre-cycle 2Pre-cycle 59 months post cycle 1
Arm I (Paclitaxel, Cisplatin)66.665.270.571.9
Arm II (Vinorelbine, Cisplatin)69.165.566.669.9
Arm III (Gemcitabine, Cisplatin)67.965.364.568.6
Arm IV (Topotecan, Cisplatin)68.166.268.470.9

[back to top]

Duration of Overall Survival (OS)

Overall survival is defined as the duration of time from study entry to time of death or the date of last contact. (NCT00064077)
Timeframe: Baseline, every other cycle during treatment, then every 3 months for 2 years, the every 6 months for 3 years (up to 5 years)

Interventionmonths (Median)
Arm I (Paclitaxel, Cisplatin)12.87
Arm II (Vinorelbine, Cisplatin)9.99
Arm III (Gemcitabine, Cisplatin)10.28
Arm IV (Topotecan, Cisplatin)10.25

[back to top]

Number of Participants With Grade 3 or 4 Clinical Chemical Toxicities

Standard chemistry evaluation included sodium, potassium, chloride, bicarbonate, calcium, phosphorous, magnesium, blood urea nitrogen (BUN)/urea, uric acid, creatinine, lactate dehydrogenase (LDH), aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase, total bilirubin, total protein and albumin. Recording of any hematology toxicity grade was done using National Cancer Institute - Common Toxicity Criteria for Adverse Events (NCI CTCAE) version 2.0. Higher the grade, more is the toxicity. Data for number of participants with grade 3 or 4 clinical chemical toxicities have been presented. (NCT00065182)
Timeframe: Up to 16 months

,
InterventionParticipants (Count of Participants)
Albumin, Grade 3BUN/Urea, Grade 3Creatinine, Grade 3Alkaline Phosphatase, Grade 3AST, Grade 3AST, Grade 4ALT, Grade 3ALT, Grade 4Bilirubin, Grade 3Sodium, Grade 3Sodium, Grade 4Calcium, Grade 3Calcium, Grade 4Potassium, Grade 3Potassium, Grade 4Magnesium, Grade 3
IV Docetaxel3211100029121312
IV Topotecan + IV Docetaxel34010111112020714

[back to top]

Number of Participants With Grade 1, 2, 3 or 4 Hematologic Toxicities

Hematology parameters included hemoglobin, hematocrit, red blood cell count, white blood cell count with differential leukocyte and platelet count. Differential to include total neutrophils, bands, lymphocytes, monocytes, eosinophil, and basophils. Recording of any hematology toxicity grade was done using National Cancer Institute - Common Toxicity Criteria for Adverse Events (NCI CTCAE) version 2.0. Higher the grade, more is the toxicity. Data for number of participants with grade 1, 2, 3 or 4 hematologic toxicities have been presented. (NCT00065182)
Timeframe: Up to 16 months

,
InterventionParticipants (Count of Participants)
Hemoglobin, Grade 1Hemoglobin, Grade 2Hemoglobin, Grade 3Neutrophils, Grade 1Neutrophils, Grade 2Neutrophils, Grade 3Neutrophils, Grade 4Platelets, Grade 1Platelets, Grade 2Platelets, Grade 3Platelets, Grade 4White blood cell, Grade 1White blood cell, Grade 2White blood cell, Grade 3White blood cell, Grade 4
IV Docetaxel1074611147711103002814132
IV Topotecan + IV Docetaxel76951827374720752018138515015

[back to top]

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. SAE is any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or it is considered to be medically significant. (NCT00065182)
Timeframe: Up to 16 months

,
InterventionParticipants (Count of Participants)
Any AEsAny SAEs
IV Docetaxel17249
IV Topotecan + IV Docetaxel18658

[back to top]

Number of Participants With Clinically Significant Abnormal Vital Signs Data

Vital sign parameters included (blood pressure, and pulse rate after five minutes sitting, body temperature). Blood pressure and pulse rate was measured after sitting for 5 minutes. Only participants with clinically significant abnormal Vital sign data was reported. (NCT00065182)
Timeframe: Up to 16 months

InterventionParticipants (Count of Participants)
IV Topotecan + IV Docetaxel0
IV Docetaxel0

[back to top]

Median Time of Overall Survival

Overall survival was defined as the time from randomization to death and it occurs when all randomized participants had at least one year of follow-up past their date of randomization to treatment. (NCT00065182)
Timeframe: Up to one year from Day -1 (randomization)

InterventionWeeks (Median)
IV Topotecan + IV Docetaxel30.7
IV Docetaxel28.6

[back to top]

Proportion of Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0

RECIST 1.0 defines complete response as the disappearance of all target lesions and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart. Partial response is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of non-target lesions and no new lesions. Documentation by two disease assessments at least 4 weeks apart is required. In the case where the ONLY target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required. These patients will have their response classified according to the definitions stated above. Complete and partial responses are included in the objective tumor response rate. (NCT00087126)
Timeframe: CT scan or MRI if used to follow lesion for measurable disease every other cycle for the first 6 months; every 6 months thereafter until disease progression for up to 5 years.

Interventionparticipants (Number)
Partial responseComplete response
Topotecan Hydrochloride00

[back to top]

Number of Participants With Adverse Effects as Assessed by Common Terminology Criteria for Adverse Events Version 3.0

All participants assessed by CTCAE v3 (Common Terminology Criteria for Adverse Events version 3.0) including grade 0 (the number of participants not affected by the Adverse Event). (NCT00087126)
Timeframe: Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up

,,,,
Interventionparticipants (Number)
LeukopeniaThrombocytopeniaNeutropeniaTransfusionsAnemiaHemorrhageNausea/VomitingOther gastrointestinalGenito urinaryNeurotoxicityPainPulmonaryInfectionConstitutionalMetabolicDermatologicAlopeciaRenalAlkaline PhosphataseVascularLymphaticsLymphopenia
Grade 06169241241312221919242282222172123242424
Grade 1 (CTCAE v 3.0)4480417423400523732000
Grade 2 (CTCAE v 3.0)93401204612100710110001
Grade 3 (CTCAE v 3.0)5021701300013300000110
Grade 4 (CTCAE v 3.0)1220100001100200000000

[back to top]

Adverse Events, Graded Using the CTCAE Version 3.0

(NCT00098956)
Timeframe: Up to 5 years

Interventiontypes of grade 3 / 4 toxicities reported (Number)
Treatment (Topotecan Hydrochloride, UCN-01)7

[back to top]

Objective Response Rates (Complete and Partial) Evaluated Using RECIST Criteria

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Objective Response (OR) = CR + PR. (NCT00098956)
Timeframe: Up to 5 years

Interventionparticipants (Number)
Treatment (Topotecan Hydrochloride, UCN-01)2

[back to top]

Stable Disease Rate Evaluated Using RECIST Criteria

Per Response Evaluation Criteria In Solid Tumours Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), at least 30% decrease in the sum of the longest diameter of target lesions; Objective Response (OR) = CR + PR. (NCT00098956)
Timeframe: Up to 5 years

Interventionparticipants (Number)
Treatment (Topotecan Hydrochloride, UCN-01)9

[back to top]

Number of Participants With Adverse Effects (Grade 3 or Higher) as Assessed by Common Toxicity Criteria for Adverse Events Version 2.0

(NCT00114166)
Timeframe: Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up

,
InterventionParticipants (Count of Participants)
LeukopeniaThrombocytopeniaNeutropeniaAnemiaNausea/vomitingOther GastrointestinalNeurologicConstitutionalCardiovascularInfectionMusculoskeletalPulmonaryPain
Regimen I107145110111010
Regimen II66189101202124

[back to top]

Objective Tumor Response

"Response is measured according to Response Evaluation Criteria in Solid Tumors Criteria (RECIST v 1.0):~Complete Response (CR) is disappearance of all target and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart.~Partial Response (PR) is at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD.~Disease Progression is at least a 20% increase in the sum of LD of target lesions taking as references the smallest sum LD or the appearance of new lesions within 8 weeks of study entry.~Stable Disease is any condition not meeting the above criteria.~Indeterminate is defined as having no repeat tumor assessments following initiation of study therapy for reasons unrelated to symptoms or signs of disease." (NCT00114166)
Timeframe: Every other cycle for the first 6 months, then every 3 months x2, then every 6 months until disease progression or study withdrawal

,
InterventionParticipants (Count of Participants)
Partial ResponseStable DiseaseIncrease DiseaseIndeterminate
Regimen I (Topotecan 1.25 mg/m2)4821
Regimen II (Topotecan 4.0 mg/m2)832214

[back to top]

Reason Off Study Therapy

(NCT00114166)
Timeframe: study entry through end of study treatment, up to 5 years

,
InterventionParticipants (Count of Participants)
Disease ProgressionRefused further treatmentToxicity as permittedOther
Regimen I (Topotecan 1.25 mg/m2)9330
Regimen II (Topotecan 4.0 mg/m2)47729

[back to top]

Toxicity

hematological adverse events and non-hematological adverse events grade 3/4 (NCT00170625)
Timeframe: after each cycle for up to one year

Interventionparticipants (Number)
Hycamtin26

[back to top]

Progression-free Survival

progression-free survival according to kaplan-meier-estimator (NCT00170625)
Timeframe: after every third cycle, for up to one year

Interventionmonths (Median)
Hycamtin9.5

[back to top]

Event-free Survival of Eyes in Stratum A and Stratum B Patients Based on IC Classification

"To describe the 5-year event-free survival of the eyes outcome of intraocular retinoblastoma with respect to the new International Classification (IC) for Intraocular Retinoblastoma and the AJCC.~Patients were re-classified into 2 groups of early (IC groups A and B) and advanced (IC groups C, D, and E) retinoblastoma. Analysis was done at eye level since each eye in the same patient could be a different group. Patients from stratum A and B were analyzed separately.~Three eyes (2 patients) in stratum B received external beam radiation therapy (EBRT) and were also coincident with enucleation surgery, so their event status was not changed. Although the 3 eyes had shorter EFS interval because EBRT occurred (less than 2 years) before the surgery, it did not change the 5-year survival probability." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum A-Early Disease0.839
Stratum A-Advanced Disease0.667
Stratum B-Early Disease1.0
Stratum B-Advanced Disease0.743

[back to top]

Event-free Survival of Eyes in Stratum B Patients Responding to Window Treatment

"To estimate the 5-year event-free survival (EFS) of eyes of bilateral disease patients with advanced intraocular retinoblastoma in either eye (R-E IV-V) responding to the vincristine/topotecan window, with alternating cycles of vincristine and carboplatin with vincristine, topotecan, and periocular carboplatin, with intensive focal treatments.~Event-free survival of eye will be defined per eye as the time interval from date on study to date of first event (an event includes external beam radiation or enucleation) or to last follow-up date for eyes without events. Event-free survival of eye will be estimated using the method of Kaplan and Meier. Standard error is 5-year EFS." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum B0.763

[back to top]

Event-free Survival of Eyes of Stratum B Patients

"To estimate the 5-year event-free survival of early stage eyes (R-E I-III) of patients with contralateral advanced disease treated with vincristine and topotecan.~Event-free survival of eye will be defined per eye as the time interval from date on study to date of first event (an event includes external beam radiation or enucleation) or to last follow-up date for eyes without events. Event-free survival of eye will be estimated using the method of Kaplan and Meier." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum B1.0

[back to top]

Event-free Survival of Stratum A Patients

"To estimate the 5-year event-free survival of patients with early stage intraocular retinoblastoma (R-E I-III) with vincristine and carboplatin with intensive focal treatments.~Event-free survival will be defined per patient as follows: for patients with one advanced stage eye, the time interval from date on study to date of first event (an event includes external beam radiation or enucleation) of advanced stage eyes, time to first event will be used for the analysis. Event-free survival will be estimated using the method of Kaplan and Meier." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum A0.688

[back to top]

Event-free Survival of Stratum B Patients Responding to Window Treatment

"To estimate the 5-year event-free (EFS) survival of bilateral disease patients with advanced intraocular retinoblastoma in either eye (R-E IV-V) responding to the vincristine/topotecan window, with alternating cycles of vincristine and carboplatin with vincristine, topotecan, and periocular carboplatin, with intensive focal treatments.~Event-free survival will be defined per patient as follows: for patients with one advanced stage eye, the time interval from date on study to date of first event (an event includes external beam radiation or enucleation) of advanced stage eyes, time to first event will be used for the analysis. Event-free survival will be estimated using the method of Kaplan and Meier." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum B0.667

[back to top]

Event-free Survival Per Eye in Stratum A and Stratum B Patients Based on AJCC Classification

"To describe the 5-year event-free survival of eyes outcome of intraocular retinoblastoma with respect to the new classification of the American Joint Committee on Cancer (AJCC).~For AJCC staging, the patients were re-classified into 2 groups of early (AJCC=1, 1a or 1b) and advanced (AJCC=2, 2a, 2b, 3, 3a, 3b) retinoblastoma. The analysis was done at eye level since each eye in the same patient could be a different group. Patients from stratum A and B were analyzed separately" (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum A-Early Disease0.857
Stratum A-Advanced Disease0.500
Stratum B-Early Disease1.0
Stratum B-Advanced Disease0.719

[back to top]

Mean Primary Visual Cortex Function: Cluster Size

"Functional magnetic resonance imagining (fMRI) was used to investigate primary visual cortex (V1) response to visual stimulation in 105 children being treated for intraocular retinoblastoma. Primary visual cortex activity was assessed in each subject using blood oxygenation level-dependent (BOLD) signal. The BOLD signal was analyzed via a general linear model using Statistical Parametric Mapping software (SPM, Wellcome Institute of Neuology, London).~Voxel volume/peak BOLD response is a measurement of the volume of activation of the cortex. There is no known association with visual outcome at this time." (NCT00186888)
Timeframe: At diagnosis through 6 years after last patient enrollment

Interventionnumber activated voxels (negative BOLD) (Mean)
Stratum A2372
Stratum B1080
Stratum C2105

[back to top]

Mean Primary Visual Cortex Function: Maximum T-value

"Functional magnetic resonance imagining (fMRI) was used to investigate primary visual cortex (V1) response to visual stimulation in 105 children being treated for intraocular retinoblastoma. Primary visual cortex activity was assessed in each subject using blood oxygenation level-dependent (BOLD) signal. The BOLD signal was analyzed via a general linear model using Statistical Parametric Mapping software (SPM, Wellcome Institute of Neurology, London). The maximum t-statistic in activated cluster (negative BOLD) is provided.~Voxel volume/peak BOLD response is a measurement of the volume of activation of the cortex. There is no known association with visual outcome at this time." (NCT00186888)
Timeframe: At diagnosis through 6 years after last patient enrollment

InterventionMaximum t-statistic (negative BOLD) (Mean)
Stratum A7.9
Stratum B6.2
Stratum C8.8

[back to top]

Ocular Survival of Eyes in Stratum A and Stratum B Patients Based on IC Classification

"To describe the 5-year ocular survival of eyes outcome of intraocular retinoblastoma with respect to the new International Classification (IC) for Intraocular Retinoblastoma and the AJCC.~Patients were re-classified into 2 groups of early (IC groups A and B) and advanced (IC groups C, D, and E) retinoblastoma. Analysis was done at eye level since each eye in the same patient could be a different group. Patients from stratum A and B were analyzed separately.~Three eyes (2 patients) in stratum B received external beam radiation therapy (EBRT) and were also coincident with enucleation surgery, so their event status was not changed. Although the 3 eyes had shorter EFS interval because EBRT occurred (less than 2 years) before the surgery, it did not change the 5-year survival probability." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum A-Early Disease0.839
Stratum A-Advanced Disease0.667
Stratum B-Early Disease1.0
Stratum B-Advanced Disease0.743

[back to top]

Ocular Survival of Eyes in Stratum B Patients Responding to Window Treatment

"To estimate the 5-year ocular survival of eye of bilateral disease patients with advanced intraocular retinoblastoma in either eye (R-E IV-V) responding to the vincristine/topotecan window, with alternating cycles of vincristine and carboplatin with vincristine, topotecan, and periocular carboplatin, with intensive focal treatments.~Ocular survival of eye will be defined per eye as the time interval from date on study to date of enucleation or date of last follow-up. Ocular survival of eye will be estimated using the method of Kaplan and Meier. Standard error is 5-year ocular survival." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum B0.763

[back to top]

Ocular Survival of Eyes of Stratum B Patients

"To estimate the 5-year ocular survival of early stage eyes (R-E I-III) of patients with contralateral advanced disease treated with vincristine and topotecan.~Ocular survival will be defined per patient as follows: for patients with one advanced stage eye, the time interval from date on study to date of enucleation of advanced stage eye or date of last follow-up, for patients with two advanced stage eyes, the time to the first enucleation will be used for analysis. Ocular survival will be estimated using the method of Kaplan and Meier." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum B1.0

[back to top]

Ocular Survival of Stratum A Patients

"To estimate the 5-year ocular survival of patients with early stage intraocular retinoblastoma (R-E I-III) with vincristine and carboplatin with intensive focal treatments.~Ocular survival will be defined per patient as follows: for patients with one advanced stage eye, the time interval from date on study to date of enucleation of advanced stage eye or date of last follow-up, for patients with two advanced stage eyes, the time to the first enucleation will be used for analysis. Ocular survival will be estimated using the method of Kaplan and Meier." (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum A0.688

[back to top]

Ocular Survival of Stratum B Patients Responding to Window Treatment

"To estimate the 5-year ocular survival of bilateral disease patients with advanced intraocular retinoblastoma in either eye (R-E IV-V) responding to the vincristine/topotecan window, with alternating cycles of vincristine and carboplatin with vincristine, topotecan, and periocular carboplatin, with intensive focal treatments.~Ocular survival will be defined per patient as follows: for patients with one advanced stage eye, the time interval from date on study to date of enucleation of advanced stage eye or date of last follow-up, for patients with two advanced stage eyes, the time to the first enucleation will be used for analysis. Ocular survival will be estimated using the method of Kaplan and Meier. Standard error is 5-year ocular survival" (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum B0.667

[back to top]

Ocular Survival Per Eye in Stratum A and Stratum B Patients Based on AJCC Classification

"To describe the 5-year ocular survival of eyes outcome of intraocular retinoblastoma with respect to the new classification of the American Joint Committee on Cancer (AJCC).~For AJCC staging, the patients were classified into 2 groups of early (AJCC=1, 1a or 1b) and advanced (AJCC=2, 2a, 2b, 3, 3a, 3b) retinoblastoma . The analysis was done at eye level since each eye in the same patient could be a different group. Patients from stratum A and B were analyzed separately" (NCT00186888)
Timeframe: From date on-study to an event or last follow-up

Interventionprobability (Number)
Stratum A-Early Disease0.857
Stratum A-Advanced Disease0.500
Stratum B-Early Disease1.0
Stratum B-Advanced Disease0.719

[back to top]

Relationship Between Topotecan Clearance (CL) and ABCG2/B1 Genotype in Stratum B Participants.

Blood samples for pharmacokinetic studies were collected at 0 hour (pre-dose), 5 minutes, 1.5 and 2.5 hours after the end of topotecan dose on Course 1 Day 1, Course 2 Day 1, and if further studies were needed, Course 5 Day 1 and Course 8 Day 1. A blood sample for pharmacogenetic studies was collected during the course of therapy on protocol. (NCT00186888)
Timeframe: Courses 1, 2, 5, and 8

InterventionLiters/hour/m^2 (Median)
Stratum B18.8

[back to top]

Relationship Between Topotecan Clearance (CL) and CYP3A4/5 Genotype in Stratum B Participants.

Blood samples for pharmacokinetic studies were collected at 0 hour (pre-dose), 5 minutes, 1.5 and 2.5 hours after the end of topotecan dose on Course 1 Day 1, Course 2 Day 1, and if further studies were needed, Course 5 Day 1 and Course 8 Day 1. A blood sample for pharmacogenetic studies was collected during the course of therapy on protocol. (NCT00186888)
Timeframe: Courses 1, 2, 5, and 8

InterventionLiters/hour/m^2 (Median)
Stratum B18.8

[back to top]

Change in Distortion Product Otoacoustic Emissions (DPOAEs)

For DP_amplitude to be considered valid, a baseline DP_SNR (Distortion Product for Signal-to-noise ratio) for each frequency (1000-8000 Hz) and for each ear (left and right) must be = 6 dB. Any ear with invalid amplitude at baseline for each frequency should be excluded. The DPOAEs amplitude levels were averaged across the right and left ears at each frequency in the patients exhibiting valid DPOAE amplitudes in both ears, resulting in mean DPOAE levels. Subsequently, comparisons between baseline and most recent evaluation (collapsed across ears) for each frequency were made to evaluate if a significant decrease in DPOAE amplitude exists between the two time points. (NCT00186888)
Timeframe: From Diagnosis through 5 years after completion of therapy

,,
InterventiondB (Mean)
1000 Hz1400 Hz2000 Hz2800 Hz4000 Hz6000 Hz8000 Hz
Additional Evaluation4.58.211.08.43.45.7-9.9
Baseline17.716.615.111.615.313.35.0
Interim Evaluation5.59.413.012.211.312.9-2.0

[back to top]

Change in Parenting Stress Index (PSI)

The PSI is a commonly used measure of parenting stress. In 101 questions, the PSI delineates between stress as a function of child characteristics (e.g., adaptability, demandingness, mood; Child Domain) and stress as a function of parent characteristics (e.g., depression, sense of competence, social isolation; Parent Domain), as well as an overall stress score (Total Stress). Raw scores are calculated (normative means: Child Doman = 98.4; Parent Domain = 122.7; Total Stress Score = 221.1). This measure was given at all time points. Scores range from 131-320 for Total Stress, 69-188 for Parent Domain, and 50-145 for Child Domain, with higher scores indicative of greater stress (Total: >260; Parent: >153, Child: >122). (NCT00186888)
Timeframe: Baseline (at study entry), 6 months, 1 year, 2 years, 3 years, and 5 years

,,,,,
Interventionunits on a scale (Mean)
Child DomainParent DomainOverall Total Stress
1 Year93.27105.84200.51
2 Years92.77105.84198.61
3 Years94.60105.92200.23
5 Years92.49102.74194.68
6 Months93.08101.56194.84
Baseline96.76109.38207.25

[back to top]

Number of Participants With Change in Size of Pineal Gland

The MRI reports from bilateral patients were reviewed and data abstracted regarding pineal gland measurement and information about pineal cysts. The number of participants with change in pineal gland size is reported here. (NCT00186888)
Timeframe: From diagnosis through 6 years after last patient enrollment

InterventionParticipants (Count of Participants)
Prominent or mildly enlarged pineal glandsPineal growth over timeNo change in pineal gland size
Participants With Bilateral Retinoblastoma12823

[back to top]

Number of Participants With Development of Pineal Cysts

The MRI reports from bilateral patients were reviewed and data abstracted regarding pineal gland measurement and information about pineal cysts. The number of participants with change in primary visual cortex function from diagnosis through 6 years after last patient enrollment is reported here. (NCT00186888)
Timeframe: At diagnosis through 6 years after last patient enrollment

InterventionParticipants (Count of Participants)
Developed new solitary cyst(s)Developed multiple new cystsGrowth of pineal cystDecrease in size (resolution) of pineal cystNo change
Participants With Bilateral Retinoblastoma12155111

[back to top] [back to top]

Stratum B Response to Window Therapy

The primary outcome is to estimate the proportion of stratum B patients responding to 2 courses of window therapy consisting of vincristine and topotecan. Complete Response is the complete regression of all apparent tumor masses in the funduscopic examination and by MRI and ultrasound (US). Partial Response is defined as greater than 50% (but less than 100%) reduction of the tumor masses in the funduscopic examination and by US and MRI, without the appearance of any new lesions. The response must persist for at least 4 weeks. Stratum A and C did not receive window therapy. (NCT00186888)
Timeframe: Six weeks post window therapy

InterventionParticipants (Number)
Partial responseProgressive Disease or New LesionFailure due to Toxicity
Stratum B2421

[back to top]

Stratum B Response Rate of Early Stage Eyes to Window Therapy

To estimate the proportion of early stage eyes defined as Reese-Ellsworth Group I, II, or III eyes, that responded to 2 courses of window therapy which consisted of vincristine and topotecan (NCT00186888)
Timeframe: Six weeks post window therapy.

InterventionParticipants (Number)
Partial responseProgressive Disease / New lesionFailure due to Toxicity
Stratum B1101

[back to top]

Assessment of School Readiness

The Bracken Basic Concepts Scale was used to assess school readiness. It is an examiner-administered measure that assesses per-academic skills including letter and number recognition, shapes, colors, and understanding of sizes and comparisons. Raw scores are converted into age-normed scaled scores (normative mean = 10, SD = 3) for the School Readiness Composite. Higher scores are indicative of stronger pre-academic skills, with scores from 7 to 13 within the Average range. (NCT00186888)
Timeframe: Patients were assessed at 5 years of age

Interventionunits on a scale (Mean)
5 Years8.96

[back to top]

Change in Cognitive Functioning

The Early Learning Composite was assessed with Mullen Scales of Early Learning, a measure of developmental functioning appropriate for use with children from birth through age 5. It is an examiner-administered instrument that uses toys, games, pictures, and other objects to elicit information about a child's language, fine and gross motor skills, and overall early learning capabilities. Raw scores are converted to an age-normed standard score (normative mean = 100, SD = 15) for the overall Early Learning Composite. This measure was given at all time points. Higher scores are indicative of better functioning, with scores from 85-115 in the average range. (NCT00186888)
Timeframe: Baseline (at study entry) and at ages 6 months, 1 year, 2 years, 3 years and 5 years

Interventionunits on a scale (Mean)
Baseline91.61
6 Months90.96
1 Year95.91
2 Years88.40
3 Years82.12
5 Years86.00

[back to top]

Change in Parent Report of Social-Emotional Factors

This outcome was measured using the Ages and Stages Questionnaire which is a parent-completed measure of a child's social-emotional functioning. Raw scores are calculated and compared to cut-off points by age (6 months = 45; 1 year = 48; 2 years = 50; 3 years = 59; 5 years =70). Higher scores are indicative of more problems with scores above the cut-off indicating significant concerns warranting additional follow-up. Possible scores range from 0 to 200+, depending on the number of items administered, which varies by the age of the child (19 to 33 items). However, the primary use of this tool is as a screener. Thus, typically, scores are interpreted as they compare to the identified cut-offs, with children who score above the cut-off referred for further evaluation. This measure was given at all time points. (NCT00186888)
Timeframe: Baseline (at study entry), 6 months, 1 year, 2 years, 3 years, and 5 years

Interventionunits on a scale (Mean)
Baseline40
6 Months19.42
1 Year26.28
2 Years29.67
3 Years40.61
5 Years39.93

[back to top]

Change in Relevant Daily Living Skills

The Adaptive Behavior composite was measured using the Vineland Scales of Adaptive Behavior (VABS) which is an examiner-administered semi-structured interview that assesses adaptive functioning from birth through adulthood. Subscales including motor skills, communication, socialization, and daily living skills combine into an overall adaptive behavior composite which is an age-normed standard score (normative mean = 100, SD = 15). This measure was given at all time points. Higher scores are indicative of better functioning, with scores from 85-115 in the average range. (NCT00186888)
Timeframe: Baseline (at study entry), 6 months, 1 year, 2 years, 3 years, and 5 years

Interventionunits on a scale (Mean)
Baseline97.48
6 Months104.73
1 Year106.06
2 Years94.22
3 Years96.45
5 Years93.03

[back to top]

Best Overall Response

Tumor response based on GOG (Gynecological Oncology Group) modified RECIST (Response Evaluation Criteria In Solid Tumors) criteria. A 4-point scale used specifying tumor response. Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions; (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD; (PD): At least a 20% increase in the sum of the LD of target lesions (NCT00267488)
Timeframe: Week 0 to Week 98 when endpoints were met

InterventionParticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive DiseaseUnknown
Topotecan Hydrochloride019234

[back to top]

Time to Progression

Kaplan-Meier Estimate. Time to progression is defined as time from start of treatment until the first documented sign of disease progression or death due to progressive disease. Subjects who have not progressed or died at the time of analysis will be censored at the time of initiation of alternative anti-cancer therapy or time of last contact. Percentiles represent a set of points on a scale arrived at by dividing a group into parts in order of magnitude. (NCT00267488)
Timeframe: Week 0 to Week 19 when endpoints were met

InterventionWeeks (Mean)
25th percentileMedian percentile75th percentile
Topotecan Hydrochloride7.38.715.3

[back to top]

Safety and Tolerability as Summarized Through Adverse Event Reporting

AE = Adverse Event reported at a frequency of greater than or equal to 16%. SAE = Serious Adverse Events where all were reported at 0% frequency. (NCT00267488)
Timeframe: Week 0 to week 98

InterventionNumber of Events (Number)
AE: FatigueAE: NauseaAE: ConstipationAE: Abdominal PainAE: VomitingAE: HypokalemiaAE: AnorexiaAE: DyspneaAE: DiarrheaAE: DizzinessAE: HeadacheAE: InsomniaSAE: Abdominal PainSAE: Gastrointestinal hemorrhageSAE: Intestinal obstructionSAE: Rectal HemorrhageSAE: VomitingSAE: Pulmonary EmbolismSAE: DyspneaSAE: BacteremiaSAE: Streptococcal BacteremiaSAE: Cerebral ischemiaSAE: Cerebral infarctionSAE: Incisional hernia, obstructiveSAE: DehydrationSAE: Embolism venousAlive at last contact-when follow-up endedDeaths - any subjectCause of Death - Disease of StudyCause of Death - Non-Hematological toxicityCause of Death - Other-Brain Metastases
Topotecan Hydrochloride1514121187666666211113111111119282521

[back to top]

Overall Survival

Kaplan-Meier Estimate. Overall survival is defined as time from start of treatment until death due to any cause. Subjects who are alive at the time of analysis will be censored at the time of last contact. (NCT00267488)
Timeframe: Week 0 to Week 98

InterventionWeeks (Mean)
25th percentileMedian percentile75th percentile
Topotecan Hydrochloride20.447.389.3

[back to top]

Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease

Time to progression is defined as the interval between the start date of treatment and the date of occurrence of progressive disease. (NCT00305942)
Timeframe: 18 months

InterventionMonths (Median)
Topotecan/Carboplatin5.5

[back to top]

Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death

Overall survival was measured from the date of study entry until the date of death. (NCT00305942)
Timeframe: 18 months

InterventionMonths (Median)
Topotecan/Carboplatin8.5

[back to top]

Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment

"Overall response rate is the percent of patients experiencing a complete or partial response by RECIST v. 1 Criteria. Overall response rate is the percentage of patients with complete response or partial response per RECIST v.1 Criteria. Complete response (CR) = Disappearance of all target lesions, disappearance of all nontarget lesions for at least 4 weeks. Partial Response (PR) = At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameters.~The final response category assigned represented the best response obtained during treatment." (NCT00305942)
Timeframe: 18 months

Interventionpercentage of participants (Number)
Topotecan/Carboplatin57

[back to top]

Time to Disease Progression by RECIST and/or CA 125

Time to disease progression by RECIST and/or CA 125 (NCT00313612)
Timeframe: Tumor measurements will be performed every 8 weeks until the date of first documented progression up to 100 weeks

Interventionmonths (Median)
Treatment Stratum I (Oxaliplatin Plus Topotecan)6.3
Treatment Stratum II (Oxaliplatin Plus Topotecan)12.6

[back to top]

Clinical Response Rate (Complete and Partial Response by RECIST and/or CA [Cancer Antigen] 125)

Tumor response was assessed every two cycles by CT/MRI using RECIST (Response Evaluation Criteria in Solid Tumors) criteria. Per Response Evaluation Criteria in Solid Tumors (RECIST 1.0) for target lesions: Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): >= 30% decrease in the sum of the longest diameter (LD) of target lesions; Overall Response (OR) = CR + PR. (NCT00313612)
Timeframe: Every two cycles for up to 24 weeks.

,
Interventionparticipants (Number)
Complete ResponsePartial ResponseStable DiseaseDisease Progression
Treatment Stratum I (Oxaliplatin Plus Topotecan)3184
Treatment Stratum II (Oxaliplatin Plus Topotecan)3641

[back to top]

Number of Participants Who Died From the Start of Treatment to Follow-up

"The number of participants who died from the start of treatment to follow-up was calculated. For participants who did not die, the date of last contact was used. The word used for such participants was censored." (NCT00316173)
Timeframe: From start of treatment to death (up to 110.4 weeks).

Interventionparticipants (Number)
DiedCensored
Activity Assessment Phase847

[back to top]

Number of Participants With the Indicated Response

Overall response rate, as determined by radiologic evaluation (utilizing the World Health Organization [WHO] criteria and/or physical examination was measured. Complete response (CR: complete disappearance of all lesions), partial response (PR: >50% decrease in the measurements of the largest lesions with no appearance of new lesions), stable disease (SD: no change in tumor size for at least 8 weeks) and progressive disease (PD: >25% increase in measurements of lesions or appearance of new lesions). (NCT00316173)
Timeframe: From start of treatment to evidence of CR or PR (up to 39.3 weeks).

Interventionparticipants (Number)
Complete responsePartial responseStable diseaseProgressive diseaseNot evaluable
Activity Assessment Phase61120711

[back to top]

Duration of Response

"Duration of response was calculated as the time from first documented PR or CR until disease progression or death. For participants who did not have disease progression or did not die, the date on which alternative anti-cancer therapy began was used, or the date of last contact (if sooner). The word used for such participants was censored." (NCT00316173)
Timeframe: From time of PR or CR to disease progression/death (up to 56.0 weeks)

Interventionweeks (Median)
Activity Assessment Phase42.64

[back to top]

Progression-free Survival

"Progression-free survival (PFS) was calculated as the time from the start of treatment until disease progression or death. For participants who did not have disease progression or did not die, the date on which alternative anti-cancer therapy began was used, or the date of last contact (if sooner). The word used for such participants was censored. Although Time to Disease Progression was stated as an endpoint in the protocol, the definition given in the protocol (and used in the study) was that of PFS. As such, PFS was measured, not Time to Disease Progression." (NCT00316173)
Timeframe: From start of treatment to disease progression/death (up to 67.7 weeks)

Interventionweeks (Median)
Activity Assessment Phase44.29

[back to top]

The Number of Participants Classified as Responders in Cancer Antigen 125 (CA-125)

"CA-125 is a tumor marker, found in greater concentration in tumor cells than other cells of the body. Participants were classed as responders if their CA-125 level at the end of study was 50% or less of baseline. In addition, a confirmatory sample (taken at least 28 days after the first sample) must have also been 50% or less of baseline." (NCT00316173)
Timeframe: Baseline to end of study (up to 54.7 weeks).

Interventionparticipants (Number)
Activity Assessment Phase23

[back to top]

Time to Response

Time to response was calculated as the time from start of treatment until first evidence of partial response (PR; >50% decrease in the measurements of the largest lesions with no appearance of new lesions) or complete response (CR; complete disappearance of all lesions). (NCT00316173)
Timeframe: From start of treatment to evidence of PR or CR (up to 39.3 weeks)

Interventionweeks (Median)
Activity Assessment Phase6.57

[back to top]

Grade 1 (Mild) Hematological Toxicities

Hematology evaluation included hemoglobin, hematocrit, red blood cell count, white blood cell with differential and platelet count. Differential included neutrophils, bands, lymphocytes, monocytes, eosinophils, and basophils. The intensity of each hematological toxicity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAEs). Hematological toxicities are summarized by Common Terminology Criteria (CTC) V3.0 Maximum Toxicity Grade. (NCT00316186)
Timeframe: Week 1 through Endpoint (variable based on disease progression or toxicity)

Interventionparticipants (Number)
AnemiaNeutropeniaThrombocytopeniaLeukopenia
Intravenous Topotecan and Carboplatin1211513

[back to top]

Grade 2 (Moderate) Hematological Toxicities

Hematology evaluation included hemoglobin, hematocrit, red blood cell count, white blood cell with differential and platelet count. Differential included neutrophils, bands, lymphocytes, monocytes, eosinophils, and basophils. The intensity of each hematological toxicity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAEs). Hematological toxicities are summarized by Common Terminology Criteria (CTC) V3.0 Maximum Toxicity Grade. (NCT00316186)
Timeframe: Week 1 through Endpoint (variable based on disease progression or toxicity

Interventionparticipants (Number)
AnemiaNeutropeniaThrombocytopeniaLeukopenia
Intravenous Topotecan and Carboplatin144510

[back to top]

Grade 3 (Severe) Hematological Toxicities

Hematology evaluation included hemoglobin, hematocrit, red blood cell count, white blood cell with differential and platelet count. Differential included neutrophils, bands, lymphocytes, monocytes, eosinophils, and basophils. The intensity of each hematological toxicity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAEs). Hematological toxicities are summarized by Common Terminology Criteria (CTC) V3.0 Maximum Toxicity Grade. (NCT00316186)
Timeframe: Week 1 through Endpoint (variable based on disease progression or toxicity

Interventionparticipants (Number)
AnemiaNeutropeniaThrombocytopeniaLeukopenia
Intravenous Topotecan and Carboplatin4424

[back to top]

Grade 4 (Life-threatening or Disabling) Hematological Toxicities

Hematology evaluation included hemoglobin, hematocrit, red blood cell count, white blood cell with differential and platelet count. Differential included neutrophils, bands, lymphocytes, monocytes, eosinophils, and basophils. The intensity of each hematological toxicity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAEs). Hematological toxicities are summarized by Common Terminology Criteria (CTC) V3.0 Maximum Toxicity Grade. (NCT00316186)
Timeframe: Week 1 through Endpoint (variable based on disease progression or toxicity

Interventionparticipants (Number)
AnemiaNeutropeniaThrombocytopeniaLeukopenia
Intravenous Topotecan and Carboplatin2420

[back to top]

Overall Response Rate, as Determined by Radiologic Evaluation (Utilizing the World Health Organization [WHO] Criteria), Calculated as the Number of Participants With the Indicated Response

The categories of tumor response were: complete response (complete disappearance of all known lesions determined by 2 measurements not less than 4 weeks apart), partial response (>50% decrease in measurable lesions for at least 4 weeks with no appearance of new lesions), stable disease (no change in tumor size for at least 8 weeks), progressive disease (>25% increase in measurements of lesions or appearance of new lesions), and not evaluable. The overall response rate was determined using a scan performed within the first 30 days of the first response. (NCT00316186)
Timeframe: Baseline until up to Day 169

InterventionParticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive DiseaseNot Evaluable
Intravenous Topotecan and Carboplatin081168

[back to top]

Dose Limiting Toxicity (DLT)

Dose-limiting toxicity defined as any Grade 4 hematological toxicity and any > Grade 3 non-hematologic toxicity. The DLT (dose-limiting toxicity) is defined as any Grade 4 hematological toxicity and any > Grade 3 non-hematologic toxicity. (NCT00317772)
Timeframe: Continual reassessment method, prior to each 28 day cycle, an average of 60 days

InterventionDose Limiting Toxicities (Number)
Phase 1 Dose Level 12
Phase 1 Dose Level 23
Phase 1 Dose Level 34

[back to top]

Maximum Tolerated Dose (MTD) of Topotecan

Maximum tolerated dose is highest dose level in which 6 patients treated with at most 1 experiencing DLT. (NCT00317772)
Timeframe: At end of first course, prior to each new course (28 day cycle). Continual reassessment method (CRM) during each course for toxicity, an average of 60 days

Interventionmg/m^2 (Number)
All Phase 1 Participants4

[back to top]

Response Rate

Measurable disease defined as at least one lesion that can be accurately measured in at least one dimension. Complete Response (CR): disappearance of all target and non-target lesions and no evidence of new lesions. Partial Response (PR): At least 30% decrease in sum of longest dimensions (LD) of all target measurable lesions. Increasing Disease: At least a 20% increase in sum of LD of target lesions taking as reference smallest sum LD or appearance of new lesions within 8 weeks of study entry. Progression on existing non-target lesions, other than pleural effusions without cytological proof of neoplastic origin. Death due to disease without prior objective documentation of progression. Global deterioration in health status attributable to disease requiring a change in therapy without objective evidence of progression. (NCT00317772)
Timeframe: 61 weeks

,,,
InterventionParticipants (Count of Participants)
Complete responsePartial responseStable diseaseProgressive diseaseNot evaluable
Expansion Phase00172
Phase 1 Dose Level 101020
Phase 1 Dose Level 200120
Phase 1 Dose Level 301110

[back to top]

Phase II Event Free Survival (EFS)

Time to treatment failure, which is defined as the time from day 0 to the time of progressive disease. Progressive disease is defined by unequivocal objective evidence and constitutes any of the following: 1). an increase in the total amount of monoclonal protein (M-component from Serum Protein Electrophoresis (SPEP) and/or Urine Protein Electrophoresis (UPEP) with immunofixation) by more than 100% from the lowest level of serum myeloma protein seen after high-dose chemotherapy by serum protein electrophoresis; 2). an increase in the total amount of monoclonal protein above the remission level of the myeloma peak (i.e., an increase of >25% above the lowest level in a 24 hour urine or serum protein; 3). the reappearance of the M-protein if the patient had entered a CR: 4). definite increase in the size (> 1 cm) or number of lytic bone lesions. Compression fractures do not constitute a relapse. (NCT00325416)
Timeframe: Phase II - Phase start at 62 months up to 120 months

Interventionmonths (Median)
Age Group A - Melphalan and Topotecan Plus Stem Cell Rescue13.3
Age Group B - Melphalan and Topotecan Plus Stem Cell Rescue21.3

[back to top]

Phase II Overall Survival (OS)

Time from start of treatment until death from any cause. (NCT00325416)
Timeframe: Phase II - Phase start at 62 months up to 120 months

Interventionmonths (Median)
Age Group A - Melphalan and Topotecan Plus Stem Cell Rescue63
Age Group B - Melphalan and Topotecan Plus Stem Cell Rescue62

[back to top]

Phase II Participants - Overall Response Rate

Re-evaluation of participants who had responsive disease prior to transplant. All changes in monoclonal protein and immunoglobulins will be referenced to those levels obtained immediately prior to cyclophosphamide priming chemotherapy. Complete Response (CR): A CR will be defined as the disappearance of the monoclonal protein by immunofixation studies of serum and urine (100x concentrate) and less than or equal to 5% plasma cells in a bone marrow aspirate. Partial Response (PR): 50% - 74% decrease in the measurable monoclonal protein (M-component from an SPEP and/or UPEP with immunofixation). (NCT00325416)
Timeframe: Phase II - Phase start at 62 months up to 120 months

,
Interventionpercentage of participants (Number)
Overall Response RateComplete Response RatePartial Response Rate
Age Group A - Melphalan and Topotecan Plus Stem Cell Rescue652639
Age Group B - Melphalan and Topotecan Plus Stem Cell Rescue571839

[back to top]

Phase I - Maximum Tolerated Dose (MTD) Level

"MTD of topotecan in multiple myeloma patients receiving autologous transplant when give with melphalan 150 mg/m^2 for three days. Two parallel dose escalations were used, one each for young (18-60 years of age) and elderly patients (> 61 years of age). Elderly patients began a dose level once it had been found to be safe for the young cohort. The purpose of this approach was to expand the access of this trial to elderly patients while ensuring safety.~Phase I Dose Escalation: Level 1 - 20 mg/m^2; Level 2 - 30 mg/m^2; Level 4 - 54 mg/m^2; Level 5 - 72 mg/m^2; Level 6 - 96 mg/m^2; Level 7 - 127.8 mg/m^2; Level 8 - 170.1 mg/m^2" (NCT00325416)
Timeframe: Phase I - 5 years, 2 months

Interventionmg/m^2 (Number)
Age Group A - Melphalan and Topotecan Plus Stem Cell Rescue127.8
Age Group B - Melphalan and Topotecan Plus Stem Cell Rescue30

[back to top]

Number or Participants With Toxicity

(NCT00343044)
Timeframe: measured at each treatment cycle

Interventionparticipants (Number)
Combined Weekly Topotecan and Biweekly Bevacizumab40

[back to top]

Objective Response Rate

RECIST criteria (NCT00343044)
Timeframe: Response

Interventionparticipants (Number)
Combined Weekly Topotecan and Biweekly Bevacizumab10

[back to top]

Evaluation of Overall Survival

Overall survival was defined as the number of months after commencing study treatment to death. (NCT00343044)
Timeframe: PFS and OS were defined as the number of months after commencing study treatment until progressive disease or death.

Interventionmonths (Median)
All ParticipantsOne Prior Regimen (n=21)Two Prior Regimens (n=19)
Combined Weekly Topotecan and Biweekly Bevacizumab16.612.822.9

[back to top]

Progression Free Survival

Progression free survival(PFS)was measured by Response Evaluation Criteria in Solid Tumors (RECIST) criteria in patients with measurable disease. For patients with nonmeasurable disease, cancer antigen (CA-125) levels were used to determine response according to Rustin criteria. Progression-free survival was defined as number of months after beginning study treatment until progressive disease or death, respectively. (NCT00343044)
Timeframe: PFS and OS were defined as the number of months after commencing study treatment until progressive disease or death.

Interventionmonths (Median)
All participantsOne prior regimen (n=21)Two prior regimens (n=19)
Combined Weekly Topotecan and Biweekly Bevacizumab7.82.810.9

[back to top]

Median Duration of Response

Defined to be the time from first documented evidence of response until the first documented sign of disease progression or death due to progressive disease. For subjects who do not progress or die, duration of response will be censored at the time of last contact. (NCT00365547)
Timeframe: Day of 1st Response Until Disease Progression of Death/Last Contact

InterventionDays (Median)
Patients Evaluable for Tumor Response186.5

[back to top]

Number of Tumor Responders

Patients that met Solid Tumor Response Criteria (RECIST) criteria for partial response (at least a 30% decrease in the sum of the longest diameters of target lesions) and complete response (disappearance of all target lesions). (NCT00365547)
Timeframe: From Day 1 Until Disease Progression or Date of Death (Whichever Occurred First), Up to 1 Year

InterventionParticipants (Number)
Partial ResponseComplete Response
Patients Evaluable for Tumor Response60

[back to top]

Median Time to Response

Defined as the time from the start of treatment until first documented evidence of at least a partial tumor response. (NCT00365547)
Timeframe: From Day 1 Until Tumor Response

InterventionDays (Median)
Patients Evaluable for Tumor Response62.5

[back to top]

Median Time to Disease Progression

Assessed by Response Evaluation Criteria In Solid Tumor (RECIST criteria). Progression is defined as a measureable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions since baseline. (NCT00365547)
Timeframe: From Day 1 Until First Documented Disease Progression or Date of Death (Whichever Occurred First)

InterventionDays (Mean)
Intent-To-Treat Population152

[back to top]

Median Overall Survival

Defined as the time from the start of treatment until death due to whatever cause. For subjects alive at study completion, time to death will be censored at the time of last contact. (NCT00365547)
Timeframe: From Day 1 Until Death Occurred

InterventionDays (Median)
Intent-To-Treat Population345

[back to top]

Best Overall Response

Best overall response is defined as the best response across all time points. Response was evaluated via changes from baseline in radiological tumor measurements performed after every two treatment cycles and at the end of treatment or time of disease progression. Response was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter (LD) of target lesions; Stable Disease (SD) is neither sufficient shrinkage in sum of LD of target lesions to be PR nor increase of >=20%; Progressive Disease (PD) is the increase in existing lesions or new lesions. (NCT00382733)
Timeframe: Best overall response was assessed after every 8 weeks of treatment and at the end of treatment or time of disease progression, up to 1 year.

,,,,
Interventionparticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive DiseaseNot Evaluable
Oral Topotecan 0.25 mg Daily00201
Oral Topotecan 0.50 mg Daily00112
Oral Topotecan 0.75 mg Daily00210
Oral Topotecan 1.0 mg Daily01427
Oral Topotecan 1.25 mg Daily00002

[back to top]

Maximum Tolerated Dose (MTD) of Single Agent Metronomic Oral Topotecan

The MTD of metronomic oral topotecan was determined using a standard 3+3 dose escalation cohort design. The total sample and the number of subjects who receive each dose in this design depends on the frequency of dose limiting toxicities (DLTs)at each dose level. If 0 out of 3 subjects experience a DLT at a given dose level, 3 subjects will be enrolled at the next higher dose level. If greater than or equal to 2 subjects experience a DLT at a given dose level, dose escalation will be stopped. If 1 out of 3 subjects experience a DLT at a given dose level, 3 subjects are enrolled at the same dose level. (NCT00382733)
Timeframe: MTD was assessed during the first cycle of treatment (days 1-28).

Interventionmg/day (Number)
Metronomic Oral Topotecan1.0

[back to top]

Dose Limiting Toxicities (DLT)

DLTs were assessed using the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. This measure reports the number of subjects who experienced DLT at each dose level during the dose finding portion of the study. (NCT00382733)
Timeframe: DLTs were assessed during the first cycle of treatment (days 1-28).

Interventionparticipants (Number)
Oral Topotecan 0.25 mg Daily0
Oral Topotecan 0.50 mg Daily0
Oral Topotecan 0.75 mg Daily0
Oral Topotecan 1.0 mg Daily0
Oral Topotecan 1.25 mg Daily2

[back to top]

Number of Participants With the Indicated Investigator Assessment of Strength (Right Lower Extremity) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of strength (right lower extremity) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic with weakness on physical examination; Grade 2, symptomatic and interfering with function, but not interfering with ADLs; Grade 3, symptomatic and interfering with ADLs; Grade 4: bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 228Month 1, normal, n=178, 180Month 3, normal, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 180Month 3, Grade 3, n=109, 107Baseline, Grade 4, n=230, 228Month 1, Grade 4, n=178, 180Month 3, Grade 4, n=109, 107
Chemoradiation: Topotecan Plus WBRT1961378120171291111394241
Radiation: WBRT Alone18914580191511161911403012

[back to top]

Number of Participants With the Indicated Investigator Assessment of Strength (Right Upper Extremity) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of strength (right upper extremity) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic with weakness on physical examination; Grade 2, symptomatic and interfering with function, but not interfering with ADLs; Grade 3, symptomatic and interfering with ADLs; Grade 4: bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 228Month 1, normal, n=178, 179Month 3, normal, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 179Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 179Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 179Month 3, Grade 3, n=109, 107Baseline, Grade 4, n=230, 228Month 1, Grade 4, n=178, 179
Chemoradiation: Topotecan Plus WBRT2031539315131066454212
Radiation: WBRT Alone19515989161210125552301

[back to top]

Number of Participants With the Indicated Worst-case Change From Baseline in the Indicated Chemistry Parameters With Respect to the Normal Range

"The worst-case change from Baseline in chemistry parameters was measured as decrease to low (DTL), change to normal or no change (CTN/NC), or increase to high (ITH). The worst-case change value could have been measured at any point during the on-therapy period. Participants are counted twice if the participant Decreased to Low and Increased to High during the on-therapy period." (NCT00390806)
Timeframe: From Randomization until the last clinic visit associated with the study, up until 35 days after the start of the last course of treatment (up to 75 weeks)

,
Interventionparticipants (Number)
Chloride, DTL, n=169, 171Chloride, CTN/NC, n=169, 171Chloride, ITH, n=169, 171Creatinine clearance, DTL, n=159, 145Creatinine clearance, CTN/NC, n=159, 145Creatinine clearance, ITH, n=159, 145Lactate dehydrogenase, DTL, n=169, 168Lactate dehydrogenase, CTN/NC, n=169, 168Lactate dehydrogenase, ITH, n=169, 168Total protein, DTL, n=171, 175Total protein, CTN/NC, n=171, 175Total protein, ITH, n=171, 175Urea/blood urea nitrogen, DTL, n=178, 179Urea/blood urea nitrogen, CTN/NC, n=178, 179Urea/blood urea nitrogen, ITH, n=178, 179Uric acid, DTL, n=159, 152Uric acid, CTN/NC, n=159, 152Uric acid, ITH, n=159, 152Basophils, DTL, n=215, 211Basophils, CTN/NC, n=215, 211Basophils, ITH, n=215, 211Eosinophils, DTL, n=214, 211Eosinophils, CTN/NC, n=214, 211Eosinophils, ITH, n=214, 211Hematocrit, DTL, n=215, 212Hematocrit, CTN/NC, n=215, 212Hematocrit, ITH, n=215, 212Monocytes, DTL, n=216, 212Monocytes, CTN/NC, n=216, 212Monocytes, ITH, n=216, 212Red Blood Cell Count, DTL, n=216, 212Red Blood Cell Count, CTN/NC, n=216, 212Red Blood Cell Count, ITH, n=216, 212
Chemoradiation: Topotecan Plus WBRT32116222612115811747481194713933211251371862528182498117184119541031130
Radiation: WBRT Alone211446913421127403613724152241213461200101219183816961716137381714

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Vertigo at Baseline, Month 1, and Month 3

The investigator (per CTCAE, version 3.0) assessed participants for vertigo and assigned each participant to one of the following categories: absent, G 1, G 2, G 3, G 4, and G 5. Grade refers to the severity of the AE. The CTCAE displays G 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: G 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; G 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental ADL; G 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self care ADL; G 4: life-threatening consequences, urgent intervention indicated; G 5: death related to AE. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=230, 228Month 1, absent, n=178, 180Month 3, absent, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 180Month 3, Grade 3, n=109, 107Month 1, Grade 4, n=178, 180
Chemoradiation: Topotecan Plus WBRT1801489026191419745311
Radiation: WBRT Alone1731508630191322963220

[back to top]

Number of Participants Who Died or Progressed

Disease-related events were measured as the number of participants who died or progressed. Progressive disease (PD) is defined as an increase >=25% in any measurable lesion or, in participants with non-measurable disease only, an estimation of an increase >=25%. In both cases, determination of progression included the appearance of any new lesions, or signification worsening of conditions presumed to be related to malignancy. Participants with clinical or laboratory evidence of possible disease progression were to be evaluated radiologically. Data were analyzed with censoring for extended loss to follow-up to account for two or more missed assessments before an event. The date of the last adequate CNS assessment before extended loss to follow-up was used for censored participants. (NCT00390806)
Timeframe: From Randomization until the last clinic visit associated with the study, up until 35 days after the start of the last course of treatment (up to 75 weeks)

Interventionparticipants (Number)
Chemoradiation: Topotecan Plus WBRT179
Radiation: WBRT Alone161

[back to top]

Overall Survival

Overall survival is defined as the time from randomization until the date of death due to any cause. The date of last contact was used for those participants who had not died or were lost to follow-up. These participants were classified as having been censored. (NCT00390806)
Timeframe: From the time of Randomization until the date of death due to any cause (up to 195 weeks)

Interventionmonths (Median)
Chemoradiation: Topotecan Plus WBRT4.0
Radiation: WBRT Alone3.6

[back to top]

Six-month Survival

Six-month survival is defined as the percentage of participants alive at 6 months following randomization. The date of last contact was used for those participants who had not died or were lost to follow-up. These participants were classified as having been censored. (NCT00390806)
Timeframe: Month 6

Interventionpercentage of participants (Number)
Chemoradiation: Topotecan Plus WBRT36
Radiation: WBRT Alone28

[back to top]

Time to Progression (TTP) (All Sites of Disease-radiologic)

TTP is defined as the time from Randomization until the first documented sign of disease progression in all sites of disease. Progressive disease (PD) is defined as an increase >=25% in any measurable lesion or, in participants with non-measurable disease only, an estimation of an increase >=25%. In both cases, determination of progression included the appearance of any new lesions, or signification worsening of conditions presumed to be related to malignancy. Participants with clinical or laboratory evidence of possible disease progression were to be evaluated radiologically. TTP was analyzed with censoring for extended loss to follow-up to account for two or more missed assessments before a TTP event. The date of the last adequate CNS assessment before extended loss to follow-up was used for censored participants. (NCT00390806)
Timeframe: From the time of Randomization until the first documented sign of disease progression (up to 75 weeks)

Interventionweeks (Median)
Chemoradiation: Topotecan Plus WBRT8.0
Radiation: WBRT Alone7.7

[back to top]

Time to Progression (TTP) (CNS-radiologic)

TTP is defined as the time from Randomization until the first documented sign of disease progression in the CNS. Progressive disease (PD) is defined as an increase >=25% in any measurable lesion or, in participants with non-measurable disease only, an estimation of an increase >=25%. In both cases, determination of progression included the appearance of any new lesions, or signification worsening of conditions presumed to be related to malignancy. Participants with clinical or laboratory evidence of possible disease progression were to be evaluated radiologically. TTP was analyzed with censoring for extended loss to follow-up to account for two or more missed assessments before a TTP event. The date of the last adequate CNS assessment before extended loss to follow-up was used for censored participants. (NCT00390806)
Timeframe: From the time of Randomization until the first documented sign of disease progression (up to 75 weeks)

Interventionweeks (Median)
Chemoradiation: Topotecan Plus WBRT9.7
Radiation: WBRT Alone9.7

[back to top]

Time to Response (TTR) (CNS-radiologic)

TTR is defined as the time from Randomization until the first documented evidence of CR or PR in the CNS. CR is defined as the complete disappearance of all known measurable (Must be accurately measured in >=1 dimension) and nonmeasurable disease, without clinical, laboratory, or radiological evidence of recurrence for at least 4 weeks. CR may have been defined in participants with measurable and/or non-measurable disease at Screening. PR is defined as at least a 50% decrease in the sum of the products of the greatest length and perpendicular width of all measurable disease with no clear increase in nonmeasurable disease in participants without measurable disease. In both cases, there must have been no appearance of new disease, and no clinical, laboratory, or radiological evidence of disease progression for at least 4 weeks. Assessment of response was performed by the investigator and was based on unconfirmed responses. (NCT00390806)
Timeframe: From the time of Randomization until the first documented evidence of CR or PR (up to 75 weeks)

Interventionweeks (Median)
Chemoradiation: Topotecan Plus WBRT8.0
Radiation: WBRT Alone8.1

[back to top]

Number of Participants Who Ranked Each Individual Indicated Neurological Sign and Symptom as None, Mild, Moderate, or Severe at Months 1 and 3

Neurological signs and symptoms data were derived from a participant-reported diary. The participants were asked to assess the following signs and symptoms on a scale of none, mild, moderate, or severe at Months 1 and 3: headache, problems with balance/coordination (PB/C), leg weakness, arm weakness, loss of feeling/numbness (LofF/N), speech difficulty (SD), confusion, loss of memory (LofM), drowsiness, nausea, vomiting, dizziness, visual problems (VP), seizures, leg/ankle swelling (L/AS), heart burn, difficulty sleeping (DS), tiredness, and appetite/weight gain (A/WG). (NCT00390806)
Timeframe: Months 1 and 3

,
Interventionparticipants (Number)
Headache, Month 1, none, n=179, 189Headache, Month 1, mild, n=179, 189Headache, Month 1, moderate, 179, 189Headache, Month 1, severe, 179, 189Headache, Month 3, none, n=109, 111Headache, Month 3, mild, n=109, 111Headache, Month 3, moderate, n=109, 111Headache, Month 3, severe, n=109, 111PB/C, Month 1, none, n=179, 188PB/C, Month 1, mild, n=179, 188PB/C, Month 1, moderate, n=179, 188PB/C, Month 1, severe, n=179, 188PB/C, Month 3, none, n=109, 111PB/C, Month 3, mild, n=109, 111PB/C, Month 3, moderate, n=109, 111PB/C, Month 3, severe, n=109, 111Leg weakness, Month 1, none, n=179, 188Leg weakness, Month 1, mild, n=179, 188Leg weakness, Month 1, moderate, n=179, 188Leg weakness, Month 1, severe, n=179, 188Leg weakness, Month 3, none, n=109, 111Leg weakness, Month 3, mild, n=109, 111Leg weakness, Month 3, moderate, n=109, 111Leg weakness, Month 3, severe, n=109, 111Arm weakness, Month 1, none, n=179, 188Arm weakness, Month 1, mild, n=179, 188Arm weakness, Month 1, moderate, n=179, 188Arm weakness, Month 1, severe, n=179, 188Arm weakness, Month 3, none, n=109, 111Arm weakness, Month 3, mild, n=109, 111Arm weakness, Month 3, molderate, n=109, 111Arm weakness, Month 3, severe, n=109, 111LofF/N, Month 1, none, n=179, 188LofF/N, Month 1, mild, n=179, 188LofF/N, Month 1, moderate, n=179, 188LofF/N, Month 1, severe, n=179, 188LofF/N, Month 3, none, n=109, 111LofF/N, Month 3, mild, n=109, 111LofF/N, Month 3, moderate, n=109, 111LofF/N, Month 3, severe, n=109, 111SD, Month 1, none, n=179, 188SD, Month 1, mild, n=179, 188SD, Month 1, moderate, n=179, 188SD, Month 1, severe, n=179, 188SD, Month 3, none, n=109, 110SD, Month 3, mild, n=109, 110SD, Month 3, moderate, n=109, 110SD, Month 3, severe, n=109, 110Confusion, Month 1, none, n=179, 188Confusion, Month 1, mild, n=179, 188Confusion, Month 1, moderate, n=179, 188Confusion, Month 1, severe, n=179, 188Confusion, Month 3, none, n=109, 110Confusion, Month 3, mild, n=109, 110Confusion, Month 3, moderate, n=109, 110Confusion, Month 3, severe, n=109, 110LofM, Month 1, none, n=179, 188LofM, Month 1, mild, n=179, 188LofM, Month 1, moderate, n=179, 188LofM, Month 1, severe, n=179, 188LofM, Month 3, none, n=109, 110LofM, Month 3, mild, n=109, 110LofM, Month 3, moderate, n=109, 110LofM, Month 3, severe, n=109, 110Drowsiness, Month 1, none, n=179, 188Drowsiness, Month 1, mild, n=179, 188Drowsiness, Month 1, moderate, n=179, 188Drowsiness, Month 1, severe, n=179, 188Drowsiness, Month 3, none, n=109, 111Drowsiness, Month 3, mild, n=109, 111Drowsiness, Month 3, moderate, n=109, 111Drowsiness, Month 3, severe, n=109, 111Nausea, Month 1, none, n=179, 188Nausea, Month 1, mild, n=179, 188Nausea, Month 1, moderate, n=179, 188Nausea, Month 1, severe, n=179, 188Nausea, Month 3, none, n=109, 111Nausea, Month 3, mild, n=109, 111Nausea, Month 3, moderate, n=109, 111Nausea, Month 3, severe, n=109, 111Vomiting, Month 1, none, n=179, 188Vomiting, Month 1, mild, n=179, 188Vomiting, Month 1, moderate, n=179, 188Vomiting, Month 1, severe, n=179, 188Vomiting, Month 3, none, n=109, 111Vomiting, Month 3, mild, n=109, 111Vomiting, Month 3, moderate, n=109, 111Vomiting, Month 3, severe=109, 111Dizziness, Month 1, none, n=179, 188Dizziness, Month 1, mild, n=179, 188Dizziness, Month 1, moderate, n=179, 188Dizziness, Month 1, severe, n=179, 188Dizziness, Month 3, none, n=109, 111Dizziness, Month 3, mild, n=109, 111Dizziness, Month 3, moderate, n=109, 111Dizziness, Month 3, severe, n=109, 111VP, Month 1, none, n=179, 188VP, Month 1, mild, n=179, 188VP, Month 1, moderate, n=179, 188VP, Month 1, severe, n=179, 188VP, Month 3, none, n=109, 111VP, Month 3, mild, n=109, 111VP, Month 3, moderate, n=109, 111VP, Month 3, severe, n=109, 111Seizures, Month 1, none, n=179, 188Seizures, Month 1, mild, n=179, 188Seizures, Month 1, moderate, n=179, 188Seizures, Month 1, severe, n=179, 188Seizures, Month 3, none, n=109, 110Seizures, Month 3, mild, n=109, 110Seizures, Month 3, moderate, n=109, 110Seizures, Month 3, severe, n=109, 110L/AS, Month 1, none, n=179, 188L/AS, Month 1, mild, n=179, 188L/AS, Month 1, moderate, n=179, 188L/AS, Month 1, severe, n=179, 188L/AS, Month 3, none, n=109, 111L/AS, Month 3, mild, n=109, 111L/AS, Month 3, moderate, n=109, 111L/AS, Month 3, severe, n=109, 111Heartburn, Month 1, none, n=179, 188Heartburn, Month 1, mild, n=179, 188Heartburn, Month 1, moderate, n=179, 188Heartburn, Month 1, severe, n=179, 188Heartburn, Month 3, none, n=109, 111Heartburn, Month 3, mild, n=109, 111Heartburn, Month 3, moderate, n=109, 111Heartburn, Month 3, severe, n=109, 111DS, Month 1, none, n=179, 188DS, Month 1, mild, n=179, 188DS, Month 1, moderate, n=179, 188DS, Month 1, severe, n=179, 188DS, Month 3, none, n=109, 110DS, Month 3, mild, n=109, 110DS, Month 3, moderate, n=109, 110DS, Month 3, severe, n=109, 110Tiredness, Month 1, none, n=179, 188Tiredness, Month 1, mild, n=179, 188Tiredness, Month 1, moderate, n=179, 188Tiredness, Month 1, severe, n=179, 188Tiredness, Month 3, none, n=109, 111Tiredness, Month 3, mild, n=109, 111Tiredness, Month 3, moderate, n=109, 111Tiredness, Month 3, severe, n=109, 111A/WG, Month 1, none, n=179, 188A/WG, Month 1, mild, n=179, 188A/WG, Month 1, moderate, n=179, 188A/WG, Month 1, severe, n=179, 188A/WG, Month 3, none, n=108, 111A/WG, Month 3, mild, n=108, 111A/WG, Month 3, moderate, n=108, 111A/WG, Month 3, severe, n=108, 111
Chemoradiation: Topotecan Plus WBRT937111469335284662276928102477341182851201096552356039821015317873283515116939411221502063997211492082931411905525950421521253812470317115320428915419658223643573103541757229711735101080101412112586193114226928716421124115117820834275461628521910107421911712746
Radiation: WBRT Alone106681325341143797130846361811597241163437192197601813533416811432596627117137409278228214832717129911414151782561965926744401512142361007329631641941911532947021354361471175316269281041797201024311382915685196115127918618611094824771231244285441721423216113412957323114

[back to top]

Number of Participants With a Complete Response (CR) or a Partial Response (PR) (Central Nervous System [CNS]-Radiologic)

The number of participants achieving either a CR or PR, per World Health Organization (WHO) Criteria, in the CNS was assessed. CR is defined as the complete disappearance of all known measurable (Must be accurately measured in >=1 dimension) and nonmeasurable disease, without clinical, laboratory, or radiological evidence of recurrence for at least 4 weeks. CR may have been defined in participants with measurable and/or non-measurable disease at Screening. PR is defined as at least a 50% decrease in the sum of the products of the greatest length and perpendicular width of all measurable disease with no clear increase in nonmeasurable disease in participants without measurable disease. In both cases, there must have been no appearance of new disease, and no clinical, laboratory, or radiological evidence of disease progression for at least 4 weeks. Assessment of response was performed by the investigator and was based on unconfirmed responses. (NCT00390806)
Timeframe: From the time of Randomization until the time of CR or PR (up to 75 weeks)

,
Interventionparticipants (Number)
Complete responsePartial response
Chemoradiation: Topotecan Plus WBRT2363
Radiation: WBRT Alone1161

[back to top]

Number of Participants With Any Adverse Event (AE; Both Serious and Non-serious) or Serious Adverse Event (SAE)

An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose: results in death; is life threatening; requires hospitalization or prolongation of existing hospitalization; results in disability/incapacity; is a congenital anomaly/birth defect. For a list of all SAEs and AEs, see the SAE/AE module of this results summary. (NCT00390806)
Timeframe: From Randomization until the last clinic visit associated with the study, up until 35 days after the start of the last course of treatment (up to 75 weeks)

,
Interventionparticipants (Number)
AESAE
Chemoradiation: Topotecan Plus WBRT20496
Radiation: WBRT Alone14843

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Dizziness/Lightheadedness at Baseline, Month 1, and Month 3

The investigator (per CTCAE, version 3.0) assessed participants for dizziness/lightheadedness and assigned each participant to one of the following categories: absent, G 1, G 2, G 3, G 4, and G 5. Grade refers to the severity of the AE. The CTCAE displays G 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: G 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; G 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental ADL; G 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self care ADL; G 4: life-threatening consequences, urgent intervention indicated; G 5: death related to AE. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=230, 228Month 1, absent, n=178, 180Month 3, absent, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 180Month 3, Grade 3, n=109, 107
Chemoradiation: Topotecan Plus WBRT160124764544212179433
Radiation: WBRT Alone1511287647362026149422

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Headache at Baseline, Month 1, and Month 3

The investigator (per Common Terminology Criteria for Adverse Events [CTCAE], version 3.0) assessed participants for headache and assigned each participant to one of the following categories: absent, Grade (G) 1, G 2, G 3, G 4, and G 5. Grade refers to the severity of the AE. The CTCAE displays G 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: G 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; G 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental ADL; G 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self care ADL; G 4: life-threatening consequences, urgent intervention indicated; G 5: death related to AE. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=230, 228Month 1, absent, n=178, 180Month 3, absent, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 180
Chemoradiation: Topotecan Plus WBRT14112685624317259720
Radiation: WBRT Alone1461277455382323141041

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Level of Consciousness at Baseline, Month 1, and Month 3

The investigator assessed participants for the neurological sign and symptom of level of consciousness and assigned each participant to one of the following categories: normal; somnolence or sedation not interfering with function (not intefering); somnolence or sedation interfering with function, but not activities of daily living (ADLs) (interfering); obtundation or stupor, difficult to arouse, inteferring with ADLs (obtundation or stupor); coma. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 228Month 1, normal, n=178, 180Month 3, normal, n=109, 107Baseline, not interfering, n=230, 228Month 1, not interfering, n=178, 180Month 3, not interfering, n=109, 107Baseline, interfering, n=230, 228Month 1, interfering, n=178, 180Month 3, interfering, n=109, 107Baseline, obtundation and stupor, n=230, 228Month 1, obtundation and stupor, n=178, 180Month 3, obtundation and stupor, n=109, 107
Chemoradiation: Topotecan Plus WBRT219171102753303121
Radiation: WBRT Alone21616992978345002

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Nausea/Vomiting at Baseline, Month 1, and Month 3

The investigator (per CTCAE, version 3.0) assessed participants for nausea/vomiting and assigned each participant to one of the following categories: absent, G 1, G 2, G 3, G 4, and G 5. Grade refers to the severity of the AE. The CTCAE displays G 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: G 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; G 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental ADL; G 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self care ADL; G 4: life-threatening consequences, urgent intervention indicated; G 5: death related to AE. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=230, 228Month 1, absent, n=178, 180Month 3, absent, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 180Month 3, Grade 5, n=109, 107
Chemoradiation: Topotecan Plus WBRT20315188192014766111
Radiation: WBRT Alone192162932215111033400

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Other Neurological Symptoms at Baseline, Month 1, and Month 3

The investigator (per CTCAE, version 3.0) assessed participants for other neurological symptoms and assigned each participant to one of the following categories: absent, G 1, G 2, G 3, G 4, and G 5. Grade refers to the severity of the AE. The CTCAE displays G 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: G 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; G 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental ADL; G 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self care ADL; G 4: life-threatening consequences, urgent intervention indicated; G 5: death related to AE. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=229, 228Month 1, absent, n=177, 180Month 3, absent, n=109, 107Baseline, Grade 1, n=229, 228Month 1, Grade 1, n=177, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=229, 228Month 1, Grade 2, n=177, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=229, 228Month 1, Grade 3, n=177, 180Month 1, Grade 4, n=177, 180Month 3, Grade 5, n=109, 107
Chemoradiation: Topotecan Plus WBRT219165992267831201
Radiation: WBRT Alone2141711015658111110

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Seizure at Baseline, Month 1, and Month 3

The investigator (per CTCAE, version 3.0) assessed participants for seizure and assigned each participant to one of the following categories: absent, G 1, G 2, G 3, G 4, and G 5. Grade refers to the severity of the AE. The CTCAE displays G 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: G 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; G 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental ADL; G 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self care ADL; G 4: life-threatening consequences, urgent intervention indicated; G 5: death related to AE. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=230, 228Month 1, absent, n=178, 180Month 3, absent, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Baseline, Grade 4, n=230, 228
Chemoradiation: Topotecan Plus WBRT21817510942061011
Radiation: WBRT Alone21617810161461200

[back to top]

Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Visual Problem at Baseline, Month 1, and Month 3

The investigator (per CTCAE, version 3.0) assessed participants for visual problem and assigned each participant to one of the following categories: absent, G 1, G 2, G 3, G 4, and G 5. Grade refers to the severity of the AE. The CTCAE displays G 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: G 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; G 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental ADL; G 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self care ADL; G 4: life-threatening consequences, urgent intervention indicated; G 5: death related to AE. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=230, 228Month 1, absent, n=178, 180Month 3, absent, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 180Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 180Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 180Month 3, Grade 3, n=109, 107Baseline, Grade 4, n=230, 228Month 1, Grade 4, n=178, 180
Chemoradiation: Topotecan Plus WBRT181148932216122011452021
Radiation: WBRT Alone18915493251910136311100

[back to top]

Number of Participants With the Indicated Investigator Assessment of Ataxia (Balance) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of ataxia (balance) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic but abnormal on physical examination, and not interfering with function; Grade 2, mild symptoms interfering with function, but not interfering with ADLs; Grade 3, moderate symptoms interfering with ADLs; Grade 4, bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 228Month 1, normal, n=178, 178Month 3, normal, n=108, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 178Month 3, Grade 1, n=108, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 178Month 3, Grade 2, n=108, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 178Month 3, Grade 3, n=108, 107Baseline, Grade 4, n=230, 228Month 1, Grade 4, n=178, 178Month 3, Grade 4, n=108, 107
Chemoradiation: Topotecan Plus WBRT15313178372317271381084331
Radiation: WBRT Alone1521287544281323169755215

[back to top]

Number of Participants With the Indicated Investigator Assessment of Ataxia (Gait) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of ataxia (gait) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic but abnormal on physical examination, and not interfering with function; Grade 2, mild symptoms interfering with function, but not interfering with ADLs; Grade 3, moderate symptoms interfering with ADLs; Grade 4, bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 227Month 1, normal, n=178, 179Month 3, normal, n=108, 107Baseline, Grade 1, n=230, 227Month 1, Grade 1, n=178, 179Month 3, Grade 1, n=108, 107Baseline, Grade 2, n=230, 227Month 1, Grade 2, n=178, 179Month 3, Grade 2, n=108, 107Baseline, Grade 3, n=230, 227Month 1, Grade 3, n=178, 179Month 3, Grade 3, n=108, 107Baseline, Grade 4, n=230, 227Month 1, Grade 4, n=178, 179Month 3, Grade 4, n=108, 107
Chemoradiation: Topotecan Plus WBRT172138851316937149674231
Radiation: WBRT Alone17814776221310201412635124

[back to top]

Number of Participants With the Indicated Investigator Assessment of Ataxia (Left Upper Extremity: Finger to Nose Testing) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of ataxia (left upper extremity: finger to nose testing) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic but abnormal on physical examination, and not interfering with function; Grade 2, mild symptoms interfering with function, but not interfering with ADLs; Grade 3, moderate symptoms interfering with ADLs; Grade 4, bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 227Month 1, normal, n=178, 178Month 3, normal, n=109, 107Baseline, Grade 1, n=230, 227Month 1, Grade 1, n=178, 178Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 227Month 1, Grade 2, n=178, 178Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 227Month 1, Grade 3, n=178, 178Month 3, Grade 3, n=109, 107Baseline, Grade 4, n=230, 227Month 1, Grade 4, n=178, 178Month 3, Grade 4, n=109, 107
Chemoradiation: Topotecan Plus WBRT19915697151410862800020
Radiation: WBRT Alone201162941396733431213

[back to top]

Number of Participants With the Indicated Investigator Assessment of Ataxia (Right Upper Extremity: Finger to Nose Testing) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of ataxia (right upper extremity: finger to nose testing) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic but abnormal on physical examination, and not interfering with function; Grade 2, mild symptoms interfering with function, but not interfering with ADLs; Grade 3, moderate symptoms interfering with ADLs; Grade 4, bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=229, 228Month 1, normal, 178, 179Month 3, normal, n=109, 107Baseline, Grade 1, n=229, 228Month 1, Grade 1, 178, 179Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=229, 228Month 1, Grade 2, 178, 179Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=229, 228Month 3, Grade 3, n=109, 107Baseline, Grade 4, n=229, 228Month 1, Grade 4, 178, 179Month 3, Grade 4, n=109, 107
Chemoradiation: Topotecan Plus WBRT206166103137653030220
Radiation: WBRT Alone198166951765126511011

[back to top]

Number of Participants With the Indicated Investigator Assessment of Cranial Nerves II-XII at Baseline, Month 1, and Month 3

The investigator assessed participants' status of cranial nerves II-XII and assigned each participant to one of the following categories: normal; present, not interfering with ADLs; present, interfering with ADLs; life threatening, disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=229, 225Month 1, normal, n=177, 179Month 3, normal, n=109, 107Baseline, present, not interfering, n=229, 225Month 1, present, not interfering, n=177, 179Month 3, present, not interfering, n=109, 107Baseline, present, interfering, n=229, 225Month 1, present, interfering, n=177, 179Month 3, present, interfering, n=109, 107
Chemoradiation: Topotecan Plus WBRT2181721061143010
Radiation: WBRT Alone2111691021062443

[back to top]

Number of Participants With the Indicated Investigator Assessment of Language (Dysphasia or Aphasia) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of language (dysphasia or aphasia) and assigned each participant to one of the following categories: absent; awareness of receptive or expressive aphasia, not impairing ability to communicate (not impaired); receptive or expressive dysphasia, impairing ability to communicate (impaired); inability to communicate (unable). (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, absent, n=230, 228Month 1, absent, n=178, 180Month 3, absent, n=109, 107Baseline, not impaired, n=230, 228Month 1, not impaired, n=178, 180Month 3, not impaired, n=109, 107Baseline, impaired, n=230, 228Month 1, impaired, n=178, 180Month 3, impaired, n=109, 107Baseline, unable, n=230, 228Month 3, unable, n=109, 107
Chemoradiation: Topotecan Plus WBRT211169105156333110
Radiation: WBRT Alone21517398105732002

[back to top]

Number of Participants With the Indicated Investigator Assessment of Sensation at Baseline, Month 1, and Month 3

The investigator assessed participants' status of sensation and assigned each participant to one of the following categories: normal; loss of deep tendon reflexes or paresthesia, but not interfering with function (not interfering with function); objective sensory loss or paresthesia interfering with function, but not interfering with ADLs (interfering with function); sensory loss or paresthesia interfering with ADLs (intefering with ADLs); permanent sensory loss that interferes with function (permanent sensory loss). (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline (BL), normal, n=230, 228Month (M) 1, normal, n=178, 180Month 3, normal, n=109, 107BL, not interfering with function, n=230, 228M 1, not interfering with function, n=178, 180M 3, not interfering with function, n=109, 107BL, interfering with function, n=230, 228M 1, interfering with function, n=178, 180M 3, interfering with function, n=109, 107Baseline, interfering with ADLs, n=230, 228Month 1, interfering with ADLs, n=178, 180Month 3, interfering with ADLs, n=109, 107Baseline, permanent sensory loss, n=230, 228
Chemoradiation: Topotecan Plus WBRT197144100262253724520
Radiation: WBRT Alone19215994261596423221

[back to top]

Number of Participants With the Indicated Investigator Assessment of Strength (Left Lower Extremity) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of strength (left lower extremity) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic with weakness on physical examination; Grade 2, symptomatic and interfering with function, but not interfering with ADLs; Grade 3, symptomatic and interfering with ADLs; Grade 4: bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 228Month 1, normal, n=178, 179Month 3, normal, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 179Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 179Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 179Month 3, Grade 3, n=109, 107Baseline, Grade 4, n=230, 228Month 1, Grade 4, n=178, 179Month 3, Grade 4, n=109, 107
Chemoradiation: Topotecan Plus WBRT182128762826111511144106132
Radiation: WBRT Alone19014373181311151714345224

[back to top]

Number of Participants With the Indicated Investigator Assessment of Strength (Left Upper Extremity) at Baseline, Month 1, and Month 3

The investigator assessed participants' status of strength (left upper extremity) and assigned each participant to one of the following categories: normal; Grade 1, asymptomatic with weakness on physical examination; Grade 2, symptomatic and interfering with function, but not interfering with ADLs; Grade 3, symptomatic and interfering with ADLs; Grade 4: bedridden or disabling. (NCT00390806)
Timeframe: Baseline, Month 1, and Month 3

,
Interventionparticipants (Number)
Baseline, normal, n=230, 228Month 1, normal, n=178, 179Month 3, normal, n=109, 107Baseline, Grade 1, n=230, 228Month 1, Grade 1, n=178, 179Month 3, Grade 1, n=109, 107Baseline, Grade 2, n=230, 228Month 1, Grade 2, n=178, 179Month 3, Grade 2, n=109, 107Baseline, Grade 3, n=230, 228Month 1, Grade 3, n=178, 179Month 3, Grade 3, n=109, 107Baseline, Grade 4, n=230, 228Month 1, Grade 4, n=178, 179Month 3, Grade 4, n=109, 107
Chemoradiation: Topotecan Plus WBRT197149901616101186633020
Radiation: WBRT Alone20215786131311855424121

[back to top]

Overall Survival

Overall survival time was defined as the number of months from registration to the date of death or last follow-up (NCT00436644)
Timeframe: Time from Registration to Death or last follow-up (up to 3 years)

Interventionmonths (Median)
Lapatinib + Topotecan15.5

[back to top]

Response Rate (Complete Response (CR) or Partial Response (PR))

"Measurable disease patients: measureable disease is defined as at least one lesion whose longest diameter >= 2cm with conventional techniques or >=1cm with spiral CT~Confirmed tumor response (complete and partial) as measured by RECIST(Response Evaluation Criteria In Solid Tumors) criteria on 2 consecutive evaluations at least 4 weeks apart.~Confirmed tumor response is at least a 30% decrease in the sum of the longest diameter of target lesions and no new lesions.~Non-measurable disease patients:~Decrement in CA125 by > 50%~Improvement in other evaluable disease" (NCT00436644)
Timeframe: Two consecutive evaluations at least 4 weeks apart

Interventionparticipants (Number)
Lapatinib + Topotecan1

[back to top]

Time to Progression

Time to progression was defined as the number of months from registration to the date of disease progression, with patients who are progression free being censored on the date of their last evaluation. (NCT00436644)
Timeframe: Time from registration to progression (up to 2 years)

Interventionmonths (Median)
Lapatinib + Topotecan3.5

[back to top]

Adverse Event Profile

Number of patients that experienced adverse events (grade 3 or more) as measured by NCI CTCAE (Common Terminology Criteria for Adverse Events) v3.0 (NCT00436644)
Timeframe: Every 4 weeks

Interventionparticipants (Number)
NeutropeniaThrombocytopeniaAnemiaLeukopeniaDiarrheaNauseaVomitingDehydrationHyponatremiaRashFatigue
Lapatinib + Topotecan75124112111

[back to top]

Number of Participants With the Indicated Central Nervous System (CNS) Objective Response (OR)

CNS OR is defined as the number of participants with either a complete response (CR) or partial response (PR) as assessed by volumetric analysis of brain magnetic resonance imaging (MRI) and Response Evaluation Criteria In Solid Tumors (RECIST). CR: complete resolution of all evaluable and non-evaluable brain metastases; PR: =>50% reduction in the volumetric sum of all evaluable brain metastases compared to baseline. (NCT00437073)
Timeframe: From the start of treatment until disease progression, death, or discontinuation from the study, up to a maximum of Week 88

Interventionparticipants (Number)
Lapatinib Plus Capecitabine5
Lapatinib Plus Topotecan0

[back to top]

Number of Participants With the Indicated CNS Responses

"CNS responses were assessed by volumetric (V) analysis of brain MRI and RECIST. CR: complete resolution of all evaluable and non-evaluable brain metastases (BMs). PR: =>50% reduction in the V sum of all evaluable BMs compared to baseline. A response of Other was used for participants who discontinued the study prior to the first efficacy assessment. Stable Disease (SD): disease that does not meet CR, PR, or CNS progression criteria. Progressive disease (PD): a requirement for a new steroid or an increasing steroid dose for the treatment of worsening neurological signs/symptoms due to BMs." (NCT00437073)
Timeframe: From the start of treatment until disease progression, death, or discontinuation from the study, up to a maximum of Week 88

,
Interventionparticipants (Number)
Complete responsePartial responseStable DiseaseProgressive DiseaseUnknownOther
Lapatinib Plus Capecitabine056200
Lapatinib Plus Topotecan003132

[back to top]

Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Event Free Survival (EFS)

To test the predictive ability of the extent of surgical resection for EFS, log-rank tests will be performed comparing complete surgical resection vs. without complete surgical resection. (NCT00499616)
Timeframe: Up to 10 years

,,
Interventionpercentage of 3 yr EFS survival (Number)
EFS w/complete surgical resectionEFS w/o complete surgical resection
Group 2 (Chemotherapy, Surgery)95.482.2
Group 3 (Chemotherapy, Surgery)88.485.1
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)78.669.2

[back to top]

Outcome of Patients With Stage 4S Neuroblastoma Who Are Unable to Undergo Biopsy for Biology-based Risk Assignment

Kaplan-Meier curves and lifetables of Event Free Survival (EFS) and Overall Survival (OS) rates will be generated to describe the outcome of the stage 4S infants unable to undergo biopsy. (NCT00499616)
Timeframe: From baseline to up to 10 years

Interventionpercentage survival (Number)
OSEFS
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)50.025.0

[back to top]

Definitive Determination of the Prognostic Ability of 1p and 11q

Addressed by a descriptive comparison of the EFS and OS rates for patients with 1p loss vs without 1p loss, and for those with unbalanced 11q vs normal 11q. (NCT00499616)
Timeframe: At baseline

,
Interventionpercentage of 3 yr EFS/OS rate (Number)
EFS Eligible & evaluable patients without 1p lossOS Eligible & evaluable patients without 1p lossEFS Eligible & evaluable patients with 1p lossOS Eligible & evaluable patients with 1p lossEFS Eligible & evaluable patients with normal 11qOS Eligible & evaluable patients with normal 11qEFS Eligible & evaluable patients w/unbalanced 11qOS Eligible & evaluable patients w/unbalanced 11q
Group 3 (Chemotherapy, Surgery)84.692.894.794.787.593.775.087.5
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)65.483.781.895.573.387.765.588.2

[back to top]

Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Surgical Complication Rate

To test for the association of the extent of surgical resection (CR vs NCT00499616)
Timeframe: Up to 10 years

,,
InterventionProportion with surgical complications (Number)
CR with complicationsCR with no complications
Group 2 (Chemotherapy, Surgery).32.14
Group 3 (Chemotherapy, Surgery).19.13
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy).18.09

[back to top]

Definitive Determination of the Prognostic Ability of 1p and 11q

Addressed by a descriptive comparison of the EFS and OS rates for patients with 1p loss vs without 1p loss, and for those with unbalanced 11q vs normal 11q. (NCT00499616)
Timeframe: At baseline

Interventionpercentage of 3 yr EFS/OS rate (Number)
EFS Eligible & evaluable patients without 1p lossOS Eligible & evaluable patients without 1p lossEFS Eligible & evaluable patients with normal 11qOS Eligible & evaluable patients with normal 11q
Group 2 (Chemotherapy, Surgery)87.299.487.299.4

[back to top]

Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Overall Survival (OS) Rates

To test the predictive ability of the extent of surgical resection for OS, log-rank tests will be performed comparing complete surgical resection vs. without complete surgical resection. (NCT00499616)
Timeframe: Up to 10 years

,,
Interventionpercentage of OS rate (Number)
OS w/complete surgical resectionOS w/o complete surgical resection
Group 2 (Chemotherapy, Surgery)100.099.1
Group 3 (Chemotherapy, Surgery)95.493.5
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)96.486.5

[back to top]

Second-Overall Survival

OS (from the time of first event) will be calculated to describe the outcome for patients who have a first progressive, non-metastatic event during Observation and then receive protocol retrieval therapy. (NCT00499616)
Timeframe: From the time of the first progressive, non-metastatic event; up to 3 years

InterventionPercentage (Number)
All Patients85.71

[back to top]

Second-event-free Survival (E2FS)

E2FS (from time of first event) will be calculated to describe the outcome for patients who have a first progressive, non-metastatic event during Observation and then receive protocol retrieval therapy. (NCT00499616)
Timeframe: From the time of the first progressive, non-metastatic event until the subsequent occurrence of relapse, progressive disease, secondary malignancy, or death; up to 3 years

InterventionPercentage (Number)
All Patients57.14

[back to top]

Reduced Surgical Morbidity for Patients With Stage 4S Neuroblastoma

Descriptive analyses of the proportion of stage 4S infants that experience a surgical or post-operative event. (NCT00499616)
Timeframe: Up to 3 years

InterventionProportion (Number)
Group 2 (Chemotherapy, Surgery)0.18
Group 3 (Chemotherapy, Surgery)0.11
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)0

[back to top]

Overall Survival (OS) Rates

OS time is calculated from date of enrollment until death, or until last contact if the patient is alive. (NCT00499616)
Timeframe: 3 years

Interventionpercentage of participants (Number)
Group 2 (Chemotherapy, Surgery)99.4
Group 3 (Chemotherapy, Surgery)93.5
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)88.4

[back to top]

Neurologic Symptoms

Percentage of patients with neurologic symptoms will be calculated. Includes patients with paraspinal or intraspinal tumors, including epidural tumors with or without spinal cord compression. Neurologic symptoms include back or extremities neurologic symptoms, motor deficit, abnormal sensation, abnormal bladder/bowel sphincteric function, chronic pain in back or extremities, scoliosis, kyphosis, or clinically relevant/functional abnormality in size or contour of leg or foot. (NCT00499616)
Timeframe: At baseline

Interventionpercentage of patients (Number)
Group 2 (Chemotherapy, Surgery)36.57
Group 3 (Chemotherapy, Surgery)35.46
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)27.27

[back to top]

Image Defined Risk Factor (IDRF)

Percentage of patients with presence of one or more IDRFs will be calculated. IDRFs describe anatomic features which may make surgical resection more difficult. (NCT00499616)
Timeframe: At baseline

Interventionpercentage of patients (Number)
Group 2 (Chemotherapy, Surgery)54.86
Group 3 (Chemotherapy, Surgery)60.28
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)56.82

[back to top]

Comparison Between Reduce Intensity of Therapy for Patients With Unfavorable Histology Neuroblastoma and Patients Unfavorable Histology Neuroblastoma Treated on COG-A3961

Addressed by the interim stopping rule and the comparison, by INSS stage, to the historical EFS rate of the analogous cohort of patients < 1 yrs of age (NCT00499616)
Timeframe: Up to 3 years

Interventionpercentage of 3 yr EFS rate (Number)
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)100.0

[back to top]

Comparison Between Reduce Intensity of Therapy for Patients With Stage 4 Neuroblastoma and Favorable Biological Features and Patients < 1 Year of Age With Stage 4 Neuroblastoma Treated on COG-A3961

Addressed by the interim stopping rule and the comparison, by INSS stage, to the historical EFS rate of the analogous cohort of patients < 1 yrs of age. (NCT00499616)
Timeframe: Up to 3 years

Interventionpercentage of 3 yr EFS rate (Number)
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)66.7

[back to top]

The Occurrence of Limiting Toxicity in an Eligible and Evaluable Patient.

Limiting toxicity defined as Any Grade IV hematological toxicities lasting longer than 7 days, myelosuppression causing delays > 14 days in delivery of therapy, > Grade 3 thromboembolic events, > Grade 3 bleeding events, > Grade 2 hypertension, > Grade 2 proteinuria. (NCT00516295)
Timeframe: First 2 courses (42 days) of therapy

Interventionnumber of toxicities (Number)
Arm I (Feasibility Assessment of VTCB)0

[back to top]

Time to Disease Progression in Patients Receiving VTC With or Without Bevacizumab

Time from enrollment to disease progression, death, second malignant neoplasm, or last patient follow-up whichever occurs first. Patients who experience disease progression, death or second malignant neoplasm will be considered to have experienced an event; otherwise the patient will be considered censored at last follow-up. (NCT00516295)
Timeframe: Maximum of 5 years after enrollment

Interventiondays of event free survival (Median)
Arm I (Feasibility Assessment of VTCB)442

[back to top]

Overall Response Rate (Phase II)

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR)=CR +PR (NCT00521144)
Timeframe: Every 6 weeks, assessed up to 30 days

Interventionparticipants (Number)
Phase I; Level 1: Obatoclax Mesylate + Topetecan0
Phase I; Level 2: Obatoclax Mesylate + Topetecan0
Phase I; Level 3: Obatoclax Mesylate + Topetecan0
Phase II Obatoclax Mesylate + Topotecan in SCLC0

[back to top]

Maximum Tolerated Dose (MTD)

An initial 3 patients will be enrolled at dose level 1. If all 3 patients in dose level 1 complete the first cycle of therapy without a dose limiting toxicity (DLT), 3 patients will be enrolled at dose level 2. If 0 of 3 or 1 of 6 patients in dose level 2 experience a DLT, all subsequent patients will be enrolled in the Phase II cohort at dose level 2. If 2 of the first 3 or 2 of the total 6 patients experience DLT at dose level 2, then dose level 1 will be considered the MTD and used in the second phase. (NCT00526799)
Timeframe: Each participant was treated at their assigned dose level on 28 day cycles until disease progression or unacceptable toxicity. Participants were evaluated for toxicity every two weeks.

Interventionmg/day (Number)
Phase I Participants400

[back to top]

Clinical Benefit

To determine the rate of clinical benefit defined as the percentage of patients experiencing an objective response or a CA125 response. (NCT00526799)
Timeframe: From enrollment until treatment discontinuation. Participants may remain on study drug indefinitely

Interventionpercentage of particpants (Number)
Phase II71.4

[back to top]

Duration of Stable Disease

To determine duration of stable disease, in months (NCT00526799)
Timeframe: From enrollment until treatment discontinuation. Participants may remain on study drug indefinitely

Interventionmonths (Median)
Phase II4.2

[back to top]

Percentage of Participants With Response

"To assess response in patients with recurrent or resistant epithelial ovarian cancer treated with Sorafenib plus Topotecan. Reponse evaluated per RECIST criteria where:~Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started" (NCT00526799)
Timeframe: Disease assessments were conducted on the 8th week (Cycle 2, Week 4) and every eight weeks there after, until treatment discontinuation

Interventionpercentage of participants (Number)
partial reponsestable diseaseprogressive diseaseunevaluablecomplete response
Phase II7.171.414.37.10

[back to top]

Progression-free Survival

To determine the progression-free survival of patients treated with Sorafenib plus Topotecan. (NCT00526799)
Timeframe: From enrollment until treatment discontinuation. Participants may remain on study drug indefinitely

Interventionmonths (Median)
Phase I & II3.7

[back to top]

Anti-tumor Activity as Measured by Surviving Progression-free

Defined as the period from study entry until documentation of disease progression, death, or date of last contact, whichever occurred first. (NCT00548418)
Timeframe: Progression-free survival at 6 months

Interventionpercentage of participants (Number)
Treatment (Cisplatin, Topotecan, Bevacizumab)59

[back to top]

Overall Survival

Defined as time from study entry until death from any cause or date of last contaqct. (NCT00548418)
Timeframe: Until death (follow-up ranged from 1.7 months to 33.4 months)

Interventionmonths (Median)
Treatment (Cisplatin, Topotecan, Bevacizumab)13.2

[back to top]

Frequency of Response as Measured by RECIST Criteria (Imaging)

"RECIST criteria:~Complete response is disappearance of all target and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart.~Partial Response is at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD.~Progression is defined as ANY of the following - 20% increase in the sum of LD target lesions, the appearance of one or more new lesions, death due to disease without prior objective documentation of progression, global deterioration in health status attributable to the disease, progression of existing non-target lesions~Stable disease is any condition not meeting the above criteria" (NCT00548418)
Timeframe: Tumor response measured prior to every other cycle of therapy (range of follow-up to measure overall response was 1.6-9.5 months)

Interventionparticipants (Number)
Complete responsePartial responseStable diseaseProgressive disease
Treatment (Cisplatin, Topotecan, Bevacizumab)18107

[back to top]

Intraspinal Extension

Percentage of patients with primary tumors with intraspinal extension. (NCT00567567)
Timeframe: Up to 5 years

InterventionPercentage of patients (Number)
Single HST (CEM)8.25
Tandem HST (CEM), Randomly Assigned9.66
Not Assigned7.78

[back to top]

Duration of Greater Than or Equal to Grade 3 Neutropenia

A logistic regression model will be used to test the ability of the number of days of neutropenia to predict the presence of a polymorphism. (NCT00567567)
Timeframe: Through completion of a participant's first cycle during induction, including treatment delays, assessed up to 39 days

InterventionDays (Median)
Single HST (CEM)7
Tandem HST (CEM), Randomly Assigned7
Not Assigned7

[back to top]

Type of Surgical or Radiotherapy Complication

The Percentage of patients who experienced surgical or radiotherapy complications will be calculated. The complications are: bowel obstruction, chylous leaf, renal injury/atrophy/loss and diarrhea. (NCT00567567)
Timeframe: Up to 3 years

InterventionPercentage of patients (Number)
Single HST (CEM)13.11
Tandem HST (CEM), Randomly Assigned12.50
Not Assigned11.85

[back to top]

Topotecan Systemic Clearance

Median topotecan systemic clearance for courses 1 and 2. (NCT00567567)
Timeframe: Day 1 of courses 1-2

InterventionL/h/m2 (Median)
Single HST (CEM)28.1
Tandem HST (CEM), Randomly Assigned28.1
Not Assigned28.5

[back to top]

Surgical Response

Percentage of patients who achieved a surgical complete resection (NCT00567567)
Timeframe: Up to 3 years

InterventionPercentage of patients (Number)
Single HST (CEM)83.98
Tandem HST (CEM), Randomly Assigned84.09
Not Assigned58.89

[back to top]

Duration of Greater Than or Equal to Grade 3 Thrombocytopenia

A logistic regression model will be used to test the ability of the number of days of thrombocytopenia to predict the presence of a polymorphism. (NCT00567567)
Timeframe: Through completion of a participant's first cycle during induction, including treatment delays, assessed up to 46 days

InterventionDays (Median)
Single HST (CEM)4
Tandem HST (CEM), Randomly Assigned4
Not Assigned4

[back to top]

Response After Induction Therapy

Per the International Response Criteria: measurable tumor defined as product of longest x widest perpendicular diameter. Elevated catecholamine levels, tumor cell invasion of bone marrow also considered measurable tumor. Complete Response (CR)-no evidence of primary tumor or metastases. Very Good Partial Response (VGPR)->90% reduction of primary tumor; no metastases; no new bone lesions, all pre-existing lesions improved. Partial Response (PR)-50-90% reduction of primary tumor; >50% reduction in measurable sites of metastases; 0-1 bone marrow samples with tumor; number of positive bone sites decreased by >50%. Mixed Response (MR)->50% reduction of any measurable lesion (primary or metastases) with <50% reduction in other sites; no new lesions; <25% increase in any existing lesion. No Response (NR)-no new lesions; <50% reduction but <25% increase in any existing legions. Progressive Disease (PD)-any new/increased measurable lesion by >25%; previous negative marrow positive. (NCT00567567)
Timeframe: Study enrollment to the end of induction therapy

InterventionProportion participants that responded (Number)
Single HST (CEM)0.54
Tandem HST (CEM), Randomly Assigned0.48
Not Assigned0.35

[back to top]

Proportion of Patients With a Polymorphism

A chi-square test will be used to test whether the response rate after two cycles of induction therapy and the presence of a polymorphism are independent in the study population. (NCT00567567)
Timeframe: Through completion of a participant's first two cycles during induction, including treatment delays, assessed up to 69 days

InterventionProportion of patients (Number)
Single HST (CEM)0.96
Tandem HST (CEM), Randomly Assigned0.96
Not Assigned0.97

[back to top]

Enumeration of Peripheral Blood Cluster of Differentiation (CD)3, CD4, and CD8 Cells

A descriptive comparison of the median number of T-cells (CD3, CD4, CD8) between treatment arms (single vs. tandem myeloablative regimens) will be performed. (NCT00567567)
Timeframe: Up to 6 months after completion of assigned myeloablation therapy

,
Interventioncells/mm^3 (Median)
CD3CD4CD8
Single HST (CEM)20073104
Tandem HST (CEM), Randomly Assigned255.581151

[back to top]

Peak Serum Concentration of Isotretinoin in Patients Enrolled on Either A3973, ANBL0032, ANBL0931, ANBL0532 and Future High Risk Studies

Median peak serum concentration level of isotretinoin for patients enrolled on ANBL0532 (NCT00567567)
Timeframe: Day 1 of each course

InterventionMicromolar (Median)
Single HST (CEM)1.00
Tandem HST (CEM), Randomly Assigned1.36
Not Assigned1.26

[back to top]

OS in Patients 12-18 Months, Stage 4, MYCN Nonamplified Tumor/Unfavorable Histopathology/Diploid DNA Content/Indeterminant Histology/Ploidy and Patients > 547 Days, Stage 3, MYCN Nonamplified Tumor AND Unfavorable Histopathology/Indeterminant Histology

Kaplan-Meier curves of OS will be plotted, and the proportion of responders to induction therapy will be tabulated. (NCT00567567)
Timeframe: Up to 3 years

Interventionpercent probability (Number)
Single HST (CEM)81.0

[back to top]

EFS Pts Non-randomly Assigned to Single CEM (12-18 Mths, Stg. 4, MYCN Nonamplified Tumor/Unfavorable or Indeterminant Histopathology/Diploid DNA Content & Pts>547 Days, Stg.3, MYCN Nonamplified Tumor AND Unfavorable or Indeterminant Histopathology).

Kaplan-Meier curves of EFS will be plotted, and the proportion of responders to induction therapy will be tabulated. (NCT00567567)
Timeframe: Up to 3 years

Interventionpercent probability (Number)
Single HST (CEM)73.1

[back to top]

Event-free Survival Rate

Comparison of EFS curves, starting from the time of randomization, by treatment group (single CEM vs. tandem CEM) (NCT00567567)
Timeframe: Three years, from time of randomization

Interventionpercent probability (Number)
Single HST (CEM)48.8
Tandem HST (CEM), Randomly Assigned61.8

[back to top]

Incidence Rate of Local Recurrence

Cumulative incidence rate of local recurrence comparison between ANBL0532 patients randomized or assigned to receive single CEM transplant and boost radiation versus the historical A3973 patients who were transplanted and received boost radiation. (NCT00567567)
Timeframe: Up to 3 years

InterventionPercentage 3-year cumulative incidence (Number)
Single HST (CEM)15.7

[back to top] [back to top]

Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 3

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX

Interventionµmol/L (Median)
Low-Risk Group0.65
Intermediate-Risk Group0.70
High-Risk Group0.58

[back to top]

Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 4

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX

Interventionµmol/L (Median)
Low-Risk Group0.64
Intermediate-Risk Group0.64
High-Risk Group0.55

[back to top]

Methotrexate Volume of Central Compartment in Induction Cycle 1

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

InterventionL/m^2 (Median)
Low-Risk Group11.63
Intermediate-Risk Group13.70
High-Risk Group13.25

[back to top]

Methotrexate Volume of Central Compartment in Induction Cycle 2

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

InterventionL/m^2 (Median)
Low-Risk Group13.77
Intermediate-Risk Group13.73
High-Risk Group13.62

[back to top]

Event-free Survival (EFS) Compared to Historical Controls

EFS was measured from the date of initial treatment to the earliest date of disease progression, second malignancy or death for patients who fail; and to the date of last contact for patients who remain at risk for failure. 1-year EFS estimates are reported by risk group. EFS was compared to St. Jude historical cohorts by risk group using hazard ratios with 95% confidence intervals. (NCT00602667)
Timeframe: From date on treatment until date of first event (progression, second malignancy or death) or until date of last contact, assessed up to 10 years

InterventionPercent probability (Number)
SJYC07 Low-risk Medulloblastoma Patients73.9
SJYC07 Intermediate-risk Medulloblastoma Patients46.9
SJYC07 High-risk Medulloblastoma Patients30.8

[back to top]

Erlotinib AUC0-24h

Erlotinib plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of erlotinib AUC0-24h (area under concentration curve from 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose

Interventionµmol·h/L (Median)
Low-Risk Group31.0
Intermediate-Risk Group23.5
High-Risk Group22.0

[back to top]

Erlotinib Apparent Volume of Central Compartment

Erlotinib plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of erlotinib apparent volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose

InterventionL/m^2 (Median)
Low-Risk Group72.9
Intermediate-Risk Group61.7
High-Risk Group104.8

[back to top]

Erlotinib Apparent Oral Clearance

Erlotinib plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of erlotinib apparent oral clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose

InterventionL/h/m^2 (Median)
Low-Risk Group6.53
Intermediate-Risk Group7.79
High-Risk Group8.40

[back to top]

Cyclophosphamide Clearance in Induction Chemotherapy

Cyclophosphamide plasma concentration-time data are collected on day 9 in one cycle of induction chemotherapy. Individual estimates of cyclophosphamide clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

InterventionL/h/m^2 (Median)
Low-Risk Group2.40
Intermediate-Risk Group2.23
High-Risk Group2.25

[back to top]

Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 2

Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of cyclophosphamide clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

InterventionL/h/m^2 (Median)
Low-Risk Group2.48
Intermediate-Risk Group2.55
High-Risk Group2.37

[back to top]

Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 1

Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of cyclophosphamide clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

InterventionL/h/m^2 (Median)
Low-Risk Group2.39
Intermediate-Risk Group2.08
High-Risk Group2.43

[back to top]

Methotrexate Volume of Central Compartment in Induction Cycle 3

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

InterventionL/m^2 (Median)
Low-Risk Group12.70
Intermediate-Risk Group13.55
High-Risk Group13.87

[back to top]

Methotrexate Volume of Central Compartment in Induction Cycle 4

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

InterventionL/m^2 (Median)
Low-Risk Group12.64
Intermediate-Risk Group13.31
High-Risk Group13.68

[back to top]

OSI-420 AUC0-24h

Erlotinib metabolite OSI-420 plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of OSI-420 AUC0-24h (area under concentration curve from 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose

Interventionµmol·h/L (Median)
Low-Risk Group2.17
Intermediate-Risk Group1.81
High-Risk Group1.62

[back to top]

Overall Survival (OS) Compared to Historical Controls

OS was measured from the date of initial treatment to date of death or to date of last contact for survivors. 1-year OS estimates were reported by risk group. OS was compared to St. Jude historical cohorts by risk group using hazard ratios with 95% confidence intervals. (NCT00602667)
Timeframe: 1 year after treatment initiation of last patient

InterventionPercent probability (Number)
SJYC07 Low-risk Medulloblastoma Patients100
SJYC07 Intermediate-risk Medulloblastoma Patients84.4
SJYC07 High-risk Medulloblastoma Patients61.5

[back to top]

Participants With Empirical Dosage Achieving Target System Exposure of Intravenous Topotecan

Number of participants who successfully achieve target systemic exposure of intravenous topotecan after an empiric dosage during consolidation phase of therapy are reported. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, and 3 hours from end of infusion

Interventionparticipants (Number)
Intermediate-Risk Group0
High-Risk Group8

[back to top]

Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1

Cyclophosphamide plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of cyclophosphamide AUC0-24h are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3, 6, and 24 hours post-dose

Interventionµmol·h/L (Median)
Low-Risk Group39.9
Intermediate-Risk Group38.7
High-Risk Group42.2

[back to top]

Cyclophosphamide AUC0-24h in Induction Chemotherapy

Cyclophosphamide plasma concentration-time data are collected on day 9 in one cycle of induction chemotherapy. Individual estimates of cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group2070
Intermediate-Risk Group2150
High-Risk Group2105

[back to top]

Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2

Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group1966
Intermediate-Risk Group799
High-Risk Group899

[back to top]

Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1

Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group1968
Intermediate-Risk Group1504
High-Risk Group868

[back to top]

Cyclophosphamide Apparent Oral Clearance in Maintenance Chemotherapy Cycle A1

Cyclophosphamide plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of cyclophosphamide apparent oral clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3 and 6 hours post-dose

InterventionL/h/m^2 (Median)
Low-Risk Group2.95
Intermediate-Risk Group2.83
High-Risk Group2.74

[back to top]

Participants With PK-guided Dosage Adjustment Achieving Target System Exposure of Intravenous Topotecan

Number of participants who successfully achieve target systemic exposure of intravenous topotecan after a pharmacokinetic-guided dosage adjustment during consolidation phase of therapy are reported. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, and 3 hours from end of infusion

Interventionparticipants (Number)
Intermediate-Risk Group1
High-Risk Group20

[back to top]

Percent of Patients With Sustained Objective Responses Rate After Consolidation

For patients enrolled on the high-risk arm with measurable residual disease after induction treated with consolidation therapy, we will estimate the objective response (complete response (CR)/partial response (PR)) rate after consolidation therapy with a 95% confidence interval. Objective responses must be sustained for at least eight weeks. All patients who receive at least 1 dose of cyclophosphamide or topotecan during consolidation are evaluable for response. (NCT00602667)
Timeframe: 8 weeks after completion of consolidation therapy (up to 8 months after on-study date)

Interventionpercentage of participants (Number)
High-Risk Group13.2

[back to top]

Percent Probability of Event-free Survival (EFS) for Medulloblastoma Patients

Defined as the time interval from date on treatment until the date of first progression, second malignancy or death due to any cause; or date of last contact for patients who have not experienced an event. All eligible medulloblastoma patients who received any methotrexate are included in this analysis. (NCT00602667)
Timeframe: From date on treatment to date of first progression, relapse, second malignancy or death from any cause or to date of last contact, estimated at 1 year after

InterventionPercent Probability (Number)
Low-Risk Group73.9
Intermediate-Risk Group46.9
High-Risk Group30.8

[back to top]

4-OH Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1

4-OH cyclophosphamide plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3, 6, and 24 hours post-dose

Interventionµmol·h/L (Median)
Low-Risk Group1.98
Intermediate-Risk Group1.96
High-Risk Group1.82

[back to top]

Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients

Progression was defined as 25% increase in the size of any measurable lesion; the appearance of a new lesion; or the conversion of negative cerebrospinal fluid (CSF) cytology to positive. Defined as the time interval from date on treatment until the date of first progression, medulloblastoma-related death or date of last contact for patients who have not experienced an event. All eligible medulloblastoma patients who received any methotrexate are included in this analysis. (NCT00602667)
Timeframe: From date on treatment until date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatment

InterventionPercent Probability (Number)
Low-Risk Group73.9
Intermediate-Risk Group46.9
High-Risk Group30.8

[back to top]

Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation Subgroup

Defined as the time interval from date on treatment until the date of first progression, medulloblastoma-related death or date of last contact for patients who have not experienced an event. Eligible medulloblastoma patients who received any methotrexate and had molecularly confirmed medulloblastoma are included in this analysis. Five patients were excluded as 3 had no archival tissue available and 2 were found to not be medulloblastoma by methylation profile. (NCT00602667)
Timeframe: From date on treatment to date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatment

InterventionPercent Probability (Number)
Low-risk SHH Patients73.9
Intermediate-risk SHH Patients50.0
High-risk SHH Patients54.5
Intermediate-risk Group 3 Patients30.8
High-risk Group 3 Patients9.1
Intermediate-risk Group 4 Patients62.5
High-risk Group 4 Patients50.0

[back to top]

Percentage of Patients With Objective Responses Rate to Induction Chemotherapy

For patients treated in the intermediate and high risk strata with residual or metastatic disease we will estimate the stratum-specific objective response rate (complete response (CR) or partial response [ PR]). All patients who receive at least 1 -dose of methotrexate are evaluable for response. Objective responses must be sustained for at least eight weeks. (NCT00602667)
Timeframe: From on-study date to 2 months after completion of induction chemotherapy (up to 4 months after on-study date)

InterventionPercentage of patients (Number)
Intermediate-Risk Group58.3
High-Risk Group21.1

[back to top]

Rate of Distant Disease Progression

Distant failure was defined as the interval from end of RT to date of distant failure (or combined local + distant failure). Competing events were local failure or second malignancy. Patients without an event were censored at date of last contact. The 1-year cumulative incidence was estimated and reported with a 95% confidence interval. (NCT00602667)
Timeframe: 1 year after completion of radiation therapy for last patient

Interventionpercentage of participants (Number)
Intermediate-risk Patients Who Received Focal Radiation25.6

[back to top]

Rate of Local Disease Progression

Local failure was defined as the interval from end of RT to date of local failure (or combined local + distant failure). Competing events were distant failure or second malignancy. Patients without an event were censored at date of last contact. The 1-year cumulative incidence was estimated and reported with a 95% confidence interval. (NCT00602667)
Timeframe: 1 year after completion of radiation therapy for last patient

InterventionPercentage of participants (Number)
Intermediate-risk Patients Who Received Focal Radiation13.2

[back to top]

Topotecan Apparent Oral Clearance in Maintenance Chemotherapy

Topotecan plasma concentration-time data are collected on day 1 of maintenance cycle A1 after a single oral dose. Individual estimates of topotecan apparent oral clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.25, 1.5 and 6 hours post-dose

InterventionL/h (Median)
Low-Risk Group41.4
Intermediate-Risk Group41.0
High-Risk Group44.6

[back to top]

Topotecan AUC0-24h in Consolidation Chemotherapy

Topotecan plasma concentration-time data are collected on day 1 of consolidation cycle 1 after a single IV dose. Individual estimates of topotecan AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, 3, and 24 hours from end of infusion

Interventionµg·h/L (Median)
Intermediate-Risk Group117
High-Risk Group116

[back to top]

Topotecan AUC0-24h in Maintenance Chemotherapy

Topotecan plasma concentration-time data are collected on day 1 of maintenance cycle A1 after a single oral dose. Individual estimates of topotecan AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.25, 1.5, 6, and 24 hours post-dose

Interventionµg·h/L (Median)
Low-Risk Group10.90
Intermediate-Risk Group11.60
High-Risk Group10.33

[back to top]

Topotecan Clearance in Consolidation Chemotherapy

Topotecan plasma concentration-time data are collected on day 1 of consolidation cycle 1 after a single IV dose. Individual estimates of topotecan clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, and 3 hours from end of infusion

InterventionL/h/m^2 (Median)
Intermediate-Risk Group30.3
High-Risk Group26.40

[back to top]

Concentration of Cerebrospinal Fluid Neurotransmitters

Concentrations of various neurotransmitters in cerebrospinal fluid were measured at 5 timepoints. The median concentration of each neurotransmitter at each time point was calculated and provided with a full range. (NCT00602667)
Timeframe: Baseline, at the completion of therapy, and every 12 months up to 36 months after off therapy date

Interventionng/ml (Median)
Dopamine concentration at baselineDopamine concentration at completion of treatmentDopamine concentration at 12 months off treatmentDopamine concentration at 24 months off treatmentDopamine concentration at 36 months off treatment3,4-dihydroxyphenylacetic acid concentration at baseline3,4-dihydroxyphenylacetic acid concentration at completion of treatment3,4-dihydroxyphenylacetic acid concentration at 12 months off treatment3,4-dihydroxyphenylacetic acid concentration at 24 months off treatment3,4-dihydroxyphenylacetic acid concentration at 36 months off treatmentHydroxytryptamine concentration at baselineHydroxytryptamine concentration at completion of treatmentHydroxytryptamine concentration at 12 months off treatmentHydroxytryptamine concentration at 24 months off treatmentHydroxytryptamine concentration at 36 months off treatmentHydroxyindoleacetic acid concentration at baselineHydroxyindoleacetic acid concentration at completion of treatmentHydroxyindoleacetic acid concentration at 12 months off treatmentHydroxyindoleacetic acid concentration at 24 months off treatmentHydroxyindoleacetic acid concentration at 36 months off treatmentHomovanillic acid concentration at baselineHomovanillic acid concentration at completion of treatmentHomovanillic acid concentration at 12 months off treatmentHomovanillic acid concentration at 24 months off treatmentHomovanillic acid concentration at 36 months off treatment
Patients With Neurotransmitter Studies3.163.706.434.464.052.561.621.041.521.002.382.012.002.441.6252.0352.7235.7233.9831.5682.44114.1368.2888.2779.78

[back to top]

Number and Type of Genetic Polymorphisms

Types of genetic polymorphisms of neurotransmitters were examined. We studied 3 genetic polymorphisms; these were types of genetic polymorphisms involved in dopamine metabolism. They were as follows: rs6323, rs4680, and rs6280. (NCT00602667)
Timeframe: At study enrollment (Day 0)

InterventionParticipants (Count of Participants)
rs6323rs4680rs6280
Number of Patients With Neurotransmitter Studies171717

[back to top]

Number of Participants With Chromosomal Abnormalities

Amplifications and deletions (gains and losses) for chromosomes of interest are shown in the table of measured values. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment

,,
InterventionParticipants (Count of Participants)
chr2p gain/amplificationchr2p loss/deletionchr2q gain/amplificationchr2q loss/deletionchr6p gain/amplificationchr6p loss/deletionchr6q gain/amplificationchr6q loss/deletionchr8p gain/amplificationchr8p loss/deletionchr8q gain/amplificationchr8q loss/deletionchr9p gain/amplificationchr9p loss/deletionchr9q gain/amplificationchr9q loss/deletionchr10p gain/amplificationchr10p loss/deletionchr10q gain/amplificationchr10q loss/deletionchr20p gain/amplificationchr20p loss/deletionchr20q gain/amplificationchr20q loss/deletion
High-Risk Group606032320807331507090505
Intermediate-Risk Group121230302635601505070403
Low-Risk Group505010101010442600030201

[back to top]

Number of Successful Collections for Frozen and Fixed Tumor Samples

Successful collections will be defined as the number of patients who have frozen/fixed tumor samples available. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment

,,
InterventionParticipants (Count of Participants)
Number with frozen tumor tissueNumber with fixed tumor tissue
High-Risk Group3271
Intermediate-Risk Group73153
Low-Risk Group2754

[back to top]

Numbers of Patients With Gene Alterations

Gene alterations, which include single nucleotide variants (SNPs), amplifications, deletions, translocations, indels, and germline alterations are shown for specific genes of interest in the results table. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment

,,
InterventionParticipants (Count of Participants)
PTCH1 alterationSUFU alterationKMT2D alterationSMO alterationBCOR alterationPTEN alterationBRCA2 alterationGLI2 alterationSMARCA4 alterationTP53 alterationMYCN alteration
High-Risk Group31310000001
Intermediate-Risk Group41100000101
Low-Risk Group76521100200

[back to top]

Numbers of Patients With Molecular Abnormalities by Tumor Type

Alterations included single nucleotide variants (SNPs), amplifications, deletions, translocations, indels, and germline alterations. Cytogenetic information shows gains and losses as specified in the table of measured values. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment

,,,,,,
InterventionParticipants (Count of Participants)
PTCH1 alterationSUFU alterationKMT2D alterationSMO alterationBCOR alterationPTEN alterationBRCA2 alterationGLI2 alterationSMARCA4 alterationTP53 alterationMYCN amplificationchr2p gain/amplificationchr2p loss/deletionchr2q gain/amplificationchr2q loss/deletionchr6p gain/amplificationchr6p loss/deletionchr6q gain/amplificationchr6q loss/deletionchr8p gain/amplificationchr8p loss/deletionchr8q gain/amplificationchr8q loss/deletionchr9p gain/amplificationchr9p loss/deletionchr9q gain/amplificationchr9q loss/deletionchr10p gain/amplificationchr10p loss/deletionchr10q gain/amplificationchr10q loss/deletionchr20p gain/amplificationchr20p loss/deletionchr20q gain/amplificationchr20q loss/deletion
High-risk Group 3 Patients00000000001101032320706030307080404
High-risk Group 4 Patients00000000000000000000101000000000000
High-risk SHH Patients31310000000404000000000301200010101
Intermediate-risk Group 3 Patients00000000100010120201221100005050303
Intermediate-risk Group 4 Patients00000000000010110100404101000000000
Intermediate-risk SHH Patients41100000001000000000000400500020100
Low-risk SHH Patients76521100200505010101010442600030201

[back to top]

Pharmacogenetic Variation on Central Nervous System Transmitters

Frequencies of genetic polymorphisms were reported. (NCT00602667)
Timeframe: At study enrollment (Day 0)

InterventionParticipants (Count of Participants)
Genetic Polymorphisms for monoamine oxidase A (MAOA) rs632372067969Genetic Polymorphisms for catecholamine-O-methyltransferase (COMT) rs468072067969Genetic Polymorphisms for dopamine receptor D (DRD3) rs628072067969
AGCCTCTTGGAATG
Patients With Neurotransmitter Studies2
Patients With Neurotransmitter Studies13
Patients With Neurotransmitter Studies7
Patients With Neurotransmitter Studies5
Patients With Neurotransmitter Studies0
Patients With Neurotransmitter Studies6
Patients With Neurotransmitter Studies4

[back to top]

Percent of PET Scans With Loss of Signal Intensity

Measures will be analyzed for intermediate risk participants who receive proton beam therapy (PBT) and who consent. This objective aims to assess the feasibility of using post-proton beam therapy (PBT) positron emission tomography (PET) as an in-vivo dosimetric and distal edge verification system in this patient population. To quantify the decay in signal, 134 scans from 53 patients were analyzed by recording the mean activation value (MAV), the average recorded PET signal from activation, within the target volume. With each patient being given the same dose, the percent standard deviation in the MAV can serve as a quantitative representation of signal loss due to radioactive decay. (NCT00602667)
Timeframe: Up to 3 times during RT consolidation

Interventionmean activation value (MAV) (Mean)
Intermediate Risk Group60

[back to top]

CEPM AUC0-24h in Maintenance Chemotherapy Cycle A1

Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3, 6, and 24 hours post-dose

Interventionµmol·h/L (Median)
Low-Risk Group1.59
Intermediate-Risk Group1.65
High-Risk Group1.41

[back to top]

CEPM AUC0-24h in Induction Chemotherapy

Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected on day 9 in one induction cycle. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group140.2
Intermediate-Risk Group137.8
High-Risk Group135.3

[back to top]

Methotrexate AUC0-66h in Induction Cycle 3

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

Interventionµmol·h/L (Median)
Low-Risk Group1872
Intermediate-Risk Group1879
High-Risk Group1831

[back to top]

CEPM AUC0-24h in Consolidation Chemotherapy Cycle 2

Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group132.7
Intermediate-Risk Group46.8
High-Risk Group44.0

[back to top]

CEPM AUC0-24h in Consolidation Chemotherapy Cycle 1

Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group128.9
Intermediate-Risk Group62.2
High-Risk Group51.8

[back to top]

Feasibility and Toxicity of Administering Oral Maintenance Therapy in Children <3 Years of Age as Measured by the Percentage of Total Scheduled Maintenance Doses Received

These data are based on patient diaries. For children <3 years of age, we will calculate the percentage of total scheduled doses each patient received per course for each of the oral maintenance courses and report the overall average number percentage of doses received per course across patients. If patients received all planned doses, their percentage would be 100%. If the average percentage was less than 75%, then feasibility would be in question. (NCT00602667)
Timeframe: From start of oral maintenance therapy (approximately 6 months after on-study date) to completion of oral maintenance therapy (up to 1 year after on-study date)

InterventionPercentage of scheduled doses received (Mean)
Low-Risk Group96
Intermediate-Risk Group91
High-Risk Group98

[back to top]

4-OH Cyclophosphamide AUC0-24h in Induction Chemotherapy

4-OH cyclophosphamide plasma concentration-time data are collected on day 9 in one cycle of induction chemotherapy. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group116.4
Intermediate-Risk Group111.3
High-Risk Group109.1

[back to top]

4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2

4-OH cyclophosphamide plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group95.9
Intermediate-Risk Group49.5
High-Risk Group43.5

[back to top]

4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1

4-OH cyclophosphamide plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion

Interventionµmol·h/L (Median)
Low-Risk Group96.8
Intermediate-Risk Group48.7
High-Risk Group39.8

[back to top]

Feasibility and Toxicity of Administering Consolidation Therapy Including Cyclophosphamide and Pharmacokinetically Targeted Topotecan to Patients With Metastatic Disease Based on the Percentage of Courses Delayed for More Than 7 Days Due to Toxicity

For the subset of patients with metastatic disease (high-risk group patients), during consolidation, we will calculate the number and proportion of courses during which subsequent chemotherapy administration was delayed for more than 7 days due to toxicity. Patients were to received 2 courses of consolidation chemotherapy and then maintenance therapy. (NCT00602667)
Timeframe: At completion of consolidation therapy (up to 6 months after on-study date)

InterventionPercentage of courses delayed (Number)
High-Risk Group2.6

[back to top]

Feasibility and Toxicity of Administering Vinblastine With Induction Chemotherapy for Patients With Metastatic Disease as Measured by the Percentage of Courses Delayed for More Than 7 Days Due to Toxicity

For the subset of patients with metastatic disease (high-risk group patients), during induction, the proportion percentage of courses during which subsequent chemotherapy administration was delayed for more than 7 days due to toxicity will be calculated. Patients were to receive 4 courses of induction and then consolidation chemotherapy. (NCT00602667)
Timeframe: From on-study date up to 4 months after on-study date

InterventionPercentage of courses delayed (Number)
High-Risk Group3.8

[back to top]

Methotrexate AUC0-66h in Induction Cycle 1

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

Interventionµmol·h/L (Median)
Low-Risk Group1797
Intermediate-Risk Group1813
High-Risk Group1821

[back to top]

Methotrexate AUC0-66h in Induction Cycle 2

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

Interventionµmol·h/L (Median)
Low-Risk Group1900
Intermediate-Risk Group1902
High-Risk Group1879

[back to top]

Methotrexate AUC0-66h in Induction Cycle 4

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

Interventionµmol·h/L (Median)
Low-Risk Group1804
Intermediate-Risk Group1841
High-Risk Group1886

[back to top]

Methotrexate Clearance in Induction Cycle 1

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of Methotrexate (MTX)

InterventionL/h/m^2 (Median)
Low-Risk Group5.69
Intermediate-Risk Group6.06
High-Risk Group5.65

[back to top]

Methotrexate Clearance in Induction Cycle 2

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

InterventionL/h/m^2 (Median)
Low-Risk Group5.47
Intermediate-Risk Group5.70
High-Risk Group5.70

[back to top]

Methotrexate Clearance in Induction Cycle 3

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

InterventionL/h/m^2 (Median)
Low-Risk Group5.68
Intermediate-Risk Group5.78
High-Risk Group5.81

[back to top]

Methotrexate Clearance in Induction Cycle 4

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX

InterventionL/h/m^2 (Median)
Low-Risk Group5.75
Intermediate-Risk Group5.89
High-Risk Group5.79

[back to top]

Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 1

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX

Interventionµmol/L (Median)
Low-Risk Group0.49
Intermediate-Risk Group0.57
High-Risk Group0.61

[back to top]

Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 2

Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX

Interventionµmol/L (Median)
Low-Risk Group0.75
Intermediate-Risk Group0.72
High-Risk Group0.69

[back to top]

Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Mean Clearance)

(NCT00611468)
Timeframe: Day 1 Week 1 and Day 1 Week 3

InterventionL/h/m^2 (Mean)
Without ErlotinibWith Erlotinib
Treatment Group: Intravenous Topotecan and Oral Erlotinib9.418.60

[back to top]

Pharmacogenetic Analysis (CYP3A4/5 Polymorphisms, UGT1A1, BCRP, and MDR1 Genotypes)

Each subgroup lists the gene on which a polymorphism occurred (e.g., CYP3A4), the name of the polymorphism (e.g., *1), whether it was heterozygous or a variant, the number of subjects with available data, and the number who had the polymorphism. (NCT00611468)
Timeframe: Baseline

InterventionParticipants (Number)
CYP3A4 / *1 / Wild-type, N = (28)CYP3A4 / *1 / Heterozygous, N = (28)CYP3A4 / *1 / Variant, N = (28)CYP3A5 / *3 / Wild-type, N = (28)CYP3A5 / *3 / Heterozygous, N = (28)CYP3A5 / *3 / Variant, N = (28)CYP3A5 / *6 / Wild-type, N = (29)CYP3A5 / *6 / Heterozygous, N = (29)CYP3A5 / *6 / Variant, N = (29)UGT1A1 / *28 / Wild-type N = (29)UGT1A1 / *28 / Heterozygous, N = (29)UGT1A1 / *28 / Variant, N = (29)BCRP / 34G > A / Wild-type, N = (29)BCRP / 34G > A / Heterozygous, N = (29)BCRP / 34G > A / Variant, N = (29)BCRP / 421C > A / Wild-type, N = (29)BCRP / 421C > A / Heterozygous, N = (29)BCRP / 421C > A / Variant, N = (29)P-gp / 2677G > T / Wild-type N = (29)P-gp / 2677G > T / Heterozygous, N = (29)P-gp / 2677G > T / Variant, N = (29)P-gp / 3435C> T / Wild-type, N = (29)P-gp / 3435C> T / Heterozygous, N = (29)P-gp / 3435C> T / Variant, N = (29)
Treatment Group: Intravenous Topotecan and Oral Erlotinib2008193627201514026302540131241379

[back to top]

Objective Response (as Determined Using RECIST 1.0 Criteria)

(NCT00611468)
Timeframe: Every 6 weeks until the end of study treatment

InterventionParticipants (Number)
Dose Level 1 (N = 8) Complete Response (CR)Dose Level 1 (N = 8) Partial Response (PR)Dose Level 1 (N = 8) Stable Disease (SD)Dose Level 1 (N = 8) Progressive Disease (PD)Dose Level 1 (N = 8) Not Evaluable (NE)Dose Level 2 (N = 14) Complete Response (CR)Dose Level 2 (N = 14) Partial Response (PR)Dose Level 2 (N = 14) Stable Disease (SD)Dose Level 2 ( N = 14) Progressive Disease (PD)Dose Level 2 ( N = 14) Not Evaluable (NE)Dose Level 3 ( N = 6) Complete Response (CR)Dose Level 3 ( N = 6) Partial Response (PR)Dose Level 3 ( N = 6) Stable Disease (SD)Dose Level 3 ( N = 6) Progressive Disease (PD)Dose Level 3 ( N = 6) Not Evaluable (NE)
Treatment Group: Intravenous Topotecan and Oral Erlotinib003410154401401

[back to top]

Dosage Limiting Toxicities

(NCT00611468)
Timeframe: DLT were assessed during the first cycle of combination topotecan and erlotinib therapy (days 1-21)

InterventionParticipants (Number)
Dose Level 1 (N = 8)Dose Level 2 (N = 14)Dose Level 3 (N = 6)
Treatment Group: Intravenous Topotecan and Oral Erlotinib152

[back to top]

Maximum Tolerated Dosage (MTD) of Intravenous Topotecan When Given in Combination With Oral Erlotinib

The MTD of topotecan was determined using a standard 3 + 3 dose escalation cohort design. The total sample and the number of patients who receive each dose in this design depends on the frequency of dose limiting toxicities (DLT) at each dosage. If 0 out of 3 patients experience a DLT at a given dosage level, 3 patients will be enrolled at the next dosage level. If greater than or equal to 2 patients experience a DLT at a given dosage level, dosage escalation will be stopped. If 1 out of 3 patients experience a DLT at a given dosage level, 3 patients are enrolled at the same dosage level. (NCT00611468)
Timeframe: MTD was assessed during the first cycle of combination topotecan and erlotinib therapy (days 1-21).

Interventionmg/m^2 (Number)
Treatment Group: Intravenous Topotecan and Oral Erlotinib1.0

[back to top]

Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Renal Clearance)

(NCT00611468)
Timeframe: Day 1 Week 1 and Day 1 Week 3

InterventionL/h/m^2 (Mean)
Without ErlotinibWith Erlotinib
Treatment Group: Intravenous Topotecan and Oral Erlotinib4.954.07

[back to top]

Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Dose-Normalized AUC)

(NCT00611468)
Timeframe: Day 1 Week 1 and Day 1 Week 3

Interventionng*h/mL (Mean)
Without ErlotinibWith Erlotinib
Treatment Group: Intravenous Topotecan and Oral Erlotinib91.899.1

[back to top]

Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Enrollment to Week 12

The incidence rate of DLT while on protocol therapy where DLT is defined as (1) Grade 3 or greater nonhematological adverse event that is possibly, probably, or likely related to therapy with the specific exception of Grade 3 or greater nausea or vomiting controlled by standard supportive care measures, Grade 3 infection and Grade 3 alopecia; or (2) Grade 4 or higher hematological AE that delays the administration of therapy at least 2 weeks. (NCT00618813)
Timeframe: Enrollment to week 12

Interventionparticipants (Number)
Treatment (Combination Chemotherapy)12

[back to top]

Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Week 29 to Week 37

The incidence rate of DLT while on protocol therapy where DLT is defined as (1) Grade 3 or greater nonhematological adverse event that is possibly, probably, or likely related to therapy with the specific exception of Grade 3 or greater nausea or vomiting controlled by standard supportive care measures, Grade 3 infection and Grade 3 alopecia; or (2) Grade 4 or higher hematological AE that delays the administration of therapy at least 2 weeks. (NCT00618813)
Timeframe: Week 29 to week 37

Interventionparticipants (Number)
Treatment (Combination Chemotherapy)14

[back to top]

Incidence of Death

Incidence of death from complications of therapy while the patient is on protocol therapy or within one month of terminating protocol therapy (NCT00618813)
Timeframe: Length of protocol therapy (up to 37 weeks) plus 30 days

Interventionparticipants (Number)
Treatment (Combination Chemotherapy)0

[back to top]

Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Week 23 to Week 28

The incidence rate of DLT while on protocol therapy where DLT is defined as (1) Grade 3 or greater nonhematological adverse event that is possibly, probably, or likely related to therapy with the specific exception of Grade 3 or greater nausea or vomiting controlled by standard supportive care measures, Grade 3 infection and Grade 3 alopecia; or (2) Grade 4 or higher hematological AE that delays the administration of therapy at least 2 weeks. (NCT00618813)
Timeframe: Week 23 to week 28

Interventionparticipants (Number)
Treatment (Combination Chemotherapy)9

[back to top]

Incidence Rate (Number of Participants) of Dose-limiting Toxicity (DLT) - Week 13 to Week 22

The incidence rate of DLT while on protocol therapy where DLT is defined as (1) Grade 3 or greater nonhematological adverse event that is possibly, probably, or likely related to therapy with the specific exception of Grade 3 or greater nausea or vomiting controlled by standard supportive care measures, Grade 3 infection and Grade 3 alopecia; or (2) Grade 4 or higher hematological AE that delays the administration of therapy at least 2 weeks. (NCT00618813)
Timeframe: Week 13 to week 22

Interventionparticipants (Number)
Treatment (Combination Chemotherapy)9

[back to top]

The Rate of Complete Remission (CR+CRi)

CR requires: 1. peripheral blood counts: neutrophil count ≥ 1.0 x 10^9/L, platelet count ≥ 100 x 10^9/L, reduced hemoglobin concentration or hematocrit has no bearing on remission status, and leukemic blasts must not be present in the peripheral blood. 2. bone marrow aspirate and biopsy: maturation of all cell lines must be present, ≤ 5% blasts, auer rods must not be detectable. 3. extramedullary leukemia, such as central nervous system (CNS) or soft tissue involvement, must not be present. CRi requires that all criteria for complete remission be satisfied except patients can have residual neutropenia (<1 x 10^9/L) or thrombocytopenia (<100 x 10^9/L). (NCT00634244)
Timeframe: Assessed every 3 months for the first 2 years and then every 6 months until relapse or death up to 3 years from registration.

Interventionproportion of participants (Number)
Arm A (Carboplatin+Topotecan Hydrochloride)0.143
Arm B (Alvocidib+Cytarabine+Mitoxantrone)0.278
Arm C (Sirolimus+Mitoxantrone+Etoposide+Cytarabine)0.15

[back to top]

The Rate of Treatment Failure

"The definition of treatment failure will include:~≥ 5% leukemic blasts at the time of pre-consolidation marrow~Death during/following induction chemotherapy (pre-consolidation)~Persisting marrow hypoplasia and pancytopenia for ≥ 2 months after chemotherapy~CNS or extramedullary disease at the time of pre-consolidation~Leukemia persistence after completion of induction treatment. Leukemia persistence is defined as greater than 10% residual blasts on marrow biopsy done 5-7 days after completion of induction chemotherapy" (NCT00634244)
Timeframe: Assessed every 3 months for the first 2 years and then every 6 months until relapse or death up to 3 years from registration.

Interventionproportion of participants (Number)
Arm A (Carboplatin+Topotecan Hydrochloride)0.86
Arm B (Alvocidib+Cytarabine+Mitoxantrone)0.72
Arm C (Sirolimus+Mitoxantrone+Etoposide+Cytarabine)0.84

[back to top]

Duration of Tumor Response (CR and PR)

Tumor response was determined using the RECIST guidelines. CR: disappearance of all target lesions. PR: >=30% decrease in sum of LD of target lesions, taking as reference the baseline sum LD. Duration of response is defined as the time from start of response (CR or PR) until progression or death due to any cause. For participants who did not progress or die, the time of initiation of post-treatment anti-cancer therapy or the time of last contact was used. (NCT00698516)
Timeframe: Baseline to disease progression or death (up to 82.4 weeks)

Interventionweeks (Median)
Topotecan and Bevacizumab20.6

[back to top]

Time to Tumor Response (CR and PR)

Tumor response was determined using the RECIST guidelines. CR: disappearance of all target lesions. PR: >=30% decrease in sum of LD of target lesions, taking as reference the baseline sum LD. Time to response is defined as the time from initiation of investigational product to the time of first documented response (CR or PR). (NCT00698516)
Timeframe: Baseline to disease progression or death (up to 82.4 weeks)

Interventionweeks (Median)
Topotecan and Bevacizumab5.8

[back to top]

Number of Participants With a Tumor Response (CR and PR)

Tumor response was determined using the RECIST guidelines. CR: disappearance of all target lesions. PR: >=30% decrease in sum of LD of target lesions, taking as reference the baseline sum LD. (NCT00698516)
Timeframe: Baseline to disease progression or death (up to 82.4 weeks)

Interventionparticipants (Number)
Topotecan and Bevacizumab: Resistant Participants2
Topotecan and Bevacizumab: Sensistive Participants6
Topotecan and Bevacizumab: All Participants8

[back to top]

Overall Survival

Overall survival is defined as the time from initiation of investigational product to death due to any cause. For participants who did not die, the time of last contact was used. (NCT00698516)
Timeframe: Baseline to disease progression or death (up to 82.4 weeks)

Interventionweeks (Median)
Topotecan and Bevacizumab: Resistant Participants26.4
Topotecan and Bevacizumab: Sensitive Participants37.0
Topotecan and Bevacizumab: All Participants32.0

[back to top]

Percentage of Participants With Progression-free Survival (PFS) at 3 Months

PFS = time from initiation of drug to time of first disease progression/death due to any cause. Progression assessed using Response Evaluation Criteria (RECIST): >=20% increase in sum of longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since treatment started, or appearance of new lesion(s). If participant did not progress or die, the time of initiation of post-treatment anti-cancer therapy or time of last contact used. PFS at 3 months calculated by taking the Kaplan-Meier (KM) estimate at 90 days from the initiation of treatment. SE = standard error. (NCT00698516)
Timeframe: 3 months

Interventionpercentageof participants (Number)
Topotecan and Bevacizumab65

[back to top]

PFS - Overall

Progression-free survival at any site was defined as the time from initiation of investigational product to the time of first documented disease progression or death due to any cause. Progression was assessed using the RECIST guidelines: >= 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since treatment started, or appearance of new lesion (s). For participants who did not progress or die, the time of initiation of post-treatment anti-cancer therapy or the time of last contact was used. (NCT00698516)
Timeframe: Baseline to disease progression or death (up to 82.4 weeks)

Interventionweeks (Median)
Topotecan and Bevacizumab: Resistant Participants12.64
Topotecan and Bevacizumab: Sensitive Participants27.14
Topotecan and Bevacizumab: All Participants17.43

[back to top]

Number of Participants With Complete Response (CR), Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD)

Tumor response was determined using the RECIST guidelines.CR, disappearance of all target lesions; PR, >=30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD; SD, neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since treatment started; PD, >=20% increase in sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00698516)
Timeframe: Baseline to disease progression or death (up to 82.4 weeks)

,,
Interventionparticipants (Number)
CRPRSDPDUnknown
Topotecan and Bevacizumab: All Participants0820139
Topotecan and Bevacizumab: Resistant Participants02993
Topotecan and Bevacizumab: Sensitive Participants061146

[back to top]

Interpret Genomic Array

Number of patients with biopsiable tumor in sufficient quantity and quality that will result in an interpretable genomic array. (NCT00720096)
Timeframe: 1 year, 2 months

,
InterventionParticipants (Number)
Biopsiable tumor: sufficient quantity and qualityInterpretable data
Liposomal Doxorubicin22
Topotecan21

[back to top]

Assess Feasibility

Number of patients meeting 3 week feasibility window which was set as the benchmark. (NCT00720096)
Timeframe: 1 year, 2 months

InterventionParticipants (Number)
Liposomal Doxorubicin2
Topotecan2

[back to top]

Dose Limiting Toxicity (DLT)

(NCT00800345)
Timeframe: Cycle 1 (28 days)

Interventionparticipants (Number)
Experienced a DLTDid not experience a DLTUnevaluable
Experimental8232

[back to top]

Treatment Response

Treatment response was evaluated using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter (LD) of target lesions; Stable Disease (SD) is neither sufficient shrinkage in sum of LD of target lesions to be PR nor increase of >=20%; Progressive Disease (PD) is the increase in existing lesions or new lesions. (NCT00800345)
Timeframe: After every 2 cycles of treatment beginning on Cycle 1 Day 1, up to 38 months

Interventionparticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive DiseaseNot Evaluable
Experimental4513101

[back to top]

To Determine and Compare the Frequency and Severity of Adverse Events as Assessed by CTCAE Version 3.0 for the Regimens Administered on This Study.

The number of patients on each arm who have Grade 3 AE or higher toxicity. (NCT00803062)
Timeframe: From date of enrollment until 30 days after treatment completion

,,,
InterventionParticipants (Count of Participants)
LeukopeniaThrombocytopeniaNeutropeniaAnemiaOther hematologicAllergy/ImmunologyAuditory/EarCardiacCoagulationConstitutionalDermatologicEndocrineGastrointestinalGenitourinary/RenalHemorrhageHepatobiliaryInfectionLymphaticsMetabolicMusculoskeletalNeuropathyOther NeurologicalPainPulmonaryVascularDeath, Not CTC coded
Arm I (Paclitaxel and Cisplatin)34648333412412022210401731809821381
Arm II (Paclitaxel, Cisplatin, Bevacizumab)4856129841164160029870181232125309172
Arm III (Topotecan Hydrochloride and Paclitaxel)4856123610411301117501911122722562
Arm IV (Topotecan Hydrochloride, Paclitaxel, Bevacizumab)669793062014016412214913011723927472

[back to top]

Progression-free Survival

"Disease that can be assessed clinically (physical examination) should be evaluated every cycle (every 3 weeks). Disease assessed by imaging modalities (CXR, CT, MRI) should be evaluated every other cycle unless other evidence of a change mandates earlier assessment. Tumor measurements should also be done after the final cycle (if the patient is taken off of study therapy for a reason other than progression) and then every 3 months x 2 years (followed with every 6 months x 3 years) until progression is documented. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions assessed radiographically and 50% increase if the only target lesion is a solitary pelvic mass measured by physical exam, or unequivocal progression of a non-target lesion, or the appearance of new lesions, or similar definition as accurate and appropriate." (NCT00803062)
Timeframe: From study entry until disease progression, death or date of last contact, assessed up to 5 years (During treatment: every 3 weeks if by physical exam, every 6 weeks by CXR, CT or MRI. In follow-up: quarterly for 2 years then semi-annually for 3 years)

Interventionmonths (Median)
Arm I (Paclitaxel and Cisplatin)6.67
Arm II (Paclitaxel, Cisplatin, Bevacizumab)9.63
Arm III (Topotecan Hydrochloride and Paclitaxel)5.29
Arm IV (Topotecan Hydrochloride, Paclitaxel, Bevacizumab)7.36

[back to top]

Overall Survival

The observed length of life from randomization into the study to death or the date of last contact. (NCT00803062)
Timeframe: From entry into the study to death or the date of last contact, assessed up to 5 years

Interventionmonths (Median)
Arm I (Paclitaxel and Cisplatin)14.26
Arm II (Paclitaxel, Cisplatin, Bevacizumab)17.51
Arm III (Topotecan Hydrochloride and Paclitaxel)12.68
Arm IV (Topotecan Hydrochloride, Paclitaxel, Bevacizumab)16.20

[back to top]

Tumor Response

Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >= 30% decrease in the sum of the longest diameter of target lesions by CT, MRI or CXR. If the only target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% increase in longest diameter is required; Overall Response (OR) = CR + PR. (NCT00803062)
Timeframe: Every cycle (if assessed by physical exam), every other cycle (if assessed by imaging), after the final cycle, then every 3 months x 2 years, then every 6 months x 3 years up to 5 years.

Interventionpercentage of participants (Number)
Arm I (Paclitaxel and Cisplatin)44.74
Arm II (Paclitaxel, Cisplatin, Bevacizumab)49.57
Arm III (Topotecan Hydrochloride and Paclitaxel)27.03
Arm IV (Topotecan Hydrochloride, Paclitaxel, Bevacizumab)47.32

[back to top] [back to top]

Progression-free Survival (PFS)

"From the date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause.~Progression is defined as 20% increase in the sum of longest diameters of target measurable lesions over smallest sum observed (over baseline if no decrease during therapy) using the same techniques as baseline. Unequivocal progression of non-measurable disease in the opinion of the treating physician (an explanation must be provided). Appearance of any new lesion/site. Death due to disease without prior documentation of progression and without symptomatic deterioration." (NCT00828139)
Timeframe: Disease assessments were performed every 6 weeks, up to 2 years.

InterventionMonths (Median)
Platinum-Sensitive Treated With Topotecan and Ziv-aflibercept1.8
Platinum Sensitivity Treated With Topotecan Alone1.3
Platinum Refractory Treated With Topotecan + Ziv-aflibercept1.4
Platinum Refractory Treated With Topotecan Aloine1.4

[back to top]

Overall Survival

Estimated to within at least 15% (95% confidence interval). (NCT00828139)
Timeframe: Weekly, up to 2 years.

Interventionmonths (Median)
Platinum-Sensitive Treated With Topotecan and Ziv-aflibercept6.0
Platinum Sensitivity Treated With Topotecan Alone4.6
Platinum Refractory Treated With Topotecan + Ziv-aflibercept4.6
Platinum Refractory Treated With Topotecan Aloine4.2

[back to top]

Response Rate (Confirmed and Unconfirmed, Complete and Partial Responses)

"The number of confirmed and unconfirmed complete and partial responses in the subset of patients with measurable disease per RECIST 1.0. Estimated to within at least 17% (95% confidence interval).~Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by magnetic resonance imaging (MRI): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR." (NCT00828139)
Timeframe: Disease assessment for response were performed every 6 weeks, up to 2 years.

Interventionproportion of participants (Number)
Platinum-Sensitive Treated With Topotecan and Ziv-aflibercept0.02
Platinum Sensitivity Treated With Topotecan Alone0
Platinum Refractory Treated With Topotecan + Ziv-aflibercept0.02
Platinum Refractory Treated With Topotecan Aloine0

[back to top]

Overall Survival (Data Cutoff 25 January 2013)

Duration of overall survival was defined as the time from randomization to death of any cause. Kaplan-Meier methodology was used. The OS data for participants for whom no death was captured in the clinical database were censored at the last time they were known to be alive. 95% CI was computed using the method of Brookmeyer and Crowley. (NCT00976911)
Timeframe: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 25 January 2013

Interventionmonths (Median)
Chemotherapy13.3
Chemotherapy + Bevacizumab16.6

[back to top]

Duration of Objective Response (Data Cutoff 14 November 2011)

For randomized participants who achieved an objective response per modified RECIST, duration of objective response was defined as the time from the date of the first occurrence of a CR or PR (whichever occurred first) until the date that progressive disease or death was documented (whichever occurred first). Participants who had an objective response and did not experience disease progression or death by the time of analysis were censored at the time of the last tumor assessment. Summaries of duration of objective response (median and percentiles) were estimated from Kaplan-Meier curves. 95% CI for duration of objective response was computed using the method of Brookmeyer and Crowley. (NCT00976911)
Timeframe: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011

Interventionmonths (Median)
Chemotherapy5.4
Chemotherapy + Bevacizumab9.4

[back to top]

Percentage of Participants Who Died (Data Cutoff 25 January 2013)

(NCT00976911)
Timeframe: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 25 January 2013

Interventionpercentage of participants (Number)
Chemotherapy75.8
Chemotherapy + Bevacizumab71.5

[back to top]

Percentage of Participants With Best Overall Confirmed Objective Response of Complete Response (CR) or Partial Response (PR) Per Modified RECIST (Data Cutoff 14 November 2011)

Objective Response was determined by the investigator using modified RECIST criteria, Version 1.0. An objective response was a complete or partial overall confirmed response as determined by investigators. CR defined as complete disappearance of all target and non-target lesions and no new lesions. PR defined as greater than or equal to (≥) 30 percent (%) decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. 95% CI computed using the normal approximation to the binomial distribution. (NCT00976911)
Timeframe: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011

Interventionpercentage of participants (Number)
Chemotherapy12.5
Chemotherapy + Bevacizumab28.2

[back to top]

Progression Free Survival (PFS; Data Cutoff 14 November 2011)

PFS was defined as the time from the date of randomization to the first documented disease progression or death, whichever occurred first. Progression was based on tumor assessment made by the investigators according to the RECIST criteria (for participants with measurable disease), and for those with non-measurable disease presence or absence of lesions was noted. Time from randomization to occurrence of disease progression or death was measured in months. An event was defined as the earliest progressive disease or death that occurred on or before the cutoff date (14 November 2011), regardless of start of nonprotocol specified anti-cancer therapy or the bevacizumab monotherapy. Disease progression was assessed by investigator according to RECIST or by symptom deterioration, and could not be declared on the basis of rising cancer antigen 125 (CA125) levels alone. Kaplan-Meier methodology was used. 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT00976911)
Timeframe: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011

Interventionmonths (Median)
Chemotherapy3.4
Chemotherapy + Bevacizumab6.8

[back to top]

Percentage of Participants With Disease Progression or Death (Data Cutoff 14 November 2011)

Progression free survival was defined as the time from the date of randomization to the first documented disease progression or death, whichever occurs first. Progression was based on tumour assessment made by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria (for participants with measurable disease), and for those with non-measurable disease presence or absence of lesions was noted. (NCT00976911)
Timeframe: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011

Interventionpercentage of participants (Number)
Chemotherapy92.3
Chemotherapy + Bevacizumab78.8

[back to top]

European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Ovarian (OV) 28 Abdominal/Gastrointestinal (AB/GI) Symptom Scale - Percentage of Responders (Data Cutoff 14 November 2011)

The EORTC OV-28 module is a questionnaire that focuses on issues specific to ovarian cancer. It assesses AB/GI symptoms, among others. Participants were asked to indicate the extent to which they experienced AB/GI symptoms in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following: Did you have abdominal pain? Did you have a bloated feeling in your abdomen/stomach? Did you have problems with your clothes feeling too tight? Did you experience any change in bowel habit as a result of your disease or treatment? Were you troubled by passing wind/gas/flatulence? Have you felt full too quickly after beginning to eat? Have you had indigestion/heartburn? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms). Participants were considered a responder if they had a 10 point or more reduction in EORTC QLQ-OV28 AB/GI symptom scale score from baseline. (NCT00976911)
Timeframe: Baseline and Weeks 8, 9, 16, 18, 24 and 30 (Data Cutoff 14 November 2011)

,
Interventionpercentage of participants (Number)
Weeks 8/9Weeks 16/18Week 24Week 30
Chemotherapy19.023.322.733.3
Chemotherapy + Bevacizumab27.926.732.128.6

[back to top]

CA125 Response Rate With Continuous-infusion Topotecan and Erlotinib

Response was assessed after every treatment cycle. Response rate is defined as number of the patients who experienced complete or partial CA125 response (CR or PR). CR: normalization of the CA125 value, determined by 2 observations not less than 4 weeks apart; PR: CA125 decreases by >50% and is confirmed to be 50% or greater on a subsequent determination at least one month later. (NCT01003938)
Timeframe: Up to 3 years

Interventionparticipants (Number)
Topotecan and Erlotinib1

[back to top]

Toxicity Profile

"Number of participants (patients) who experienced AEs.~Dry skin, dry eye, acne, erythema, rash, pruritus, and diarrhea were related erlotinib; dehydration, anemia, leukopenia, nausea, vomiting, platelets, and fatigue were realted to topotcan." (NCT01003938)
Timeframe: the whole treatment phase and 30 days post-treatment

Interventionparticipants (Number)
Dry skin (grade 1)Dry skin (grade 3)Dry eye (grade 1)Acne (grade 1)Erythema (grade 1)Rash/ desquamation (grade 1)Rash/ desquamation (grade 2)Pruritis (grade 1)Diarrhea (grade 1)Diarrhea (grade 2)Dehydration (grade 3)Anemia (grade 2)Anemia (grade 3)Leukopenia (grade 2)Leukopenia (grade 3)Nausea (grade 1)Nausea (grade 2)Nausea (grade 3)Vomiting (grade 1)Vomiting (grade 2)Vomiting (grade 3)Platelets (grade 1)Platelets (grade 2)Platelets (grade 3)Fatigue (grade 1)Fatigue (grade 2)Fatigue (grade 3)
Topotecan and Erlotinib211211112112231411311211211

[back to top]

Median Overall Survival

OS was defined as time in months from the start of study treatment to date of death due to any cause. Patients alive as of the last follow-up had OS censored at the last follow-up date. Median OS was estimated using a Kaplan-Meier curve. (NCT01004874)
Timeframe: 27 months

Interventionmonths (Median)
Bevacizumab, XRT, Temozolomide, Topotecan17.2

[back to top]

One and Two Year Overall Survival

Time in months from the start of study treatment to date of death due to any cause. Patients alive as of the last follow-up had OS censored at the last follow-up date. (NCT01004874)
Timeframe: One year and two years

Interventionpercentage of participants (Number)
One year Overall SurvivalTwo year Overall Survival
Bevacizumab, XRT, Temozolomide, Topotecan73.835.6

[back to top]

6-month Progression-free Survival

Percentage of participants surviving six months from the start of study treatment without progression of disease. PFS was defined as the time from the date of study treatment initiation to the date of the first documented progression according to the Macdonald criteria, or to death due to any cause. (NCT01004874)
Timeframe: 6 months

Interventionpercentage of participants (Number)
Bevacizumab, XRT, Temozolomide, Topotecan88.8

[back to top]

Number of Patients Experiencing a Greater Than or Equal to Grade 4 Hematologic or a Greater Than or Equal to Grade 3 Non-hematologic Toxicity

Number of times a grade ≥4 hematologic or grade ≥3 non-hematologic toxicity was experienced (NCT01004874)
Timeframe: 27 months

Interventionparticipants (Number)
Greater than equal Gr.4 hematologic toxicitesGreater than equal Gr.3 non-hematologic toxicites
Bevacizumab, XRT, Temozolomide, Topotecan2317

[back to top]

Number of Patients Experiencing a Central Nervous System (CNS) Hemorrhage or a Systemic Hemorrhage

Number of times a CNS hemorrhage or systemic hemorrhage was experienced (NCT01004874)
Timeframe: 27 months

Interventionparticipants (Number)
Grade 2 central nervous system (CNS) hemorrhageGrade 3 CNS hemorrhageGrade 4 CNS hemorrhage
Bevacizumab, XRT, Temozolomide, Topotecan102

[back to top]

Median Progression-free Survival

PFS was defined as time in months from the start of study treatment to the date of first progression according to Macdonald criteria, or to death due to any cause. Patients alive who had not progressed as of the last follow-up had PFS censored at the last follow-up date. Median PFS was estimated using a Kaplan-Meier curve. (NCT01004874)
Timeframe: 27 months

Interventionmonths (Median)
Bevacizumab, XRT, Temozolomide, Topotecan11.1

[back to top]

Percent of Patients With Tumor Response, Defined as Complete Response or Partial Response as Assessed Using Response Evaluation Criteria In Solid Tumors

The proportion of successes will be estimated by the number of successes(CR or PR) divided by the total number of evaluable patients. Confidence intervals for the true success proportion will be calculated according to the approach of Duffy and Santner (1987). Complete Response (CR) is defined as disappearance of all target lesions and, if non target lesions exist, the disappearance of all non-target lesions and normalization of tumor maker level. At least 30% decrease in the sum of the longest diameter (LD) of target lesion taking as reference the baseline sum. (NCT01012817)
Timeframe: Up to 48 weeks (12 courses)

Interventionpercent of patients with response (Number)
Phase 1 Dose Level 10
Phase 1 Dose Level 233
Phase 1 Dose Level 30
Phase 1 Dose Level 40
Phase 1 Dose Level 517
Phase 1 Dose Level 60
Phase 1 Dose Level 70
Phase 1 Dose Level 80
Phase 1 Dose Level 90
Phase 1 Dose Level 100
Phase 1 Dose Level 110
Phase 1 Dose Level 1250
Phase 1 Dose Level 130
Phase 20

[back to top]

Maximum Tolerated Dose of Topotecan Hydrochloride and Veliparib, Determined According to Incidence of Dose-limiting Toxicity, Graded Using National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 (Phase I)

The number of patients with a dose limiting toxicity will be reported. Dose-limiting toxicity (DLT) will be defined as a cycle 1 adverse event attributed (definitely, probably, or possibly) to the study treatment and meeting the following criteria: Grade 4 anemia, grade 4 neutrophil count decrease, grade 4 platelet count decrease, Serum creatinine >= 2 times baseline or ≥ 2 times the upper limit of normal if baseline is < the upper limit of normal, or other >= Grade 3 as per NCI Common Terminology Criteria for Adverse Events CTCAE version 4.0. >= Grade 3 nausea, vomiting, or diarrhea with maximal supportive treatment(s) will be considered dose-limiting. Grade 3 fatigue or anorexia will not be considered dos (NCT01012817)
Timeframe: 4 weeks

InterventionParticipants (Count of Participants)
Phase 1 Dose Level 10
Phase 1 Dose Level 20
Phase 1 Dose Level 30
Phase 1 Dose Level 40
Phase 1 Dose Level 53
Phase 1 Dose Level 62
Phase 1 Dose Level 70
Phase 1 Dose Level 80
Phase 1 Dose Level 90
Phase 1 Dose Level 101
Phase 1 Dose Level 110
Phase 1 Dose Level 121
Phase 1 Dose Level 132

[back to top]

Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)

A DLT is a protocol-defined, (hematologic and non-hematologic), AE that must be definitely, probably, or possibly related to the study therapy. A DLT is any of the following: Grade 4-5 hematological toxicity; Grade 3 or Grade 4 neutropenia with fever >38.°C and/or infection requiring antibiotic or anti-fungal treatment. Non-hematologic dose-limiting toxicities are any Grade 3, 4, or 5 non-hematologic toxicity, with specific exceptions. If occurring within the first cycle of combination therapy: unresolved drug-related toxicity, preventing (re) treatment for 3 weeks or more from the date of the next scheduled treatment or any drug-related toxicity preventing the participant from taking at least 75% of the doses of MK-1775 with each administration of chemotherapy. (NCT01076400)
Timeframe: Up to approximately 1 year

InterventionNumber of participants (Number)
Part 1: MK-1775 + Topotecan/Cisplatin2

[back to top]

Incidence and Intensity of Adverse Events According to the United States National Cancer Institute (US NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0

Incidence and intensity of adverse events according to the United States National Cancer Institute (US NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 (NCT01121406)
Timeframe: From first treatment administration to 21 days after the last drug administration (Up to 1403 days)

,,
Interventionparticipants (Number)
Grade 1Grade 2Grade 3Grade 4Grade 5
Cytotoxic3192553
Cytotoxic to Volasertib Switch13963
Volasertib (BI 6727)4616253

[back to top]

t1/2; Terminal Half-life of CD 10899 BS in Plasma

t1/2; Terminal half-life of CD 10899 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionhours (Geometric Mean)
Volasertib146

[back to top]

Tmax; Time From Dosing to Maximum Measured Concentration of CD 10899 BS in Plasma

tmax; time from dosing to maximum measured concentration of CD 10899 BS (metabolite of Volasertib BI 6727) in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionhours (Median)
Volasertib6.07

[back to top]

AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for BI 6727 BS

AUC (0-24); area under the concentration-time curve in plasma over the time interval from 0 to 24 hours for BI 6727 BS (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionng*h/mL (Geometric Mean)
Volasertib2140

[back to top]

AUC (0-24); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 to 24 Hours for CD 10899 BS

AUC (0-24); area under the concentration-time curve in plasma over the time interval from 0 to 24 hours for CD 10899 BS (metabolite of Volasertib BI 6727) (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionng*h/mL (Geometric Mean)
Volasertib204

[back to top]

AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for BI 6727 BS

AUC (0-inf); area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity for BI 6727 BS (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionng*h/mL (Geometric Mean)
Volasertib6240

[back to top]

AUC (0-inf); Area Under the Concentration-time Curve in Plasma Over the Time Interval From 0 Extrapolated to Infinity for CD 10899 BS

AUC (0-inf); area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity for CD 10899 BS (metabolite of Volasertib BI 6727) (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionng*h/mL (Geometric Mean)
Volasertib1400

[back to top]

Biological Progression-free Survival Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria

"Biological PFS including assessment of CA-125 levels was defined as the time from randomisation until the first occurrence of progressive disease according to CA-125, progressive disease according to radiological evidence, or death.~Also according to the below criterias,~In patients with radiological measurable disease, disease progression during study treatment could not be declared on the basis of CA-125 alone.~Patients with elevated CA-125 pre-treatment and normalization of CA-125 had to show evidence of CA-125 ≥ to two times the upper normal limit on two occasions at least one week apart or~Patients with elevated CA-125 pre-treatment, which never normalized, had to show evidence of CA-125 ≥ to two times the nadir value on two occasions at least one week apart or~Patients with CA-125 in the normal range pre-treatment had to show evidence of CA-125 ≥ to two times the upper normal limit on two occasions at least one week apart." (NCT01121406)
Timeframe: At screening and every 6 weeks thereafter (Up to 213 weeks )

Interventionweeks (Median)
Volasertib (BI 6727)13.1
Cytotoxic20.6

[back to top]

CL; Total Clearance of BI 6727 BS in Plasma After Intravenous Administration

CL; total clearance of BI 6727 BS in plasma after intravenous administration (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

InterventionmL/min (Geometric Mean)
Volasertib801

[back to top]

Cmax; Maximum Measured Concentration of BI 6727 BS in Plasma

Cmax; maximum measured concentration of BI 6727 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionng/mL (Geometric Mean)
Volasertib341

[back to top]

Cmax; Maximum Measured Concentration of CD 10899 BS in Plasma

Cmax; maximum measured concentration of CD 10899 BS (metabolite of Volasertib BI 6727) in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionng/mL (Geometric Mean)
Volasertib10.8

[back to top]

Disease Control Rate (DCR) at Week 24 According to Response Evaluation Criteria In Solid Tumours (RECIST) Version 1.1

DCR was defined as the proportion of patients who had an overall response of complete response (CR), partial response (PR), or stable disease (SD). (NCT01121406)
Timeframe: Week 24

Interventionpercentage of participants (Number)
Volasertib (BI 6727)30.6
Cytotoxic43.1

[back to top]

MRT; Mean Residence Time of BI 6727 BS in the Body

MRT; Mean residence time of BI 6727 BS in the body (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionhours (Geometric Mean)
Volasertib118

[back to top]

Overall Survival (OS)

OS is defined as time from randomisation to death irrespective of the cause of the death. (NCT01121406)
Timeframe: From randomization until death or study discontinuation; Up to 213 weeks

Interventionweeks (Median)
Volasertib (BI 6727)60.1
Cytotoxic68.6

[back to top]

Progression Free Survival (PFS)

"Progression-free survival of a patient was based on the investigator's assessment; it was defined as the number of days from the date of randomisation until the date of either disease progression or death from any cause, whichever occurred first.~Definition of disease progression according to RECIST version 1.1; Patients with measurable tumour lesions at baseline, Target-lesions: at least a 20% increase in the sum of diameters of target lesions, the sum of diameters must also demonstrate an absolute increase of at least 5 mm,taking as reference the smallest sum on study, or appearance of 1 or more new lesions.~Non-target lesions: unequivocal progression of existing non-target lesions or appearance of 1 or more new lesions Patients with non-measurable tumour lesions at baseline, Non-target lesions: requires unequivocal progression of existing non-target lesions or appearance of 1 or more new lesions" (NCT01121406)
Timeframe: From randomization until disease progression, death or study discontinuation; Up to 213 weeks

Interventionweeks (Median)
Volasertib (BI 6727)13.1
Cytotoxic20.6

[back to top]

t1/2; Terminal Half-life of BI 6727 BS in Plasma

t1/2; Terminal half-life of BI 6727 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionhours (Geometric Mean)
Volasertib143

[back to top]

Time to Deterioration in Abdominal Bloating/ Quality of Life (QOL)

"Time to deterioration in abdominal bloating/ Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )

Interventionweeks (Median)
Volasertib (BI 6727)NA
Cytotoxic47.2

[back to top]

Time to Deterioration in Fatigue/Quality of Life (QOL)

"Time to deterioration in fatigue/Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )

Interventionweeks (Median)
Volasertib (BI 6727)NA
Cytotoxic67.1

[back to top]

Time to Deterioration in Global Health Status/Quality of Life (QOL)

"Time to deterioration in global health status/Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )

Interventionweeks (Median)
Volasertib (BI 6727)NA
Cytotoxic39.6

[back to top]

Time to Deterioration in Pain/ Quality of Life (QOL)

"Time to deterioration in pain/ Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks )

Interventionweeks (Median)
Volasertib (BI 6727)NA
Cytotoxic54.1

[back to top]

Time to Deterioration in the Three Most Troublesome Disease Specific Symptoms/ Quality of Life (QOL)

"Three most troublesome disease specific symptoms, defined by the patient at baseline.~Patients that have defined more than 3 most troublesome symptoms have not been taken into account in the analysis.~Quality of life (QOL) and symptom control assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30, QLQ-OV28, and individual symptom questionnaires.~The time to deterioration was defined as the time from randomisation to a score increased (i.e. worsened) by at least 10 points from baseline (0-100 point scale). If score is missing, and patient died within 28 days after scheduled time for completion, the patient was considered deteriorated. In this case, time to deterioration is time to death." (NCT01121406)
Timeframe: Every 6 weeks (Up to 213 weeks)

Interventionweeks (Median)
Volasertib (BI 6727)NA
Cytotoxic18.9

[back to top]

Tmax; Time From Dosing to Maximum Measured Concentration of BI 6727 BS in Plasma

tmax; time from dosing to maximum measured concentration of BI 6727 BS in plasma (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

Interventionhours (Median)
Volasertib2.00

[back to top]

Vss;Apparent Volume of Distribution at Steady State Following Intravenous Administration for BI 6727 BS

Vss;apparent volume of distribution at steady state following intravenous administration for BI 6727 BS (NCT01121406)
Timeframe: -0.083 hours (h), 2h, 4h, 6h, 24h, 168h and 336 h after first drug administration

InterventionLitres (Geometric Mean)
Volasertib5690

[back to top]

Best Overall Response

"Best overall response (BOR) is defined as the best response recorded at any time from the date of randomisation until the end of treatment.~Missing categories signify that no tumour imaging has been performed post baseline, and therefore the response status could not be assessed." (NCT01121406)
Timeframe: time from the date of randomisation until study completion/discontinuation; Up to 213 weeks

,
Interventionparticipants (Number)
CR- Measurable diseasePR- Measurable diseaseSD- Measurable diseasePD- Measurable diseaseMissing- Measurable diseaseCR- Non-measurable diseaseNon-CR/Non-PD- Non-measurable diseasePD- Non-measurable diseaseMissing- Non-measurable disease
Cytotoxic08241021901
Volasertib (BI 6727)07241400630

[back to top]

Biological Tumour Response Based on Serum Cancer Antigen 125 (CA-125) According to the Gynaecologic Cancer Intergroup (GCIG) Criteria

"Patients were to have a pre-treatment CA-125 of at least twice the upper limit of normal to be considered for CA-125 response. Patients were not evaluable by CA-125 if they had received mouse antibodies or if they had undergone medical and/or surgical interference with their peritoneum or pleura during the previous 28 days. In eligible patients, a CA-125 response was defined as the moment the CA- 25 was reduced by 50%, with this being confirmed with a consecutive CA-125 assessment not earlier than 28 days after the previous one.~Biological response rate based on serum CA-125 levels was assessed according to the guidelines by the Gynaecologic Cancer Intergroup. Monitoring of blood levels of the tumour marker CA-125 was performed at screening and every 6 weeks thereafter." (NCT01121406)
Timeframe: At screening and every 6 weeks thereafter (Up to 213 weeks)

,
Interventionparticipants (Number)
YesNoNot evaluableMissing
Cytotoxic1223119
Volasertib (BI 6727)103347

[back to top]

Clinically Relevant Changes in Laboratory and ECG Data

Clinically relevant changes in laboratory and ECG data (NCT01121406)
Timeframe: From first treatment administration to 21 days after the last drug administration (Up to 1403 days)

,,
Interventionpercentage of participants (Number)
Blood alkaline phosphatase increasedBlood creatinine increasedPlatelet count decreasedAlanine aminotransferase increasedAspartate aminotransferase increasedBlood uric acid increasedGamma-glutamyltransferase increasedAlanine aminotransferase abnormalElectrocardiogram QT prolongedHaemoglobin decreasedNeutrophil count decreasedTroponin I increasedBlood lactate dehydrogenase increasedBlood magnesium decreasedWhite blood cell count decreasedBlood urea increasedAlanine aminotransferase decreasedBlood bilirubin increasedBlood creatine phosphokinase decreasedBlood potassium decreasedHepatic enzyme increasedAspartate aminotransferase abnormalTransaminases increased
Cytotoxic12.73.60.09.15.55.55.50.00.03.60.00.00.00.00.03.60.00.00.00.00.01.81.8
Cytotoxic to Volasertib Switch8.30.08.34.24.20.04.24.24.24.24.24.20.00.00.00.00.00.00.00.00.00.00.0
Volasertib (BI 6727)3.79.39.31.93.71.93.70.00.03.71.90.03.73.73.71.91.91.91.91.91.90.00.0

[back to top]

Incidence of Unacceptable Toxicity and Sinusoidal Obstruction Syndrome (SOS), Assessed by Common Terminology Criteria (CTV)v.4.0 for Toxicity Assessment and Grading for I-MIBG

Number of patients who had an unacceptable toxicity or experienced SOS. Unacceptable toxicity was defined as CTC Grade 4-5 Pulmonary/Respiratory. (NCT01175356)
Timeframe: Up to 6 weeks after course 5 of induction

InterventionParticipants (Count of Participants)
Treatment (131I-MIBG, Chemotherapy)3

[back to top]

Percentage of MIBG Avid Patients Treated With MIBG Labeled With Iodine-131 and Bu/Mel Chemotherapy

Number of MIBG avid patients who receive 131I-MIBG and Bu/Mel divided by the number of patients evaluable for the feasibility of MIBG and Bu/Mel consolidation endpoint x 100%. (NCT01175356)
Timeframe: Up to day -6 of conditioning

InterventionPercentage of participants (Number)
Treatment (131I-MIBG, Chemotherapy)82.2

[back to top]

Percentage of MIBG Avid Patients Treated With Meta-iodobenxylguanide (MIBG) Labeled With Iodine-131

Number of MIBG avid patients who receive 131I-MIBG divided by the number of patients evaluable for the feasibility of MIBG endpoint x 100%. (NCT01175356)
Timeframe: Up to 6 weeks after course 5 of induction

InterventionPercentage of participants (Number)
Treatment (131I-MIBG, Chemotherapy)86.8

[back to top]

Event-Free Survival

Estimated 5-year EFS where EFS is calculated as the time from study enrollment to disease progression, disease relapse, occurrence of a second malignant neoplasm, death from any cause or last follow-up whichever occurs first. Kaplan-Meier method is used for estimation. Patients without an event are censored at last contact. (NCT01231906)
Timeframe: 5 years after enrollment

InterventionPercent Probability (Number)
Arm A (Combination Chemotherapy)77.64
Arm B (Combination Chemotherapy, Topotecan Hydrochloride)78.79

[back to top]

Duration of Objective Response

Duration of objective response is defined as the duration from the time measurement criteria is met for partial or complete response by RECIST 1.1, whichever is first recorded, until the first date the recurrent or progressive disease is objectively documented. Per Response Evaluation Criteria in Solid Tumors (RECIST) criteria Complete Response (CR), disappearance of all target and non-target lesions without evidence of new lesion; Partial Response (PR), at least 30% decrease in the sum of the longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD with no unequivocal progression of non-target lesions and no evidence of new lesion. Complete or partial response requires confirmation at greater than or equal to 4 weeks from initial documentation. (NCT01266447)
Timeframe: Every other cycle for first 6 months; then every 3 months until disease progression confirmed; and at any other time if clinically indicated based on symptoms or signs suggestive of progressive disease.The average of study treatment time was 2.3 months.

InterventionMonths (Median)
ABT-888, Topotecan and Filgrastim or Pegfilgrastim5.3

[back to top]

Number of Patients With Dose-limiting Toxicities (in Safety lead-in)

A dose-limiting toxicity (DLT) is assessed by NCI CTCAE v4, occurring during cycle 1 of therapy.: A dose-limiting toxicity (DLT) is defined as either hematologic or non-hematologic toxicity assessed by NCI CTCAE v4, occurring during cycle 1 of therapy, which cause any of the following: For hematologic toxicity - dose delay of greater than 2 weeks due to failure to recover counts, Treatment related febrile neutropenia, grade 4 neutropenia lasting >7 days, treatment related grade 4 thrombocytopenia or clinically significant bleeding with grade 3 thrombocytopenia. For non-hematologic toxicity; study treatment related grade 3 or 4 non-hematological toxicity (excluding anorexia, constipation, fatigue, hypersensitivity/allergic reaction to one of the study drugs, nausea & vomiting, and grade 3 dehydration), grade 4 nausea and vomiting for >48 hours despite maximum medical management, electrolyte imbalance of > or equal to grade 3 that can be replaced within 48 hours; any drug related death (NCT01266447)
Timeframe: Up to 21 days

Interventionparticipants (Number)
ABT-888, Topotecan and Filgrastim or Pegfilgrastim1

[back to top]

Overall Survival

Overall survival is defined as the duration of time from study entry to time of death or the date of last contact. (NCT01266447)
Timeframe: From study entry to death or last contact, up to 5 years of follow-up.

Interventionmonths (Median)
ABT-888, Topotecan and Filgrastim or Pegfilgrastim8.2

[back to top]

Progression-free Survival

Progression-free survival is the period of time from study entry to time of disease progression, death or date of last contact, whichever occurs first. Progression is defined as at least a 20% increase in the sum of the longest dimensions (LD) of target lesions taking as reference the smallest sum LD recorded since study entry, or unequivocal progression of existing non-target lesions, or the appearance of one or more new lesions, or global deterioration in health status attributable to the disease requiring a change in therapy without objective evidence of progression, or death due to disease without prior objective documentation of progression. (NCT01266447)
Timeframe: From study entry to disease progression, death or date of last contact, whichever occurs first, up to 5 years of follow-up.

Interventionmonths (Median)
ABT-888, Topotecan and Filgrastim or Pegfilgrastim2.0

[back to top]

Tumor Response

Complete and Partial Tumor Response as Assessed by RECIST 1.1. Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1), Complete Response (CR), disappearance of all target and non-target lesions without evidence of new lesion; Partial Response (PR), at least 30% decrease in the sum of the longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD with no unequivocal progression of non-target lesions and no evidence of new lesion. Complete or partial response requires confirmation at greater than or equal to 4 weeks from initial documentation. (NCT01266447)
Timeframe: Every other cycle for first 6 months; then every 3 months thereafter until disease progression confirmed; and at any other time if clinically indicted based on symptoms or physical signs suggestive of progressive disease. The average time was 2.3 months

Interventionpercentage of participants (Number)
ABT-888, Topotecan and Filgrastim or Pegfilgrastim7.4

[back to top]

Adverse Events (Grade 3 or Higher) During Treatment Period

Number of participants with a maximum grade of 3 or higher during treatment period. Adverse events are graded and categorized using CTCAE v4.0. (NCT01266447)
Timeframe: During treatment period and up to 30 days after stopping the study treatment.The average of study treatment time was 2.3 months.

InterventionParticipants (Number)
LeukopeniaThrombocytopeniaNeutropeniaAnemiaOther InvestigationsCardiac DisordersGastrointestinal DisordersGeneral Disorders & administration site conditionsInfections and InfestationsMetabolism and nutrition disordersMusculoskeletal and connective tissue disordersNeoplasms benign, malignant and unspecifiedNervous system disordersRenal and urinary disordersReproductive system and breast disordersRespiratory, thoracic and mediastinal disordersSurgical and medical proceduresVascular disorders
ABT-888, Topotecan and Filgrastim or Pegfilgrastim61251641754351102413

[back to top]

Number of Participants With Adverse Events

Safety will be assessed by physical examination, interim history, and laboratory assessments. Adverse events will be graded according to the NCI-CTCAE, version 4.0 (NCT01492673)
Timeframe: 2 years

InterventionParticipants (Count of Participants)
Cyclophosphamide, Topotecan, and Bevacizumab (CTB)9

[back to top]

Progression Free Survival (PFS)

PFS was defined as the time interval from the date of randomization to the date of occurrence of the first documented tumor progression or death due to any cause, whichever came first. Median PFS was estimated using the Kaplan-Meier method. Progression was defined using Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.1) as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study or unequivocal progression of existing non-target lesion. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeter (mm). The appearance of one or more new lesions is also considered progression. (NCT01500720)
Timeframe: Randomization to first tumor progression/clinical deterioration or death (maximum 7.6 months)

Interventionmonths (Median)
Cabazitaxel1.4
Topotecan3.0

[back to top]

Overall Objective Tumor Response Rate

Overall objective tumor response was defined as the proportion of participants with confirmed RECIST 1.1 achieving a complete response (CR) or partial response (PR). CR was defined as disappearance of all target/non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Percentage of participants with overall objective tumor response is reported. (NCT01500720)
Timeframe: Randomization to disease progression/occurrence (maximum 7.6 months)

Interventionpercentage of participants (Number)
Cabazitaxel0
Topotecan10.1

[back to top]

Overall Survival

Overall survival was defined as the time interval from the date of randomization to the date of death due to any cause. In the absence of confirmation of death, survival time was to be censored at the last date the participant was known to be alive. Median time was estimated by Kaplan-Meier curve. (NCT01500720)
Timeframe: From randomization to date of death (maximum 15 months)

Interventionmonths (Median)
Cabazitaxel5.2
Topotecan6.8

[back to top]

Progression Free Rate at Week 12

Progression was defined using Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.1) as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study or unequivocal progression of existing non-target lesion. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. Death due to disease progression within 12 weeks without radiological documentation of progressive disease was counted as an event. Percentage of participants who were progression free at week 12 are reported. (NCT01500720)
Timeframe: Week 12

Interventionpercentage of participants (Number)
Cabazitaxel18.9
Topotecan52.8

[back to top]

Disease Control Rate (DCR)

DCR: Complete Response (CR) + Partial Response (PR) + Stable Disease (SD) + Progressive Disease (PD). DCR summarized using both point estimates and exact confidence intervals based on the binomial distribution by arm. (NCT01533181)
Timeframe: Up to 2 years

,
Interventionparticipants (Number)
Complete ResponsePartial ResponseStable DiseaseProgressive DiseaseDisease Control Rate
Arm A: Topotecan02466
Arm B: OS-906001241

[back to top]

Overall Survival (OS)

OS: Time from study enrollment to death from any cause. OS summarized similarly to PFS utilizing the K-M method. (NCT01533181)
Timeframe: Up to 2 years

Interventionmonths (Median)
Arm A: Topotecan5.3
Arm B: OS-9063.4

[back to top]

Median Progression Free Survival (PFS)

PFS: Time from randomization to time of disease progression or death. PFS summarized with the Kaplan-Meier (K-M) method by two arms (experimental versus control). Confidence intervals for the median PFS and PFS rates at different time points to be constructed when appropriate. (NCT01533181)
Timeframe: Up to 6 months

Interventionmonths (Median)
Arm A: Topotecan3
Arm B: OS-9061.2

[back to top] [back to top]

Part 2: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QoL) Questionnaire (QLQ) of Core 30 (C30) Score

EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4-point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale [1 'very poor' to 7 'Excellent']). Scores averaged, transformed to 0-100 scale; for functional scores, a higher score represents a better level of functioning. For symptom scores, a higher score represents a more severe level of symptoms. For the global health status scores, a higher score represents a better quality of life. (NCT01684878)
Timeframe: Baseline (assessed at baseline and every 9 weeks from randomization until disease progression)

,
Interventionunits on a scale (Mean)
Functional Scales: Physical (n=71, 74)Functional Scales: Role (n=70, 73)Functional Scales: Emotional (n=71, 73)Functional Scales: Cognitive (n=71, 73)Functional Scales: Social (n=71, 73)Symptomatic Scales: Fatigue (n=71, 74)Symptomatic Scales: Nausea and vomiting (n=72, 74)Symptomatic Scales: Pain (n=72, 74)Symptomatic Scales: Dyspnoea (n=68, 73)Symptomatic Scales: Insomnia (n=69, 74)Symptomatic Scales: Appetite loss (n=71, 73)Symptomatic Scales: Constipation (n=69, 72)Symptomatic Scales: Diarrhoea (n=69, 72)Symptomatic Scales:Financial difficulties(n=70,72Global health status / QoL scale (n=71, 72)
Part 2: Pertuzumab+Chemotherapy71.168.659.581.270.741.210.435.222.535.324.925.614.517.654.1
Part 2: Placebo+Chemotherapy74.969.465.984.968.338.412.431.121.531.521.026.414.413.461.1

[back to top]

Part 2: Progression-free Survival (PFS) Assessed by the Investigator

PFS (Investigator-assessed) is defined as the time from randomization, until disease progression according to RECIST v1.1 including death or MBO, whichever occurs first. Censoring is based on the last tumor assessment. If no tumor assessment post baseline, then censoring is at day 1. PD could base on symptom deterioration or was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the appearance of one or more new lesions and/or the unequivocal progression of existing non-target lesions. (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)

Interventionmonths (Median)
Part 2: Pertuzumab+Chemotherapy4.22
Part 2: Placebo+Chemotherapy3.94

[back to top]

Part 2: Progression Free Survival (PFS) as Assessed by a Blinded Independent Review Committee (IRC) Including Malignant Bowel Obstruction (MBO)

PFS (IRC-Assessed) was defined as the time from randomization into Part 2 of the trial until progressive disease (PD), MBO or death from any cause, whichever occurred first per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. PD could base on symptom deterioration or was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the appearance of one or more new lesions and/or the unequivocal progression of existing non-target lesions. (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)

Interventionmonths (Median)
Part 2: Pertuzumab+Chemotherapy4.27
Part 2: Placebo+Chemotherapy2.74

[back to top]

Part 2: Percentage of Participants With Adverse Events (AEs)

An AE can be any unfavorable and unintended sign (including an abnormality laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. (NCT01684878)
Timeframe: Approximately 28 months (assessed at screening, baseline until 28 days after the last dose of study treatment)

Interventionpercentage of participants (Number)
Part 2: Pertuzumab+Chemotherapy98.7
Part 2: Placebo+Chemotherapy100

[back to top]

Part 2: Overall Survival

Overall survival was defined as the time from randomization into Part 2 of the trial until death from any cause (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)

Interventionmonths (Median)
Part 2: Pertuzumab+Chemotherapy10.18
Part 2: Placebo+Chemotherapy8.36

[back to top]

Part 2- Objective Response Rate (ORR)

ORR was defined as the number of participants with BOR of CR or PR recorded from the start of treatment, until the end of treatment. BOR documented as confirmed CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeter (mm). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT01684878)
Timeframe: Approximately 44 months (assessed at screening and every 9 weeks from randomization until disease progression)

Interventionpercentage of participants (Number)
Part 2: Pertuzumab+Chemotherapy14.8
Part 2: Placebo+Chemotherapy8.7

[back to top]

Part 1: PFS Assessed by the Investigator

PFS as assessed by Investigator was defined as the time from first dose of pertuzumab or chemotherapy in Part 1 of the trial, until disease progression according to RECIST version 1.1, symptomatic deterioration or death from any cause, whichever occurs first. PD could base on symptom deterioration or was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the appearance of one or more new lesions and/or the unequivocal progression of existing non-target lesions. Participants were censored at the last tumor assessment. Participants who have no tumor assessments after baseline and who were still alive will be censored at 1 day. (NCT01684878)
Timeframe: Approximately 28 months (assessed at screening and every 9 weeks from randomization until disease progression)

Interventionmonths (Median)
Part 1: Pertuzumab + Topotecan4.07
Part 1: Pertuzumab + Paclitaxel4.24

[back to top]

Part 1: Percentage of Participants With Adverse Events (AEs)

An AE can be any unfavorable and unintended sign (including an abnormality laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. (NCT01684878)
Timeframe: Approximately 28 months (assessed at screening, baseline until 28 days after the last dose of study treatment)

Interventionpercentage of participants (Number)
Part 1: Pertuzumab + Topotecan95.5
Part 1: Pertuzumab + Paclitaxel100.0

[back to top]

Part 1- Objective Response Rate (ORR)

ORR was defined as the number of participants with best overall response (BOR) of complete response (CR) or partial response (PR) recorded from the start of treatment, until the end of treatment. BOR documented as confirmed CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeter (mm). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT01684878)
Timeframe: Approximately 28 months (assessed at baseline and every 9 weeks from randomization until disease progression)

Interventionpercentage of participants (Number)
Part 1: Pertuzumab + Topotecan14.3
Part 1: Pertuzumab + Paclitaxel25.0

[back to top]

Overall Survival

Overall survival was defined as the number of days from the day the participant was administered the first dose of study treatment to the date of death (regardless of cause). Survival time was censored on the last date the participant was known to be alive or lost to follow-up before reaching the event of death; in the TC group, time was censored at the date of crossover. (NCT01696032)
Timeframe: Up to 24 months

InterventionDays (Median)
Stage 1: Guadecitabine+Carboplatin 30 mg/m2341
Stage 1: Guadecitabine+Carboplatin 45 mg/m2195
Stage 2: Guadecitabine+Carboplatin 30 mg/m2331
Stage 2: Treatment Choice221
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2279

[back to top]

Progression Free Survival at 6 Months

Progression free survival rate at 6 months is the proportion of participants who were alive and did not have disease progression at 6 months after start of treatment. (NCT01696032)
Timeframe: 6 months

InterventionPercent of participants (Number)
Stage 1: Guadecitabine+Carboplatin 30 mg/m20.36
Stage 1: Guadecitabine+Carboplatin 45 mg/m20.33
Stage 2: Guadecitabine+Carboplatin 30 mg/m20.37
Stage 2: Treatment Choice0.11
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m20.19

[back to top]

Stage 1: Dose Limiting Toxicities

Number of participants with dose limiting toxicities (DLTs) in Stage 1 (NCT01696032)
Timeframe: Up to 12 months

InterventionParticipants (Count of Participants)
Stage 1: Guadecitabine+Carboplatin 30 mg/m20
Stage 1: Guadecitabine+Carboplatin 45 mg/m24

[back to top]

Stage 2: Progression Free Survival

Progression free survival (PFS) time was defined as the time interval from the date of the first dose of study medication until the earlier of disease progression or death. Participants were treated with their assigned treatment [guadecitabine+carboplatin (G+C) or treatment choice (TC)] until disease progression or unacceptable treatment-related toxicity occurred. (NCT01696032)
Timeframe: Up to 24 months

InterventionDays (Median)
Stage 2: Guadecitabine+Carboplatin 30 mg/m2114
Stage 2: Treatment Choice64

[back to top]

Stage 1: Pharmacokinetic Parameter AUC0-8

Area under the concentration-time curve from 0 to 8 hours (AUC0-8) for guadecitabine, decitabine and carboplatin (NCT01696032)
Timeframe: Pre-dose and up to 8 hours post-dose on Cycle 1 Day 1 for guadecitabine and decitabine and Day 8 for carboplatin (28 day cycles)

,
InterventionHours*ng/mL (Mean)
GuadecitabineDecitabineCarboplatin
Stage 1: Guadecitabine+Carboplatin 30 mg/m223971.151200
Stage 1: Guadecitabine+Carboplatin 45 mg/m241612941900

[back to top]

Stage 1: Pharmacokinetic Parameter Cmax

Time to maximum plasma concentration for guadecitabine, decitabine and carboplatin (NCT01696032)
Timeframe: Pre-dose and up to 8 hours post-dose on Cycle 1 Day 1 for guadecitabine and decitabine and Day 8 for carboplatin (28 day cycles)

,
Interventionng/mL (Mean)
GuadecitabineDecitabineCarboplatin
Stage 1: Guadecitabine+Carboplatin 30 mg/m296.222.619600
Stage 1: Guadecitabine+Carboplatin 45 mg/m210926.321900

[back to top]

Stage 1: Pharmacokinetic Parameter Tmax

Time to last measurable concentration for guadecitabine, decitabine and carboplatin (NCT01696032)
Timeframe: Pre-dose and up to 8 hours post-dose on Cycle 1 Day 1 for guadecitabine and decitabine and Day 8 for carboplatin (28 day cycles)

,
InterventionHours (Median)
GuadecitabineDecitabineCarboplatin
Stage 1: Guadecitabine+Carboplatin 30 mg/m21.421.981.03
Stage 1: Guadecitabine+Carboplatin 45 mg/m21.983.951.05

[back to top]

Duration of Response

Duration of response is defined as the time between the date of the first documentation of complete response/full response or partial response, and the date of disease progression or date of death due to any cause, or the last adequate tumor assessment prior to the start of subsequent anti-cancer therapy including crossing over to G+C from TC arm, whichever occurred earlier. Only participants who responded were included in the duration of response calculation. (NCT01696032)
Timeframe: Up to 24 months

InterventionDays (Median)
Stage 1: Guadecitabine+Carboplatin 30 mg/m2225
Stage 1: Guadecitabine+Carboplatin 45 mg/m2195
Stage 2: Guadecitabine+Carboplatin 30 mg/m2186
Stage 2: Treatment Choice173
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m2182

[back to top]

CA-125 Levels

Percentage of participants with CA-125 reduction by ≥ 50% from baseline (NCT01696032)
Timeframe: Up to 24 months

InterventionPercent of participants (Number)
Stage 1: Guadecitabine+Carboplatin 30 mg/m227
Stage 1: Guadecitabine+Carboplatin 45 mg/m250
Stage 2: Guadecitabine+Carboplatin 30 mg/m236
Stage 2: Treatment Choice32
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m229

[back to top]

Clinical Benefit Rate

Clinical benefit rate (CBR) was defined as the proportion of subjects who experienced a best overall response of complete response/full response or partial response (confirmed by a subsequent assessment at least 28 days later), or documented stable disease for at least 3 months after the first dose. Response categories were determined based on RECIST v1.1 criteria, then based on modified Rustin (CA-125) criteria if assessment could not be made using RECIST criteria. (NCT01696032)
Timeframe: Up to 24 months

InterventionPercent of participants (Number)
Stage 1: Guadecitabine+Carboplatin 30 mg/m243
Stage 1: Guadecitabine+Carboplatin 45 mg/m250
Stage 2: Guadecitabine+Carboplatin 30 mg/m241
Stage 2: Treatment Choice29
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m219

[back to top]

Objective Response Rate

The objective response rate (ORR) was defined as the proportion of participants who experienced an objective response (best overall response of complete response/full response or partial response, which was confirmed by a subsequent assessment at least 28 days later). Response categories were determined based on RECIST v1.1 criteria, or on modified Rustin (CA-125) criteria if response assessment could not be made using RECIST criteria. (NCT01696032)
Timeframe: Up to 24 months

InterventionPercent (Number)
Stage 1: Guadecitabine+Carboplatin 30 mg/m221
Stage 1: Guadecitabine+Carboplatin 45 mg/m20
Stage 2: Guadecitabine+Carboplatin 30 mg/m216
Stage 2: Treatment Choice8
Stage 2: Crossover Treatment Choice to Guadecitabine+Carboplatin 30 mg/m24

[back to top]

The Tolerability of BuMel Regimen

Number of patients who experience one or more unacceptable toxicities (severe sinusoidal obstruction syndrome [SOS] or Grade 4-5 pulmonary toxicity per Common Toxicity Criteria [CTC] v.4.0) during the Consolidation phase of therapy. (NCT01798004)
Timeframe: Up to 28 days post-consolidation therapy, up to 1 year

Interventionparticipants (Number)
All Patients9

[back to top]

Progression-free Survival

Time from enrollment to disease progression or death from any cause (NCT01803269)
Timeframe: 12 months

Interventionmonths (Median)
Arm A (Topotecan Hydrochloride)1.3
Arm B (CRLX101)2.1
Cohort C1.3

[back to top]

Continuous Change in Tumor Size.

Change in sum of longest diameters of all target lesions from baseline to end of cycle 2. (NCT01803269)
Timeframe: Up to 56 days

Interventionmm (Mean)
Arm A (Topotecan Hydrochloride)-50.0
Arm B (CRLX101)16.8
Cohort C5.1

[back to top]

Frequency of Reported Side Effects

Any adverse event regardless of grade or attribution (NCT01803269)
Timeframe: Up to 3 years after completion of study treatment

InterventionParticipants (Count of Participants)
Arm A (Topotecan Hydrochloride)4
Arm B (CRLX101)7
Cohort C12

[back to top]

Overall Survival

Time from enrollment until death from any cause (NCT01803269)
Timeframe: Up to 3 years

Interventionmonths (Median)
Arm A (Topotecan Hydrochloride)4.0
Arm B (CRLX101)5.3
Cohort C2.5

[back to top]

Response Rates According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (Cohort A)

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01803269)
Timeframe: Up to 2 years

InterventionParticipants (Count of Participants)
Arm A (Topotecan Hydrochloride)1
Arm B (CRLX101)0
Cohort C0

[back to top]

Duration of Progression-free Survival

It was calculated as the time, in weeks, from the day of randomization until documented disease progression or death due to any cause, whichever occurs first using a Kaplan-Meier curve for PFS. (NCT01840943)
Timeframe: 1 year after the last dose (24 weeks) administration

Interventionweeks (Median)
CAELYXNA
Topotecan Hydrocloride (HCl)24.6

[back to top]

Number of Participants With Progression-free Survival Incidence at Week 24

Progression-free survival incidence was be measured as number of participants who were progression-free and alive. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20 percent (%) increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01840943)
Timeframe: Week 24

Interventionparticipants (Number)
CAELYX6
Topotecan Hydrocloride (HCl)2

[back to top]

Time to Response

It is calculated as the day of randomization to the first observation of a durable response (the first of the 2 confirmatory measurements). (NCT01840943)
Timeframe: Up to Week 24

Interventionweeks (Median)
CAELYX16.0
Topotecan Hydrocloride (HCl)16.0

[back to top]

Number of Participants With Adverse Events

An AE is any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Grade 3 (Severe) events are symptoms causing inability to perform usual social & functional activities. Grade 4 (Life-threatening) events are Symptoms causing inability to perform basic self-care functions or Medical or operative intervention indicated to prevent permanent impairment, persistent disability, or death. (NCT01840943)
Timeframe: Up to 30 days after the last dose of study medication

,
Interventionparticipants (Number)
TEAEsTESAEs
CAELYX121
Topotecan Hydrocloride (HCl)121

[back to top]

Number of Participants With Overall Survival

Number of Participants With Overall survival were categorized as number of 1) Deaths, 2) Still alive, 3) Early termination from the study due to lost to follow up, 4) Early termination from the study due to withdraw of consent, 5) Other. Overall survival is defined as the time interval from randomization to death from any cause. (NCT01840943)
Timeframe: Week 4 after the last dose of the study medication and approximately up to 1 year after the disease progression or completion of the study treatment or death, whichever is earlier

,
Interventionparticipants (Number)
DeathStill aliveEarly termination: due to lost to follow upEarly termination: due to withdraw of consentOther
CAELYX10454
Topotecan Hydrocloride (HCl)00462

[back to top]

Number of Participants With Response

Response rate was measured as number of participants with at least a durable response: Complete response (CR) or partial response (PR). Complete response is defined as the disappearance of all target lesions. Partial response is defined as at least a 30 percentage decrease in the sum of diameters of target lesions. Stable disease defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Progression in disease is defined as at least a 20% increase in the sum of diameters of target lesions. Not evaluable participants were those who were not analyzed. The reference of the baseline sum of diameters of lesions was considered. (NCT01840943)
Timeframe: Up to Week 24

,
Interventionparticipants (Number)
Complete Response (CR)Partial Response (PR)Stable Disease (SD)Progression Disease (PD)Not Evaluable (NE)
CAELYX05414
Topotecan Hydrocloride (HCl)03612

[back to top]

Duration of Response

It is calculated as the first observation of a durable response (the first of the 2 confirmatory measurements) to the first observation of disease progression or death due to any cause. (NCT01840943)
Timeframe: Up to 1 year of last dose (Week 24) administration

Interventionweeks (Median)
CAELYXNA
Topotecan Hydrocloride (HCl)9.3

[back to top]

Local Failure Rate and Pattern of Failure

Local failure is defined as relapse or progression of disease at the primary site. The cumulative incidence of local failure will be estimated; competing events will include distant failure or death prior to local failure. (NCT01857934)
Timeframe: Up to 3 years

Interventionpercentage of participants (Number)
NB2012 Therapy (Including Induction, Consolidation, and MRD) Antibody Antibody (hu14.18K322A)1.56

[back to top]

Dose Limiting Toxicity (DLT)

Number of patients who experience an unacceptable dose limiting toxicity (per CTCAE v 4.0) including the following toxicities: 1) Toxicity requiring the use of pressors, including Grade 4 acute capillary leak syndrome or Grade 3 and 4 hypotension; 2) Toxicity requiring ventilation support, including Grade 4 respiratory toxicity; 3) Grade 3 or 4 neurotoxicity with MRI evidence of new CNS thrombi, infarction or bleeding. (NCT01857934)
Timeframe: During MRD treatment cycle (approximately 8-12 months after enrollment)

InterventionParticipants (Count of Participants)
NB2012 Therapy (Including Induction, Consolidation, and MRD) Plus Antibody (hu14.18K322A)1

[back to top]

Feasibility of Delivering hu14.18K322A to 6 Cycles of Induction Therapy

"The study is designed to monitor the feasibility of delivering hu14.18K332A to 6 cycles of Induction chemotherapy. The feasibility of Induction therapy for this study will be to target no worse than 75%. A patient was considered as a failure for the 6 cycles of Induction therapy if the patient failed to complete Induction therapy within 155 days since treatment initiation due to toxicity or disease progression, unless the delay was a result of non-medical issues (e.g. not due to protocol toxicity). The proportion of patients who successfully received hu14.18K322A with 6 cycles of induction chemotherapy was estimated together with a 95% confidence interval. The response rate (CR + VGPR + PR) to 6 cycles of Induction chemoimmunotherapy was estimated together with the 95% confidence intervals" (NCT01857934)
Timeframe: After 6 cycles of induction therapy (approximately 24 weeks after enrollment)

Interventionpercentage of participants (Number)
NB2012 Therapy (Including Induction, Consolidation, and MRD) Plus Antibody (hu14.18K322A)96.8

[back to top]

Overall Response Rate [Complete Response + Very Good Partial Response + Partial Response (CR + VGPR + PR)]

Per the 1993 INRC: measurable tumor defined as product of the longest x widest perpendicular diameter, elevated catecholamine levels and tumor cels in bone marrow. Complete Response (CR)-no evidence of primary tumor or metastases. Very Good Partial Response (VGPR)->90% reduction of primary tumor; no metastases; no new bone lesions, all pre-existing lesions improved. Partial Response (PR)-50-90% reduction of primary tumor; >50% reduction in measurable sites of metastases; 0-1 bone marrow samples with tumor; number of positive bone sites decreased by >50%. Mixed Response (MR)->50% reduction of any measurable lesion with <50% reduction in other sites; no new lesions; <25% increase in any existing lesion. No Response (NR)-no new lesions; <50% reduction but <25% increase in an any existing lesion. No Response (NR)-no new lesions; <50% reduction but <25% increase in any existing legions. Progressive Disease (PD)-any new/increased measurable lesion by >25%; previous negative marrow positive. (NCT01857934)
Timeframe: After two initial courses of chemotherapy (approximately 6 weeks after enrollment)

InterventionParticipants (Count of Participants)
NB2012 Therapy (Including Induction, Consolidation, and MRD) Antibody (hu14.18K322A)42

[back to top]

Dose Limiting Toxicity (DLT) or Severe (Grade 3 or 4) VOD With hu14.18K322A With Allogeneic NK Cells in Consolidation

Number of patients who experience an unacceptable dose limiting toxicity (per CTCAE v 4.0) including the following toxicities: 1) toxicity requiring the use of pressors, including Grade 4 acute capillary leak syndrome or Grade3 and 4 hypotension; 2) Toxicity requiring ventilation support, including Grade 4 respiratory toxicity; 3) Grade 3 or 4 neurotoxicity with MRI evidence of new CNS thrombi, infarction or bleeding in any subject receiving the hu14.18K322A with NK cell combination; 4) Failure of recovery of ANC > 500/mm3 by day 35 after PBSC infusion. Number of patients who experience Grade 3 or Grade 4 (per Common Toxicity Criteria v 4.0) veno occlusive disease (VOD). (NCT01857934)
Timeframe: During the recovery phase after busulfan/melphalan and PBSC rescue (approximately 24-26 weeks after enrollment)

InterventionParticipants (Count of Participants)
NB2012 Therapy (Including Induction, Consolidation, and MRD) Plus Antibody (hu14.18K322A)0

[back to top]

Event-free Survival (EFS)

EFS was estimated as time to relapse, progressive disease, secondary neoplasm, or death from any cause from enrollment. The EFS was estimated by Kaplan-Meier method (NCT01857934)
Timeframe: 3 years, from time of enrollment

Interventionpercent of probability (Number)
NB2012 Therapy (Including Induction, Consolidation, and MRD) Plus Antibody (hu14.18K322A)73.7

[back to top]

Proportion of Patients That Have Progressive Survival (PFS) at Six Months From Patient Registration for Bevacizumab Naive Patients and PFS at 3 Months for Patients With Prior Bevacizumab Treatment

PFS was evaluated using the Kaplan-Meier product-limit survival curve methodology. For participants with no prior bevacizumab exposure, PFS is defined as 2 or more participants who are progression free at 6 months. For participants with prior bevacizumab exposure, PFS is defined as 1 or more participants who are progression free at 3 months. Progression is a 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) or clear worsening of evaluable disease or the appearance of any new lesions. (NCT01931098)
Timeframe: six months from patient registration for bevacizumab naive patients, and 3 months from patient registration for patients with prior bevacizumab treatment

,
Interventionproportion of participants (Number)
3 months6 months
Glioblastoma or Gliosarcoma With No Prior Bevacizumab Exposure0.440.11
Glioblastoma or Gliosarcoma With Prior Bevacizumab Exposure0.180

[back to top]

Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT01931098)
Timeframe: Date treatment consent signed to date off study, approximately 20 months and 18 days for the first Arm/Group, and 28 months and 23 days for the second Arm/Group.

InterventionParticipants (Count of Participants)
Glioblastoma or Gliosarcoma With No Prior Bevacizumab Exposure9
Glioblastoma or Gliosarcoma With Prior Bevacizumab Exposure21

[back to top]

Mean Symptom Interference Score Between Responders and Non-responders at Baseline and by Cycle

Responders and Non-Responders symptom interference was assessed by the M.D. Anderson Symptom Inventory-Brain Tumor Module (MDASI-BT) questionnaire that determined how much general activity, mood, work inside and outside the home, relations with other people, walking and enjoying life interfered with a participant's life rated on an scale (0-10); 0 being not present and 10 being the worst. Responders were defined as patients with stable disease (SD) and partial response (PR) as their best response, and Non-responders were defined as patients with disease progression (PD) as their best response. Partial response is greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesion. Progressive disease is a 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease). And stable disease does not qualify for complete response, partial response or progression. (NCT01931098)
Timeframe: Baseline, and Cycles 1-6

Interventionscores on a scale (Mean)
Responders - baselineResponders - Cycle 1Responders - Cycle 2Responders - Cycle 3Responders - Cycle 5Non-Responders - baselineNon-Responders - Cycle 1Overall Responders and Non-Responders - baselineOverall Responders and Non-Responders - Cycle 1Overall Responders and Non-Responders - Cycle 2Overall Responders and Non-Responders - Cycle 3Overall Responders and Non-Responders - Cycle 5
Glioblastoma or Gliosarcoma With Prior Bevacizumab Exposure3.63.76.04.20.23.94.83.84.06.04.20.2

[back to top]

Overall Survival

OS was evaluated using the Kaplan-Meier product-limit survival curve methodology and is defined as the time from date of registration to date of death due to any cause. (NCT01931098)
Timeframe: From date of registration to date of death due to any cause, up to 5 years.

InterventionMonths (Median)
Glioblastoma or Gliosarcoma With No Prior Bevacizumab Exposure7.1
Glioblastoma or Gliosarcoma With Prior Bevacizumab Exposure6.3

[back to top]

Mean Symptom Severity Score Between Responders and Non-responders at Baseline and by Cycle

Responders and Non-Responders symptom presence and severity were assessed by the M.D. Anderson Symptom Inventory-Brain Tumor Module (MDASI-BT) questionnaire using an scale of (0-10); 0 being not present and 10 being the worst, and Responders were defined as patients with stable disease (SD) and partial response (PR) as their best response, and Non-responders were defined as patients with disease progression (PD) as their best response. Partial response is greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesion. Progressive disease is a 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease). And stable disease does not qualify for complete response, partial response or progression. (NCT01931098)
Timeframe: Baseline, and Cycles 1-6

Interventionscores on a scale (Mean)
Responders - baselineResponders - Cycle 1Responders - Cycle 2Responders - Cycle 3Responders - Cycle 5Non-Responders - baselineNon-Responders - Cycle 1Overall Responders and Non-Responders - baselineOverall Responders and Non-Responders - Cycle 1Overall Responders and Non-Responders - Cycle 2Overall Responders and Non-Responders - Cycle 3Overall Responders and Non-Responders - Cycle 4
Glioblastoma or Gliosarcoma With Prior Bevacizumab Exposure1.92.33.52.91.52.83.02.42.53.52.91.5

[back to top]

Mean Symptom Severity Score Between Responders and Non-responders at Baseline and by Cycle

Responders and Non-Responders symptom presence and severity were assessed by the M.D. Anderson Symptom Inventory-Brain Tumor Module (MDASI-BT) questionnaire using an scale of (0-10); 0 being not present and 10 being the worst, and Responders were defined as patients with stable disease (SD) and partial response (PR) as their best response, and Non-responders were defined as patients with disease progression (PD) as their best response. Partial response is greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesion. Progressive disease is a 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease). And stable disease does not qualify for complete response, partial response or progression. (NCT01931098)
Timeframe: Baseline, and Cycles 1-6

Interventionscores on a scale (Mean)
Responders - baselineResponders - Cycle 2Responders - Cycle 4Responders - Cycle 6Non-Responders - baselineNon-Responders - Cycle 2Overall Responders and Non-Responders - baselineOverall Responders and Non-Responders - Cycle 2Overall Responders and Non-Responders - Cycle 4Overall Responders and Non-Responders - Cycle 6
Glioblastoma or Gliosarcoma With No Prior Bevacizumab Exposure1.10.82.02.11.63.01.31.42.02.1

[back to top]

Mean Symptom Interference Score Between Responders and Non-responders at Baseline and by Cycle

Responders and Non-Responders symptom interference was assessed by the M.D. Anderson Symptom Inventory-Brain Tumor Module (MDASI-BT) questionnaire that determined how much general activity, mood, work inside and outside the home, relations with other people, walking and enjoying life interfered with a participant's life rated on an scale (0-10); 0 being not present and 10 being the worst. Responders were defined as patients with stable disease (SD) and partial response (PR) as their best response, and Non-responders were defined as patients with disease progression (PD) as their best response. Partial response is greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesion. Progressive disease is a 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease). And stable disease does not qualify for complete response, partial response or progression. (NCT01931098)
Timeframe: Baseline, and Cycles 1-6

Interventionscores on a scale (Mean)
Responders - baselineResponders - Cycle 2Responders - Cycle 4Responders - Cycle 6Non-Responders - baselineNon-Responders - Cycle 2Overall Responders and Non-Responders - baselineOverall Responders and Non-Responders - Cycle 2Overall Responders and Non-Responders - Cycle 4Overall Responders and Non-Responders - Cycle 6
Glioblastoma or Gliosarcoma With No Prior Bevacizumab Exposure2.11.43.22.71.73.02.01.83.22.7

[back to top]

Estimate Overall Response Rate for ME-344 Given in Combination With Topotecan

Overall response rate was defined as the total number of patients with Complete Response plus Partial Response. All efficacy assessments were to include a baseline assessment and follow-up assessments at a minimum of every 8 weeks for the first 6 cycles, then every 12 weeks thereafter, while receiving study drug. Tumor response and progression-free survival were assessed using RECIST 1.1 criteria or GCIG criteria for CA-125 levels. (NCT02100007)
Timeframe: Response was assessed throughout the trial up to 13 months

Interventionparticipants (Number)
ME-3441

[back to top]

Number of Adverse Events

The AE Profile will be determined by the number of AEs regardless of severity (NCT02100007)
Timeframe: Through study completion- an average of 2 years

Interventionadverse events (Number)
ME-344595

[back to top]

Number of Serious Adverse Events

The SAE Profile will be determined by the number of SAEs (NCT02100007)
Timeframe: Through study completion- an average of 2 years

InterventionSAEs (Number)
ME-34423

[back to top]

Estimate the Overall Survival (OS)

41 subjects were analysed. Overall survival is defined as the first day of study drug administration to death. (NCT02100007)
Timeframe: Up to 2 years

Interventionmonths (Median)
ME-3443.7

[back to top]

Time to Maximum Plasma Concentration for ME-344 (Tmax)

Various pharmacokinetic parameters for ME-344 in plasma were calculated based on the plasma concentration data. (NCT02100007)
Timeframe: Cycle 1 Day 1, at 0, .5, 1, 2, 4, 6 and 24 hours post-dose and Day 15 at 0 and end of infusion

Interventionhours (Mean)
ME-3440.5

[back to top]

Mean Terminal Half-life (t 1/2)

Various pharmacokinetic parameters for ME-344 in plasma were calculated based on the plasma concentration data. (NCT02100007)
Timeframe: Cycle 1 Day 1, at 0, .5, 1, 2, 4, 6 and 24 hours post-dose and Day 15 at 0 and end of infusion

Interventionhours (Mean)
ME-3445.301

[back to top]

Minimum Plasma Concentration (Cmin) of ME-344

Various pharmacokinetic parameters for ME-344 in plasma were calculated based on the plasma concentration data. (NCT02100007)
Timeframe: Cycle 1 Day 1, at 0, .5, 1, 2, 4, 6 and 24 hours post-dose and Day 15 at 0 and end of infusion

Interventionng/mL (Mean)
ME-34425.3

[back to top]

Maximum Plasma Concentration (Cmax)

Peak Plasma Concentration (Cmax) of ME-344 in combination with topotecan (NCT02100007)
Timeframe: Cycle 1 Day 1, at 0, .5, 1, 2, 4, 6 and 24 hours post-dose and Day 15 at 0 and end of infusion

Interventionng/mL (Mean)
ME-34420880

[back to top]

Progression Free Survival

Progression free survival (PFS) was defined as the number of months between study enrollment and documentation of disease progression (RECIST 1.1) or death from any cause. Patients still alive and disease free at the last followup were censored on the date of last CT Scan. RECIST v1.1 defines progression as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. (NCT02101788)
Timeframe: Time from study entry to time of progression or death, an average of 7 months for SOC and 13 months for the treatment (Trametinib) arm.

InterventionMonths (Median)
KRAS/BRAF/NRAS Mutant Group (MAPK Pathway) (Trametinib)13.2
KRAS/BRAF/NRAS Mutant Group (MAPK Pathway) (SOC)11.4
KRAS/BRAF/NRAS Wild-type (MAPK Pathway) (Trametinib)7.3
KRAS/BRAF/NRAS Wild-type (MAPK Pathway) (SOC)6.3

[back to top]

Objective Tumor Response Rate (Complete Response and Partial Response)

The Response Rates were estimated as the binomial proportion of patients with Best Overall Response of Complete or Partial response according to RECIST 1.1 criteria. (NCT02101788)
Timeframe: Time from study entry to time of progression or death, an average of 7 months for arm A and 13 months for arm B

Interventionparticipants (Number)
Arm A - Control Arm8
Arm B - Experimental Arm34

[back to top]

Overall Survival

Overall survival (OS) was defined as the number of months between study enrollment and death from any cause. Patients still alive at the last follow-up were censored on the date of last contact. Patients with disease progression on the Control arm were allowed to cross over to the trametinib arm. Per the protocol, the intent-to-treat OS analysis was not adjusted for crossover. (NCT02101788)
Timeframe: Time from study entry to time of death or date of last contact, an average of 29 months for arm A and 37 months for arm B

InterventionMonths (Median)
Arm A - Control Arm29.2
Arm B - Experimental Arm37.0

[back to top]

Patients Reported Acute Quality of Life

Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for ovarian cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). . The FACT-O TOI score is calculated as the sum of the subscale scores if more than 80% of the FACT-O TOI items provide valid answers and all of the component subscales have valid scores. The FACT-O TOI score ranges 0-100 with a large score suggesting better QOL. Participants were analyzed based on their group of assignment. Patients on Arm A who progressed were permitted to receive Arm B treatment. Study time for Arm A patients who crossed over was not included in the quality of life endpoint definition (NCT02101788)
Timeframe: 1. baseline (prior to cycle 1), 12 weeks (prior to cycle 4), 24 weeks (4 weeks post cycle 6), 36 weeks post cycle 1, 52 weeks post cycle 1.

,
Interventionscore on a scale (Mean)
Baseline12 Weeks24 Weeks36 Weeks52 Weeks
Arm A (Letrozole, Tamoxifen, Paclitaxel, PLD, Topotecan)74.574.270.269.372.1
Arm B (Trametinib)74.570.673.072.673.3

[back to top]

Patient Reported Acute Peripheral Neuropathy Symptoms

Patient reported peripheral neuropathy symptoms was measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 4 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). According to the FACIT measurement system, the Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the scale. The Ntx score ranges 0-16 with a large score suggesting less peripheral neuropathy symptoms (NCT02101788)
Timeframe: Up to 52 weeks

,
Interventionscore on a scale (Mean)
Baseline12 Weeks24 Weeks36 Weeks52 Weeks
Arm A (Letrozole, Tamoxifen, Paclitaxel, PLD, Topotecan)13.212.512.412.312.8
Arm B (Trametinib)12.812.612.112.612.4

[back to top]

Incidence of Adverse Events (AEs)

Number of treated patients with Adverse Events (grade 3 or higher) observed while receiving randomized therapy. Excludes AEs observed among control patients treated with trametinib after crossover.Participants were analyzed based on their group of assignment. Patients on Arm A who progressed were permitted to receive Arm B treatment. Study time for Arm A patients who crossed over was not included in the AE endpoint definition. (NCT02101788)
Timeframe: During treatment period and up to 100 days after stopping the study treatment

,
Interventionparticipants (Number)
Abdominal painAnemiaDiarrheaFatigueHypertensionNauseaNeutrophil count decreasedRash maculo-papularSmall Intestinal ObstructionVomiting
Arm A - Control Arm22124561410910
Arm B - Experimental Arm7161310151289169

[back to top]

Progression-free Survival (PFS)

Progression free survival (PFS) was defined as the number of months between study enrollment and documentation of disease progression (RECIST 1.1) or death from any cause. Patients still alive and disease free at the last followup were censored on the date of last CT Scan.Participants were analyzed based on their group of assignment. Patients on Arm A who progressed were permitted to receive Arm B treatment. Study time for Arm A patients who crossed over was not included in the PFS endpoint definition. (NCT02101788)
Timeframe: Time from study entry to time of progression or death, an average of 7 months for arm A and 13 months for arm B

Interventionmonths (Median)
Arm A - Control Arm7.2
Arm B - Experimental Arm13.0

[back to top]

Clinical Benefit Rate (CBR) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.

"CBR is defined as the percentage of patients with Complete Response (CR) plus those with Partial Response (PR) plus those with Stable Disease (SD) as assessed using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Patients best response to treatment will be used in CBR where, in general the following definitions are used:~Complete Response - Disappearance of all target and non target lesions Partial Response - At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD Stable Disease - Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum LD since the treatment started." (NCT02357810)
Timeframe: During treatment, assessed at 6 weeks, 12 weeks, 20 weeks and then every 2 cycles where one cycle = 28 days and range of cycles completed by patients 1-33.

InterventionParticipants (Count of Participants)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)66

[back to top]

Duration of Best Response in Patients With Liposarcoma Treated With Pazopanib and Topotecan Combination

"Duration of response is measured from the time of best response (Complete Response (CR), Partial Response (PR), Stable Disease SD)) as assessed by RECIST v1.1 until time of Progressive Disease (PD). Patients whose best response was PD are removed from this analysis. Patients who are included in the analysis but do not experience the event at the time of the calculation, will be censored at the last known date documented.~CR-Disappearance of all target and non target lesions PR-≥30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD SD-Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started PD- ≥20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions" (NCT02357810)
Timeframe: From time of initial response until progressive disease, up to 60 weeks.

InterventionWeeks (Median)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)33.79

[back to top]

Duration of Best Response in Patients With Soft Tissue Sarcoma Treated With Pazopanib and Topotecan Combination

"Duration of response is measured from the time of best response (Complete Response (CR), Partial Response (PR), Stable Disease SD)) as assessed by RECIST v1.1 until time of Progressive Disease (PD). Patients whose best response was PD are removed from this analysis. Patients who are included in the analysis but do not experience the event at the time of the calculation, will be censored at the last known date documented.~CR-Disappearance of all target and non target lesions PR-≥30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD SD-Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started PD- ≥20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions" (NCT02357810)
Timeframe: From time of initial response until progressive disease, up to 60 weeks.

InterventionWeeks (Median)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)25.71

[back to top]

Median Progression Free Survival (PFS) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.

"PFS will be defined from the time of enrollment to the study until progression of disease or death from any cause, as assessed by RECIST 1.1. PFS estimates will be calculated using Kaplan-Meier methods. Patients included in the analysis, who did not experiences the event at the time of the calculation were censored from the last documentation of being progression free.~Progression is defined as at least a 20% increase in the sum of the Longest Diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Progression must also involve an increase in size of measurable lesions by at least 5 mm, to minimize the possibility that small changes in a small number of target lesions is falsely interpreted as progression." (NCT02357810)
Timeframe: During treatment, assessed at 6 weeks, 12 weeks, 20 weeks and then every 2 cycles where one cycle = 28 days and range of cycles completed by patients 1-33. And then for up to 5 years post treatment discontinuation.

Interventionmonths (Median)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)4.37

[back to top]

Overall Response Rate (ORR) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.

"ORR is defined as the percentage of patients with Complete Response (CR) plus those with Partial Response (PR) as assessed using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Patients best response to treatment will be used in ORR.~Complete Response - Disappearance of all target and non target lesions Partial Response - At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD" (NCT02357810)
Timeframe: During treatment, assessed at 6 weeks, 12 weeks, 20 weeks and then every 2 cycles where one cycle = 28 days and range of cycles completed by patients 1-33.

InterventionParticipants (Count of Participants)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)7

[back to top]

Overall Survival (OS) for Patients With Soft Tissue Sarcoma (STS) Treated With Combination Pazopanib and Topotecan.

OS will be defined from start of study until death from any cause and estimates will be calculated using Kaplan-Meier methods. At time of Kaplan-meier calculations patients included the analysis who have not experienced the event will be censored at the last date of documentation of survival status. (NCT02357810)
Timeframe: During treatment where one cycle = 28 days and range of cycles completed by patients 1-33, then for 2 years (for patients with progression) and 5 years (for patients without progression) following discontinuation of treatment

Interventionmonths (Median)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)10.94

[back to top]

Overall Survival of Patients With Liposarcoma Treated With With Pazopanib and Oral Topotecan Combination

OS is defined from enrollment to the study until death from any cause. OS estimates will be calculated using Kaplan-Meier methods. Patients included in the analysis who did not experience the event at the time of the calculation, were censored from the last documentation of being progression free. (NCT02357810)
Timeframe: During treatment, where one cycle = 28 days and range of cycles completed by patients 1-33. Then for up to 5 years post treatment discontinuation.

InterventionWeeks (Median)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)55.86

[back to top]

Progression Free Survival at 12 Weeks for Patients With Soft Tissue Sarcoma (STS) Treated With Pazopanib and Oral Topotecan

"PFS will be defined from the time of enrollment to the study until progression of disease or death from any cause, as assessed by RECIST 1.1 and measured at 12 weeks after treatment initiation for patients with STS. PFS estimates will be calculated using Kaplan-Meier methods~Progression is defined as at least a 20% increase in the sum of the Longest Diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Progression must also involve an increase in size of measurable lesions by at least 5 mm, to minimize the possibility that small changes in a small number of target lesions is falsely interpreted as progression." (NCT02357810)
Timeframe: At 12 weeks from treatment initiation

Interventionpercentage of patients progression free (Number)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)57.5

[back to top]

Progression Free Survival for Patients With Liposarcoma Treated With Combination Pazopanib and Topotecan.

"PFS will be defined from the time of enrollment to the study until progression of disease or death from any cause, as assessed by RECIST 1.1. PFS estimates will be calculated using Kaplan-Meier methods. Patients who did not experiences the event at the time of the calculation were censored from the last documentation of being progression free.~Progression is defined as at least a 20% increase in the sum of the Longest Diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Progression must also involve an increase in size of measurable lesions by at least 5 mm, to minimize the possibility that small changes in a small number of target lesions is falsely interpreted as progression." (NCT02357810)
Timeframe: During treatment, assessed at 6 weeks, 12 weeks, 20 weeks and then every 2 cycles where one cycle = 28 days and range of cycles completed by patients 1-33. Then up to 5 years post treatment discontinuation.

InterventionMonths (Median)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)1.48

[back to top]

Progression Free Survival in Patients With Osteosarcoma Treated With Combination Pazopanib and Topotecan.

"PFS will be defined from the time of enrollment to the study until progression of disease or death from any cause, as assessed by RECIST 1.1. PFS estimates will be calculated using Kaplan-Meier methods. Patients included in the analysis, who did not experiences the event at the time of the calculation were censored from the last documentation of being progression free.~Progression is defined as at least a 20% increase in the sum of the Longest Diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Progression must also involve an increase in size of measurable lesions by at least 5 mm, to minimize the possibility that small changes in a small number of target lesions is falsely interpreted as progression." (NCT02357810)
Timeframe: During treatment, assessed at 6 weeks, 12 weeks, 20 weeks and then every 2 cycles where one cycle = 28 days and range of cycles completed by patients 1-33. Then for up to 5 years post treatment discontinuation

Interventionmonths (Median)
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)4.47

[back to top]

Number of Patients With Significant Adverse Events, Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03

Toxicities will be tabulated and summarized by the number of patients experiencing each toxicity at grade 3 or grade 4 (NCT02357810)
Timeframe: From treatment initiation until 30 days post last treatment, at the beginning of each cycle where 1 cycle=28 days. Range of cycles completed by patients 1-33 cycles

Interventionpatients (Number)
AnemiaPlatelet count decreasedDecreased neutrophil countHypertensionFatigueNauseaHyperglycemiaDiarrheaVomitingAnorexiaAlkaline phosphatase increaseHyponatremiaHypocalcemiaAspartate aminotransferase increasedProlonged PTTGGT increaseAbdominal painHypokalemiaDyspneaQTc prolongationINR increasedAlanine aminotransferase increaseBlood bilirubin increasedEpistaxisCreatinine increaseMucositisProteinuria
Treatment (Pazopanib Hydrochloride, Topotecan Hydrochloride)32618035135613113617163776712822216

[back to top]

Progression-free Survival by Independent Review Committee

The primary endpoint was PFS by IRC assessment, defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient received further antitumor therapy or was lost to follow-up before PD, PFS was censored at the date of last tumor assessment before the date of subsequent antitumor treatment. (NCT02421588)
Timeframe: Time from the date of randomization to the date of PD, death (of any cause), or last tumor evaluation, whichever came first, assessed up to 3 years

Interventionmonths (Median)
Lurbinectedin3.5
Control (PLD or Topotecan)3.6

[back to top]

Overall Survival (OS)

Calculated from the date of randomization to the date of death (death event) or last contact (in this case, survival was censored on that date). (NCT02421588)
Timeframe: From the date of randomization to the date of death or last contact, up to 12 months after last patient inclusion, for a maximum of up to 3 years

Interventionmonths (Median)
Lurbinectedin11.4
Control (PLD or Topotecan)10.9

[back to top]

Progression-free Survival by Investigator's Assessment

The primary endpoint was PFS by Investigator's Assessment, defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient received further antitumor therapy or was lost to follow-up before PD, PFS was censored at the date of last tumor assessment before the date of subsequent antitumor treatment. (NCT02421588)
Timeframe: Time from the date of randomization to the date of PD, death (of any cause), or last tumor evaluation, whichever came first, assessed up to 3 years

Interventionmonths (Median)
Lurbinectedin3.7
Control (PLD or Topotecan)3.7

[back to top]

Duration of Response by Independent Review Committee

"Duration of response (DR): calculated from the date of first documentation of response per RECIST v.1.1 (CR or PR, whichever came first) to the date of documented PD or death. The censoring rules defined above for PFS were used for duration of response.~Best antitumor response defined as the best response obtained according to RECIST v.1.1. Tumor assessment were performed at baseline and every 8 weeks from randomization until evidence of PD. Patients who discontinued treatment without PD continued with assessments.~Antitumor activity was assessed using the RECIST v.1.1 by the appropriate method [computed tomography scan or magnetic resonance imaging]: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR)=CR+PR." (NCT02421588)
Timeframe: The time from the date when the response criteria (PR or CR, whichever was reached first) were fulfilled, to the first date when PD, recurrence or death was documented, up to 3 years

Interventionmonths (Median)
Lurbinectedin4.0
Control (PLD or Topotecan)3.7

[back to top]

Duration of Response by Investigator's Assessment

"Duration of response (DR): calculated from the date of first documentation of response per RECIST v.1.1 (CR or PR, whichever came first) to the date of documented PD or death. The censoring rules defined above for PFS were used for duration of response.~Best antitumor response defined as the best response obtained according to RECIST v.1.1. Tumor assessment were performed at baseline and every 8 weeks from randomization until evidence of PD. Patients who discontinued treatment without PD continued with assessments.~Antitumor activity was assessed using the RECIST v.1.1 by the appropriate method [computed tomography scan or magnetic resonance imaging]: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR)=CR+PR." (NCT02421588)
Timeframe: The time from the date when the response criteria (PR or CR, whichever was reached first) were fulfilled, to the first date when PD, recurrence or death was documented, up to 3 years

Interventionmonths (Median)
Lurbinectedin4.3
Control (PLD or Topotecan)3.7

[back to top]

Progression Free Survival (PFS)

"PFS is defined as the time from randomization to the date of the first documented tumor progression based on investigator assessment (per RECIST 1.1), or death due to any cause. Participants who die without a reported prior progression will be considered to have progressed on the date of their death. Participants who did not progress or die will be censored on the date of their last evaluable tumor assessment. Participants who did not have any on study tumor assessments and did not die will be censored on the date they were randomized. Participants who started any subsequent anti-cancer therapy without a prior reported progression will be censored at the last evaluable tumor assessment prior to initiation of the subsequent anti-cancer therapy.~Progressive disease (PD)= At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. The sum must demonstrate an absolute increase of at least 5 mm." (NCT02481830)
Timeframe: From randomization to the date of first documented tumor progression, or death due to any cause. Tumor response assessed every 6 weeks from first dose until week 30, and every 12 weeks (Up to approximately 80 months)

InterventionMonths (Median)
Group A1.45
Group B3.71

[back to top]

Overall Survival (OS) - Extended Collection

The time from randomization to the date of death, data was based on Kaplan-Meier Estimates. A participant who has not died will be censored at last known date alive. (NCT02481830)
Timeframe: OS was followed continuously while participants were on the study drug and every 3 months, minimum follow up for overall survival was 64 months (Up to approximately 80 months)

InterventionMonths (Median)
Group A7.46
Group B8.38

[back to top]

Overall Survival (OS)

The time from randomization to the date of death, data was based on Kaplan-Meier Estimates. A participant who has not died will be censored at last known date alive. (NCT02481830)
Timeframe: OS was followed continuously while participants were on the study drug and every 3 months, minimum follow up for overall survival was 15.8 months

InterventionMonths (Median)
Group A7.46
Group B8.38

[back to top]

Objective Response Rate (ORR)

"ORR is defined as the percentage of randomized participants whose best overall response (BOR) from baseline is either a complete response (CR) or partial response (PR) based on investigator assessment per RECIST 1.1 criteria. For participants without documented progression or subsequent anti-cancer therapy, all available response designations will contribute to the BOR determination. For participants who continue nivolumab beyond progression, the BOR should be determined based on tumor assessments before initial RECIST 1.1 defined progression.~CR= Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm.~PR= At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.~Progressive disease (PD)= At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. The sum must demonstrate an absolute increase of at least 5 mm." (NCT02481830)
Timeframe: From randomization to the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first (Up to approximately 80 months)

InterventionPercentage of Participants (Number)
Group A13.7
Group B16.8

[back to top]

Phase I: Number of Participants With a Change in H2AX Phosphorylation (ƴH2AX) Levels in Peripheral Blood Mononuclear Cells (PBMCs) From Baseline (Day 1 Pre-Treatment)

PBMCs were obtained from participants to determine a change in H2AX phosphorylation (named ƴH2AX) in peripheral blood mononuclear cells (PBMCs) when compared to baseline (day 1 pre-treatment). ƴH2AX was detected by immunochemistry (microscopy) by using an antibody specific against ƴH2AX that, in turn, was detected by a secondary antibody conjugated to a fluorescent probe. Changes in ƴH2AX levels in PBMCs is defined as changes in numbers of ƴH2AX foci per cells. (NCT02487095)
Timeframe: Day 1 Pre-Treatment, Post treatment on day 2, and Post treatment on day 3

,,,
InterventionParticipants (Count of Participants)
Post treatment on day 2Post treatment on day 3
Phase I DL1 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 556
Phase I DL2 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 526
Phase I DL3 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 532
Phase I DL4 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 210mg/m^2 IV on Day 2, 533

[back to top]

Phase I: Number of Participants With a Change in H2AX Phosphorylation (ƴH2AX) Levels in Hairs From Baseline (Day 1 Pre-Treatment)

"Hair samples were obtained from participants to determine a change in H2AX phosphorylation (named ƴH2AX) in the hair follicles when compared to baseline (day 1 pre-treatment). ƴH2AX signals were detected by immunochemistry (microscopy) by using an antibody specific against ƴH2AX that, in turn, was detected by a secondary antibody conjugated to a fluorescent probe. ƴH2AX signal intensity was measured in bottom of hair bulbs.~A change is defined as change in ƴH2AX signal (fluorescence intensity) in cells located toward the top of the hair bulbs." (NCT02487095)
Timeframe: Day 1 Pre-Treatment, Post treatment on day 2, and Post treatment on day 3

,,,
InterventionParticipants (Count of Participants)
Post treatment on day 2Post treatment on day 3
Phase I DL1 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 545
Phase I DL2 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 544
Phase I DL3 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 533
Phase I DL4 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 210mg/m^2 IV on Day 2, 555

[back to top]

Ph II: Number of Participants With a Clinical Response

Clinical response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Partial Response (PR) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Progressive Disease (PD) is at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study. (NCT02487095)
Timeframe: Every two cycles (each cycle is 21 days) up to approximately 30 months.

,
InterventionParticipants (Count of Participants)
Complete ResponsePartial ResponseProgressive DiseaseStable Disease
Phase II DL 4 - Extrapulmonary Small Cell Cancer (EPSCC)Topotecan 1.25mg/m^2 IV/VX970 210mg/m^2 IV0366
Phase II Dose Level 4 - Small Cell Lung Cancer (SCLC) Topotecan 1.25mg/m^2 IV/VX970 210mg/m^2 IV09214

[back to top]

Percentage of Peripheral Blood Mononuclear Cells (PBMCs): Cluster of Differentiation 14 (CD14)+ Monocytes Among Viable Cells, and Regulatory T Cells Among Cluster of Differentiation 4 (CD4)+ T Cells At Baseline and Post-Treatment

Blood samples were collected via venipuncture and immunophenotyping of PBMCs were performed by multiparameter flow cytometry for CD14+ monocytes among viable cells, and regulatory T cells among CD4+ T cells. (NCT02487095)
Timeframe: Baseline and 3 weeks post-treatment

,,,,
Interventionpercentage of PBMCs (Median)
Baseline CD14+ monocytes among viable cellsPost-Treatment CD14+ monocytes among viable cellsBaseline regulatory T cells among CD4+ T cellsPost-Treatment regulatory T cells among CD4+ T cells
Phase I DL1 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 533.3031.503.191.87
Phase I DL2 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 535.434.953.804.42
Phase I DL3 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 538.2023.703.321.79
Phase I DL4 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 210mg/m^2 IV on Day 2, 522.5033.253.923.11
Phase II Dose Level (DL) 4 Topotecan 1.25mg/m^2; VX970 (M6620) 210mg/m^2 Recommended Phase II Dose34.2532.753.502.53

[back to top]

Phase II: Progression-free Survival (PFS)

PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. Progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) and is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). (NCT02487095)
Timeframe: At disease progression, an average of 3.28 months.

InterventionMonths (Median)
Phase II Dose Level 4 - Small Cell Lung Cancer (SCLC) Topotecan 1.25mg/m^2 IV/VX970 210mg/m^2 IV4.6
Phase II DL 4 - Extrapulmonary Small Cell Cancer (EPSCC)Topotecan 1.25mg/m^2 IV/VX970 210mg/m^2 IV2.2

[back to top]

Phase I Number of Participants With a Dose Limiting Toxicity (DLT)

A DLT is defined using the Common Terminology Criteria in Adverse Events (CTCAE) v4.0 and is related or possibly drug related, such as neutropenia Grade 4 for >7 days duration, febrile neutropenia (fever of unknown origin without clinically or microbiologically documented infection), or Grade 3 thrombocytopenia. Death due to drug related adverse events. (NCT02487095)
Timeframe: End of Cycle 1, approximately 3 weeks

InterventionParticipants (Count of Participants)
Phase I DL1 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 51
Phase I DL2 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 51
Phase I DL3 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 50
Phase I DL4 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 210mg/m^2 IV on Day 2, 51

[back to top]

Phase I and Phase II: Duration of Response (DOR)

DOR is measured from the time measurement criteria are met for Complete Response (CR) or Partial Response (PR) (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented in response to the combination in both platinum sensitive and refractory patients. CR is disappearance of all non-target lesions and normalization of tumor marker level. PR is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. (NCT02487095)
Timeframe: At disease progression, an average of 5.25 months.

InterventionMonths (Median)
Phase I DL1 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 5NA
Phase I DL 2 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 5NA
Phase I DL3 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 5NA
Phase I DL4 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 210mg/m^2 IV on Day 2, 5NA
Phase II Dose Level 4 - Small Cell Lung Cancer (SCLC) Topotecan 1.25mg/m^2 IV/VX970 210mg/m^2 IV4.9
Phase II DL 4 - Extrapulmonary Small Cell Cancer (EPSCC)Topotecan 1.25mg/m^2 IV/VX970 210mg/m^2 IV5.6

[back to top]

Ph I: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of VX-970 (M6620)

MTD is defined as the dose level at which no more than 1 of 6 subjects experience a dose-limiting toxicity (DLT) during one cycle of treatment. A DLT is defined using the Common Terminology Criteria in Adverse Events (CTCAE) v4.0 and is related or possibly drug related, such as neutropenia Grade 4 for >7 days duration, febrile neutropenia (fever of unknown origin without clinically or microbiologically documented infection), or Grade 3 thrombocytopenia. Death due to drug related adverse events. (NCT02487095)
Timeframe: End of Cycle 1, approximately 3 weeks

Interventionmg/m^2 (Number)
All Participants210

[back to top]

Ph I: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of Topotecan

MTD is defined as the dose level at which no more than 1 of 6 subjects experience a dose-limiting toxicity (DLT) during one cycle of treatment. A DLT is defined using the Common Terminology Criteria in Adverse Events (CTCAE) v4.0 and is related or possibly drug related, such as neutropenia Grade 4 for >7 days duration, febrile neutropenia (fever of unknown origin without clinically or microbiologically documented infection), or Grade 3 thrombocytopenia. Death due to drug related adverse events. (NCT02487095)
Timeframe: End of Cycle 1, approximately 3 weeks

Interventionmg/m^2 (Number)
All Participants1.25

[back to top]

Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

Here is the number of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT02487095)
Timeframe: Date treatment consent signed to date off study, approximately 9 months and 9 days for Ph I DL1, 42 months and 12 days for Ph I DL2, 15 months and 9 days for Ph I DL3, 17 months and 9 days for Ph I DL4, and 43 months and 22 days for Ph II DL4.

InterventionParticipants (Count of Participants)
Phase I DL 1 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 56
Phase I DL2 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 56
Phase I DL3 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 53
Phase I DL4 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 210mg/m^2 IV on Day 2, 56
Phase II Dose Level (DL) 4 Topotecan 1.25mg/m^2; VX970 (M6620) 210mg/m^2 Recommended Phase II Dose41

[back to top]

Ratio of Peripheral Blood Mononuclear Cells (PBMCs): Cluster of Differentiation 8 (CD8)/Cluster of Differentiation 4 (CD4) T Cells at Baseline and Post-Treatment

Blood samples were collected via venipuncture and immunophenotyping of PBMCs were performed by multiparameter flow cytometry for CD8/CD4 T cell ratio. (NCT02487095)
Timeframe: Baseline and 3 weeks post-treatment

,,,,
InterventionRatio (Median)
Baseline CD8/CD4 T cell ratioPost treatment CD8/CD4 T cell ratio
Phase I DL 2 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 51.121.11
Phase I DL1 Topotecan 1mg/m^2 Intravenous (IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 50.550.64
Phase I DL3 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 140mg/m^2 IV on Day 2, 50.860.29
Phase I DL4 Topotecan 1.25mg/m^2 Intravenous(IV) (Days 1-5); VX970 (M6620) 210mg/m^2 IV on Day 2, 51.100.99
Phase II Dose Level (DL) 4 Topotecan 1.25mg/m^2; VX970 (M6620) 210mg/m^2 Recommended Phase II Dose0.630.58

[back to top]

Occurrence of Platelet Transfusions

Percentage of patients requiring a platelet transfusion (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b9
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a4
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b8
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 10
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 11
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 10
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 10

[back to top]

Occurrence of Intravenous (IV) Antibiotic Use

Percentage of patients requiring systemic/IV antibiotics (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b8
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a8
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b7
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 11
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 11
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 12
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 11

[back to top]

Occurrence of Infection Serious Adverse Events (SAEs)

Percentage of patients experiencing an SAE that codes to the Medical Dictionary for Regulatory Activities (MedDRA) system organ class (SOC) of Infections and Infestations (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b3
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a2
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b1
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 11
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 10
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 11

[back to top]

Duration of Severe (Grade 4) Neutropenia in Cycle 1

Duration of severe neutropenia (DSN; days) was defined as the number of days from the date of the first ANC value of <0.5 × 10^9/L observed between start of cycle and end of cycle to the date of the first ANC value ≥0.5 × 10^9/L that met the following criteria: (1) occurred after the ANC value of <0.5 × 10^9/L and (2) no other ANC values <0.5 × 10^9/L occurred between this day and end of cycle. DSN is set to 0 for patients who did not experience SN in a cycle, including those who were randomized but never treated. Data from unscheduled visits and the actual assessment date (rather than visit date) were included in the derivation. (NCT02514447)
Timeframe: Evaluated for Cycle 1 (i.e., from date of first dose of study drug (Part 1)/randomization (Part 2) to the end of Cycle 1, each cycle = 21 days)

Interventiondays (Mean)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b8
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a1
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b2
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 114
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 18
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 10
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 12
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 13

[back to top]

Duration of Response (DOR)

The median months and 95% CIs of duration of response. (NCT02514447)
Timeframe: From date of first dose of study drug (Part 1)/randomization (Part 2) until the occurrence of progressive disease, withdrawal of consent, or initiation of subsequent anti-cancer therapy, (assessed up to a maximum of 1335 days).

Interventionmonths (Median)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b4.9
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a7.8
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b6.8
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 1NA
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 15.4
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 16.7
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 1NA

[back to top]

Occurrence of Grade 3 and 4 Hematologic Toxicities

The count of patients with any hematologic lab value that meets the CTCAE toxicity grade criteria for ≥ Grade 3 and the value is treatment emergent (occurs after first dose of study drug). Labs include: Hemoglobin (HGB), hematocrit, white blood cell (WBC), platelet counts, ANC, ALC, Monocyte Absolute, Basophil Absolute, and Eosinophil Absolute. (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b27
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a25
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b29
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 13
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 14
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 17
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 17
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 17

[back to top]

Tumor Response Based on RECIST, Version 1.1

"The percentage of patients who fall into each category of Best overall response (BOR) as defined by RECIST, Version 1.1.~Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions.~Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions.~Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.~When no imaging/measurement is done, the patient is not evaluable (NE); and if only a subset of lesion measurements are made, usually the case is also considered NE." (NCT02514447)
Timeframe: From date of first dose of study drug (Part 1)/randomization (Part 2) until the occurrence of progressive disease, withdrawal of consent, or initiation of subsequent anti-cancer therapy, (assessed up to a maximum of 1335 days).

,,,,,,,,
InterventionParticipants (Count of Participants)
Complete Response (CR)Partial Response (PR)Stable Disease (SD)Progressive Disease (PD)Not Evaluable (NE)No post-baseline tumor assessment (Missing)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b1510622
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 1003100
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 1020100
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 1011000
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 1016100
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a0315902
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 1013201
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b0513606
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 1003201

[back to top]

Occurrence of Grade 4 and Grade 3/4 Decreased Platelet Count Laboratory Values (Thrombocytopenia)

The count of patients with any platelet lab value that meets the CTCAE toxicity grade criteria for ≥ Grade 3 and the value is treatment emergent (occurs after first dose of study drug). (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

,,,,,,,,
InterventionParticipants (Count of Participants)
Overall Grade 3/4 ThrombocytopeniaOverall Grade 4 Thrombocytopenia
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b1911
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 132
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 121
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 122
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 120
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a159
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 141
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b2113
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 142

[back to top]

Chemotherapy Cycles and Modifications Overall

Average exposure and cycle modifications in chemotherapy (topotecan) (NCT02514447)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to a maximum of 1335 days).

,,,,,,,,
Interventioncycles (Mean)
Number of cycles completedNumber of cycles delayed
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b41
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 141
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 171
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 163
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 161
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a52
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 141
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b51
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 140

[back to top]

Progression Free Survival (PFS)

"Median time (months) and 95% CI from date of first dose of study drug/randomization until date of documented disease progression or death due to any cause.~Investigators followed the Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 guidelines for tumor assessments to determine progression. Progressive Disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression)." (NCT02514447)
Timeframe: From date of first dose of study drug (Part 1)/randomization (Part 2), until date of documented disease progression or death due to any cause (evaluated up to a maximum of 1335 days).

Interventionmonths (Median)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b4.2
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a3.0
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b4.2
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 15.5
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 14.3
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 13.6
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 14.5
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 11.8
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 12.1

[back to top]

Pharmacokinetic Profile for Trilaciclib (G1T28) When Administered With Topotecan

Maximum concentration (Cmax) of trilaciclib (G1T28) when administered with topotecan (NCT02514447)
Timeframe: Part 1 of the study during Cycle 1 Day 4 : predose, 0.5, 1, 1.5, 2, 2.5, 3, 4.5, 6.5, 8.5 (optional), and 24.5 hours post dose. Part 2 of the study during Cycle 1 Day 4 : predose, 0.5, 1, between 3 to 4 hours and between 5.5 to 6.5 hours post dose.

Interventionng/ml (Geometric Mean)
Trilaciclib (G1T28) 200 mg/m² + Topotecan - Part 11060
Trilaciclib (G1T28) 240 mg/m² + Topotecan - Part 11220
Trilaciclib (G1T28) 280 mg/m² + Topotecan - Part 12220
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a913
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b1100

[back to top]

Pharmacokinetic Profile for Topotecan When Administered With Trilaciclib (G1T28)

Maximum concentration (Cmax) of topotecan when administered with trilaciclib (G1T28) (NCT02514447)
Timeframe: Part 1 of the study during Cycle 1 Day 4 : predose, 0.5, 1, 1.5, 2, 2.5, 3, 4.5, 6.5, 8.5 (optional), and 24.5 hours post dose. Part 2 of the study during Cycle 1 Day 4 : predose, 0.5, 1, between 3 to 4 hours and between 5.5 to 6.5 hours post dose.

Interventionng/ml (Geometric Mean)
Trilaciclib (G1T28) + Topotecan 0.75 mg/m²- Part 121.1
Trilaciclib (G1T28) + Topotecan 1 mg/m²- Part 136.8
Trilaciclib (G1T28) + Topotecan 1.25 mg/m²- Part 152.4
Trilaciclib (G1T28) + Topotecan 1.50 mg/m²- Part 1NA
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b43.0
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a17.5
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b41.4

[back to top]

Occurrence of Febrile Neutropenia Adverse Events

Percentage of patients who experience febrile neutropenia adverse events (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b5
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a1
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b2
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 10
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 10
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 10
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 10

[back to top]

Occurrence of Erythropoietin-stimulating Agent (ESA) Administrations

The count of patients who received any ESA administration. (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b6
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a5
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b1
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 11
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 10
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 11
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 10
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 11

[back to top]

Need for Treatment With Hematopoietic Growth Factors

Percentage of patients requiring G-CSF administration. (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b19
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a8
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b16
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 14
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 12
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 13

[back to top]

Overall Survival (OS)

Median time (months) and 95% CI from date of first dose date of study drug/randomization until date of death. Patients who do not die during the study will be censored at the date last known to be alive. (NCT02514447)
Timeframe: From date of first dose of study drug (Part 1)/randomization (Part 2) until the date of death due to any cause (evaluated up to a maximum of 2220 days).

Interventionmonths (Median)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b6.5
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a5.8
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b6.2
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 1NA
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 110.6
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 18.3
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 19.4
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 14.4
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 110.0

[back to top]

Occurrence of Severe (Grade 4) Neutropenia

Number of Participants with severe (Grade 4) neutropenia (SN) was a binary variable. If a patient had at least 1 absolute neutrophil count value <0.5 × 10^9/L during the Treatment Period, the patient was assigned as Yes to the occurrence of SN; otherwise, it was No. (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b22
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a5
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b13
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 12
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 13

[back to top]

Occurrence of Pulmonary Infection Serious Adverse Events (SAEs)

Percentage of patients experiencing an SAE that codes to the Medical Dictionary for Regulatory Activities (MedDRA) system organ class (SOC) of Infections and Infestations and falls into a preferred term (PT) categorized as a pulmonary infection custom MedDRA query (CMQ) (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b1
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a1
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b1
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 11
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 11
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 10
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 11

[back to top]

Occurrence of RBC Transfusions

Percentage of patients requiring a RBC transfusion on/after week 5 (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1056 days).

InterventionParticipants (Count of Participants)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b12
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a5
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b10
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 11
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 12
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 11
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 11
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 12

[back to top]

Assess the Dose Limiting Toxicities (DLTs) of G1T28/Trilaciclib Administered With Topotecan in Part 1

"The percentage of patients experiencing DLTs in Part 1 of the study in each cohort, including:~Absolute neutrophil count (ANC) < 0.5 × 10^9/L lasting for ≥ 7 days~≥ Grade 3 neutropenic infection/febrile neutropenia~Grade 4 thrombocytopenia or ≥ Grade 3 thrombocytopenia with bleeding~Unable to start next cycle of chemotherapy due to lack of recovery to an ANC ≥ 1.5 × 10^9/L and platelet count ≥ 100 × 10^9/L; a delay of up to 1 week from the scheduled start of Cycle 2 is allowed for recovery of ANC and platelet count, and is not considered a DLT~≥ Grade 3 nonhematologic toxicity (nausea, vomiting, and diarrhea failing maximal medical management; fatigue lasting for > 72 hours)" (NCT02514447)
Timeframe: Evaluated for Cycle 1 (i.e., from date of first dose of study drug (Part 1) to the end of Cycle 1, each cycle = 21 days)

InterventionParticipants (Count of Participants)
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m²- Part 1 Cohort 12
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m²- Part 1 Cohort 22
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m²- Part 1 Cohort 32
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m²- Part 1 Cohorts 4 and 60
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m²- Part 1 Cohort 52
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m²- Part 1 Cohort 72

[back to top]

Assess the Hematologic Profile of G1T28/Trilaciclib Administered With Topotecan

The weekly event rate of Major Adverse Hematologic Events (MAHE) events (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

Interventionevents per participant/week (Number)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b0.258
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a0.091
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b0.102
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 10.403
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 10.156
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 10.102
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10.037
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 10.085
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 10.073

[back to top]

Chemotherapy Exposure

Average duration of exposure to chemotherapy (topotecan) in days. (NCT02514447)
Timeframe: During the treatment period. From date of first dose, 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to a maximum of 1335 days).

Interventiondays (Mean)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b94
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a110
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b109
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 1147
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 1147
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 1102
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 1124
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 178
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 183

[back to top]

Dose Reductions in Chemotherapy (Topotecan)

Overall event rate of dose reductions in chemotherapy (topotecan) (NCT02514447)
Timeframe: During the treatment period. From date of first dose (Part 1)/randomization (Part 2), 21 day treatment cycles continue until disease progression, unacceptable toxicity, or discontinuation by the patient or investigator (assessed up to 1090 days).

Interventionevents per participant per cycle (Number)
Placebo + Topotecan 1.5 mg/m² - Parts 2a and 2b0.116
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Part 2a0.053
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.5 mg/m² - Part 2b0.051
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.5 mg/m² - Cohort 1- Part 10.500
Trilaciclib (G1T28) 200 mg/m² + Topotecan 1.25 mg/m² - Cohort 2- Part 10.250
Trilaciclib (G1T28) 200 mg/m² + Topotecan 0.75 mg/m² - Cohort 3- Part 10.118
Trilaciclib (G1T28) 240 mg/m² + Topotecan 0.75 mg/m² - Cohorts 4 and 6- Part 10.089
Trilaciclib (G1T28) 280 mg/m² + Topotecan 0.75 mg/m² - Cohort 5- Part 10.040
Trilaciclib (G1T28) 240 mg/m² + Topotecan 1.0 mg/m² - Cohort 7- Part 10.036

[back to top]

Overall Response Rate in Patients With Chemotherapy-free Interval <90 Days

"Overall response rate is defined as the proportion of patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin20.2
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine18.8

[back to top]

Overall Response Rate in Patients With Chemotherapy-free Interval ≥ 90 Days

"Overall response rate is defined as the proportion of patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin37.0
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine35.1

[back to top]

Overall Response Rate in Patients Without Central Nervous System Involvement at Baseline

"Overall response rate is defined as the proportion of patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin33.0
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine30.7

[back to top]

Overall Survival (OS)

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin8.6
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine7.6

[back to top]

Duration of Response in Patients Without Central Nervous System Involvement at Baseline

"Duration of Response is defined as the time that patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin5.7
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine4.0

[back to top]

Overall Survival in Patients With Chemotherapy-free Interval < 90 Days

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin5.7
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine5.3

[back to top]

Overall Survival in Patients With Chemotherapy-free Interval ≥ 90 Days

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin10.3
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine8.7

[back to top]

Overall Survival in Patients Without Central Nervous System Involvement at Baseline

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin9.1
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine7.7

[back to top]

Progression-free Survival (PFS) by Independent Review Committee

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient receives further antitumor therapy or is lost to follow-up before PD, PFS will be censored at the date of last tumor assessment before the date of subsequent antitumor therapy. (NCT02566993)
Timeframe: Every six weeks up to progression disease, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin4.0
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine4.0

[back to top]

Progression-free Survival in Patients With Central Nervous System Involvement at Baseline

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient receives further antitumor therapy or is lost to follow-up before PD, PFS will be censored at the date of last tumor assessment before the date of subsequent antitumor therapy. (NCT02566993)
Timeframe: Every six weeks up to progression disease, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin1.9
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine2.8

[back to top]

Progression-free Survival in Patients With Chemotherapy-free Interval <90 Days

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient receives further antitumor therapy or is lost to follow-up before PD, PFS will be censored at the date of last tumor assessment before the date of subsequent antitumor therapy. (NCT02566993)
Timeframe: Every six weeks up to progression disease, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin1.6
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine2.8

[back to top]

Progression-free Survival in Patients With Chemotherapy-free Interval ≥90 Days

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient receives further antitumor therapy or is lost to follow-up before PD, PFS will be censored at the date of last tumor assessment before the date of subsequent antitumor therapy. (NCT02566993)
Timeframe: Every six weeks up to progression disease, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin4.8
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine4.4

[back to top]

Progression-free Survival in Patients Without Central Nervous System Involvement at Baseline

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient receives further antitumor therapy or is lost to follow-up before PD, PFS will be censored at the date of last tumor assessment before the date of subsequent antitumor therapy. (NCT02566993)
Timeframe: Every six weeks up to progression disease, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin4.2
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine4.1

[back to top]

Progression-free Survival Rate at 12 Months by Independent Review Committee

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient receives further antitumor therapy or is lost to follow-up before PD, PFS will be censored at the date of last tumor assessment before the date of subsequent antitumor therapy. (NCT02566993)
Timeframe: at 12 months

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin10.8
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine4.4

[back to top]

Progression-free Survival Rate at 6 Months by Independent Review Committee

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of documented progression per RECIST v.1.1 or death (regardless of the cause of death). If the patient receives further antitumor therapy or is lost to follow-up before PD, PFS will be censored at the date of last tumor assessment before the date of subsequent antitumor therapy. (NCT02566993)
Timeframe: At 6 months

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin31.3
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine24.4

[back to top]

Duration of Response in Patients With Chemotherapy-free Interval ≥ 90 Days

"Duration of Response is defined as the time that patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin6.9
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine4.0

[back to top]

Duration of Response in Patients With Chemotherapy-free Interval <90 Days

"Duration of Response is defined as the time that patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin3.0
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine2.8

[back to top]

Duration of Response in Patients With Central Nervous System Involvement at Baseline

"Duration of Response is defined as the time that patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin1.5
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine2.7

[back to top]

Duration of Response by Independent Review Committee

"Duration of Response is defined as the time that patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin5.7
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine3.8

[back to top]

Overall Survival in Patients With Central Nervous System Involvement at Baseline

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionmonths (Median)
Lurbinectedin/Doxorubicin4.6
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine6.6

[back to top]

Difference in Overall Survival Between Lurbinectedin/Doxorubicin (DOX) and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 12 Months

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: At 12 months

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin29.6
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine24.4

[back to top]

Difference in Overall Survival Between Lurbinectedin/DOX and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 24 Months

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: At 24 months

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin8.6
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine8.7

[back to top]

Difference in Overall Survival Between Lurbinectedin/DOX and CAV in Patients With CAV as Best Investigator's Choice: Overall Survival Rate at 18 Months

Overall survival (OS) will be calculated from the date of randomization to the date of death (death event) or last contact(in this case, survival will be censored on that date). (NCT02566993)
Timeframe: At 18 months

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin13.9
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine15.9

[back to top]

Overall Response Rate in Patients With Central Nervous System Involvement at Baseline

"Overall response rate is defined as the proportion of patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin23.9
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine24.5

[back to top]

Overall Response Rate by Independent Review Committee

"Overall response rate is defined as the proportion of patients who have a partial or complete response in the best antitumor response. The best antitumor response will be the best response obtained in any evaluation according to RECIST v.1.1.~CR, complete response: disappearance of all lesions; PD, disease progression: ≥10% increase in target lesion size and does not meet tumor density criteria of PR density; PR, partial response: ≥10% decrease in target lesion size or ≥15% decrease in tumor density; SD, stable disease: none of the CR, PR, or PD criteria met; UK,unknown" (NCT02566993)
Timeframe: Every three months up to death or study termination, a period of approximately 3.5 years

Interventionpercentage of participants (Number)
Lurbinectedin/Doxorubicin31.6
Topotecan or Cyclophosphamide/Doxorubicin/Vincristine29.7

[back to top]

Progression-Free Survival (PFS), as Assessed by BIRC Per RECIST Version 1.1 in All Participants Randomized to the Study

PFS was defined as the time from randomization until PD or death whichever occurred first, estimated using the Kaplan-Meier method. PD: At least a 20% increase in the sum of the longest diameters (SoD) of target lesion, taken as reference the smallest (nadir) SoD since and including baseline. In addition to the relative increase of 20%, the SoD must also demonstrate an absolute increase of at least 5 mm. Unequivocal progression of non-target lesions and appearance of new lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase. (NCT02631876)
Timeframe: From the date of randomization until the time of death or PD (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

Interventionmonths (Median)
Mirvetuximab Soravtansine4.14
Investigator's Choice (IC) Chemotherapy4.44

[back to top]

PFS, as Assessed by Investigator Per RECIST Version 1.1

PFS was defined as the time from randomization until PD or death whichever occurred first, estimated using the Kaplan-Meier method. PD: At least a 20% increase in the SoD of target lesion, taken as reference the smallest (nadir) SoD since and including baseline. In addition to the relative increase of 20%, the SoD must also demonstrate an absolute increase of at least 5 mm. Unequivocal progression of non-target lesions and appearance of new lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase. (NCT02631876)
Timeframe: From the date of randomization until the time of death or PD (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

Interventionmonths (Median)
Mirvetuximab Soravtansine4.27
Investigator's Choice (IC) Chemotherapy4.24

[back to top]

PFS, as Assessed by BIRC Per RECIST Version 1.1 in Participants With High Folate Receptor Alpha Level (≥ 75% of Tumor Staining)

PFS was defined as the time from randomization until PD or death whichever occurred first, estimated using the Kaplan-Meier method. PD: At least a 20% increase in the SoD of target lesion, taken as reference the smallest (nadir) SoD since and including baseline. In addition to the relative increase of 20%, the SoD must also demonstrate an absolute increase of at least 5 mm. Unequivocal progression of non-target lesions and appearance of new lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase. (NCT02631876)
Timeframe: From the date of randomization until the time of death or PD (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

Interventionmonths (Median)
Mirvetuximab Soravtansine4.76
Investigator's Choice (IC) Chemotherapy3.25

[back to top]

Overall Survival (OS)

OS was defined as the time from the date of randomization until the date of death from any cause. Participants who did not experience the event of death were censored at their last date known to be alive. OS was estimated using the Kaplan-Meier method. (NCT02631876)
Timeframe: From the date of randomization until the time of death (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

Interventionmonths (Median)
Mirvetuximab Soravtansine15.57
Investigator's Choice (IC) Chemotherapy13.93

[back to top]

Objective Response Rate (ORR): Percentage of Participants With Objective Response, as Assessed by BIRC Per RECIST1.1

ORR was defined as percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). CR: Disappearance of all target or non-target lesions. All pathological or non-pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeters (mm). PR: At least 30 percent (%) decrease in the SoD of target lesions, taking as reference the baseline SoD. (NCT02631876)
Timeframe: From randomization until first BOR of CR or PR (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

Interventionpercentage of participants (Number)
Mirvetuximab Soravtansine22
Investigator's Choice (IC) Chemotherapy12

[back to top]

Number of Participants With Anti-Drug Antibodies (ADA)

An electrochemiluminescent method was used for the detection of anti-mirvetuximab soravtansine antibodies in plasma from samples collected in dipotassium ethylenediaminetetraacetic acid (K2EDTA) tubes. The qualitative assay was designed to detect anti-mirvetuximab soravtansine antibodies in human plasma. (NCT02631876)
Timeframe: Pre-dose and within 5 minutes after mirvetuximab soravtansine infusion on Day 1 of Cycles 1, 2, and 4; pre-dose on Day 1 of Cycle 6

InterventionParticipants (Count of Participants)
Mirvetuximab Soravtansine13

[back to top]

Gynecologic Cancer Intergroup (GCIG) CA-125 Response Rate: Percentage of Participants With GCIG CA-125 Confirmed Clinical Responses

CA-125 Response rate wasdefined as the number of participants with a CA-125 confirmed response divided by the number of participants in the CA-125 response-evaluable population multiplied by 100. (NCT02631876)
Timeframe: From first dose of study drug until CA-125 response (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

Interventionpercentage of participants (Number)
Mirvetuximab Soravtansine51
Investigator's Choice (IC) Chemotherapy27

[back to top]

Duration of Response (DOR), as Assessed by BIRC Per RECIST v1.1

DOR was defined as the time from the date of the first response (CR or PR), whichever was recorded first, until the date of PD. PD: At least a 20% increase in the SoD of target lesion, taken as reference the smallest (nadir) SoD since and including baseline. In addition to the relative increase of 20%, the SoD must also demonstrate an absolute increase of at least 5 mm. Unequivocal progression of non-target lesions. Unequivocal progression should not normally trump target lesion status. It must be representative of overall disease status change, not a single lesion increase. DOR was only defined for participants who had a BOR of CR or PR using the method of Kaplan-Meier. (NCT02631876)
Timeframe: From the date of first response (CR or PR) until the date of PD (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

Interventionmonths (Median)
Mirvetuximab Soravtansine5.65
Investigator's Choice (IC) Chemotherapy7.26

[back to top]

Number of Participants Achieving at Least a 15% (≥ 15-Point) Absolute Improvement From Baseline on the EORTC QLQ-OV28 Abdominal/Gastrointestinal (AB/GI) Symptom Subscale at Week 8/9 Assessment

European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Ovarian Cancer 28 (EORTC QLQ-OV28) is a 28-item ovarian cancer supplemental module. It comprises of 6 symptom scales (AB/GI symptoms, peripheral neuropathy, other chemotherapy side-effects, hormonal symptoms, body image, attitude to disease, treatment), and sexual functioning. Participants were asked to indicate extent to which they experienced AB/GI symptoms. Participants responded on a scale of 1-4(1=not at all, 2=a little, 3=quite a bit, 4=very much) to following: Did you have abdominal pain? Did you have a bloated feeling in your abdomen? Did you have problems with your clothes feeling too tight? Did you experience any change in bowel habit as a result of your disease or treatment? Were you troubled by passing wind/gas/flatulence? Have you felt full too quickly after beginning to eat? Have you had indigestion/heartburn? Data were transformed to a scale from 0-100. Lower scores=better health. (NCT02631876)
Timeframe: Baseline, Week 8/9

InterventionParticipants (Count of Participants)
Mirvetuximab Soravtansine45
Investigator's Choice (IC) Chemotherapy7

[back to top]

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

Adverse event (AE): any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to study drug. Severity: graded per National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE) v4.03 on following scale: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening, Grade 5=death. Relation of AE to treatment was determined by investigator. Serious AEs: death, life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent/significant disability or incapacity, congenital anomaly or birth defect, or an important medical event that required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: any AE that emerged on or after the first dose, and within 30 days of the last dose. A summary of serious and all other non-serious AEs regardless of causality is located in the Reported AEs module. (NCT02631876)
Timeframe: From first dose of study drug up to 30 days after last dose of study drug (maximum exposure: 86.9 weeks for mirvetuximab soravtansine arm and 62.9 weeks for IC chemotherapy arm)

InterventionParticipants (Count of Participants)
Mirvetuximab Soravtansine242
Investigator's Choice (IC) Chemotherapy107

[back to top]

Area Under the Plasma Concentration-Versus Time Curve From Time of Dose Until Tlast (AUClast) of Mirvetuximab Soravtansine,Total M9346A Antibody, DM4, and S-methyl DM4

PK parameters were calculated using standard non-compartmental methods. (NCT02631876)
Timeframe: Pre-dose and within 5 minutes after mirvetuximab soravtansine infusion on Day 1 of Cycles 1 and 3; and Day 8 and 15 of Cycles 1 and 3

Interventionhours*milligrams/milliliter (hr*mg/mL) (Mean)
Mirvetuximab Soravtansine at Cycle 1Mirvetuximab Soravtansine at Cycle 3Total M9346A antibody at Cycle 1Total M9346A antibody at Cycle 3DM4 at Cycle 1DM4 at Cycle 3S-methyl DM4 at Cycle 1S-methyl DM4 at Cycle 3
Mirvetuximab Soravtansine20.5322.4023.2331.20348.5347.415861512

[back to top]

Delay in Chemotherapy Administration Due to Prolonged Neutrophil Recovery

incidence of delay in chemotherapy administration due to prolonged neutrophil recovery (NCT02786719)
Timeframe: through study completion, approximately 5 months

Interventionchemotherapy cycles (Number)
High Risk Neuroblastoma Patients9

[back to top]

Incidence of Infection

Incidence of infections in chemotherapy cycles NOT followed by hematopoietic growth factors (NCT02786719)
Timeframe: through study completion, approximately 5 months

Interventioninfections (Number)
High Risk Neuroblastoma Patients6

[back to top]

Progression Free Survival

This phase II study will determine if there is a benefit in progression free survival (PFS) for SCLC patients receiving pembrolizumab (Experimental arm) as compared to topotecan (Control arm) in the second-line settingSCLC patients receiving pembrolizumab (Experimental arm) as compared to topotecan (Control arm) in the second-line setting. RECIST Version 1.1 was used in this study for assessment for tumor response. Progression (PD): At least one of the following must be true: a. At least one new malignant lesion, which also includes any lymph node that was normal at baseline (< 1.0 cm short axis) and increased to ≥ 1.0 cm short axis during follow-up. b. At least a 20% increase in PBSD (sum of the longest diameter for all target lesions plus the sum of the short axis of all the target lymph nodes at current evaluation) taking as reference the MSD. In addition, the PBSD must also demonstrate an absolute increase of at least 0.5 cm from the MSD. (NCT02963090)
Timeframe: 4.2 months

InterventionMonths (Median)
Topotecan (Arm A + Crossover Patients)1.4
Pembrolizumab1.5

[back to top]

Overall Survival (OS)

Overall survival will be calculated from the time a patient is registered until the time of death or discontinuation of followup (NCT02963090)
Timeframe: 20 months

InterventionMonths (Median)
Topotecan (Arm A)NA
Pembrolizumab (Arm B)10.7

[back to top]

Overall Response Percentage

"RECIST Version 1.1* will be used in this study for assessment for tumor response.~Complete Response (CR): All of the following must be true:~Disappearance of all target lesions.~Each target lymph node must have reduction in short axis to < 1.0 cm. • Partial Response (PR): At least a 30% decrease in PBSD (sum of the longest diameter for all target lesions plus the sum of the short axis of all the target lymph nodes at current evaluation) taking as reference the BSD" (NCT02963090)
Timeframe: 4.2 months

Interventionpercentage of participants (Number)
Topotecan (Arm A)0
Pembrolizumab (Arm B)0

[back to top]

Change From Baseline of the Physical Functioning Scale Score in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative Care (EORTC QLQ-C15-PAL) at Week 7

The EORTC QLQ-C15-PAL is an abbreviated 15-item version of the EORTC core quality of life questionnaire (EORTC QLQ-C30) developed for use in palliative care. The score of 'physical functioning scale' score ranges from 0 (very poor) to 100 (excellent). (NCT03061812)
Timeframe: Baseline, Week 7

Interventionscore on a scale (Least Squares Mean)
Topotecan-7.16
Rovalpituzumab Tesirine-7.66

[back to top]

Progression Free Survival (PFS)

"PFS is defined as the number of months from the date of randomization until the date of first progression or the date of a participant's death, whichever occurs first. If a participant neither experienced disease progression nor died, then the participant's data were censored at the last date of radiographic assessment that they were documented to be progression free. Calculated using the Kaplan-Meier product-limit method.~Radiographic tumor assessments for response were conducted by CT scanning according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. Progressive Disease (PD) was defined as at least a 20% increase in the size of target lesions and an absolute increase of at least 5 mm taking as reference the smallest lesion size recorded since the treatment started (baseline or after), or the appearance of one or more new lesions." (NCT03061812)
Timeframe: From randomization until the end of study; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.

Interventionmonths (Median)
Topotecan4.27
Rovalpituzumab Tesirine3.02

[back to top]

Overall Survival (OS)

OS is defined as the time from the date of randomization to the date of death from any cause. Participants were censored at the last date they were documented alive. After the End of treatment, survival information was collected at approximately 6-week intervals (or as requested by sponsor to support data analysis) continuing until the endpoint of death, the participant became lost to follow-up, AbbVie terminated the study, or until 12 February 2020. Calculated using the Kaplan-Meier product-limit method. (NCT03061812)
Timeframe: From randomization until the end of study; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.

Interventionmonths (Median)
Topotecan8.57
Rovalpituzumab Tesirine6.34

[back to top]

Objective Response Rate (ORR)

"ORR is defined as the percentage of participants whose best overall response is either complete response (CR) or partial response (PR) according to RECIST version 1.1. Radiographic tumor assessments for response were conducted by CT scanning, and assessed from the date of randomization until disease progression or death, whichever came first. Any participant who did not meet CR or PR, including those who did not have post-baseline radiological assessments were considered non-responders.~CR: Disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT03061812)
Timeframe: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.

Interventionpercentage of participants (Number)
Topotecan20.9
Rovalpituzumab Tesirine14.6

[back to top]

Clinical Benefit Rate (CBR)

"CBR is defined as percentage of participants whose best overall response is CR, PR, or stable disease (SD) according to RECIST version 1.1. Radiographic tumor assessments for response were conducted by CT scanning, and assessed from the date of randomization until disease progression or death, whichever came first. Any participant who did not meet CR, PR, or SD, including those who did not have post-baseline radiological assessments were considered as experiencing no clinical benefit.~CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study." (NCT03061812)
Timeframe: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.

Interventionpercentage of participants (Number)
Topotecan43.4
Rovalpituzumab Tesirine35.9

[back to top]

Duration of Objective Response (DOR)

"DOR is defined as the time between the date of first response (CR or PR, whichever is recorded first) to the date of the first documented tumor progression (per RECIST version 1.1) or death due to any cause, whichever comes first. Radiographic tumor assessments for response were conducted by CT scanning, and assessed from the date of randomization until disease progression or death, whichever came first. Any participant who did not meet CR or PR, including those who did not have post-baseline radiological assessments were considered non-responders.~CR: Disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT03061812)
Timeframe: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.

Interventionmonths (Median)
Topotecan4.86
Rovalpituzumab Tesirine3.52

[back to top]

Part 1: Number of Participants With Dose-Limiting Toxicities (DLT)

A TEAE was considered as DLT if it occurred during the safety evaluation period (i.e. first 28 days of treatment or 14 days after the second dose of study treatment if there was a treatment delay due to non-DLT related reasons) and were deemed related to the study treatment by the investigator. The determination of whether an Adverse Event was considered a Dose Limiting Toxicity was made by the Safety Review Committee (SRC) comprising the Part 1 Investigators and the Medical Monitor(s) of the Sponsor. (NCT03088813)
Timeframe: From the start of the first study treatment administration (Day 1) up to 14 days after the second dose of study treatment administration, a maximum of 42 days

InterventionParticipants (Count of Participants)
Part 1: Irinotecan Liposome Injection 85 mg/m^24
Part 1: Irinotecan Liposome Injection 70 mg/m^22

[back to top]

Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30)/Lung Cancer Supplement (LC13) Dyspnea Scale at Week 12

The EORTC QLQ-LC13 is a lung cancer specific module used in conjunction with EORTC QLQ-C30 and covers typical symptoms of lung cancer (cough, pain, dyspnea, sore mouth, peripheral neuropathy, hair loss). Scores range from 0-100 and a high score represents a high level of symptomatology/problems/worse QoL. Baseline was defined as the last non-missing measurement taken prior to reference start date. Change from baseline in dyspnea scale was calculated regardless of premature study treatment discontinuation. Participants completed these questionnaires on an electronic tablet every 6 weeks during treatment and it was continued until PD or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: Baseline (Day 1) and Week 12

Interventionscores on a scale (Mean)
Part 2: Irinotecan Liposome Injection 70 mg/m^24.6
Part 2: Topotecan 1.5 mg/m^21.9

[back to top]

Change From Baseline in EORTC QLQ-LC13 Cough Scale at Week 12

The EORTC QLQ-LC13 is a lung cancer specific module used in conjunction with EORTC QLQ-C30 and covers typical symptoms of lung cancer (cough, pain, dyspnea, sore mouth, peripheral neuropathy, hair loss). Score ranges from 0-100 scale and a high score represents a high level of symptomatology/problems/worse QoL. Baseline was defined as the last non-missing measurement taken prior to reference start date. Change from baseline in cough scale was calculated regardless of premature study treatment discontinuation. Participants completed these questionnaires on an electronic tablet every 6 weeks during treatment and it was continued until PD or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: Baseline (Day 1) and Week 12

Interventionscores on a scale (Mean)
Part 2: Irinotecan Liposome Injection 70 mg/m^21.6
Part 2: Topotecan 1.5 mg/m^2-1.2

[back to top]

Part 1: OS

The OS was defined as the time from first dose of study treatment to the date of death from any cause. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive. The OS was calculated using Kaplan-Meier technique. Following end of treatment participant and/or family was contacted by telephone every month to assess vital status. (NCT03088813)
Timeframe: From Baseline (Day 1) until death. Assessed up to Part 1 DCO date of 11 August 2021 (approximately 1177 days)

Interventionmonths (Median)
Part 1: Irinotecan Liposome Injection 85 mg/m^210.84
Part 1: Irinotecan Liposome Injection 70 mg/m^28.08

[back to top]

Part 1: Objective Response Rate (ORR)

The ORR was defined as the percentage of participants with a best overall response (BOR) characterized as either a complete response (CR) or partial response (PR) recorded from date of first dose of study treatment until documented PD or death. ORR analysis was based on BOR using RECIST v1.1 per investigator assessment. Per RECIST v1.1, CR is disappearance of all target lesions; PR is >=30% decrease in the sum of the longest diameter of target lesions; and overall response = CR + PR. Per protocol, participants had computed tomography (CT)-scans and brain magnetic resonance imaging (MRI) every 6 weeks to measure tumor lesion size. This was continued throughout treatment until progressive disease (PD) or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: RECIST assessments performed at Baseline (within 28 days before start of study treatment), every 6 weeks post first dose and treatment pause, 30 days after discontinuation of study treatment, then every month thereafter, approximately maximum of 1177 days

Interventionpercentage of participants (Number)
Part 1: Irinotecan Liposome Injection 85 mg/m^240
Part 1: Irinotecan Liposome Injection 70 mg/m^244

[back to top]

Part 1: Progression-Free Survival (PFS)

The PFS was defined as time from first dose of study treatment to the first documented objective PD using RECIST v1.1 or death due to any cause, whichever occurs first. Per RECIST 1.1, progression is defined as at least 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The PFS was calculated using Kaplan-Meier technique. Per protocol, participants had CT-scans and brain MRI every 6 weeks to measure tumor lesion size. This was continued throughout treatment until PD or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: RECIST assessments performed at Baseline (within 28 days before start of study treatment), every 6 weeks post first dose and treatment pause, 30 days after discontinuation of study treatment, then every month thereafter, approximately maximum of 1177 days

Interventionmonths (Median)
Part 1: Irinotecan Liposome Injection 85 mg/m^24.19
Part 1: Irinotecan Liposome Injection 70 mg/m^23.98

[back to top]

Part 2: Median Duration of Response (DoR)

The DoR was defined as time from the first documented objective response (CR or PR, whichever was earlier) to the date of first documented PD or death due to any cause. The DoR analysis was based on BOR assessed by BICR using RECIST v1.1. Per RECIST v1.1, CR is disappearance of all target lesions and PR is >=30% decrease in the sum of the longest diameter of target lesions. The DoR was calculated using Kaplan-Meier technique. Per protocol, participants had CT-scans and brain MRI every 6 weeks to measure tumor lesion size. This was continued throughout treatment until PD or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: RECIST assessments performed at Baseline (within 28 days before start of study treatment), every 6 weeks post first dose and treatment pause, 30 days after discontinuation of study treatment, then every month thereafter, approximately maximum of 1177 days

Interventionmonths (Median)
Part 2: Irinotecan Liposome Injection 70 mg/m^24.14
Part 2: Topotecan 1.5 mg/m2 IV4.17

[back to top]

Part 2: PFS

The PFS was defined as time from randomization to first documented objective PD using RECIST 1.1 (or response assessment in neuro-oncology brain metastases [RANO-BM] criteria for central nervous system [CNS] lesions) as assessed by blinded independent central review (BICR) or death due to any cause, whichever occurred first. Per RECIST 1.1, progression is defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The PFS was calculated using Kaplan-Meier technique. Per protocol, participants had CT-scans and brain MRI every 6 weeks to measure tumor lesion size. This was continued throughout treatment until PD or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: RECIST assessments performed at Baseline (within 28 days before start of study treatment), every 6 weeks post first dose and treatment pause, 30 days after discontinuation of study treatment, then every month thereafter, approximately maximum of 900 days

Interventionmonths (Median)
Part 2: Irinotecan Liposome Injection 70 mg/m^24.01
Part 2: Topotecan 1.5 mg/m^23.25

[back to top]

Part 2: Median Time to Objective Response (OR)

Time to OR as per RECIST v1.1 Criteria according to BICR was defined as time from the date of randomization to the date of first documented objective tumor response (CR or PR, whichever was first). Per RECIST v1.1, CR is disappearance of all target lesions; PR is >=30% decrease in the sum of the longest diameter of target lesion. Participants with a new anti-cancer therapy prior to OR were censored at the last tumor assessment prior to new anti-cancer therapy. Per protocol, participants had CT-scans and brain MRI every 6 weeks to measure tumor lesion size. This was continued throughout treatment until PD or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: RECIST assessments performed at Baseline (within 28 days before start of study treatment), every 6 weeks post first dose and treatment pause, 30 days after discontinuation of study treatment, then every month thereafter, approximately maximum of 1177 days

Interventionmonths (Median)
Part 2: Irinotecan Liposome Injection 70 mg/m^21.68
Part 2: Topotecan 1.5 mg/m^212.65

[back to top]

Part 2: ORR

The ORR was defined as percentage of participants with a BOR characterized as either a CR or PR, recorded from randomization until documented PD or death relative to the total number of participants. ORR analysis was based on BOR assessed by BICR using RECIST v1.1. Per RECIST v1.1, CR is disappearance of all target lesions; PR is >=30% decrease in the sum of the longest diameter of target lesions; and overall response = CR + PR. Per protocol, participants had CT-scans and brain MRI every 6 weeks to measure tumor lesion size. This was continued throughout treatment until PD or commencement of new anti-neoplastic therapy. (NCT03088813)
Timeframe: RECIST assessments performed at Baseline (within 28 days before start of study treatment), every 6 weeks post first dose and treatment pause, 30 days after discontinuation of study treatment, then every month thereafter, approximately maximum of 1177 days

Interventionpercentage of participants (Number)
Part 2: Irinotecan Liposome Injection 70 mg/m^244.1
Part 2: Topotecan 1.5 mg/m^221.6

[back to top]

Part 2: Overall Survival (OS)

The OS was defined as the time from randomization date to the date of death from any cause. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive. The OS was calculated using Kaplan-Meier technique. Following end of treatment participant and/or family was contacted by telephone every month to assess vital status. (NCT03088813)
Timeframe: From date of randomization (within 7 days before start of study treatment) until death. Assessed up to Part 2 DCO date of 08 February 2022 (approximately 900 days)

Interventionmonths (Median)
Part 2: Irinotecan Liposome Injection 70 mg/m^27.92
Part 2: Topotecan 1.5 mg/m^28.31

[back to top]

Part 1: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (SAEs)

An adverse event (AE) was any untoward medical occurrence in a participant following or during exposure to a study treatment, whether or not causally related to the study treatment. An undesirable medical condition could be symptoms, signs or abnormal results of an investigation. An SAE was any AE that: resulted in death; was life-threatening; required hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; resulted in congenital anomaly or birth defect; or was medically important. A TEAE was any AE that occurred or worsened on or after the day of first dose of study treatment and within 30 days after discontinuation of study treatment. (NCT03088813)
Timeframe: The TEAEs were reported from the time of first study treatment administration (Day 1) up to 30 days after the date of last study treatment administration, approximately 506 days

,
InterventionParticipants (Count of Participants)
Any TEAESerious TEAEs
Part 1: Irinotecan Liposome Injection 70 mg/m^22510
Part 1: Irinotecan Liposome Injection 85 mg/m^254

[back to top]

Progression-free Survival (PFS)

PFS will be defined as the time from the date of randomization to the date of first documentation of tumor progression or death from any cause, whichever occurs first. (NCT03098030)
Timeframe: Up to approximately 2.5 years

Interventionmonths (Median)
Part 2: Dinutuximab + Irinotecan3.5
Part 2: Irinotecan3.0
Part 2: Topotecan3.4

[back to top]

Overall Survival (OS)

OS will be derived as: (date of death - date of randomization) + 1. Subjects who are alive or permanently lost to follow-up at the cut-off date for the analysis will be censored at the last date the subject was known to be alive. (NCT03098030)
Timeframe: Up to approximately 2.5 years

Interventionmonths (Median)
Part 2: Dinutuximab + Irinotecan6.9
Part 2: Irinotecan7.0
Part 2: Topotecan7.4

[back to top]

Clinical Benefit Rate (CBR)

The CBR is defined as the percentage of subjects with either a CR, PR, or stable disease (SD), relative to the number of subjects in the treatment group. Per the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, CR was defined as the disappearance of all target lesions; PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters; and SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study, as confirmed by CT or MRI . (NCT03098030)
Timeframe: Up to approximately 2.5 years

InterventionParticipants (Count of Participants)
Part 2: Dinutuximab + Irinotecan126
Part 2: Irinotecan112
Part 2: Topotecan64

[back to top]

Objective Response Rate (ORR)

The ORR is the percentage of subjects with best overall response of either complete response (CR) or partial response (PR); ORR = CR + PR. Per the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, CR was defined as the disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters as confirmed by CT or MRI. (NCT03098030)
Timeframe: Up to approximately 2.5 years

InterventionParticipants (Count of Participants)
Part 2: Dinutuximab + Irinotecan32
Part 2: Irinotecan36
Part 2: Topotecan19

[back to top]

Overall Survival

Kaplan-Meier method was used to estimate overall survival (OS). OS was defined as the time from study enrollment to death. 1-year OS is provided. (NCT03786783)
Timeframe: Up to 1 year

InterventionPercent Probability (Number)
Treatment(Chemotherapy, Dinutuximab, Sargramostim, ASCT, EBRT)95.0

[back to top]

Event-free Survival

Per the revised INRC, progressive disease is: 1) > 20% increase in the longest diameter of the primary tumor, taking as reference the smallest sum and ¬> increase of 5 mm in longest dimension, 2) Any new soft tissue lesion detected by CT/MRI that is MIBG avid or FDG-PET avid, 3) Any new soft tissue lesion seen on CT/MRI that is biopsied and found to be neuroblastoma or ganglioneuroblastoma, 4) Any new bone site that is MIBG avid, 5) Any new bone site that is FDG-PET avid and has CT/MRI findings of tumor or is histologically neuroblastoma or ganglioneuroblastoma 6) A metastatic soft tissue site with > 20% increase in longest diameter, taking as reference the smallest sum on study, and with > 5mm in sum of diameters of target soft tissue lesions, 7) A relative MIBG score ¬> 1.2, 8) Bone marrow without tumor infiltration that becomes >5% tumor infiltration, 9) Bone marrow with tumor infiltration that increases by > 2-fold and has > 20% tumor infiltration on reassessment. (NCT03786783)
Timeframe: Up to 1 year

InterventionPercent Probability (Number)
Treatment(Chemotherapy, Dinutuximab, Sargramostim, ASCT, EBRT)82.6

[back to top]

"Percentage of Participants Who Are Feasibility Failure"

"Feasibility failures were defined as patients that did not receive >= 75% of the planned dinutuximab doses during Induction cycles 3-5. Assessed by estimation of the feasibility failure rate together with a 95% confidence interval." (NCT03786783)
Timeframe: Up to the first 5 cycles of treatment

InterventionPercentage of patients (Number)
Treatment(Chemotherapy, Dinutuximab, Sargramostim, ASCT, EBRT)0.0

[back to top]

Response Rate

Per the revised INRC, response is comprised by responses in 3 components: primary tumor, soft tissue and bone metastases, and bone marrow. Primary and metastatic soft tissue sites were assessed using Response Evaluation Criteria in Solid Tumors and MIBG scans or FDG-PET scans if the tumor was MIBG non-avid. Bone marrow was assessed by histology or immunohistochemistry and cytology or immunocytology. Complete response (CR) - All components meet criteria for CR. Partial response (PR) - PR in at least one component and all other components are either CR, minimal disease (in bone marrow), PR (soft tissue or bone) or not involved (NI; no component with progressive disease (PD). Minor response (MR) - PR or CR in at least one component but at least one other component with stable disease; no component with PD. Stable disease (SD) - Stable disease in one component with no better than SD or NI in any other component; no component with PD. Progressive disease (PD) - Any component with PD. (NCT03786783)
Timeframe: Up to the first 5 cycles of treatment

InterventionPercentage of patients (Number)
Treatment(Chemotherapy, Dinutuximab, Sargramostim, ASCT, EBRT)78.6

[back to top]

Percentage of Participants With Unacceptable Toxicity

Assessed with National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. Assessed by estimation of the combined toxic death and unacceptable toxicity rate during Induction cycles 3-5 together with a 95% confidence interval. (NCT03786783)
Timeframe: Up to the first 5 cycles of treatment

Interventionpercentage of patients (Number)
Treatment(Chemotherapy, Dinutuximab, Sargramostim, ASCT, EBRT)0.0

[back to top]