Page last updated: 2024-10-20

pteridines and Cancer of the Urinary Tract

pteridines has been researched along with Cancer of the Urinary Tract in 2 studies

Research Excerpts

ExcerptRelevanceReference
"In patients with tumors of the genitourinary tract or with hemopoietic neoplasms, urinary neopterin levels were correlated with the tumor burden and became normal when remission was achieved."1.27Urinary neopterin in the diagnosis and follow-up of neoplasia: a biochemical parameter to detect cell-mediated immune response. ( Fuchs, D; Hausen, A; Huber, C; Reibnegger, G; Wachter, H, 1984)

Research

Studies (2)

TimeframeStudies, this research(%)All Research%
pre-19901 (50.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Stadler, WM1
Vaughn, DJ1
Sonpavde, G1
Vogelzang, NJ1
Tagawa, ST1
Petrylak, DP1
Rosen, P1
Lin, CC1
Mahoney, J1
Modi, S1
Lee, P1
Ernstoff, MS1
Su, WC1
Spira, A1
Pilz, K1
Vinisko, R1
Schloss, C1
Fritsch, H1
Zhao, C1
Carducci, MA1
Fuchs, D1
Hausen, A1
Huber, C1
Reibnegger, G1
Wachter, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open-label, Single-arm, Phase II Trial of Intravenous BI 6727 in Patients With Locally Advanced, Metastatic or Recurrent Urothelial Cancer of the Bladder, Renal Pelvis, or Ureters After Failure of Prior Chemotherapy[NCT01023958]Phase 250 participants (Actual)Interventional2009-11-19Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

AUC0-∞ of Volasertib

Area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞) of volasertib (NCT01023958)
Timeframe: 5 mins before start of drug infusion and 2h, 3h, 6h, 24h, 168h and 336h after start of drug infusion

Interventionng*h/mL (Geometric Mean)
Volasertib (BI 6727)5470

CL of Volasertib

Total plasma clearance after intravascular administration (CL) of volasertib (NCT01023958)
Timeframe: 5 mins before start of drug infusion and 2h, 3h, 6h, 24h, 168h and 336h after start of drug infusion

InterventionmL/min (Geometric Mean)
Volasertib (BI 6727)914

Cmax of Volasertib

Maximum measured concentration in plasma (Cmax) of volasertib (NCT01023958)
Timeframe: 5 mins before start of drug infusion and 2h, 3h, 6h, 24h, 168h and 336h after start of drug infusion

Interventionng/mL (Geometric Mean)
Volasertib (BI 6727)253

Disease Control Rate

Disease control rate. Disease control is defined as having a best overall response of complete response (CR), partial response (PR) or stable disease (SD). (NCT01023958)
Timeframe: From first drug administration until end of study, up to 2 years

InterventionPercentage of participants (Number)
Volasertib (BI 6727)40.0

Duration of Disease Control

Disease control is defined as having a best overall response of CR, PR, or SD. The duration of disease control is measured from the time of first response to progression or death whichever occurs first. (NCT01023958)
Timeframe: Time of first response to progression or death, up to 2 years

InterventionWeeks (Median)
Volasertib (BI 6727)27.0

Duration of Overall Response

The duration of overall response is measured from the time of first response (CR or PR) to progression or death whichever occurs first. (NCT01023958)
Timeframe: From the time of first response (CR or PR) to progression or death, up to 2 years

InterventionWeeks (Median)
Volasertib (BI 6727)41.0

Laboratory Investigation: Alkaline Phosphatase

Difference from baseline in laboratory parameter Alkaline phosphatase (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

InterventionU/L (Mean)
Volasertib (BI 6727)35

Laboratory Investigation: ALT/GPT, SGPT

Difference from baseline in laboratory parameter Alanine aminotransferase(ALT)/GPT, SGPT (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

InterventionU/L (Mean)
Volasertib (BI 6727)3

Laboratory Investigation: AST/GOT, SGOT

Difference from baseline in laboratory parameter Aspartate aminotransferase(AST)/GOT, SGOT (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

InterventionU/L (Mean)
Volasertib (BI 6727)5

Laboratory Investigation: Creatinine

Difference from baseline in laboratory parameter Creatinine (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

Interventionumol/L (Mean)
Volasertib (BI 6727)16

Laboratory Investigation: Haemoglobin

Difference from baseline in laboratory parameter Haemoglobin (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

Interventiong/L (Mean)
Volasertib (BI 6727)-19

Laboratory Investigation: Lymphocytes

Difference from baseline in laboratory parameter Lymphocytes (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

Intervention10^9 cells/L (Mean)
Volasertib (BI 6727)-0.8

Laboratory Investigation: Neutrophils

Difference from baseline in laboratory parameter Neutrophils (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

Intervention10^9 cells/L (Mean)
Volasertib (BI 6727)-1.9

Laboratory Investigation: Platelets

Difference from baseline in laboratory parameter Platelets (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

Intervention10^9 cells/L (Mean)
Volasertib (BI 6727)-23

Laboratory Investigation: Total Bilirubin

Difference from baseline in laboratory parameter total Bilirubin (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

Interventionumol/L (Mean)
Volasertib (BI 6727)4.7

Laboratory Investigation: White Blood Cell Count

Difference from baseline in laboratory parameter white blood cell count (NCT01023958)
Timeframe: Baseline and last value on treatment (up to 2 years)

Intervention10^9 cells/L (Mean)
Volasertib (BI 6727)-1.8

Objective Tumour Response According to RECIST Criteria

Objective tumor response, defined as complete response (CR) or partial response (PR), according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria. (NCT01023958)
Timeframe: From first drug administration until end of study, up to 2 years

InterventionPercentage of participants (Number)
Volasertib (BI 6727)14.0

Occurrence of Unacceptable Toxicity

Occurrence of unacceptable toxicity is defined by CTCAE as as drug related CTCAE Grade 3 or greater non-hematological toxicity (except emesis or diarrhea responding to supportive treatment); drug-related CTCAE Grade 4 neutropenia for seven or more days and / or complicated by infection; or drug-related CTCAE Grade 4 thrombocytopenia. (NCT01023958)
Timeframe: From first drug administration up to 21 days after final administration, up to 2 years

InterventionPercentage of participants (Number)
Volasertib (BI 6727)30

Overall Survival

"Overall survival (OS) is the time from first infusion to death. Patients who were alive at the time of analysis or lost to follow-up were censored at the last follow-up date when they were known to be alive.~Overall survival was analyzed with the Kaplan-Meier curve. Greenwood's variance estimate was used to form confidence intervals." (NCT01023958)
Timeframe: Time from first infusion to death, up to 2 years

InterventionMonths (Median)
Volasertib (BI 6727)8.5

Progression-free Survival

"Progression-free survival (PFS) is the time from first treatment to the occurrence of tumor progression or death, whichever occurs first. Disease progression is defined according to the RECIST guideline but also includes the investigators' assessment which may, in some cases, include only clinical progression (deterioration of general health status per investigator). PFS was analyzed with the Kaplan-Meier curve. Greenwood's variance estimate was used to form confidence intervals.~Patients without evidence of disease progression were to be censored at the last image date." (NCT01023958)
Timeframe: Time from first treatment to the occurrence of tumor progression or death, up to 2 years

InterventionWeeks (Median)
Volasertib (BI 6727)6.1

t1/2 of Volasertib

Terminal half-life (t1/2) of volasertib (NCT01023958)
Timeframe: 5 mins before start of drug infusion and 2h, 3h, 6h, 24h, 168h and 336h after start of drug infusion

Interventionhours (Geometric Mean)
Volasertib (BI 6727)150

Tmax of Volasertib

Time from dosing to maximum measured concentration (Tmax) of volasertib (NCT01023958)
Timeframe: 5 mins before start of drug infusion and 2h, 3h, 6h, 24h, 168h and 336h after start of drug infusion

InterventionHours (Median)
Volasertib (BI 6727)2.03

Vss of Volasertib

Apparent volume of distribution at steady state following intravascular administration (Vss) of volasertib (NCT01023958)
Timeframe: 5 mins before start of drug infusion and 2h, 3h, 6h, 24h, 168h and 336h after start of drug infusion

InterventionLitres (Geometric Mean)
Volasertib (BI 6727)7470

Occurrence and Intensity of AE's Graded According to CTCAE

"Occurrence and intensity of adverse events (AEs) graded according to Common Toxicity Criteria of Adverse Events (CTCAE).~The CTCAE grades are: 1 (mild AE), 2 (moderate AE), 3 (severe AE), 4 (life-threatening or disabling AE), 5 (death related to AE)." (NCT01023958)
Timeframe: From first drug administration until end of study, up to 2 years

InterventionPercentage of participants (Number)
Grade 1Grade 2Grade 3Grade 4Grade 5
Volasertib (BI 6727)8.028.036.020.06.0

Trials

1 trial available for pteridines and Cancer of the Urinary Tract

ArticleYear
An open-label, single-arm, phase 2 trial of the Polo-like kinase inhibitor volasertib (BI 6727) in patients with locally advanced or metastatic urothelial cancer.
    Cancer, 2014, Apr-01, Volume: 120, Issue:7

    Topics: Aged; Aged, 80 and over; Antineoplastic Agents; Disease-Free Survival; Female; Humans; Male; Middle

2014

Other Studies

1 other study available for pteridines and Cancer of the Urinary Tract

ArticleYear
Urinary neopterin in the diagnosis and follow-up of neoplasia: a biochemical parameter to detect cell-mediated immune response.
    Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine, 1984, Volume: 5, Issue:3-4

    Topics: Adolescent; Adult; Aged; Biopterins; Female; Follow-Up Studies; Genital Neoplasms, Female; Humans; I

1984