Results of a randomized study of IM862 nasal solution in the treatment of AIDS-related Kaposi's sarcoma.
Identifieur interne : 000267 ( Ncbi/Merge ); précédent : 000266; suivant : 000268Results of a randomized study of IM862 nasal solution in the treatment of AIDS-related Kaposi's sarcoma.
Auteurs : A. Tulpule [États-Unis] ; D T Scadden ; B M Espina ; S. Cabriales ; W. Howard ; K. Shea ; P S GillSource :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology [ 0732-183X ] ; 2000.
Descripteurs français
- KwdFr :
- Administration par voie nasale, Adulte, Adulte d'âge moyen, Calendrier d'administration des médicaments, Céphalée (), Dipeptides (administration et posologie), Dipeptides (effets indésirables), Dipeptides (usage thérapeutique), Facteur de croissance endothéliale vasculaire de type A, Facteurs de croissance endothéliale (antagonistes et inhibiteurs), Facteurs de croissance endothéliale vasculaire, Fatigue (), Femelle, Humains, Induction de rémission, Infections opportunistes liées au SIDA (traitement médicamenteux), Inhibiteurs de l'angiogenèse (administration et posologie), Inhibiteurs de l'angiogenèse (effets indésirables), Inhibiteurs de l'angiogenèse (usage thérapeutique), Inhibiteurs de protéase du VIH (usage thérapeutique), Isoformes de protéines (antagonistes et inhibiteurs), Lymphokines (antagonistes et inhibiteurs), Mâle, Nausée (), Numération des lymphocytes CD4, Paresthésie (), Sarcome de Kaposi (traitement médicamenteux), Tumeurs cutanées (traitement médicamenteux), Évolution de la maladie.
- MESH :
- administration et posologie : Dipeptides, Inhibiteurs de l'angiogenèse.
- antagonistes et inhibiteurs : Facteurs de croissance endothéliale, Isoformes de protéines, Lymphokines.
- effets indésirables : Dipeptides, Inhibiteurs de l'angiogenèse.
- traitement médicamenteux : Infections opportunistes liées au SIDA, Sarcome de Kaposi, Tumeurs cutanées.
- usage thérapeutique : Dipeptides, Inhibiteurs de l'angiogenèse, Inhibiteurs de protéase du VIH.
- Administration par voie nasale, Adulte, Adulte d'âge moyen, Calendrier d'administration des médicaments, Céphalée, Facteur de croissance endothéliale vasculaire de type A, Facteurs de croissance endothéliale vasculaire, Fatigue, Femelle, Humains, Induction de rémission, Mâle, Nausée, Numération des lymphocytes CD4, Paresthésie, Évolution de la maladie.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (drug therapy), Administration, Intranasal, Adult, Angiogenesis Inhibitors (administration & dosage), Angiogenesis Inhibitors (adverse effects), Angiogenesis Inhibitors (therapeutic use), CD4 Lymphocyte Count, Dipeptides (administration & dosage), Dipeptides (adverse effects), Dipeptides (therapeutic use), Disease Progression, Drug Administration Schedule, Endothelial Growth Factors (antagonists & inhibitors), Fatigue (chemically induced), Female, HIV Protease Inhibitors (therapeutic use), Headache (chemically induced), Humans, Lymphokines (antagonists & inhibitors), Male, Middle Aged, Nausea (chemically induced), Paresthesia (chemically induced), Protein Isoforms (antagonists & inhibitors), Remission Induction, Sarcoma, Kaposi (drug therapy), Skin Neoplasms (drug therapy), Vascular Endothelial Growth Factor A, Vascular Endothelial Growth Factors.
- MESH :
- chemical , administration & dosage : Angiogenesis Inhibitors, Dipeptides.
- chemical , adverse effects : Angiogenesis Inhibitors, Dipeptides.
- chemical , antagonists & inhibitors : Endothelial Growth Factors, Lymphokines, Protein Isoforms.
- chemically induced : Fatigue, Headache, Nausea, Paresthesia.
- drug therapy : AIDS-Related Opportunistic Infections, Sarcoma, Kaposi, Skin Neoplasms.
- chemical , therapeutic use : Angiogenesis Inhibitors, Dipeptides, HIV Protease Inhibitors.
- Administration, Intranasal, Adult, CD4 Lymphocyte Count, Disease Progression, Drug Administration Schedule, Female, Humans, Male, Middle Aged, Remission Induction, Vascular Endothelial Growth Factor A, Vascular Endothelial Growth Factors.
Abstract
Although advances have been made in the treatment of AIDS-related Kaposi's sarcoma (AIDS-KS) with systemic chemotherapy, less toxic therapies are needed. IM862 is a naturally occurring peptide with antiangiogenic properties and was thus studied in patients with AIDS-KS.
DOI: 10.1200/JCO.2000.18.4.716
PubMed: 10673512
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pubmed:10673512Le document en format XML
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<term>Female</term>
<term>HIV Protease Inhibitors (therapeutic use)</term>
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<term>Facteurs de croissance endothéliale (antagonistes et inhibiteurs)</term>
<term>Facteurs de croissance endothéliale vasculaire</term>
<term>Fatigue ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Induction de rémission</term>
<term>Infections opportunistes liées au SIDA (traitement médicamenteux)</term>
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<term>Inhibiteurs de l'angiogenèse (usage thérapeutique)</term>
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<term>Numération des lymphocytes CD4</term>
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<term>Nausea</term>
<term>Paresthesia</term>
</keywords>
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<term>Skin Neoplasms</term>
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<term>HIV Protease Inhibitors</term>
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<term>Adult</term>
<term>CD4 Lymphocyte Count</term>
<term>Disease Progression</term>
<term>Drug Administration Schedule</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Remission Induction</term>
<term>Vascular Endothelial Growth Factor A</term>
<term>Vascular Endothelial Growth Factors</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Calendrier d'administration des médicaments</term>
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<front><div type="abstract" xml:lang="en">Although advances have been made in the treatment of AIDS-related Kaposi's sarcoma (AIDS-KS) with systemic chemotherapy, less toxic therapies are needed. IM862 is a naturally occurring peptide with antiangiogenic properties and was thus studied in patients with AIDS-KS.</div>
</front>
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<DateCreated><Year>2000</Year>
<Month>07</Month>
<Day>13</Day>
</DateCreated>
<DateCompleted><Year>2000</Year>
<Month>07</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0732-183X</ISSN>
<JournalIssue CitedMedium="Print"><Volume>18</Volume>
<Issue>4</Issue>
<PubDate><Year>2000</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Journal of clinical oncology : official journal of the American Society of Clinical Oncology</Title>
<ISOAbbreviation>J. Clin. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Results of a randomized study of IM862 nasal solution in the treatment of AIDS-related Kaposi's sarcoma.</ArticleTitle>
<Pagination><MedlinePgn>716-23</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Although advances have been made in the treatment of AIDS-related Kaposi's sarcoma (AIDS-KS) with systemic chemotherapy, less toxic therapies are needed. IM862 is a naturally occurring peptide with antiangiogenic properties and was thus studied in patients with AIDS-KS.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">IM862 was given as intranasal drops at a dose of 5 mg. Patients were randomized to two dosing schedules given in repeated cycles until disease progression or unacceptable toxicity: 5 days of therapy followed by 5 days off (n = 18) and every other day dosing (n = 26).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty-two male patients and two female patients with a median age of 38 years (range, 22 to 53 years) were accrued. Twenty-one patients (47%) had more than 50 mucocutaneous lesions, 14 (32%) had lymphedema, and none had visceral involvement. Thirty-three patients (75%) had received prior systemic chemotherapy. Twenty-four patients (55%) had CD4(+) lymphocyte count = 200/mm(3). All but five patients were being treated with concurrent protease inhibitor(s), for a median of 10 months (range, 0 to 24 months). Major responses were documented in 36%, with five complete and 11 partial remissions, occurring after a median of 6 weeks (range, 3 to 26 weeks) and lasting a median of 33+ weeks (range, 12+ to 95+ weeks). Twenty-one patients had stable disease for periods of 7 to 72+ weeks. Adverse effects to IM862 were limited to mild and transient headache, fatigue, tingling, and nausea. No hematologic adverse effects attributed to treatment were reported.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">IM862 given as intranasal drops is well tolerated and has antitumor activity in patients with AIDS-KS. A randomized double-blinded study to define the activity of IM862 in patients with AIDS-KS is in progress.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tulpule</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Division of Hematology, Kenneth Norris Cancer Hospital and Research Institute, University of Southern California School of Medicine, Los Angeles, CA, USA.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Scadden</LastName>
<ForeName>D T</ForeName>
<Initials>DT</Initials>
</Author>
<Author ValidYN="Y"><LastName>Espina</LastName>
<ForeName>B M</ForeName>
<Initials>BM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cabriales</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Howard</LastName>
<ForeName>W</ForeName>
<Initials>W</Initials>
</Author>
<Author ValidYN="Y"><LastName>Shea</LastName>
<ForeName>K</ForeName>
<Initials>K</Initials>
</Author>
<Author ValidYN="Y"><LastName>Gill</LastName>
<ForeName>P S</ForeName>
<Initials>PS</Initials>
</Author>
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<MedlineTA>J Clin Oncol</MedlineTA>
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<MeshHeading><DescriptorName UI="D012878" MajorTopicYN="N">Skin Neoplasms</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D042461" MajorTopicYN="N">Vascular Endothelial Growth Factor A</DescriptorName>
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<affiliations><list><country><li>États-Unis</li>
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<name sortKey="Gill, P S" sort="Gill, P S" uniqKey="Gill P" first="P S" last="Gill">P S Gill</name>
<name sortKey="Howard, W" sort="Howard, W" uniqKey="Howard W" first="W" last="Howard">W. Howard</name>
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