Phase 1 clinical investigation of 4'-(9-acridinylamino)methanesulfon-m-anisidide (NSC 249992), a new acridine derivative

Cancer Res. 1978 Nov;38(11 Pt 1):3712-6.

Abstract

The compound 4'-(9-acridinylamino)methanesulfon-m-anisidide is a new derivative that was evaluated in a Phase 1 clinical trial. The schedule of drug administration consisted of daily i.v. injection for 3 consecutive days, repeated at 3-week intervals. Twenty-six patients received a total of 63 courses of 4'-(9-acridinylamino)methanesulfon-m-anisidide in a dose range from 4 to 50 mg/sq m/day. Hematopoietic toxicity was dose limiting, but it was of short duration and rapidly reversible. Mild nausea and vomiting were observed in 16% of the courses, and a mild degree of phlebitis was observed in 10% of the courses. Responses were observed in two patients with adenocarcinoma of the lung and one each of melanoma and acute myeloblastic leukemia. Phase 2 studies of 4'-(9-acridinylamino)methanesulfon-m-anisidide are planned at a starting dose of 40 mg/sq m/day for 3 days in good-risk patients and at 25 to 30 mg/sq m/day for 3 days in poor-risk patients. Course of treatment would be repeated at 21-day intervals.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acridines / administration & dosage
  • Acridines / therapeutic use*
  • Acridines / toxicity
  • Adenocarcinoma / drug therapy
  • Adult
  • Aged
  • Antineoplastic Agents / therapeutic use
  • Bone Marrow / drug effects
  • Drug Administration Schedule
  • Drug Evaluation
  • Female
  • Humans
  • Injections, Intravenous
  • Leukemia, Myeloid, Acute / drug therapy
  • Lung Neoplasms / drug therapy
  • Male
  • Melanoma / drug therapy
  • Middle Aged
  • Neoplasms / drug therapy*
  • Phenylenediamines / therapeutic use
  • Remission, Spontaneous

Substances

  • Acridines
  • Antineoplastic Agents
  • Phenylenediamines