To: LLCF who wrote (7736 ) 3/17/2000 1:19:00 PM From: Biomaven Read Replies (3) | Respond to of 9719
Added to my MOGN last few days. Ovarian trials abstract at AACR looks great, albeit only with small numbers still:Publishing ID: 5470 PHASE II STUDY OF MGI-114 IN PLATINUM-RESISTANT RECURRENT OVARIAN CANCER. Lori Minasian, G. Sarosy, V. Dyer, S. Kim, D. R Kohler, A. Murgo, S. Smith, W. D Figg, E. Reed, National Cancer Inst, Bethesda, MD; MGI Pharma, Inc, Minneapolis, MN. MGI-114 (6-hydroxymethylacylfulvene) is a semi-synthetic analog of illudin S, extracted from Omphalotus illudens. We have initiated a phase II study of MGI-114 (11mg/m2/d, qd ΕΎ 4?5) in pts with ovarian cancer, recurrent or persistent after treatment with platinum and Taxol based chemotherapy. Eleven pts have been placed on study as of this writing ? all having platinum-resistant disease. (ECOG PFS 1?2; # Prior regimens 2?7). Three pts are too early to eval. One pt has progressive disease after 3 cycles of therapy; and three pts have withdrawn from study due to toxicity. That toxicity was grade III?IV malaise and fatigue. Other common toxicities were myelosuppression (platelets > wbc > rbc), and nausea/vomiting. Of four remaining pts, one has an ~60% reduction in disease after 6 cycles (liver primarily); one, an ~80% reduction after 4 cycles (lung primarily); one, an ~50% reduction after 4 cycles (liver and abd/pelvis, primarily); and one has a 44% reduction after 2 cycles of therapy (liver primarily). Therefore, 3 of 8 pts who received at least 2 cycles of therapy have acheived objective response; with another 3 continuing on therapy. We conclude that MGI-114 is an active agent in platinum-resistant ovarian cancer. Remember that these patients have already been through the wringer and then some - multiple treatment taxol/platinol failures. Thus the drop outs are possibly not all MGI-114's fault. This is a very tough patient population indeed. Peter