Skip to main content
Log in

Clinical trial of iproplatin (cis-dichloro-trans-dihydroxy-bis-isopropylamine platinum IV, CHIP) in patients with advanced breast cancer

  • Clinical Studies
  • Published:
Investigational New Drugs Aims and scope Submit manuscript

Summary

Twenty-five women with advanced breast cancer were treated in a phase II trial of iproplatin 275 mg/m2 administered intravenously every 4 weeks. All patients had measurable or evaluable indicator lesions, and had undergone treatment with no more than one previous chemotherapy regimen, including adjuvant chemotherapy. Two of the twenty-four evaluable patients (8%) experienced major therapeutic responses. One patient had a complete regression of pulmonary nodules lasting 18 + months; another had a partial regression of metastatic disease in the liver (4 months). The inevaluable patient was ineligible for the study because of previous radiation to the indicator lesions on her chest wall; nonetheless, she experienced a 10 month partial regression of those nodules. Myelosuppression was generally dose limiting; thrombocytopenia was more profound, but leukopenia was more prolonged. Nausea, vomiting, diarrhea, and general malaise were prominent toxicities, and led to discontinuation of therapy in 4 patients. Iproplatin has limited activity in previously treated women with advanced breast cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Forastiere AA, Hakes TB, Wittes JT, Wittes RE: Cisplatin in the treatment of metastatic breast cancer. Am J Clin Oncol (CCT) 5:243–247, 1982

    Google Scholar 

  2. Ostrow S, Egorin M, Aisner J, Bachur N, Wiernick PH: High-dose cis-diamminedichloroplatinum therapy in patients with advanced breast cancer: Pharmacokinetics, toxicity, and therapeutic efficacy. Cancer Clin Trials 3:23–27, 1980

    Google Scholar 

  3. Kolaric K, Roth A: Phase II clinical trial of cis-dichlordiammine platinum (cis-DDP) for antitumorigenic activity in previously untreated patients with metastatic breast cancer. Cancer Chemother Pharmacol 11:108–112, 1983

    Google Scholar 

  4. Rossof AH, Slayton RE, Perlia CP: Preliminary clinical experience with cis-diamminedichloroplatinum (II). Cancer 30:1451–1456, 1972

    Google Scholar 

  5. Hayes DM, Cvitkovic E, Golbey RB, Scheiner E, Helson L, Krakoff IH: High dose cisplatinum diamine dichloride. Amelioration of renal toxicity by mannitol diuresis. Cancer 39:1372–1381, 1977

    Google Scholar 

  6. Catane R, Douglass Jr HO, Mittelman A: A phase II study of high dose cisdiammine dichloroplatinum (CDDP) in non-testicular tumors (Abstr). Proc Am Assoc Cancer Res and Am Soc Clin Oncol 18:115, 1977

    Google Scholar 

  7. Sledge GW Jr, Loehrer PJ Sr, Roth BJ, Einhorn LH: Cisplatin as first-line therapy for metastatic breast cancer (Abstr). Proc Am Soc Clin Oncol 6:53, 1987

    Google Scholar 

  8. Bajorin D, Bosl GJ, Fein R: Phase I trial of escalating doses of cisplatin in hypertonic solution. J Clin Oncol 5:1589–1593, 1987

    Google Scholar 

  9. Lee FH, Canetta R, Issell BF, Lenaz L: New platinum complexes in clinical trials. Cancer Treat Rev 10:39–51, 1983

    Google Scholar 

  10. Ginsberg SJ: CHIP. Phase I study. SUNY Upstate Medical Center. Minutes of the phase II meeting; December 12, 1983; Investigational Drug Branch, Cancer Therapy Evaluation Program, National Cancer Institute, Bethesda, Maryland.

    Google Scholar 

  11. Creaven PJ, Madajewicz S, Pendyala L, Mittleman A, Pontes E, Spaulding M, Arbuck S, Solomon J: Phase I clinical trial of cis-dichlor-trans-dihydroxy-bis-isopropylamine platinum (IV) (CHIP). Cancer Treat Rep 67:795–800, 1983

    Google Scholar 

  12. Ribaud P, Gouveia J, Dorval T, Misset JL, Machover D, Gastiaburu J, Schwarzenberg L, Mathe G: Phase I study of CHIP (Abstr). Fourth NCI-EORTC Symp. on New Drugs in Cancer Therapy, 1983

  13. Yap BS, Tenney DM, Yap HY, Plager C, Papadopoulos NE, Lee FH, Issell BF, Bodey GP: Phase I trial of CHIP (Abstr). In: MP Hacker, EB Douple, IH Krakoff (eds). Platinum Coordination Complexes in Cancer Chemotherapy. Martinus Nijhoff, Boston, 1984, p 203

    Google Scholar 

  14. Breast Cancer Task Force, Treatment Committee, National Cancer Institute: Breast Cancer: Suggested Protocol Guidelines for Combined Modality Trials. Washington DC, United States Department of Health Education and Welfare, Publication No (NIH) 77-1192

  15. Miller AB, Hoogstraten B, Staquet M, Winkler A: Reporting results of cancer treatment. Cancer 47:207–214, 1981

    CAS  PubMed  Google Scholar 

  16. Samal B, Vaitkevicius, Singhakowinta A, O'Bryan R, Buroker T, Samson M, Baker LH: Cis-diamminedi-chloroplatinum (CCDP) in advanced breast and colorectal carcinoma (Abstr). Proc Am Assoc Cancer Res and Am Soc Clin Oncol 19:347, 1978

    Google Scholar 

  17. Bull JM, Anderson T, Lippman ME, Cassidy JG, Gormley PE, Young RC: A phase II trial of cis-dichlorodiammine platinum (cis DDP) in breast and ovarian carcinomas (Abstr). Proc Am Assoc Cancer Res and Am Soc Clin Oncol 19:345, 1978

    Google Scholar 

  18. Yap HY, Salem P, Hortobagyi GN, Bodey GP Sr, Buzdar AU, Tashima CK, Blumenschein GR: Phase II study of cisdichlorodiammineplatinum (II) in advanced breast cancer. Cancer Treat Rep 62:405–408, 1978

    Google Scholar 

  19. Vermorken JB, Gundersen S, Smyth JF, Dodion P, Siegenthaler P, Renard J, Pinedo HM: Randomized phase II trial of iproplatin and carboplatin in advanced breast cancer (Abstr). Proc Am Soc Clin Oncol 5:73, 1986

    Google Scholar 

  20. Booth BW, Weiss RB, Korzun AH, Wood WC, Carey RW, Panasci LC: Phase II trial of carboplatin in advanced breast carcinoma: a Cancer and Leukemia Group B study. Cancer Treat Rep 69:919–920, 1985

    Google Scholar 

  21. Meisner D, Ginsberg S, Nicaise C, Ditch A, Louie A, Newman N, Comis R, Poiesz B: A phase II trial of iproplatin (CHIP) in previously treated breast cancer (Abstr). Proc Am Soc Clin Oncol 6:63, 1987

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Casper, E.S., Smart, T.C., Hakes, T.B. et al. Clinical trial of iproplatin (cis-dichloro-trans-dihydroxy-bis-isopropylamine platinum IV, CHIP) in patients with advanced breast cancer. Invest New Drugs 6, 87–91 (1988). https://doi.org/10.1007/BF00195365

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00195365

Key words

Navigation