A phase of I trial of 4'-epi-Adriamycin.

P. K. Schauer, R. E. Wittes, R. J. Gralla, E. S. Casper, C. W. Young

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


4'-epi-adriamycin was administered intravenously on an every-3-week schedule to 34 patients with advanced malignant tumors. Patients were treated at five dosage levels, ranging from 40 mg/m2 to 100 mg/m2. Hematologic toxicity was dose limiting. No cardiac, renal, or hepatic toxicity was observed; there were no drug-related deaths. Partial alopecia developed in all patients receiving a cumulative dose of 200 mg/m2; mild nausea and vomiting occurred in 13 patients. Although major therapeutic responses were not seen in this phase I trial, 2 of 15 patients with objectively measurable disease showed minor responses; 7 patients had stabilization of previously progressing cancer for 3 to 5+ months. A dose of 85 mg/m2 of epi-Adriamycin every 3 weeks seems an appropriate initial dose for phase II studies in patients having a performance status of 70 or higher. A starting dose of 70 mg/m2 is recommended for patients having a lower performance status.

Original languageEnglish (US)
Pages (from-to)433-437
Number of pages5
JournalCancer clinical trials
Issue number4
StatePublished - Dec 1981
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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