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Related Experiment Videos

Altretamine.

L A Hansen1, T E Hughes

  • 1School of Pharmacy, Medical College of Virginia/Virginia Commonwealth University, Richmond 23298.

DICP : the Annals of Pharmacotherapy
|February 1, 1991
PubMed
Summary
This summary is machine-generated.

Altretamine, an oral antineoplastic agent, shows moderate efficacy in advanced ovarian cancer. Its use is limited by toxicities, making it a secondary option when platinum-based chemotherapy is not suitable.

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Area of Science:

  • Oncology
  • Pharmacology
  • Cancer Therapeutics

Background:

  • Altretamine is an oral antineoplastic agent used for advanced ovarian cancer.
  • It is a lipid-soluble drug metabolized to active cytotoxic species, though the exact mechanism remains unclear.

Purpose of the Study:

  • To review the efficacy and toxicity of altretamine in ovarian cancer treatment.
  • To define the therapeutic role of altretamine, particularly in combination regimens.

Main Methods:

  • Literature review of altretamine's use in ovarian cancer.
  • Analysis of response rates and toxicity profiles from clinical studies.

Main Results:

  • Altretamine shows a 21-39% response rate as a single agent, comparable to other treatments.

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  • Its primary utility is in combination therapy, though evidence from randomized trials is limited.
  • Dose-limiting toxicities include gastrointestinal, hematologic, and neurotoxic effects.
  • Conclusions:

    • Altretamine's therapeutic role is constrained by its toxicity profile, which resembles that of cisplatin.
    • It is best reserved for patients unable to tolerate standard platinum-based chemotherapy regimens.