New amazing natural alternative anti tumor drugs (colorectal cancer)
This trial with real humans showed benefit to some.
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Clin Cancer Res. 2000 Feb;6(2):390-6.
Phase I clinical and pharmacokinetic study of perillyl alcohol administered
four times a day.
Ripple GH, Gould MN, Arzoomanian RZ, Alberti D, Feierabend C, Simon K,
Binger K, Tutsch KD, Pomplun M, Wahamaki A, Marnocha R, Wilding G, Bailey
HH.
University of Wisconsin Comprehensive Cancer Center, Developmental
The****utics Program, Madison 53792, USA.
We conducted a phase I dose-escalation trial of perillyl alcohol (POH; NSC
641066) given p.o. on a continuous four times a day basis to characterize
the maximum tolerated dose, toxicities, pharmacokinetic profile, and
antitumor activity. Six**** evaluable patients with advanced refractory
malignancies were treated at the following doses: level 1 (L1), 800
mg/m2/dose; L2, 1200 mg/m2/dose; L3, 1600 mg/m2/dose. POH was formulated in
soft gelatin capsules containing 250 mg of POH and 250 mg of soybean oil.
The predominant toxicities seen were gastrointestinal (nausea, vomiting,
satiety, and eructation), which were dose limiting. There appeared to be a
dose-dependent increase in levels of the two main metabolites, perillic acid
and dihydroperillic acid. No significant differences were seen whether the
drug was taken with or without food. There was a trend toward decreasing
metabolite levels on day 29 compared with days 1 and 2. Peak metabolite
levels were seen 1-3 h post ingestion. Metabolite half-lives were
approximately 2 h. Approximately 9% of the total dose was recovered in the
urine in the first 24 h, the majority as perillic acid. Evidence of
antitumor activity was seen in a patient with metastatic colorectal cancer
who has an ongoing near-complete response of > 2 years duration. Several
other patients were on study for > or = 6 months with stable disease. The
maximum tolerated dose of POH given continuously four times a day was 1200
mg/m2/dose. Gastrointestinal toxicity was dose limiting, although
significant interpatient variability in drug tolerance was seen.
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