Cited by 136Cancer-related Molecular PathwaysAcute Myeloid Leukemia ResearchRNA Interference and Gene Delivery

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Phase I trial of an antisense oligonucleotide OL(1)p53 in hematologic malignancies.

Abstract

PURPOSE: The phosphoprotein p53 is involved in transcriptional regulation and is detected in hematologic malignancies. In vitro incubation of acute myelogenous leukemia with OL(1)p53, a 20-mer phosphorothioate oligonucleotide complementary to p53 mRNA, results in leukemic cell death. A phase I dose-escalating trial was conducted to determine the toxicity of OL(1)p53 following systemic administration to patients with hematologic malignancies. PATIENTS AND METHODS: Sixteen patients with either refractory acute myelogenous leukemia (n = 6) or advanced myelodysplastic syndrome (n = 10) participated in the trial. Patients were given OL(1)p53 at doses of 0.05 to 0.25 mg/kg/h for 10 days by continuous intravenous infusion. RESULTS: No specific toxicity was directly related to the administration of OL(1)p53. One patient developed transient nonoliguric renal failure. One patient died of anthracycline-induced cardiac failure. Approximately 36% of the administered dose of OL(1)p53 was recovered intact in the urine. Plasma concentrations and area under the plasma concentration curves were linearly correlated with dose. Leukemic cell growth in vitro was inhibited as compared with pretreatment samples. There were no clinical complete responses. CONCLUSION: A phosphorothioate oligonucleotide, OL(1)p53, can be administered systemically without complications. This type of modified oligonucleotide can be administered without complete degradation, as it was recovered from the urine intact. This oligonucleotide may be useful in combination with currently available chemotherapy agents for the treatment of malignancies.

Overview

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Crossref · 10.1200/jco.1996.14.4.1320

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20 of 20 references verified0 citation errors · 0 not checkable

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Metadata

Authors
Bishop, M. R., Iversen, P. L., Bayever, E., Sharp, J. G., Greiner, T. C., Copple, B. L., Ruddon, R., Zon, G., Spinolo, J., Arneson, M., Armitage, J. O., & Kessinger, A.
Affiliations
University of Nebraska Medical Center (US)
Venue
Journal of Clinical Oncology
Published
1996-04
Volume
14
Issue
4
Pages
1320-1326
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W1821878109
Cited by
136
References
20
Citations by year
2026: 2 · 2023: 2 · 2020: 3 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 1
FWCI
7.33
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Clinical Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
University of Nebraska Medical Center
Topics
  • Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
  • Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
Keywords
antisense oligonucleotides, phosphorothioate oligonucleotides, p53 mRNA, acute myeloid leukemia, myelodysplastic syndrome, hematologic malignancies, drug toxicity, renal failure, pharmacokinetics, dose escalation
MeSH terms
Adult, Aged, Female, Humans, Male, Middle Aged, Molecular Sequence Data, Myelodysplastic Syndromes, Thionucleotides, Leukemia, Myeloid, Acute, Oligonucleotides, Antisense, Treatment Outcome, Oligodeoxyribonucleotides, Antisense

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