Document Detail


Phase II AIDS Malignancy Consortium trial of topical halofuginone in AIDS-related Kaposi sarcoma.
MedLine Citation:
PMID:  21068672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Using a novel blinded intrapatient vehicle control design, we conducted a phase II study of topically administered halofuginone, an angiogenesis inhibitor that inhibits collagen type-I and matrix metalloproteinases (MMPs), in patients with AIDS-related Kaposi sarcoma. Serial Kaposi sarcoma biopsies assessed treatment effects on angiogenic factors and Kaposi sarcoma herpesvirus-latency associated nuclear antigen-1 (KSHV-LANA). We observed marked heterogeneity of KSHV-LANA expression. Although the small number of subjects whose response could be evaluated precluded definitive assessment of halofuginone's efficacy, we observed a significant decrease in type-I collagen only in halofuginone-treated lesions, but no effect on MMP-2. The trial design is applicable to future studies of topical agents.
Authors:
Henry B Koon; Barbara Fingleton; Jeannette Y Lee; Julia T Geyer; Ethel Cesarman; Robert A Parise; Merrill J Egorin; Bruce J Dezube; David Aboulafia; Susan E Krown
Publication Detail:
Type:  Clinical Trial, Phase II; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  56     ISSN:  1944-7884     ISO Abbreviation:  J. Acquir. Immune Defic. Syndr.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-14     Completed Date:  2011-01-11     Revised Date:  2012-01-04    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  64-8     Citation Subset:  IM; X    
Affiliation:
Ireland Cancer Center, Case Western Reserve University, Cleveland, OH, USA.
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / drug therapy*
Administration, Topical
Adult
Antineoplastic Agents / administration & dosage,  therapeutic use*
Female
Humans
Male
Middle Aged
Piperidines / administration & dosage,  therapeutic use*
Quinazolinones / administration & dosage,  therapeutic use*
Sarcoma, Kaposi / drug therapy*
Single-Blind Method
Young Adult
Grant Support
ID/Acronym/Agency:
U01 CA070054-09/CA/NCI NIH HHS; U01 CA121947-03/CA/NCI NIH HHS; UO1 CA121947/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Piperidines; 0/Quinazolinones; 17395-31-2/halofuginone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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