1983
DOI: 10.1007/bf00177418
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Colchicine in refractory chronic lymphocytic leukemia

Abstract: Fourteen patients with active chronic lymphocytic leukemia who had failed prior therapy were treated with progressive doses of weekly intravenous colchicine beginning at 2 mg and escalating as high as 7 mg in a single injection. Responses were seen in two of 14, with a lessening of adenopathy and splenomegaly. Toxicity was characterized by gastrointestinal intolerance in eight and thrombocytopenia in 12. There is activity of the drug in chronic lymphocytic leukemia but, as administered in this study, high dose… Show more

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Cited by 5 publications
(2 citation statements)
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“…We have evaluated our initial approach to rational drug design based on tubulin as a target and specifically its colchicine binding site. We have chosen the colchicine site because: 1) colchicine is a drug with a long clinical history [6]; 2) the precise mechanisms of colchicine binding, including conformational effects, have been worked out better than for any other tubulin-binding drug [7-14]; 3) the synthetic chemistry of colchicine and its derivatives is simpler than that of other tubulin-binding drugs [15,16]; 4) colchicine has strong anti-mitotic activity which can be used as a standard for comparison of the derivatives that we design [17]; 5) colchicine has been used in clinical trials but, due to dose-limiting general toxicities has not been successful so far [6]; 6) tubulin isotypes differ significantly from each other in their binding to colchicine and some of its derivatives. Our hope is that by altering the structure of the drug to make it more specific for cancer cells, its therapeutic concentration can be lowered below the toxicity limit.…”
Section: Introductionmentioning
confidence: 99%
“…We have evaluated our initial approach to rational drug design based on tubulin as a target and specifically its colchicine binding site. We have chosen the colchicine site because: 1) colchicine is a drug with a long clinical history [6]; 2) the precise mechanisms of colchicine binding, including conformational effects, have been worked out better than for any other tubulin-binding drug [7-14]; 3) the synthetic chemistry of colchicine and its derivatives is simpler than that of other tubulin-binding drugs [15,16]; 4) colchicine has strong anti-mitotic activity which can be used as a standard for comparison of the derivatives that we design [17]; 5) colchicine has been used in clinical trials but, due to dose-limiting general toxicities has not been successful so far [6]; 6) tubulin isotypes differ significantly from each other in their binding to colchicine and some of its derivatives. Our hope is that by altering the structure of the drug to make it more specific for cancer cells, its therapeutic concentration can be lowered below the toxicity limit.…”
Section: Introductionmentioning
confidence: 99%
“…[5] Although COL and structurally related compounds have therapeutic effects towards various types of cancer, [6][7][8][9][10][11] undesirable side-effects have limited their application, and this has stimulated the development of new therapeutics centered on COL structure. [12] Towards this end, and to decrease toxicity towards normal cells and retain the original activity in the nanomolar range towards cancer cells, a series of new COL derivatives, namely N-carbamates of N-deacetylthiocolchicine and -deacetyl-4-(bromo/chloro/iodo)thiocolchicine, have been previously synthesized. [13][14][15][16] Potent activity for some of these compounds towards A549 lung cancer cells, MCF-7 breast cancer cells, LoVo colon cancer cells, and its doxorubicin-resistant variant, LoVo/DX, has been reported.…”
mentioning
confidence: 99%