Reversal of cancer chemotherapeutic resistance by amphotericin B--A broad phase I-II pilot study

Eur J Cancer Clin Oncol. 1987 Jun;23(6):683-7. doi: 10.1016/0277-5379(87)90263-x.

Abstract

In order to determine if it was possible to reverse clinically evident chemotherapeutic drug-resistance, 51 evaluable patients received chemotherapy (in doses and schedules on which they had previously demonstrated tumor progression) together with amphotericin B (AMB). AMB was given in 1-, 2-, or 4-day courses. There was 1 complete response (2%), and 5 partial responses (10%). Response rates tended to be higher in the 4-day treatment program (23%) than in the 1- or 2-day AMB treatment schedules (8%). Toxicity was that expected with chemotherapy (myelosuppression), or AMB alone (fever, chills, and reversible mild azotemia). We conclude that AMB is only infrequently able to reverse clinical drug-resistance, but that this might have palliative effects in a small number of patients in whom other standard chemotherapeutic drugs lack clinical effectiveness.

MeSH terms

  • Adult
  • Aged
  • Amphotericin B / therapeutic use*
  • Antineoplastic Agents / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Drug Evaluation
  • Drug Resistance*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / drug therapy*
  • Pilot Projects

Substances

  • Antineoplastic Agents
  • Amphotericin B