PHASE-I STUDY OF N-(PHOSPHONACETYL)-L-ASPARTIC ACID (PALA)

  • 1 January 1979
    • journal article
    • research article
    • Vol. 63  (11-1) , 1909-1912
Abstract
L-Aspartic acid (PALA), an inhibitor of aspartate transcarbamylase, was administered to 25 patients with advanced cancer by 10 min infusion daily on 5 consecutive days to determine the toxicity of PALA and to look for evidence of therapeutic effect. Planned dose escalations ranged from 100-1250 mg/m2 (daily dose). Nausea, vomiting and diarrhea were the most frequent toxic effects, with 3 of 6 patients treated at a daily dose of 1250 mg/m2 having severe diarrhea. Other toxic effects were encountered rarely and were not dose-limiting; these included mild leukopenia and rarely thrombocytopenia, rash, stomatitis and increases in SGOT [serum glutamic oxaloacetic transminase]. One patient with a widely metastatic carcinoid of unknown origin had an objective response lasting 6 wk.