• Eur. J. Cancer · Apr 2004

    Review

    The Cancer Research UK experience of pre-clinical toxicology studies to support early clinical trials with novel cancer therapies.

    • D R Newell, J Silvester, C McDowell, S S Burtles, and Cancer Research UK.
    • Drug Development Office, Cancer Research UK, PO Box 123, WC2A 3PX London, UK.
    • Eur. J. Cancer. 2004 Apr 1; 40 (6): 899-906.

    AbstractPre-clinical toxicology studies in rodents and Phase I clinical trial data are summarised for 14 novel anticancer therapies. With only one exception, an antifolate antimetabolite, rodent toxicology predicted a safe Phase I trial starting dose and the majority of the dose limiting toxicities, in particular haematological toxicity. For targeted agents with well-defined pharmacodynamic markers, illustrated in the current study by 3 anti-endocrine drugs and one resistance modifier, the definition of a maximum tolerated dose can be avoided. Together with earlier data, the current study confirms that pre-clinical toxicology studies in a non-rodent species are not routinely needed for the safe conduct of early clinical trials with new cancer chemotherapies.

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