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Peer-reviewed veterinary case report

Satraplatin chemotherapy tested in dogs with malignant tumors

By Selting, K A et al.·Published in Journal of veterinary internal medicine·2011·Department of Veterinary Medicine, United States·View original on PubMed

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Original publication title: Evaluation of satraplatin in dogs with spontaneously occurring malignant tumors.

Species:
dog

Plain-English summary

A group of dogs with cancer were treated with a new oral medication called satraplatin to see how well it worked and how much they could safely take. The study involved 23 dogs, and they found that a dose of 35 mg/m² for five days was the maximum that could be given without serious side effects. While some dogs experienced mild stomach issues, the treatment was generally well tolerated. The researchers concluded that satraplatin shows promise for treating dogs with cancer and suggested further studies to confirm its effectiveness.

People also search for: dog cancer treatment satraplatin · side effects of cancer medication in dogs · oral chemotherapy for dogs with tumors

Abstract

BACKGROUND: Satraplatin is the 1st orally bioavailable platinum anticancer drug. OBJECTIVE: Our objectives were to evaluate efficacy in vitro against a canine cancer cell line, to determine the maximally tolerated dose (MTD) of satraplatin in tumor-bearing dogs, to identify the dose-limiting and other toxicities in dogs, and to record pharmacokinetics (PK). ANIMALS: Dogs with macro- or microscopic malignant neoplasia. METHODS: D17 canine osteosarcoma cells first were evaluated in a clonogenic survival assay. Then, dogs with a diagnosis of malignant neoplasia were prospectively entered in standard 3 + 3 cohorts. Additional patients were entered at the MTD to assess efficacy. Total and free platinum (by ultrafiltrate) concentrations were determined with inductively coupled plasma mass spectroscopy. RESULTS: Satraplatin inhibited clonogenic survival in vitro at clinically relevant and achievable concentrations. Twenty-three dogs were treated, 14 with PK evaluation. The MTD was 35 mg/m(2)/d for 5 days, repeated every 3-4 weeks. Bioavailability was 41%. PK variables (mean ± SD) at the MTD included T(max) 1.8 (± 0.7) hours, C(max) 72 (± 26) ng/mL, area under concentration (AUC)(0-24 h) 316 (± 63) h × ng/mL, and MRT 7 (± 1.3) hours. Higher AUC after the 5th versus the 1st dose suggested drug accumulation. Interestingly, platelets consistently reached nadir sooner than did neutrophils (day 14 versus 19). Myelosuppression was dose-limiting and gastrointestinal toxicity was mild. CONCLUSIONS AND CLINICAL IMPORTANCE: Satraplatin was well tolerated in tumor-bearing dogs, thus warranting further investigation in a phase II trial.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21564292/