Evaluation of amonafide in cervical cancer, phase II. A SWOG study

The Southwest Oncology Group conducted a Phase II study of amonafide in patients with metastatic or recurrent squamous cell cervical cancer. Twelve of the 15 patients were fully evaluable for response and toxicity. There were no clinical responses seen; 2 patients had stable disease while 13 had progressive disease. The major complication of this therapy was myelosuppression. Four patients had life-threatening granulocytopenia (<500/μl), 3 patients had life-threatening leukopenia (<1000/μl), while 2 patients had life-threatening thrombocytopenia (<25,000/μl). Amonafide has significant toxicity but appears to be an inactive drug in metastatic or recurrent squamous cell cancer of the cervix.