BBR3464 is the first congener of a novel group of platinum compounds, the so-called cationic trinuclear platins. It binds to DNA more rapidly than cisplatin, which results in long-range interstrand and intrastrand cross-links. It is more potent than cisplatin, and very low dosages were effective in phase I trials. With a 1-hour intravenous infusion of 1.1 mg/m2 every 28 days, diarrhea (preceded by abdominal cramps), nausea/vomiting, and neutropenia were the most prominent drug-related adverse effects. There were no signs of drug-related nephrotoxicity, neurotoxicity, or lung dysfunction (12R, 13r, 31r).

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