Electrochemotherapy, a new antitumor treatment. First clinical phase I-II trial.

作者: Michel Belehradek , Christian Domenge , Bernard Luboinski , Stéphane Orlowski , Jean Belehradek

DOI: 10.1002/1097-0142(19931215)72:12<3694::AID-CNCR2820721222>3.0.CO;2-2

关键词: SurgeryUrologyBleomycinAntibioticsElectroporationHead and neckElectrochemotherapyPhase i iiToxicityMedicineChemotherapy

摘要: Background. Electrochemotherapy is a new antitumor treatment consisting of electrical pulses administered to the tumor several minutes after intravenous injection bleomycin. In mice, important effects were observed on subcutaneously transplanted tumors and spontaneously occurring mammary carcinomas. Cures obtained one single combining bleomycin electric pulses. humans, permeation nodules seemed an adequate oncologic situation assay this procedure. The authors report first Phase I-II trial electrochemotherapy. Methods. Eight patients with 40 head neck squamous cell carcinomas treated 10 mg/m2 bolus, followed by four or eight short (100 μseconds) intense (1300 V/cm) through two external electrodes located each side nodule. Results. An instantaneous painless contraction underlying muscles was regularly observed. Neither local nor general observed, electrochemotherapy well tolerated. addition, clear efficacy found: 23 (57%) in clinical complete response within few days. Conclusion. absence toxicity, good tolerance patients, net are encouraging for additional developments oncology.

参考文章(14)
Stéphane Orlowski, Jean Belehradek, Claude Paoletti, Lluis M. Mir, Transient electropermeabilization of cells in culture. Increase of the cytotoxicity of anticancer drugs. Biochemical Pharmacology. ,vol. 37, pp. 4727- 4733 ,(1988) , 10.1016/0006-2952(88)90344-9
Daniel Sem, David H. Petering, Jeffrey Templin, Robert W. Byrnes, Suzanne Lyman, Intracellular DNA strand scission and growth inhibition of Ehrlich ascites tumor cells by bleomycins. Cancer Research. ,vol. 50, pp. 5275- 5286 ,(1990)
U. Zimmermann, Electric field-mediated fusion and related electrical phenomena Biochimica et Biophysica Acta (BBA) - Reviews on Biomembranes. ,vol. 694, pp. 227- 277 ,(1982) , 10.1016/0304-4157(82)90007-7
B. Poddevin, S. Orlowski, J. Belehradek, L.M. Mir, Very high cytotoxicity of bleomycin introduced into the cytosol of cells in culture Biochemical Pharmacology. ,vol. 42, pp. S67- S75 ,(1991) , 10.1016/0006-2952(91)90394-K
E. Tellez-Bernal, M. Belehradek, G. Recondo, E. Cvitkovic, A. M. Leridant, R. Vericel, J. P. Armand, Phase II study of cisplatin and continuous-infusion 5-fluorouracil and bleomycin for recurrent and metastatic head and neck squamous-cell carcinoma. American Journal of Clinical Oncology. ,vol. 13, pp. 452- 454 ,(1990) , 10.1097/00000421-199010000-00018
G. Pron, J. Belehradek, L.M. Mir, Identification of a plasma membrane protein that specifically binds bleomycin. Biochemical and Biophysical Research Communications. ,vol. 194, pp. 333- 337 ,(1993) , 10.1006/BBRC.1993.1824
D. Zerbib, F. Amalric, J. Teissié, Electric field mediated transformation: Isolation and characterization of a TK+ subclone Biochemical and Biophysical Research Communications. ,vol. 129, pp. 611- 618 ,(1985) , 10.1016/0006-291X(85)91935-7
Lluis M. Mir, Stéphane Orlowski, Jean Belehradek, Claude Paoletti, Electrochemotherapy potentiation of antitumour effect of bleomycin by local electric pulses. European Journal of Cancer and Clinical Oncology. ,vol. 27, pp. 68- 72 ,(1991) , 10.1016/0277-5379(91)90064-K
J. Belehradek, S. Orlowski, B. Poddevin, C. Paoletti, L.M. Mir, Electrochemotherapy of spontaneous mammary tumours in mice. European Journal of Cancer and Clinical Oncology. ,vol. 27, pp. 73- 76 ,(1991) , 10.1016/0277-5379(91)90065-L