Novel biocompatible intraperitoneal drug delivery system increases tolerability and therapeutic efficacy of paclitaxel in a human ovarian cancer xenograft model

作者: Vessela Vassileva , Justin Grant , Raquel De Souza , Christine Allen , Micheline Piquette-Miller

DOI: 10.1007/S00280-007-0449-0

关键词:

摘要: We compared the safety, toxicity, biocompatibility and anti-tumour efficacy of a novel chitosan-egg phosphatidylcholine (ePC) implantable drug delivery system that provides controlled sustained release paclitaxel (PTXePC) versus commercial formulated in Cremophor EL (PTXCrEL). Toxicity studies were conducted healthy CD-1 female mice, whereas performed SKOV-3 xenograft model ovarian cancer. Treatments consisted intraperitoneal (IP) implantation drug-free or PTXePC formulations, IP bolus PTXCrEL, (CrEL) vehicle. was assessed as number deaths, weight loss, serum hepatic enzyme levels histopathological changes. Mice implanted with formulations did not exhibit observable toxicities, local inflammation fibrous encapsulation implant. In contrast, mice receiving PTXCrEL CrEL encountered significant lethality, abnormal peritoneal organ morphology inflammation. The maximum tolerable dose (MTD) 20 mg/kg/week, PTX doses up to 280 mg/kg/week well tolerated when administered PTXePC. Enhanced achieved contrast same total 60 mg/kg PTX. formulation is safer better method for administration, increase MTD enhanced efficacy, suggesting improved therapeutic index possible clinical implications treatment tumours.

参考文章(16)
Seong H. Jang, M. Guillaume Wientjes, Jessie L.-S. Au, Determinants of paclitaxel uptake, accumulation and retention in solid tumors. Investigational New Drugs. ,vol. 19, pp. 113- 123 ,(2001) , 10.1023/A:1010662413174
J. S. Fisherman, J. A. O'Shaughnessy, K. H. Cowan, Combination paclitaxel (Taxol) and doxorubicin therapy for metastatic breast cancer. Seminars in Oncology. ,vol. 21, pp. 19- 23 ,(1994)
A Maitra, T K De, D Sharma, T P Chelvi, K Chakravorty, R Ralhan, J Kaur, Novel Taxol formulation: polyvinylpyrrolidone nanoparticle-encapsulated Taxol for drug delivery in cancer therapy. Oncology Research. ,vol. 8, pp. 281- 286 ,(1996)
DeVita Vt, Dedrick Rl, Myers Ce, Bungay Pm, Pharmacokinetic rationale for peritoneal drug administration in the treatment of ovarian cancer Cancer treatment reports. ,vol. 62, pp. 1- 11 ,(1978)
Emmanuel A. Ho, Vessela Vassileva, Christine Allen, Micheline Piquette-Miller, In vitro and in vivo characterization of a novel biocompatible polymer-lipid implant system for the sustained delivery of paclitaxel. Journal of Controlled Release. ,vol. 104, pp. 181- 191 ,(2005) , 10.1016/J.JCONREL.2005.02.008
Toru Sugiyama, Toshiharu Kamura, Junzo Kigawa, Naoki Terakawa, Yoshihiro Kikuchi, Tunekazu Kita, Mitsuaki Suzuki, Ikuo Sato, Kouji Taguchi, Clinical characteristics of clear cell carcinoma of the ovary: a distinct histologic type with poor prognosis and resistance to platinum-based chemotherapy. Cancer. ,vol. 88, pp. 2584- 2589 ,(2000) , 10.1002/1097-0142(20000601)88:11<2584::AID-CNCR22>3.0.CO;2-5
John P. Micha, Bram H. Goldstein, Connie L. Birk, Mark A. Rettenmaier, John V. Brown, Abraxane in the treatment of ovarian cancer: The absence of hypersensitivity reactions Gynecologic Oncology. ,vol. 100, pp. 437- 438 ,(2006) , 10.1016/J.YGYNO.2005.09.012
Rosanna Supino, Graziella Pratesi, Donatella Polizzi, Ezio Bombardelli, Franco Zunino, Antonella Riva, Monica Tortoreto, A novel taxane with improved tolerability and therapeutic activity in a panel of human tumor xenografts Cancer Research. ,vol. 59, pp. 1036- 1040 ,(1999)
Taisuke Mori, Yoshiyuki Kinoshita, Ai Watanabe, Takeshi Yamaguchi, Kenichi Hosokawa, Hideo Honjo, Retention of paclitaxel in cancer cells for 1 week in vivo and in vitro Cancer Chemotherapy and Pharmacology. ,vol. 58, pp. 665- 672 ,(2006) , 10.1007/S00280-006-0209-6
J. Grant, M. Blicker, M. Piquette-Miller, C. Allen, Hybrid films from blends of chitosan and egg phosphatidylcholine for localized delivery of paclitaxel. Journal of Pharmaceutical Sciences. ,vol. 94, pp. 1512- 1527 ,(2005) , 10.1002/JPS.20379