Combinations for immune-modulation in cancer treatment
A technology of cancer and immune memory, applied in the field of cancer treatment
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example 1
[0095] Example 1 CX-4945 exhibits in vivo synergy with the DNA damaging agent gemcitabine
[0096] In the A2780 ovarian tumor model, gemcitabine (Gem) (120 mg / kg) and CX-4945 (25 mg / kg or 100 mg / kg) ( figure 1 ) combination showed a significant increase in endpoint time. The Colo-205 colorectal cancer model is resistant to individual agents alone ( figure 2 ). However, the combination of gemcitabine and CX-4945 significantly reduced tumor growth, suggesting that the combination may be effective in indications for which gemcitabine alone has not been approved.
example 2
[0097] Example 2 Utilizes medicine combination to enhance anti-tumor effect in cancer animal model
[0098] Table 1 shows that the pharmaceutical combinations described in the present invention produce synergistic antitumor effects in vivo. The use of gemcitabine at 60 mg / kg iv and 100 mg / kg orally administered to A2780 ovarian cancer xenografts with CX-4945 was well tolerated and significantly enhanced antitumor activity compared to gemcitabine alone. Time to endpoint (TTE) analysis showed a significant delay in time to endpoint for gemcitabine, CX-4945, and the combination of the two agents.
[0099] Table 1
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[0102] *CR: Complete Response
[0103] **PR: partial response
example 3
[0104] Example 3 CX-4945 significantly increases T cells in tumors and synergistically inhibits tumor growth in vivo with chemotherapeutic agents
[0105] Tumor growth inhibition and T cell activation in the immunocompetent syngeneic mouse model 4T1 (i.e., known to be resistant to treatment with immune checkpoint inhibitors such as anti-PD1, anti-PD-L1, and anti-CTLA4) efficacy research. Resistance to these antagonists that modulate T cell co-stimulatory signaling is indicative of a highly immunosuppressive tumor microenvironment.
[0106] This series of studies was performed in six to eight week old Balb / C mice. with 3 x 10 5 Breast cancer cell 4T1 cells were subcutaneously injected into the right flank of mice in 0.1 ml PBS. When the average tumor size reaches approximately 80-120mm 3 , the mice were randomized for treatment. Treatment with CX-4945 and / or cisplatin was administered at the doses and schedules described in Table 1. Prepare CX-4945 in 25mM Na 2 HPO 4 so...
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