Methods of enhancing drug delivery and effectiveness of therapeutic agents
a technology of drug delivery and effectiveness, applied in the field of methods of enhancing drug delivery and can solve the problems of high overall effectiveness of therapeutic agents, hyper-stabilization of microtubule structures, etc., and achieve the effect of enhancing tumor uptake and uptake of therapeutic agents
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example 1
Clinical Studies for the Treatment of Pancreatic Cancer
[0215]This disease specific phase 1 / 2 study was designed to evaluate the safety and efficacy of gemcitabine plus Nab-paclitaxel (Nab-P) and the correlation of outcomes with tumor SPARC and serum CA19-9 levels.
[0216]Patient Eligibility: Patients 18 years or older with histologically confirmed metastatic adenocarcinoma of the pancreas were recruited. These patients had no islet cell neoplasms, locally invasive disease, or prior chemotherapy for metastatic disease.
[0217]Study Design and Treatment: The study was an open-label phase 1 / 2 study. 100, 125 or 150 mg / m2 Nab-paclitaxel+gemcitabine (1000 mg / m2) was administered weekly for 3 weeks (days 1, 8, 15) followed by a week of rest.
[0218]Safety Endpoints: Primary safety endpoint is maximum tolerated dose (MTD) and dose-limiting toxicity (DLT). Secondary end point is incidence of treatment-related adverse events (AEs) and serious AEs.
[0219]Efficacy Endpoints: Efficacy endpoint is conf...
example 2
Studies on the Mechanism of Action of gemcitabine and Abraxane®
[0229]Eleven Patient-derived low passage pancreatic tumor xenografts were implanted (s.c) in nude mice. Mice with tumor size of ˜200 mm3 were randomized to four treatment groups (7-10 tumors / group) and treated with 1) Vehicle; 2) Abraxane® (ABI) 30 mg / kg once daily i.v for five consecutive days; 3) Gemcitabine (GEM) 100 mg / kg twice a week for 4 weeks i.p and 4) GEM+ABI in the above mentioned dose and frequency for 4 weeks. Tumor size was measured twice per week using a digital caliper. Number of tumors that regressed more than 50% of its initial size in each tumor xenografts were noted. Extent of stromal desmoplasia and endothelial cell content in control and treated xenografts were determined by Masson's Trichrome staining, 1HC and qRTPCR.
[0230]In Vivo Efficacy:
[0231]Combination of GEM plus ABI resulted in enhanced antitumor activity compared to either single agents. 7 of 11 cases produced >50% regression of tumor size ...
example 3
Treatment of Lung Cancer
[0237]This example provides results from a phase 3 trial which studied the efficacy of Abraxane® (Nab-paclitaxel or nab-P) vs Taxol® (P) in combination with carboplatin (nab-PC v. PC) in advanced non-small cell lung cancer (NSCLC) of all histologic types.
[0238]Methods: First-line Stage HIB or IV NSCLC patients (ECOG 0 / 1) were randomized to C AUC6 q3w and either nab-P 100 mg / m2 weekly without premedication (n=521) or P 200 mg / m2 once every three weeks with premedication (n=531). Primary endpoint: ORR by independent radiologic review (IRR).
[0239]Results: Baseline and histologic characteristics were well balanced. Dose intensity of paclitaxel was higher in nab-PC vs PC (82 vs 65 mg / m2 / wk). nab-PC was superior to PC both by IRR (33% vs 25%, P=0.005), a 31% improvement (1.313 response ratio (RR), 95% CI: 1.082, 1.593), and by investigator review (37% vs 30%, P=0.008), a 26% improvement (1.259 RR, CI: 1.060, 1.496). Histologic analysis showed significantly improved...
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