Abstract C218: Antitumor activities of a novel oral formulation of SN38
Bibliographic record
Abstract
Abstract Background: Novel formulations of SN38 were developed and screened in vitro. The efficacy and tolerability of the best formulation was evaluated in vivo. SN38 is the active metabolite of irinotecan (CPT-11) a potent TOPO-I inhibitor. Despite its poor and variable hydrolysis into SN38 by carboxylesterases, CPT-11 is still a drug of choice for the treatment of metastatic colorectal cancer. Until now, the poor aqueous solubility of SN38 has precluded its development. To address this formulation challenge, we used our library of block copolymers of polyethyleneglycol-polymethacrylate (PEG-PMA) to prepare pH-sensitive micellar formulations of SN38 for oral administration. Material and Methods: Formulations were screened in vitro for their ability to improve SN38 permeability using Caco-2 monolayers. The pharmacokinetics of SN38 as delivered by oral DDS-06E (50mg/kg) or by IV CPT11 (6.2 (mg/kg) were evaluated in fasted Sprague Dawley rats. Plasma profile of CPT11, SN38 and SN-38 glucuronide were determined. DDS-06E was evaluated in tolerability studies conducted in HCT-116 tumor bearing Swiss nude mice (Q1Dx5) × 2 weeks. Chronic toxicity of the excipient PEG-PMA given orally daily was also evaluated in Swiss nude mice for 28 days. Efficacy studies were performed in HCT-116 and Mia-PaCa-2 xenografts (n = 12/group). Micellar SN38 (50 and 75 mg/kg/d) and vehicle control were administered orally [(Q1Dx5) × 2 weeks] every 21 days for at least 2 cycles. CPT-11 was administered IV at 50 mg/kg [(Q7D) × 2 weeks] every 21 days for at least 2 cycles. Body weights and tumor volumes were monitored thrice a week. Results: Permeability of SN38 was significantly increased in 4 out of 6 micellar formulations compared to SN38 in DMSO. The best formulation (DDS-06E) was selected based on its in vitro behavior and in vivo studies were performed. Intravenous (IV) administration of CPT-11 to rats resulted in extensive metabolism to SN38 and SN38-Glu (AUCSN38-Glu/AUCSN38 = 2.60). Conversely, when DDS-06E was administered orally, negligible conversion to SN38-Glu occurred (AUCSN38-Glu/AUCSN38 = 0.03). Orally administered DDS-06E was well tolerated after single dose (> 200 mg/kg) and repeated doses (between 50 and 100 mg/kg/d). Body weights and hematologic/biochemical parameters did not reveal any sign of toxicity after administration of PEG-PMA alone for doses up to 2700 mg/kg/d. Overall, DDS-06E was well tolerated after repeated administration to animal bearing colon (HCT-116) and pancreatic (Mia-PaCa-2) tumors. Significant reductions in relative tumor growth were observed in the HCT-116 and Mia-Pa-Ca model compared to vehicle control (p<0.05). In these models, DDS-06E displayed equivalent efficacy than CPT-11 given IV (p>0.5). Conclusions: Labopharm has developed an oral micellar formulation of SN38 that is well tolerated in tumor-bearing animals and displays efficacy equivalent to CPT-11 given IV. These results suggest that DDS-06E is a promising agent and should be evaluated in clinical trials. Citation Information: Mol Cancer Ther 2009;8(12 Suppl):C218.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".