[Antitumor activity of combination treatment combining gemcitabine with topotecin against human lung cancer xenografted in nude mice].

Abstract

Gemcitabine is a new deoxycytidine derivative that shows a distinguishing, potent antitumor activity against various human tumor lines transplanted to nude mice. We have investigated the antitumor activity of gemcitabine combined with cisplatin (CDDP) or vindesine (VDS) using a lung cancer line, H-74, that was insensitive to almost all antitumor drugs and relatively insensitive to gemcitabine. We found that the antitumor effects of gemcitabine combined with CDDP or VDS were more potent and lasted longer than that of each drug alone, without an increase in side effects such as body weight loss. In this study, the antitumor activity of combined gemcitabine with topotecin (CPT-11) was evaluated using a similar method for 8 weeks, including a 4-week treatment period and a subsequent 4-week drug-free period, with reference to tumor growth inhibition rate, histological changes, and side effects. The treatment combining gemcitabine with CPT-11 administered at each 1/2 MTD showed an additive effect at 4 and 8 weeks after start of administration. Furthermore, no remarkable side effects were observed. Since these study results demonstrated that gemcitabine combined with CPT-11 increased and prolonged the antitumor activity without increasing side effects such as body weight loss, it is expected that CPT-11 could be one of the useful drugs used in combination with gemcitabine for lung cancer therapy.

• Authors: Fumiko Fujita, Masako Koike, Masahide Fujita
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 29 Issue 4 Pg. 577-84 (Apr 2002) ISSN: 0385-0684 [Print] Japan
• PMID: 11977542 (Publication Type: Journal Article)

Chemical References

• Antimetabolites, Antineoplastic
• Deoxycytidine
• Irinotecan
• Camptothecin
• Gemcitabine

Topics

• Adenocarcinoma, Papillary (drug therapy, pathology)
• Animals
• Antimetabolites, Antineoplastic (administration & dosage)
• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Camptothecin (administration & dosage, analogs & derivatives)
• Deoxycytidine (administration & dosage, analogs & derivatives)
• Drug Administration Schedule
• Drug Synergism
• Female
• Humans
• Irinotecan
• Lung Neoplasms (drug therapy, pathology)
• Mice
• Mice, Inbred BALB C
• Mice, Nude
• Neoplasm Transplantation
• Transplantation, Heterologous
• Gemcitabine