The antimetastatic activity of a novel camptothecan conjugate,
MEN4901/
T-0128, in which 7-ethyl-10-aminopropyloxy-camptothecin (T-2513) is bound to a biodegradable
carboxymethyldextran via a
Gly-Gly-Gly linker, was observed in this study. High antimetastatic activity of
MEN4901/
T-0128 was demonstrated in a clinically-relevant orthotopic mouse model of human
colon cancer.
MEN4901/
T-0128 and
irinotecan were compared for anti-metastatic activity as well as efficacy against the primary
tumor. An imageable, metastatic model was made by surgical orthotopic implantation (SOI) of the
green fluorescent protein (GFP)-expressing HT-29
tumor in nude mice.
MEN4901/
T-0128 and
irinotecan were administered intravenously at various doses and schedules.
MEN4901/
T-0128, with treatment beginning on d 49 after SOI, was highly effective on
lymph node metastasis as well as against the primary
tumor. Both GFP imaging and histology demonstrated a markedly lower metastatic incidence of lymph nodes in all
MEN4901/
T-0128 treated mice compared with
irinotecan-treated and untreated mice. At the most efficacious dose of
MEN4901/
T-0128, only 1 of 12 animals had
lymph node metastasis compared with 19 of 20 in the control group. The present study demonstrates the principle that when a camptothecan is conjugated to an appropriate
polymer, the
drug can become extremely effective with important clinical potential for antimetastatic
therapy, a most urgent need.