Despite paclitxael's clinical success, treating
hormone-refractory
breast cancer remains challenging.
Paclitaxel has a poor pharmacological profile, characterized by a low therapeutic index (TIX) caused by severe dose limiting toxicities, such as
neutropenia and
peripheral neuropathy. Consequently, new drugs are urgently required.
STX140, a compound previously shown to have excellent efficacy against many
tumors, is here compared to
paclitaxel in three translational in vivo
breast cancer models, a rat model of
peripheral neuropathy, and through pharmacological testing. Three different in vivo mouse models of
breast cancer were used; the metastatic 4T1 orthotopic model, the C3(1)/SV40 T-Ag model, and the MDA-MB-231 xenograft model. To determine TIX and pharmacological profile of
STX140, a comprehensive dosing regime was performed in mice bearing MDA-MD-231 xenografts. Finally,
peripheral neuropathy was examined using a rat plantar
thermal hyperalgesia model. In the 4T1 metastatic model,
STX140 and
paclitaxel significantly inhibited primary
tumor growth and lung
metastases. All C3(1)/SV40 T-Ag mice in the control and
paclitaxel treated groups developed palpable
mammary cancer.
STX140 blocked 47% of
tumors developing and significantly inhibited growth of
tumors that did develop.
STX140 treatment caused a significant (P<0.001) survival advantage for animals in early and late intervention groups. Conversely, in C3(1)/SV40 T-Ag mice,
paclitaxel failed to inhibit
tumor growth and did not increase survival time. Furthermore,
paclitaxel, but not
STX140, induced significant
peripheral neuropathy and
neutropenia. These results show that
STX140 has a greater anti-
cancer efficacy, TIX, and reduced neurotoxicity compared to
paclitaxel in C3(1)/SV40 T-Ag mice and therefore may be of significant benefit to patients with
breast cancer.