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Preclinical evaluations of therapies combining the vascular targeting agent combretastatin A-4 disodium phosphate and conventional anticancer therapies in the treatment of Kaposi's sarcoma.

Abstract
The antitumor efficacy of the vascular targeting agent combretastatin A-4 disodium phosphate (CA4DP) was evaluated in a xenograft model of Kaposi's sarcoma (KS) grown in athymic mice. Response to CA4DP alone or in combination with localized radiation treatment or systemic chemotherapy (cisplatin or vinblastine) was assessed using a clonogenic cell survival or tumor growth delay assay. Administering increasing doses of CA4DP to tumor-bearing mice resulted in a dose-dependent increase in tumor cell kill. CA4DP also enhanced the antitumor effects of radiation and chemotherapy approximately 10-100-fold. Although single doses of CA4DP as large as 300 mg/kg failed to alter tumor growth, the same total dose, administered as 3 fractions in 5 or 9 days, resulted in significant growth delay. Such repeated CA4DP exposures also significantly increased the response of KS xenografts to cisplatin. These findings suggest that CA4DP ought to be considered as a candidate agent for therapeutic evaluation in AIDS-KS patients.
AuthorsLingyun Li, Amyn M Rojiani, Dietmar W Siemann
JournalActa oncologica (Stockholm, Sweden) (Acta Oncol) Vol. 41 Issue 1 Pg. 91-7 ( 2002) ISSN: 0284-186X [Print] England
PMID11990525 (Publication Type: Comparative Study, Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antineoplastic Agents, Phytogenic
  • Stilbenes
  • Vinblastine
  • fosbretabulin
  • Cisplatin
Topics
  • Animals
  • Antineoplastic Agents, Phytogenic (therapeutic use)
  • Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
  • Cell Division (drug effects)
  • Cisplatin (administration & dosage)
  • Drug Evaluation, Preclinical
  • Mice
  • Mice, Nude
  • Sarcoma, Experimental (blood supply, drug therapy, radiotherapy)
  • Sarcoma, Kaposi (blood supply, drug therapy, radiotherapy)
  • Stilbenes (therapeutic use)
  • Time Factors
  • Tumor Stem Cell Assay
  • Vinblastine (administration & dosage)
  • Whole-Body Irradiation

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