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Published on: September 18, 2013
Preclinical evaluation of new anthracyclines
1Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, 20133, Italy. pratesi@istitutotumori.mi.it
Abstract:
We designed a screening system for new anthracyclines totally based on human tumor material. In the first step of the system, the relative cytotoxicity versus doxorubicin of all new compounds is investigated in a panel of human tumor cell lines, well characterized for resistance factors and p53 status. Only a few analogs are selected through this step for further evaluation. The second step is aimed to investigate the therapeutic efficacy and the tolerability of the analog, which is compared to doxorubicin in a series of human tumor xenografts selected for presenting natural or acquired (by known mechanisms) resistance to the parent drug. Cardiotoxicity in mice is also studied. Cellular and molecular pharmacology studies are also considered. The results of a series of disaccharide anthracycline analogs screened by the system are presented. An analog of the series, MEN 10755, was selected for clinical investigation and is currently evaluated in Phase I trials. The ability of human tumor xenografts to predict the clinical efficacy of anthracycline analogs is also discussed.
Insights
A novel screening system using human tumor models identified MEN 10755, a promising anthracycline analog. This new drug candidate shows potential efficacy and tolerability, advancing to Phase I clinical trials.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Anthracyclines are crucial chemotherapy agents, but drug resistance and cardiotoxicity limit their use.
- Developing novel anthracycline analogs with improved efficacy and safety profiles is essential.
- Existing screening methods often lack direct relevance to human tumor biology.
Purpose of the Study:
- To establish a screening system for novel anthracyclines based on human tumor material.
- To evaluate the cytotoxicity, therapeutic efficacy, and tolerability of new anthracycline analogs.
- To assess the predictive value of human tumor xenografts for clinical efficacy.
Main Methods:
- Utilized a two-step screening system employing human tumor cell lines and xenografts.
- Assessed relative cytotoxicity against doxorubicin in cell lines with characterized resistance factors and p53 status.
- Evaluated therapeutic efficacy and tolerability in human tumor xenografts resistant to doxorubicin, including cardiotoxicity studies in mice.
Main Results:
- A series of disaccharide anthracycline analogs were screened.
- One analog, MEN 10755, demonstrated promising results and was selected for further development.
- MEN 10755 is currently undergoing Phase I clinical trials.
Conclusions:
- The developed screening system effectively identifies promising anthracycline analogs.
- Human tumor xenografts serve as valuable models for predicting clinical efficacy of anthracyclines.
- MEN 10755 represents a potential new therapeutic option for anthracycline-resistant cancers.
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