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Published on: December 9, 2016
A targeted combinatorial therapy for Ewing's sarcoma
Fahad Y Sabei1, Olena Taratula2, Hassan A Albarqi3
1Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Portland, OR, USA; Department of Pharmaceutics, College of Pharmacy, Jazan University, Jazan, Saudi Arabia.
Abstract:
Ewing's sarcoma (EwS) is the second most common bone cancer in children and adolescents. Current chemotherapy regimens are mainly ineffective in patients with relapsed disease and cause long-term effects in survivors. Therefore, we have developed a combinatorial therapy based on a novel drug candidate named ML111 that exhibits selective activity against EwS cells and synergizes with vincristine. To increase the aqueous solubility of hydrophobic ML111, polymeric nanoparticles (ML111-NP) were developed. In vitro data revealed that ML111-NP compromise viability of EwS cells without affecting non-malignant cells. Furthermore, ML111-NP exhibit strong synergistic effects in a combination with vincristine on EwS cells, while this drug pair exhibits antagonistic effects towards normal cells. Finally, animal studies validated that ML111-NP efficiently accumulate in orthotopic EwS xenografts after intravenous injection and provide superior therapeutic outcomes in a combination with vincristine without evident toxicity. These results support the potential of the ML111-based combinatorial therapy for EwS.
Insights
A new therapy combining ML111 nanoparticles and vincristine shows promise for treating relapsed Ewing sarcoma (EwS) in children and adolescents. This approach targets cancer cells effectively with minimal toxicity to healthy cells.
Area of Science:
- Pediatric Oncology
- Nanomedicine
- Drug Development
Background:
- Ewing sarcoma (EwS) is a prevalent pediatric bone cancer with limited treatment options for relapsed cases.
- Current chemotherapy for EwS can be ineffective in recurrent disease and leads to significant long-term side effects in survivors.
Purpose of the Study:
- To develop a novel combinatorial therapy for EwS using a new drug candidate, ML111, and vincristine.
- To enhance the delivery and efficacy of ML111 through polymeric nanoparticle formulation (ML111-NP).
Main Methods:
- Formulation of hydrophobic ML111 into aqueous-soluble polymeric nanoparticles (ML111-NP).
- In vitro evaluation of ML111-NP and ML111-NP plus vincristine combination on EwS and non-malignant cells.
- In vivo assessment of ML111-NP accumulation and therapeutic efficacy in orthotopic EwS xenograft models.
Main Results:
- ML111-NP demonstrated selective toxicity towards EwS cells, sparing non-malignant cells.
- The combination of ML111-NP and vincristine showed synergistic anti-cancer effects on EwS cells but not on normal cells.
- Intravenously administered ML111-NP effectively accumulated in EwS tumors, leading to superior therapeutic outcomes with vincristine without observable toxicity.
Conclusions:
- ML111-NP in combination with vincristine represents a promising therapeutic strategy for relapsed Ewing sarcoma.
- This combinatorial approach offers targeted efficacy and a favorable safety profile, addressing unmet needs in EwS treatment.
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