Key result
Aldoxorubicin plus temozolomide inhibits tumor volume and increases survival ~38% in a xenograft mouse model.
Why the study?
Does the combination of aldoxorubicin and temozolomide improve tumor volume inhibition and survival in a xenograft mouse model of human glioblastoma?
Does the combination of aldoxorubicin and temozolomide improve tumor volume inhibition and survival in a xenograft mouse model of human glioblastoma?
p-value: p=0.0175
The combination of aldoxorubicin and temozolomide demonstrates enhanced anti-glioma efficacy in preclinical models compared to single agents.
Hypothesis-generating in glioblastoma xenografts; leaves open translation to human trials before any practice consideration.
// Martina Da Ros 1 , Anna Lisa Iorio 1 , Veronica De Gregorio 1 , Ornella Fantappiè 2 , Giacomo Laffi 2 , Maurizio de Martino 1 , Claudio Pisano 3 , Lorenzo Genitori 1 and Iacopo Sardi 1 1 Neuro-Oncology Unit, Department of Pediatric Oncology, Meyer Children’s Hospital, Florence, Italy 2 Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy 3 BIOGEM Research Institute, Ariano Irpino, Italy Correspondence to: Iacopo Sardi, email: iacopo.sardi@meyer.it Keywords: aldoxorubicin; temozolomide; glioblastoma; malignant glioma; xenograft model Received: March 15, 2018 Accepted: September 15, 2018 Published: October 09, 2018 ABSTRACT Glioblastoma Multiforme (GBM) is still an incurable disease. The front-line Temozolomide (TMZ)-based therapy suffers from poor efficacy, underlining the need of new therapies. Preclinically, Aldoxorubicin (Aldox), a novel prodrug of Doxorubicin (Dox), has been successfully tested against GBM, encouraging the study of its association with other agents. For the first time, we evaluated the effectiveness of Aldox combined to TMZ in preclinical models of GBM. Our in vitro results demonstrated that the anti–glioma effect of Aldox was more marked than TMZ and their combination increased the killing effect of the anthracycline in TMZ-resistant GBM cells. Moreover, unlike Dox, Aldox was able to accumulate in P-glycoprotein (P-gp)-overexpressed cells due to a negative regulation of the P-gp function. We also compared efficacy and safety of weekly administrations of Aldox (16 mg/kg), with or without TMZ (0.9 mg/kg, daily injections), in the U87 xenograft mouse model. Aldox therapy induced a moderate tumor volume inhibition (TVI) and an increased survival rate (+12.5% vs vehicle). On the other hand, when combined to TMZ, Aldox caused a significant TVI (P=0.0175 vs vehicle) and delayed the mortality during the experimental period, although TVI and endpoint survival percentage (+37.5% vs vehicle) were not significantly different from TMZ alone. Our preliminary data showed that Aldox exerts anti–glioma effects in vitro and in vivo . It also enhances its antitumor activity when combined with TMZ, resulting in a superior efficacy compared to the single agents, without adverse side effects.
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Ros et al. (2018) studied Glioblastoma Multiforme. Aldoxorubicin combined with Temozolomide vs. Vehicle and Temozolomide alone was evaluated on Tumor volume inhibition (TVI) (p=0.0175). In a U87 xenograft mouse model, Aldoxorubicin combined with Temozolomide caused significant tumor volume inhibition (P=0.0175 vs vehicle) and increased survival (+37.5% vs vehicle).
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