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2016 ; 7
(40
): 65540-65552
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STA-8666, a novel HSP90 inhibitor/SN-38 drug conjugate, causes complete tumor
regression in preclinical mouse models of pediatric sarcoma
#MMPMID27608846
Heske CM
; Mendoza A
; Edessa LD
; Baumgart JT
; Lee S
; Trepel J
; Proia DA
; Neckers L
; Helman LJ
Oncotarget
2016[Oct]; 7
(40
): 65540-65552
PMID27608846
show ga
Long-term survival in patients with metastatic, relapsed, or recurrent Ewing
sarcoma and rhabdomyosarcoma is dismal. Irinotecan, a topoisomerase 1 inhibitor,
has activity in these sarcomas, but due to poor bioavailability of its active
metabolite (SN-38) has had limited clinical efficacy. In this study we have
evaluated the efficacy and toxicity of STA-8666, a novel drug conjugate which
uses an HSP90 inhibitor to facilitate intracellular, tumor-targeted delivery of
the topoisomerase 1 inhibitor SN-38, thus preferentially delivering and
concentrating SN-38 within tumor tissue. We present in vivo evidence from mouse
xenograft models that STA-8666 results in more persistent inhibition of
topoisomerase 1 and prolonged DNA damage compared to irinotecan. This translates
into superior antitumor efficacy and survival in multiple aggressive models of
both diseases in mouse xenografts, as well as in an irinotecan-resistant model of
pediatric osteosarcoma, demonstrated by dramatic tumor shrinkage, durable
remission and prolonged complete regressions following short-term treatment,
compared to conventional irinotecan. Gene expression analysis performed on
xenograft tumors treated with either irinotecan or STA-8666 showed that STA-8666
affected expression of DNA damage and repair genes more robustly than irinotecan.
These results suggest that STA-8666 may be a promising new agent for patients
with pediatric-type sarcoma.
|Animals
[MESH]
|Antineoplastic Agents/chemistry/*therapeutic use
[MESH]
|Camptothecin/*analogs & derivatives/chemistry/therapeutic use
[MESH]