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Researchers
from Georgetown University reported encouraging Phase I results
in their test of Aptosyn (exisulind) plus CPT-11 (Camptosar®,
Irinotecan) in 14 patients with colorectal cancer and other solid
tumors who had failed at least two prior chemotherapy regimens.
The researchers
told an international meeting of the American Association of Cancer
Research that the study showed the drug combination to be generally
well tolerated by patients at doses up to and including 250 mg
Aptosyn twice daily and 125 mg/m2 CPT-11.
"Aptosynand
CPT-11 work through different, complementary mechanisms of action
and appear to lack overlapping toxicities that might otherwise
greatly limit their combined use," said Dr. John L. Marshall.
"We are extending our investigation to accrue additional
patients who will receive escalating doses of CPT-11 while maintaining
Aptosyn at 250 mg bid based on the lower than anticipated toxicity
observed to date for this combination regimen."
"CPT-11
is known to have significant clinical activity on its own in colon
and a variety of other cancers, and preclinical research has demonstrated
synergistic anticancer activity between Aptosyn and CPT-11,"
said Dr. Rifat Pamukcu, chief scientific officer at Cell Pathways.
"We hope to further demonstrate an enhanced anticancer activity
in humans on the molecular basis by analyzing changes in apoptosis
pathways in response to treatment in tumor and normal tissues
from the new patients enrolled in this extended study.
CPT-11 is
approved by the U.S. Food and Drug Administration (FDA) for the
first and second-line treatment of advanced colorectal cancer.
Other
Sources: Cell Pathways
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