Combining Treatments Works Synergistically in Mouse Model of Ovarian Cancer
Main Category: Ovarian CancerArticle Date: 21 Oct 2005 - 14:00 PDT
A new study has found that a treatment regimen that combines the monoclonal antibody C225 (cetuximab, Erbitux) and a method called photodynamic therapy (PDT) is synergistic and well-tolerated in a mouse model of ovarian cancer.
Because the prognosis for women diagnosed with ovarian cancer is poor--less than a third will survive 5 or more years--new treatment strategies are needed. Combination therapies directed against nonoverlapping molecular targets may be the most likely to succeed. Tayyaba Hasan, Ph.D., of Massachusetts General Hospital in Boston, and colleagues tested C225--which inhibits the epidermal growth factor receptor--and PDT--which involves laser-based activation of a light sensitive chemical--separately and in combination in a mouse model of ovarian cancer.
They found that mice treated with both C225 and PDT had a substantial reduction in mean tumor burden to 9.8% of that of no-treatment control mice, whereas mice treated with C225 only or PDT only had mean tumor burdens of 66.6% and 38.2%, respectively. Mice treated with both C225 and PDT also had a nearly three-fold increase in median survival compared with the control mice. When compared with PDT only or C225 only, C225 plus PDT produced synergistic reductions in mean tumor burden and improvements in survival.
In an editorial, Eli Glatstein, M.D., of the University of Pennsylvania in Philadelphia, and colleagues discuss the theoretical advantages of using C225 and PDT to exploit different aspects of ovarian carcinoma tumor biology.
Note: The Journal of the National Cancer Institute is published by Oxford University Press and is not affiliated with the National Cancer Institute. Attribution to the Journal of the National Cancer Institute is requested in all news coverage. Visit the Journal online at http://jncicancerspectrum.oupjournals.org
Kate Travis
jncimedia@oxfordjournals.org
Journal of the National Cancer Institute
Highlights in the October 19 JNCI
http://jncicancerspectrum.oupjournals.org
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Promising Therapies
posted by Gregory D. Pawelski on 23 Oct 2005 at 1:42 amOvarian cancer remains a major cause of morbidity among women, and further improvement in its management must occur. Currently there are no adequate ways to consistently detect ovarian cancer in its earlier stages, but studies utilizing tumor markers and pelvic sonography in high-risk groups are being evaluated.
Also, pelvic and abdominal CT scans and sonography, as well as Ca-125 determinations, may be of diagnostic value in high-risk groups. To achieve the best results, therapy should include appropriate preoperative diagnostic studies, preparation for complete surgery, adequate surgical staging, and appropriate follow up with adjunctive therapy.
In addition to efforts to detect ovarian cancer in its early stage and treat it appropriately with surgery and chemotherapy, newer methods of management must be investigated. These include intraperitoneal chemotherapy, use of biologic response modifiers, combinations of multi-agent chemotherapy with whole abdominal radiotherapy, photodynamic therapy, and chemotherapy based on newer methods of chemosensitivity testing.
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