A preclinical therapeutic schedule optimizing docetaxel plus estramustine administration in prostate cancer

Androgen-dependent and castration-resistant prostate cancer (PC) is usually sensitive to docetaxel chemotherapy. Nevertheless, docetaxel resistance frequently appears after several cycles of treatment, raising the problem of salvage treatment for docetaxel-resistant PC patients. Although the combina...

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Veröffentlicht in:Anti-cancer drugs 2010-11, Vol.21 (10), p.927-931
Hauptverfasser: Dahmani, Ahmed, de Plater, Ludmilla, Guyader, Charlotte, Fontaine, Jean-Jacques, Berniard, Aurélie, Assayag, Franck, Beuzeboc, Philippe, Marangoni, Elisabetta, Némati, Fariba, Poupon, Marie-France, Pasik, Christophe, Oudard, Stéphane, Decaudin, Didier
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container_end_page 931
container_issue 10
container_start_page 927
container_title Anti-cancer drugs
container_volume 21
creator Dahmani, Ahmed
de Plater, Ludmilla
Guyader, Charlotte
Fontaine, Jean-Jacques
Berniard, Aurélie
Assayag, Franck
Beuzeboc, Philippe
Marangoni, Elisabetta
Némati, Fariba
Poupon, Marie-France
Pasik, Christophe
Oudard, Stéphane
Decaudin, Didier
description Androgen-dependent and castration-resistant prostate cancer (PC) is usually sensitive to docetaxel chemotherapy. Nevertheless, docetaxel resistance frequently appears after several cycles of treatment, raising the problem of salvage treatment for docetaxel-resistant PC patients. Although the combination of docetaxel and estramustine prolongs metastasis-free and overall survival of patients with androgen-independent PC, the use of this modality remains limited in elderly patients or patients with several comorbidities, especially vascular disease or gastrointestinal toxicity, because of unacceptable toxicity including venous thrombosis. The aims of this study were therefore (i) to evaluate the in-vivo efficacy of estramustine combined with docetaxel since initial tumor growth and following the appearance of docetaxel resistance in the androgen-dependent human PC xenograft PAC120, and (ii) to evaluate the efficacy of estramustine in six human androgen-independent PC models derived from PAC120. In docetaxel-resistant tumor-bearing mice, estramustine alone induced a TGD2 of 18 days, whereas the combination of docetaxel and estramustine induced a TGD2 of 50 days (P
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Nevertheless, docetaxel resistance frequently appears after several cycles of treatment, raising the problem of salvage treatment for docetaxel-resistant PC patients. Although the combination of docetaxel and estramustine prolongs metastasis-free and overall survival of patients with androgen-independent PC, the use of this modality remains limited in elderly patients or patients with several comorbidities, especially vascular disease or gastrointestinal toxicity, because of unacceptable toxicity including venous thrombosis. The aims of this study were therefore (i) to evaluate the in-vivo efficacy of estramustine combined with docetaxel since initial tumor growth and following the appearance of docetaxel resistance in the androgen-dependent human PC xenograft PAC120, and (ii) to evaluate the efficacy of estramustine in six human androgen-independent PC models derived from PAC120. 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Nevertheless, docetaxel resistance frequently appears after several cycles of treatment, raising the problem of salvage treatment for docetaxel-resistant PC patients. Although the combination of docetaxel and estramustine prolongs metastasis-free and overall survival of patients with androgen-independent PC, the use of this modality remains limited in elderly patients or patients with several comorbidities, especially vascular disease or gastrointestinal toxicity, because of unacceptable toxicity including venous thrombosis. The aims of this study were therefore (i) to evaluate the in-vivo efficacy of estramustine combined with docetaxel since initial tumor growth and following the appearance of docetaxel resistance in the androgen-dependent human PC xenograft PAC120, and (ii) to evaluate the efficacy of estramustine in six human androgen-independent PC models derived from PAC120. In docetaxel-resistant tumor-bearing mice, estramustine alone induced a TGD2 of 18 days, whereas the combination of docetaxel and estramustine induced a TGD2 of 50 days (P&lt;0.05) with no significantly different overall survival of mice treated by docetaxel and estramustine since day 1 or since the onset of resistance to docetaxel. Among the six human androgen-independent tumors treated with estramustine alone, two highly sensitive models, two intermediate responding tumors, and two resistant models were observed. Altogether, these results suggest that estramustine should be combined with docetaxel in PC patients, but the use of this treatment could be limited, particularly in elderly patients, to docetaxel-resistant cases.</abstract><cop>England</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>20827173</pmid><doi>10.1097/CAD.0b013e32833db887</doi><tpages>5</tpages></addata></record>
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subjects Aged
Animals
Antineoplastic Agents, Hormonal - pharmacology
Antineoplastic Combined Chemotherapy Protocols - pharmacology
Comorbidity
Drug Evaluation, Preclinical
Drug Resistance, Neoplasm
Estramustine - pharmacology
Gastrointestinal Diseases - epidemiology
Humans
Male
Mice
Mice, Nude
Neoplasms, Hormone-Dependent - blood
Neoplasms, Hormone-Dependent - drug therapy
Neoplasms, Hormone-Dependent - epidemiology
Orchiectomy
Prostate-Specific Antigen - blood
Prostatic Neoplasms - blood
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - epidemiology
Survival Rate
Taxoids - pharmacology
Vascular Diseases - epidemiology
Venous Thrombosis - chemically induced
Xenograft Model Antitumor Assays
title A preclinical therapeutic schedule optimizing docetaxel plus estramustine administration in prostate cancer
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