Improving combination cancer therapy: the CombiPlex ® development platform

Current combination therapy approaches assume that better outcomes are achieved by combining drugs at their maximally tolerated doses. However, administration of individual agents cannot consistently deliver synergistic drug ratios to tumor cells due to differences in pharmacokinetics of the individ...

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Veröffentlicht in:Future oncology (London, England) England), 2018-06, Vol.14 (13), p.1317-1332
Hauptverfasser: Tolcher, Anthony W, Mayer, Lawrence D
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description Current combination therapy approaches assume that better outcomes are achieved by combining drugs at their maximally tolerated doses. However, administration of individual agents cannot consistently deliver synergistic drug ratios to tumor cells due to differences in pharmacokinetics of the individual drugs. Further, the toxicity of combination regimens often necessitates administration of suboptimal dosages. Delivery technologies, such as the CombiPlex platform, can enable efficient and sustained delivery of combination treatments at a synergistic ratio. The CombiPlex platform determines synergistic drug ratios in vitro and identifies an appropriate nanoscale carrier to maintain that ratio in vivo and enhance its delivery to tumor cells. CPX-351, a dual-drug liposomal encapsulation of cytarabine and daunorubicin, is the first clinical proof-of-concept example of the CombiPlex platform.
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subjects Animals
Antineoplastic Combined Chemotherapy Protocols - pharmacology
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biomedical Technology - methods
Cancer therapies
Chemotherapy
Clinical trials
Constituents
Cytotoxicity
Dose-Response Relationship, Drug
Drug Compounding - methods
Drug Delivery Systems - methods
Drug dosages
Drug Synergism
Humans
Leukemia
Liposomes
Mutation
Nanoparticles
Neoplasms - drug therapy
Ratios
Schedules
Studies
Treatment Outcome
title Improving combination cancer therapy: the CombiPlex ® development platform
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