Pharmacokinetic-pharmacodynamic modeling of the antitumor effect of TM208 and EGFR-TKI resistance in human breast cancer xenograft mice

Aim: The novel anticancer compound TM208 is an EGFR tyrosine kinase inhibitor (EGFR-TKI). Since the development of resistance to EGFR-TKIs is a major challenge in their clinical usage, we investigated the profiles of resistance following continuous treatment with TM208 in human breast cancer xenogra...

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Veröffentlicht in:Acta pharmacologica Sinica 2016-06, Vol.37 (6), p.825-833
Hauptverfasser: Ji, Xi-wei, Ji, Shuang-min, Li, Run-tao, Wu, Ke-hua, Zhu, Xiao, Lu, Wei, Zhou, Tian-yan
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container_title Acta pharmacologica Sinica
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creator Ji, Xi-wei
Ji, Shuang-min
Li, Run-tao
Wu, Ke-hua
Zhu, Xiao
Lu, Wei
Zhou, Tian-yan
description Aim: The novel anticancer compound TM208 is an EGFR tyrosine kinase inhibitor (EGFR-TKI). Since the development of resistance to EGFR-TKIs is a major challenge in their clinical usage, we investigated the profiles of resistance following continuous treatment with TM208 in human breast cancer xenograft mice, and identified the relationship between the tumor pEGFR levels and tumor growth inhibition. Methods: Female BALB/c nude mice were implanted with human breast cancer MCF-7 cells, and the xenograft mice received TM208 (50 or 150 mg.kg-l.d-1, ig) or vehicle for 18 d. The pharmacokinetics (PK) and pharmacodynamics (PD) of TM208 were evaluated. Results: The PK properties of TM208 were described by a one-compartment model with first-order absorption kinetics. Our study showed the inhibitory effects of TM208 on tumor pEGFR levels gradually reached a maximum effect, after which it became weaker over time, which was characterized by a combined tolerance/indirect response PD model with an estimated EC5o (55.9 pg/L), as well as three parameters ('a' of 27.2%, 'b' of 2730%, 'c' of 0.58 h1) denoting the maximum, extent and rate of resistance, respectively. The relationship between the tumor pEGFR levels and tumor growth inhibition was characterized by a combined logistic tumor growth/ transit compartment model with estimated parameters associated with tumor growth characteristics kog (0.282 day-1), drug potency kTM208 (0.0499 cm3/day) and the kinetics of tumor cell death k1 (0.141 day-1), which provided insight into drug mechanisms and behaviors. Conclusion: The proposed PK/PD model provides a better understanding of the pharmacological properties of TM208 in the treatment of breast cancer. Furthermore, simulation based on a tolerance model allows prediction of the occurrence of resistance.
doi_str_mv 10.1038/aps.2016.40
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Since the development of resistance to EGFR-TKIs is a major challenge in their clinical usage, we investigated the profiles of resistance following continuous treatment with TM208 in human breast cancer xenograft mice, and identified the relationship between the tumor pEGFR levels and tumor growth inhibition. Methods: Female BALB/c nude mice were implanted with human breast cancer MCF-7 cells, and the xenograft mice received TM208 (50 or 150 mg.kg-l.d-1, ig) or vehicle for 18 d. The pharmacokinetics (PK) and pharmacodynamics (PD) of TM208 were evaluated. Results: The PK properties of TM208 were described by a one-compartment model with first-order absorption kinetics. Our study showed the inhibitory effects of TM208 on tumor pEGFR levels gradually reached a maximum effect, after which it became weaker over time, which was characterized by a combined tolerance/indirect response PD model with an estimated EC5o (55.9 pg/L), as well as three parameters ('a' of 27.2%, 'b' of 2730%, 'c' of 0.58 h1) denoting the maximum, extent and rate of resistance, respectively. The relationship between the tumor pEGFR levels and tumor growth inhibition was characterized by a combined logistic tumor growth/ transit compartment model with estimated parameters associated with tumor growth characteristics kog (0.282 day-1), drug potency kTM208 (0.0499 cm3/day) and the kinetics of tumor cell death k1 (0.141 day-1), which provided insight into drug mechanisms and behaviors. Conclusion: The proposed PK/PD model provides a better understanding of the pharmacological properties of TM208 in the treatment of breast cancer. Furthermore, simulation based on a tolerance model allows prediction of the occurrence of resistance.</description><identifier>ISSN: 1671-4083</identifier><identifier>EISSN: 1745-7254</identifier><identifier>DOI: 10.1038/aps.2016.40</identifier><identifier>PMID: 27133303</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Animals ; Antineoplastic Agents - pharmacokinetics ; Antineoplastic Agents - pharmacology ; Antineoplastic Agents - therapeutic use ; Biomedical and Life Sciences ; Biomedicine ; Breast - drug effects ; Breast - metabolism ; Breast - pathology ; Breast Neoplasms - drug therapy ; Breast Neoplasms - metabolism ; Breast Neoplasms - pathology ; CYP3A ; Drug Resistance, Neoplasm ; Female ; Humans ; Immunology ; Internal Medicine ; Medical Microbiology ; Mice ; Mice, Inbred BALB C ; Mice, Nude ; Models, Biological ; Original ; original-article ; Pharmacology/Toxicology ; Piperazines - pharmacokinetics ; Piperazines - pharmacology ; Piperazines - therapeutic use ; Receptor, Epidermal Growth Factor - antagonists &amp; inhibitors ; Receptor, Epidermal Growth Factor - metabolism ; Vaccine ; 乳腺癌 ; 小鼠 ; 抗肿瘤作用 ; 模型描述 ; 电阻 ; 药效学 ; 药物动力学</subject><ispartof>Acta pharmacologica Sinica, 2016-06, Vol.37 (6), p.825-833</ispartof><rights>CPS and SIMM 2016</rights><rights>Copyright Nature Publishing Group Jun 2016</rights><rights>Copyright © 2016 CPS and SIMM 2016 CPS and SIMM</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-61bdb5c9b7058f3c9b359c9d1594b9e43584406a05ca2468e1449cd47e4a28573</citedby><cites>FETCH-LOGICAL-c506t-61bdb5c9b7058f3c9b359c9d1594b9e43584406a05ca2468e1449cd47e4a28573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/95561A/95561A.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954772/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954772/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27133303$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ji, Xi-wei</creatorcontrib><creatorcontrib>Ji, Shuang-min</creatorcontrib><creatorcontrib>Li, Run-tao</creatorcontrib><creatorcontrib>Wu, Ke-hua</creatorcontrib><creatorcontrib>Zhu, Xiao</creatorcontrib><creatorcontrib>Lu, Wei</creatorcontrib><creatorcontrib>Zhou, Tian-yan</creatorcontrib><title>Pharmacokinetic-pharmacodynamic modeling of the antitumor effect of TM208 and EGFR-TKI resistance in human breast cancer xenograft mice</title><title>Acta pharmacologica Sinica</title><addtitle>Acta Pharmacol Sin</addtitle><addtitle>Acta Pharmacologica Sinica</addtitle><description>Aim: The novel anticancer compound TM208 is an EGFR tyrosine kinase inhibitor (EGFR-TKI). 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Since the development of resistance to EGFR-TKIs is a major challenge in their clinical usage, we investigated the profiles of resistance following continuous treatment with TM208 in human breast cancer xenograft mice, and identified the relationship between the tumor pEGFR levels and tumor growth inhibition. Methods: Female BALB/c nude mice were implanted with human breast cancer MCF-7 cells, and the xenograft mice received TM208 (50 or 150 mg.kg-l.d-1, ig) or vehicle for 18 d. The pharmacokinetics (PK) and pharmacodynamics (PD) of TM208 were evaluated. Results: The PK properties of TM208 were described by a one-compartment model with first-order absorption kinetics. Our study showed the inhibitory effects of TM208 on tumor pEGFR levels gradually reached a maximum effect, after which it became weaker over time, which was characterized by a combined tolerance/indirect response PD model with an estimated EC5o (55.9 pg/L), as well as three parameters ('a' of 27.2%, 'b' of 2730%, 'c' of 0.58 h1) denoting the maximum, extent and rate of resistance, respectively. The relationship between the tumor pEGFR levels and tumor growth inhibition was characterized by a combined logistic tumor growth/ transit compartment model with estimated parameters associated with tumor growth characteristics kog (0.282 day-1), drug potency kTM208 (0.0499 cm3/day) and the kinetics of tumor cell death k1 (0.141 day-1), which provided insight into drug mechanisms and behaviors. Conclusion: The proposed PK/PD model provides a better understanding of the pharmacological properties of TM208 in the treatment of breast cancer. Furthermore, simulation based on a tolerance model allows prediction of the occurrence of resistance.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>27133303</pmid><doi>10.1038/aps.2016.40</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Antineoplastic Agents - pharmacokinetics
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Biomedical and Life Sciences
Biomedicine
Breast - drug effects
Breast - metabolism
Breast - pathology
Breast Neoplasms - drug therapy
Breast Neoplasms - metabolism
Breast Neoplasms - pathology
CYP3A
Drug Resistance, Neoplasm
Female
Humans
Immunology
Internal Medicine
Medical Microbiology
Mice
Mice, Inbred BALB C
Mice, Nude
Models, Biological
Original
original-article
Pharmacology/Toxicology
Piperazines - pharmacokinetics
Piperazines - pharmacology
Piperazines - therapeutic use
Receptor, Epidermal Growth Factor - antagonists & inhibitors
Receptor, Epidermal Growth Factor - metabolism
Vaccine
乳腺癌
小鼠
抗肿瘤作用
模型描述
电阻
药效学
药物动力学
title Pharmacokinetic-pharmacodynamic modeling of the antitumor effect of TM208 and EGFR-TKI resistance in human breast cancer xenograft mice
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