The National Cancer Institute ALMANAC: A Comprehensive Screening Resource for the Detection of Anticancer Drug Pairs with Enhanced Therapeutic Activity

To date, over 100 small-molecule oncology drugs have been approved by the FDA. Because of the inherent heterogeneity of tumors, these small molecules are often administered in combination to prevent emergence of resistant cell subpopulations. Therefore, new combination strategies to overcome drug re...

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Veröffentlicht in:Cancer research (Chicago, Ill.) Ill.), 2017-07, Vol.77 (13), p.3564-3576
Hauptverfasser: Holbeck, Susan L, Camalier, Richard, Crowell, James A, Govindharajulu, Jeevan Prasaad, Hollingshead, Melinda, Anderson, Lawrence W, Polley, Eric, Rubinstein, Larry, Srivastava, Apurva, Wilsker, Deborah, Collins, Jerry M, Doroshow, James H
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container_end_page 3576
container_issue 13
container_start_page 3564
container_title Cancer research (Chicago, Ill.)
container_volume 77
creator Holbeck, Susan L
Camalier, Richard
Crowell, James A
Govindharajulu, Jeevan Prasaad
Hollingshead, Melinda
Anderson, Lawrence W
Polley, Eric
Rubinstein, Larry
Srivastava, Apurva
Wilsker, Deborah
Collins, Jerry M
Doroshow, James H
description To date, over 100 small-molecule oncology drugs have been approved by the FDA. Because of the inherent heterogeneity of tumors, these small molecules are often administered in combination to prevent emergence of resistant cell subpopulations. Therefore, new combination strategies to overcome drug resistance in patients with advanced cancer are needed. In this study, we performed a systematic evaluation of the therapeutic activity of over 5,000 pairs of FDA-approved cancer drugs against a panel of 60 well-characterized human tumor cell lines (NCI-60) to uncover combinations with greater than additive growth-inhibitory activity. Screening results were compiled into a database, termed the NCI-ALMANAC (A Large Matrix of Anti-Neoplastic Agent Combinations), publicly available at https://dtp.cancer.gov/ncialmanac Subsequent experiments in mouse xenograft models of human cancer confirmed combinations with greater than single-agent efficacy. Concomitant detection of mechanistic biomarkers for these combinations supported the initiation of two phase I clinical trials at the NCI to evaluate clofarabine with bortezomib and nilotinib with paclitaxel in patients with advanced cancer. Consequently, the hypothesis-generating NCI-ALMANAC web-based resource has demonstrated value in identifying promising combinations of approved drugs with potent anticancer activity for further mechanistic study and translation to clinical trials. .
doi_str_mv 10.1158/0008-5472.CAN-17-0489
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research
subjects Animal models
Animals
Antineoplastic Combined Chemotherapy Protocols - pharmacology
Antitumor activity
Bortezomib
Cancer
Cell Line, Tumor
Clinical trials
Drug resistance
Drug Screening Assays, Antitumor
Drugs
Humans
Mice
National Cancer Institute (U.S.)
Paclitaxel
Small Molecule Libraries - pharmacology
Subpopulations
Translation
Tumor cell lines
Tumors
United States
Xenograft Model Antitumor Assays
Xenografts
title The National Cancer Institute ALMANAC: A Comprehensive Screening Resource for the Detection of Anticancer Drug Pairs with Enhanced Therapeutic Activity
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