ANTI-NEOPLASTIC COMBINED PHARMACEUTICAL COMPOSITION AND APPLICATION THEREOF
20220249643 · 2022-08-11
Inventors
- Zhu Tao (Guangdong, CN)
- Zhongkui Kang (Guangdong, CN)
- Li Qin (Guangdong, CN)
- Xiaoping Chen (Guangdong, CN)
Cpc classification
A61K35/68
HUMAN NECESSITIES
A61K31/519
HUMAN NECESSITIES
A61K31/513
HUMAN NECESSITIES
A61K31/4745
HUMAN NECESSITIES
A61K31/675
HUMAN NECESSITIES
A61K31/496
HUMAN NECESSITIES
A61K31/7068
HUMAN NECESSITIES
A61K31/555
HUMAN NECESSITIES
A61K31/7068
HUMAN NECESSITIES
A61K31/4745
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K31/475
HUMAN NECESSITIES
A61K35/68
HUMAN NECESSITIES
A61K31/407
HUMAN NECESSITIES
A61P35/00
HUMAN NECESSITIES
A61K31/7048
HUMAN NECESSITIES
A61K31/7048
HUMAN NECESSITIES
A61K31/513
HUMAN NECESSITIES
A61K31/519
HUMAN NECESSITIES
A61K31/427
HUMAN NECESSITIES
A61K31/675
HUMAN NECESSITIES
A61K39/39
HUMAN NECESSITIES
A61K2039/52
HUMAN NECESSITIES
Y02A50/30
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
A61K31/407
HUMAN NECESSITIES
A61K31/704
HUMAN NECESSITIES
A61K31/427
HUMAN NECESSITIES
A61K31/475
HUMAN NECESSITIES
A61K31/704
HUMAN NECESSITIES
A61K31/496
HUMAN NECESSITIES
A61K2039/57
HUMAN NECESSITIES
A61K39/015
HUMAN NECESSITIES
A61K31/555
HUMAN NECESSITIES
International classification
A61K39/015
HUMAN NECESSITIES
A61K31/407
HUMAN NECESSITIES
A61K31/519
HUMAN NECESSITIES
A61K31/7048
HUMAN NECESSITIES
A61K31/7068
HUMAN NECESSITIES
Abstract
An anti-neoplastic combined pharmaceutical composition and application thereof. The combined pharmaceutical composition is prepared from plasmodia and chemotherapeutic drugs. The combined pharmaceutical composition combines chemotherapy with Plasmodium immunotherapy, has high biosafety, has stronger antineoplastic activity than single chemotherapy or single Plasmodium immunotherapy, can prolong the lifetime of cancer patients, and provides a new strategy and idea for cancer treatment. Moreover, the dosage of the chemotherapy drugs can be reduced, toxic and side effects caused by the chemotherapy drugs are reduced, and treatment costs of tumor patients are reduced. In addition, the combined pharmaceutical composition can promote release of a tumor antigen, induces a stronger anti-tumor specific immune response, and exerts the continuous synergistic effect of immunotherapy and chemotherapy.
Claims
1. An anti-tumor combined pharmaceutical composition, comprising Plasmodium and a chemotherapeutic agent.
2. The combined pharmaceutical composition according to claim 1, wherein the Plasmodium comprises any one or a combination of at least two of Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, Plasmodium ovale or Plasmodium knowlesi, preferably Plasmodium falciparum or Plasmodium vivax.
3. The combined pharmaceutical composition according to claim 1, wherein the chemotherapeutic agent comprises an alkylating agent-based chemotherapeutic agent, an anti-metabolic chemotherapeutic agent, an antibiotic-based chemotherapeutic agent, an animal or plant chemotherapeutic agent, a miscellaneous chemotherapeutic agent or an HIV protease inhibitor.
4. The combined pharmaceutical composition according to claim 3, wherein the alkylating agent-based chemotherapeutic agent comprises cyclophosphamide or ifosfamide; preferably, the anti-metabolic chemotherapeutic agent comprises gemcitabine, pemetrexed, 5-fluorouracil, cytarabine or methotrexate; preferably, the antibiotic-based chemotherapeutic agent comprises mitomycin, doxorubicin or actinomycin D; preferably, the animal or plant chemotherapeutic agent comprises etoposide, docetaxel, paclitaxel, vincristine or irinotecan; preferably, the miscellaneous chemotherapeutic agent comprises cis-platinum, carboplatin, oxaliplatin or asparaginase; preferably, the HIV protease inhibitor comprises nelfinavir, saquinavir, indinavir or ritonavir.
5. The combined pharmaceutical composition according to claim 1, comprising Plasmodium and gemcitabine; Plasmodium and cyclophosphamide; Plasmodium and cyclophosphamide; Plasmodium and pemetrexed; Plasmodium and cis-platinum; Plasmodium and mitomycin; Plasmodium and docetaxel; Plasmodium and etoposide; or Plasmodium and nelfinavir.
6. The combined pharmaceutical composition according to claim 1, wherein the combined pharmaceutical composition is in a dosage form that comprises any pharmaceutically acceptable dosage form.
7. The combined pharmaceutical composition according to claim 1, further comprising any one or a combination of at least two of pharmaceutically acceptable adjuvants.
8. The combined pharmaceutical composition according to claim 1, wherein the combined pharmaceutical composition is a single compound preparation.
9. The combined pharmaceutical composition according to claim 1, wherein the combined pharmaceutical composition is a combination of a separate Plasmodium preparation and a separate preparation of the chemotherapeutic agent.
10. The combined pharmaceutical composition according to claim 9, wherein the separate Plasmodium preparation and the separate preparation of the chemotherapeutic agent are administered simultaneously or sequentially.
11. The combined pharmaceutical composition according to claim 1, wherein the combined pharmaceutical composition is administered by a route that comprises intravenous injection, intraperitoneal injection, intramuscular injection, subcutaneous injection, oral administration, sublingual administration, nasal administration or percutaneous administration, preferably intravenous injection or oral administration.
12. The combined pharmaceutical composition according to claim 1, wherein the combined pharmaceutical composition is loaded on a pharmaceutical carrier.
13. The combined pharmaceutical composition according to claim 12, wherein the pharmaceutical carrier comprises a liposome, a micelle, a dendrimer, a microsphere or a microcapsule.
14. A method for treating tumor, comprising administering an effective amount of the combined pharmaceutical composition according to claim 1 to a subject in need thereof.
15. The method according to claim 14, wherein tumor comprises lung cancer, gastric cancer, colon cancer, liver cancer, breast cancer or pancreatic cancer.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DETAILED DESCRIPTION
[0099] Technical solutions of the present application are further described below through the specific examples. Those skilled in the art are to understand that examples described herein are merely used for a better understanding of the present application and are not to be construed as specific limitations to the present application.
Example 1
[0100] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent gemcitabine. The effect of gemcitabine in combination with Plasmodium yoelii in treating lung cancer at different administration times was observed.
[0101] Experimental materials and reagents required in this example include the following:
[0102] Animals: C57BL/6 mice, female, at an age of 6 to 8 weeks, from SHANGHAI SLAC LABORATORY ANIMAL CO. LTD or BEIJING VITAL RIVER LABORATORY ANIMAL CO., LTD.;
[0103] Plasmodium: mouse Plasmodium yoelii (P. yoelii 17XNL, MRA-593, Py), free of charge from Malaria Research and Reference Reagent Resource Center (MR4);
[0104] Chemotherapeutic agent: gemcitabine (abbreviated as GEM), purchased from Sigma-Aldrich;
[0105] Giemsa stain powder: purchased from Sigma-Aldrich.
[0106] (1) An animal model was established by the following specific method:
[0107] (I) Cell revival: the mouse Lewis lung carcinoma (LLC) cell line was revived and incubated in an incubator with 5% CO2 and a constant temperature of 37° C.;
[0108] (II) Cell expansion: cells were passaged every 2-3 days, and when the cells grew to 80% of the bottom of the petri dish, the cells were digested with a 0.25% trypsin-EDTA digestion solution and diluted and passaged at a ratio of 1:3;
[0109] (III) Single cell preparation and cell inoculation: cells at a logarithmic growth phase were digested with trypsin, washed three times with PBS, re-suspended in a serum-free 1640 medium, and subcutaneously inoculated in the right scapular region of mice, each injected with 0.1 mL of cell suspension with an inoculum dose of 5×10.sup.5 LLC cells/mouse (where C57BL/6 mice were inoculated);
[0110] (IV) Experimental grouping: the mice were randomly divided into six groups according to a size of tumor: a tumor control group (Con), a Plasmodium yoelii treatment group (Py), a gemcitabine treatment group administered on day 3 (GEM (d3)), a gemcitabine treatment group administered on day 6 (GEM (d6)), a gemcitabine combined treatment group administered on day 3 (Py+GEM (d3)) and a gemcitabine combined treatment group administered on day 6 (Py+GEM (d6)). There were 10 mice in each group and 60 mice in total.
[0111] (2) Tumor-bearing mice were inoculated with Plasmodium by the following specific method:
[0112] (I) Plasmodium revival: the murine Plasmodium blood (1.0 mL/vial) frozen in a liquid nitrogen tank was quickly shaken in a 37° C. water bath to be mixed and melted, and the activity of Plasmodium was kept.
[0113] (II) Plasmodium inoculation: after being mixed uniformly, the blood was inoculated intraperitoneally into C57BL/6 mice with 0.2 mL/mouse and two mice were inoculated each time.
[0114] (III) Preparation of thin blood film and microscopic examination: about 1-1.5 μL of blood was collected from tails of mice and smeared on slides so that a long tongue-shaped thin blood film with a length of 2.5 cm was prepared and blow-dried with a blower. The blood film was infiltrated with methanol for 1 min, stained with 1× Giemsa stain for 30 min, rinsed with tap water and blow-dried. The infection rate of Plasmodium was observed by a 100× oil immersion objective. Changes of the infection rate of Plasmodium were observed.
[0115] (IV) Preparation of a Plasmodium solution: when the infection rate reached 3% to 10%, the red blood cells were counted first, 5 μL of blood was taken from tails and re-suspended in 995 μL of PBS, and the red blood cells were counted. The number of red blood cells infected with Plasmodium per mL was calculated. The EP tube was moistened with 0.2 mL of 3.8% sodium citrate anticoagulant, the blood was taken from eyeballs, the required concentration and total amount of Plasmodium to be inoculated were calculated, and a concentration of 2.5×10.sup.6/mL was prepared with PBS.
[0116] (V) Inoculation of tumor-bearing mice: 7 days after tumor was subcutaneously inoculated, each mouse was inoculated with 0.2 mL of Plasmodium, that is, 5×10.sup.5 Plasmodium parasites.
[0117] (3) Gemcitabine was administered by the following specific method:
[0118] (I) Mode of administration: intraperitoneal injection;
[0119] (II) Dosage of administration: a total dosage of 100 mg/kg;
[0120] (III) Drug preparation: gemcitabine was dissolved in normal saline to be prepared into a solution with a concentration of 10 mg/mL;
[0121] (IV) Time of administration: in the GEM (d3) treatment group and the Py+GEM (d3) treatment group, drug was administered on day 3 after tumor inoculation, and in the GEM (d6) treatment group and the Py+GEM (d6) treatment group, drug was administered on day 6 after tumor inoculation.
[0122] (4) Detection indicators
[0123] (I) Measurement of tumor volume: the volume of tumor was measured every three days by the formula for calculating the volume of an ellipsoid (unit: cubic mm): (Dxdxd)/2, where D denotes a long diameter of tumor and d denotes a short diameter of tumor. The size of tumor was represented by a mean tumor volume±the standard error of the mean (SEM) and a tumor growth curve was drawn. An intergroup statistical analysis was performed through a two-way analysis of variance (ANOVA), where “*” represents p<0.05 and “**” represents p<0.01, both indicating that differences between groups were statistically significant.
[0124] (II) Survival statistics of mice: the survival was evaluated by a median survival time and a percentage of a prolonged survival time. The survival rate was estimated by a Kaplan-Meier method, a survival curve was drawn, and the median survival time was calculated. “*” represents p<0.05 and “**” represents p<0.01, both indicating that differences between groups were statistically significant.
[0125] (III) Statistics of the infection rate of Plasmodium: the infection rate of Plasmodium was evaluated by a percentage of red blood cells infected with Plasmodium in mice, where the calculation formula was (the number of red blood cells infected with Plasmodium/a total number of red blood cells)×100%. Specific procedures were as follows: blood was taken from tail veins and smeared on a slide, fixed with methanol, and stained with Giemsa stain. The number of red blood cells infected with Plasmodium and the total number of red blood cells were observed under a microscope. The total number of red blood cells was about 1000. The infection rate of Plasmodium was calculated and represented by a mean infection rate±the standard error of the mean (SEM), a Plasmodium infection cycle curve was drawn, and whether the chemotherapeutic agent has an effect on Plasmodium infection was observed.
[0126] (IV) Weight of mice: The mice were weighed every three days and the weight growth was represented by a mean weight±the standard error of the mean (SEM). The effects of the chemotherapeutic agent and Plasmodium infection on the weight of tumor-bearing mice were observed.
[0127] (5) Experimental results
[0128] (I) As shown in
TABLE-US-00001 TABLE 1 Intergroup Comparison Significance Con vs Py ** Con vs GEM (d 3) ** Con vs GEM (d 6) ** Con vs Py + GEM (d 3) ** Con vs Py + GEM (d 6) ** Py vs Py + GEM (d 3) ** Py vs Py + GEM (d 6) ** GEM (d 6) vs Py + GEM (d 6) **
[0129] (II) As shown in
[0130] The Plasmodium yoelii treatment group (Py), the gemcitabine treatment group administered on day 3 (GEM (d3)), the gemcitabine treatment group administered on day 6 (GEM (d6)), the gemcitabine combined treatment group administered on day 3 (Py+GEM (d3)) and the gemcitabine combined treatment group administered on day 6 (Py+GEM (d6)) can all significantly prolong the survival time of tumor-bearing mice. The combined treatment group administered on day 6 has a longer median survival time than the combined treatment group administered on day 3, without statistical significance. The combined treatment with administration on day 6 has the longer median survival time than single Plasmodium yoelii treatment and single gemcitabine treatment, but survival differences have no statistical significance.
TABLE-US-00002 TABLE 2 Intergroup Comparison Significance Con vs GEM (d 3) * Con vs GEM (d 6) ** GEM (d 6) vs Py + GEM (d 6) *
[0131] (III) As shown in
[0132] (IV) As shown in
[0133] (6) Summary: The gemcitabine combined treatment group administered on day 6 can significantly inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice. Gemcitabine has an inhibitory effect on Plasmodium but will not eliminate Plasmodium. Gemcitabine in combination with Plasmodium has a synergistic effect in reducing the weight of tumor-bearing mice. Gemcitabine administered on day 6 at a total dosage of 100 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 2
[0134] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent gemcitabine. The effect of gemcitabine, administered in a single dose or divided doses at a same total dosage, in combination with Plasmodium yoelii therapy in treating lung cancer was observed.
[0135] The experimental materials and reagents used in this example were the same as those in Example 1.
[0136] (1) An animal model was established by the following specific method:
[0137] Steps (I), (II) and (III) were the same as those in Example 1.
[0138] (IV) Experimental grouping: mice were randomly divided into six groups according to a size of tumor: a tumor control group (Con), a Plasmodium yoelii treatment group (Py), a single-dose gemcitabine treatment group (GEM (single)), a divided-dose gemcitabine treatment group (GEM (divided)), a single-dose combined treatment group (Py+GEM (single)) and a divided-dose combined treatment group (Py+GEM (divided)). There were 10 mice in each group and 60 mice in total.
[0139] (2) Tumor-bearing mice were inoculated with Plasmodium by the following specific method:
[0140] Steps (I), (II), (III), (IV) and (V) were the same as those in Example 1.
[0141] (3) Gemcitabine was administered by the following specific method:
[0142] (I) Mode of administration: intraperitoneal injection;
[0143] (II) Dosage of administration: a total dosage of 100 mg/kg;
[0144] (III) Drug preparation: gemcitabine was dissolved in normal saline to be prepared into a solution with a concentration of 5 mg/mL and a solution with a concentration of 10 mg/mL;
[0145] (IV) Time of administration: in the GEM (single) treatment group and Py+GEM (single) treatment group, drug was administered on day 6 after tumor inoculation, at a dosage of 100 mg/kg and with a concentration of 10 mg/mL; in the GEM (divided) treatment group and the Py+GEM (divided) treatment group, drug was administered on day 6 and day 13 after tumor inoculation, respectively, at a dosage of 50 mg/kg each time and with a concentration of 5 mg/kg.
[0146] (4) Detection indicators were the same as those in Example 1.
[0147] (5) Experimental results
[0148] (I) As shown in
TABLE-US-00003 TABLE 3 Intergroup Comparison Significance Con vs Py ** Con vs GEM (single) ** Con vs GEM (divided) ** Con vs Py + GEM (single) ** Con vs Py + GEM (divided) ** Py vs Py + GEM (single) ** Py vs Py + GEM (divided) ** GEM (single) vs Py + GEM (single) ** GEM (divided) vs Py + GEM (divided) ** Py + GEM (single) vs Py + GEM (divided) **
[0149] (II) As shown in
TABLE-US-00004 TABLE 4 Intergroup Comparison Significance Con vs Py + GEM (single) * Con vs Py + GEM (divided) ** Py vs Py + GEM (divided) ** GEM (single) vs Py + GEM (single) * GEM (divided) vs Py + GEM (divided) ** Py + GEM (single) vs Py + GEM (divided) *
[0150] (III) As shown in
[0151] (IV) As shown in
[0152] (6) Summary: Divided-dose gemcitabine combined therapy has a better effect than single-dose gemcitabine combined therapy in inhibiting the growth of lung cancer and prolonging the median survival time of tumor-bearing mice. The single dose of gemcitabine and the divided doses of gemcitabine both inhibit Plasmodium yoelii. The divided doses of gemcitabine have the smaller effect on the weight of tumor-bearing mice than the single dose of gemcitabine.
[0153] Gemcitabine administrated in divided doses on day 6 and day 13 at a total dosage of 100 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 3
[0154] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent gemcitabine. The effect of an optimized regimen of gemcitabine administration in combination with Plasmodium immunotherapy in treating lung cancer was observed.
[0155] The experimental materials and reagents required in this example were the same as those in Example 1.
[0156] (1) An animal model was established by the following specific method:
[0157] Steps (I), (II) and (III) were the same as those in Example 1.
[0158] (IV) Experimental grouping: mice were randomly divided into four groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a gemcitabine treatment group (GEM) and a treatment group of gemcitabine in combination with Plasmodium (Py+GEM). There were 15 mice in each group and 60 mice in total.
[0159] (2) Tumor-bearing mice were inoculated with Plasmodium by the following specific method:
[0160] Steps (I), (II), (III), (IV) and (V) were the same as those in Example 1.
[0161] (3) Gemcitabine was administered by the following specific method:
[0162] (I) Mode of administration: intraperitoneal injection;
[0163] (II) Dosage of administration: 100 mg/kg;
[0164] (III) Drug preparation: gemcitabine was dissolved in normal saline to be prepared into a solution with a concentration of 5 mg/mL;
[0165] (IV) Time of administration: in the GEM treatment group and the Py+GEM treatment group, drug was administered on day 6 and day 13 after tumor inoculation at a dosage of 50 mg/kg each time.
[0166] (4) Detection indicators were the same as those in Example 1.
[0167] (5) Experimental results
[0168] (I) As shown in
[0169] Combined therapy of gemcitabine with Plasmodium more effectively inhibits tumor growth than single gemcitabine therapy and single Plasmodium yoelii therapy. This indicates that a combined pharmaceutical composition of gemcitabine and Plasmodium yoelii can more effectively inhibit the growth of lung cancer.
TABLE-US-00005 TABLE 5 Intergroup Comparison Significance Con vs Py ** Con vs GEM ** Con vs Py + GEM ** Py vs Py + GEM ** GEM vs Py + GEM **
[0170] (II) As shown in
TABLE-US-00006 TABLE 6 Intergroup Comparison Significance Con vs Py ** Con vs GEM ** Con vs Py + GEM ** Py vs Py + GEM ** GEM vs Py + GEM **
[0171] (III) As shown in
[0172] (IV) As shown in
[0173] (5) Summary: The combined pharmaceutical composition of gemcitabine and Plasmodium yoelii can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice without increasing the toxic and side effects on tumor-bearing mice.
[0174] Gemcitabine administrated in divided doses on day 6 and day 13 at a total dosage of 100 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 4
[0175] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium chabaudi and a chemotherapeutic agent gemcitabine. The effect of an optimized regimen of gemcitabine administration in combination with Plasmodium chabaudi immunotherapy in treating lung cancer was observed.
[0176] Experimental materials and reagents required in this example differed from those in Example 3 only in that mouse Plasmodium chabaudi (Plasmodium chabaudi, MRA-429, Pc) was used, which was free of charge from Malaria Research and Reference Reagent Resource Center (MR4).
[0177] (1) An animal model was established by the following specific method:
[0178] Steps (I), (II) and (III) were the same as those in Example 3.
[0179] (IV) Experimental grouping: mice were randomly divided into four groups according to a size of tumor: a tumor control group (LLC), a Plasmodium chabaudi treatment group (Pc), a gemcitabine treatment group (GEM) and a treatment group of gemcitabine in combination with Plasmodium chabaudi (Pc+GEM). There were 10 mice in each group and 40 mice in total.
[0180] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 3.
[0181] (3) Gemcitabine was administered by the following specific method:
[0182] (I) Mode of administration: intraperitoneal injection;
[0183] (II) Dosage of administration: a total dosage of 100 mg/kg;
[0184] (III) Drug preparation: gemcitabine was dissolved in normal saline to be prepared into a solution with a concentration of 5 mg/mL;
[0185] (IV) Time of administration: in the GEM treatment group and the Pc+GEM treatment group, drug was administered on day 6 and day 13 after tumor inoculation at a dosage of 50 mg/kg each time.
[0186] (4) Detection indicators were the same as those in Example 3.
[0187] (5) Experimental results
[0188] (I) As shown in
TABLE-US-00007 TABLE 7 Intergroup Comparison Significance Con vs Pc ** Con vs GEM ** Con vs Pc + GEM ** Pc vs Pc + GEM * GEM vs Pc + GEM **
[0189] (II) As shown in
TABLE-US-00008 TABLE 8 Intergroup Comparison Significance Con vs Pc + GEM **
[0190] (III) As shown in
[0191] (IV) As shown in
[0192] (6) Summary: The combined pharmaceutical composition of gemcitabine and Plasmodium chabaudi can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice without increasing the toxic and side effects on tumor-bearing mice. Gemcitabine administrated in divided doses on day 6 and day 13 at a total dosage of 100 mg/kg and Plasmodium chabaudi inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 5
[0193] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent cyclophosphamide. The effect of cyclophosphamide administration in combination with Plasmodium yoelii immunotherapy in treating lung cancer was observed.
[0194] Experimental materials and reagents required in this example differed from those in Example 1 only in that the chemotherapeutic agent was cyclophosphamide (abbreviated as CTX), which was purchased from Sigma-Aldrich.
[0195] (1) An animal model was established by the following specific method:
[0196] Steps (I), (II) and (III) were the same as those in Example 3.
[0197] (IV) Experimental grouping: mice were randomly divided into four groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a cyclophosphamide treatment group (CTX) and a treatment group of cyclophosphamide in combination with Plasmodium (Py+CTX). There were 11 mice in each group and 44 mice in total.
[0198] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 3.
[0199] (3) Cyclophosphamide was administered by the following specific method:
[0200] (I) Mode of administration: intraperitoneal injection;
[0201] (II) Dosage of administration: 20 mg/kg×3;
[0202] (III) Drug preparation: cyclophosphamide was dissolved in normal saline to be prepared into a solution with a concentration of 2 mg/mL;
[0203] (IV) Time of administration: in the CTX treatment group and the Py+CTX treatment group, drug was administered on day 6, day 13 and day 20 after tumor inoculation at a dosage of 20 mg/kg each time.
[0204] (4) Detection indicators were the same as those in Example 3.
[0205] (5) Experimental results
[0206] (I) As shown in
TABLE-US-00009 TABLE 9 Intergroup Comparison Significance Con vs Py ** Con vs CTX * Con vs Py + CTX ** Py vs Py + CTX * CTX vs Py + CTX **
[0207] (II) As shown in
TABLE-US-00010 TABLE 10 Intergroup Comparison Significance Con vs Py * Con vs CTX ** Con vs Py + CTX **
[0208] (III) As shown in
[0209] (IV) As shown in
[0210] (5) Summary: The combined pharmaceutical composition of cyclophosphamide and Plasmodium yoelii can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice without significantly increasing the toxic and side effects on tumor-bearing mice. Cyclophosphamide administrated in three divided doses on day 6, day 13 and day 20 at a total dosage of 60 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 6
[0211] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium chabaudi and a chemotherapeutic agent cyclophosphamide. The effect of an optimized regimen of cyclophosphamide administration in combination with Plasmodium chabaudi therapy in treating lung cancer was observed.
[0212] Experimental materials and reagents required in this example differed from those in Example 5 only in that mouse Plasmodium chabaudi (Plasmodium chabaudi, MRA-429, Pc) was used, which was free of charge from Malaria Research and Reference Reagent Resource Center (MR4).
[0213] (1) An animal model was established by the following specific method:
[0214] Steps (I), (II) and (III) were the same as those in Example 5.
[0215] (IV) Experimental grouping: mice were randomly divided into four groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Pc), a cyclophosphamide treatment group (CTX) and a treatment group of cyclophosphamide in combination with Plasmodium (Pc+CTX). There were 10 mice in each group and 40 mice in total.
[0216] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 5.
[0217] (3) Cyclophosphamide was administered by the same specific method as in Example 5.
[0218] (4) Detection indicators were the same as those in Example 5.
[0219] (5) Experimental results
[0220] (I) As shown in
TABLE-US-00011 TABLE 11 Intergroup Comparison Significance Con vs Pc ** Con vs CTX * Con vs Pc + CTX ** Pcvs Pc + CTX * CTX vs Pc + CTX **
[0221] (II) As shown in
TABLE-US-00012 TABLE 12 Intergroup Comparison Significance Con vs CTX * Con vs Pc + CTX **
[0222] (III) As shown in
[0223] (IV) As shown in
[0224] (6) Summary: The combined therapy of cyclophosphamide and Plasmodium chabaudi can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice than single cyclophosphamide and single Plasmodium chabaudi without increasing the toxic and side effects on tumor-bearing mice. Cyclophosphamide administrated in three divided doses on day 6, day 13 and day 20 at a total dosage of 60 mg/kg and Plasmodium chabaudi inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 7
[0225] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent pemetrexed. The effect of an optimized regimen of pemetrexed administration in combination with Plasmodium yoelii therapy in treating lung cancer was observed.
[0226] Experimental materials and reagents required in this example differed from those in Example 3 only in that the chemotherapeutic agent was pemetrexed (abbreviated as PEM), which was purchased from Sigma-Aldrich.
[0227] (1) An animal model was established by the following specific method:
[0228] Steps (I), (II) and (III) were the same as those in Example 3.
[0229] (IV) Experimental grouping: mice were randomly divided into four groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a pemetrexed treatment group (PEM) and a treatment group of pemetrexed in combination with Plasmodium (Py+PEM). There were 10 mice in each group and 40 mice in total.
[0230] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 3.
[0231] (3) Pemetrexed was administered by the following specific method:
[0232] (I) Dode of administration: intraperitoneal injection;
[0233] (II) Dosage of administration: 20 mg/kg×6;
[0234] (III) Drug preparation: pemetrexed was dissolved in normal saline to be prepared into a solution with a concentration of 2 mg/mL;
[0235] (IV) Time of administration: in the PEM group and the Py+PEM group, drug was administered on day 3, day 7, day 10, day 14, day 17 and day 21 after tumor inoculation at a dosage of 20 mg/kg each time.
[0236] (4) Detection indicators were the same as those in Example 3.
[0237] (5) Experimental results
[0238] (I) As shown in
[0239] Combined therapy more effectively inhibits tumor growth than single pemetrexed therapy and single Plasmodium yoelii therapy. This indicates that a combined pharmaceutical composition of pemetrexed and Plasmodium yoelii can more effectively inhibit the growth of lung cancer.
TABLE-US-00013 TABLE 13 Intergroup Comparison Significance Con vs Py ** Con vs PEM ** Con vs Py + PEM ** Py vs Py + PEM * PEM vs Py + PEM **
[0240] (II) As shown in
TABLE-US-00014 TABLE 14 Intergroup Comparison Significance Con vs Py * Con vs Py + PEM ** PEM vs Py + PEM *
[0241] (III) As shown in
[0242] Pemetrexed has a relatively small effect on Plasmodium.
[0243] (IV) As shown in
[0244] (6) Summary: The combined therapy of pemetrexed and Plasmodium yoelii can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice. Pemetrexed has no inhibitory effect on Plasmodium yoelii, but the combined therapy reduces the weight of tumor-bearing mice and affects the survival of the tumor-bearing mice. Pemetrexed administrated in six divided doses on day 3, day 7, day 10, day 13, day 17 and day 20 at a total dosage of 120 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 8
[0245] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent cis-platinum. The effect of cis-platinum in combination with Plasmodium yoelii therapy in treating lung cancer was observed.
[0246] Experimental materials required in this example differed from those in Example 3 only in that the chemotherapeutic agent was cis-platinum (abbreviated as DDP), which was purchased from Sigma-Aldrich.
[0247] (1) An animal model was established by the following specific method:
[0248] Steps (I), (II) and (III) were the same as those in Example 3.
[0249] (IV) Experimental grouping: mice were randomly divided into four groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a cis-platinum treatment group (DDP) and a treatment group of cis-platinum in combination with Plasmodium (Py+DDP). There were 11 mice in each group and 44 mice in total.
[0250] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 3.
[0251] (3) Cis-platinum was administered by the following specific method:
[0252] (I) Mode of administration: intraperitoneal injection;
[0253] (II) Dosage of administration: 1 mg/kg×7;
[0254] (III) Drug preparation: cis-platinum was dissolved in normal saline to be prepared into a solution with a concentration of 0.1 mg/mL;
[0255] (IV) Time of administration: in the DDP treatment group and the Py+DDP treatment group, drug was administered from day 7 after tumor inoculation, where the drug was administered every two days for two weeks, with a dosage of 1 mg/kg each time.
[0256] (4) Detection indicators were the same as those in Example 3.
[0257] (5) Experimental results
[0258] (I) As shown in
[0259] Combined therapy more effectively inhibits tumor growth than single cis-platinum therapy and single Plasmodium yoelii therapy. This indicates that a combined pharmaceutical composition of cis-platinum and Plasmodium yoelii can more effectively inhibit the growth of lung cancer.
TABLE-US-00015 TABLE 15 Intergroup Comparison Significance Con vs Py ** Con vs DDP ** Con vs Py + DDP ** Py vs Py + DDP * DDP vs Py + DDP *
[0260] (II) As shown in
TABLE-US-00016 TABLE 16 Intergroup Comparison Significance Con vs Py * Con vs Py + DDP * DDP vs Py + DDP *
[0261] (III) As shown in
[0262] (IV) As shown in
[0263] (6) Summary: The combined therapy of cis-platinum and Plasmodium yoelii more effectively inhibits the growth of lung cancer than single cis-platinum therapy and single Plasmodium yoelii therapy but does not significantly prolong the median survival time. Cis-platinum has a significant effect on the infection period of Plasmodium yoelii, and the combined administration of cis-platinum and Plasmodium yoelii reduces the weight of tumor-bearing mice. Cis-platinum administered for two weeks from day 7 at a total dosage of 7 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 9
[0264] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and mitomycin. The effects of different dosages of mitomycin in combination with Plasmodium yoelii immunotherapy in treating lung cancer were observed.
[0265] Experimental materials and reagents required in this example differed from those in Example 3 only in that the chemotherapeutic agent was mitomycin (abbreviated as MMC), which was purchased from Sigma-Aldrich.
[0266] (1) An animal model was established by the following specific method:
[0267] Steps (I), (II) and (III) were the same as those in Example 3.
[0268] (IV) Experimental grouping: mice were randomly divided into five groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a treatment group of a low dosage of mitomycin in combination with Plasmodium (Py+MMC (low dosage)), a treatment group of a medium dosage of mitomycin in combination with Plasmodium (Py+MMC (medium dosage)) and a treatment group of a high dosage of mitomycin in combination with Plasmodium (Py+MMC (high dosage)). There were 10 mice in each group and 50 mice in total.
[0269] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 3.
[0270] (3) Mitomycin was administered by the following specific method:
[0271] (I) Mode of administration: intraperitoneal injection;
[0272] (II) Dosage of administration: a low dosage of 0.027 mg/kg×2, a medium dosage of 0.083 mg/kg×2 and a high dosage of 0.25 mg/kg×2;
[0273] (III) Drug preparation: mitomycin was dissolved in normal saline to be prepared into a solution with a concentration of 0.027 mg/mL, a solution with a concentration of 0.083 mg/mL and a solution with a concentration of 0.25 mg/mL;
[0274] (IV) Time of administration: in the Py+MMC (low dosage), Py+MMC (medium dosage) and LLC+Py+MMC (high dosage) groups, drug was administered on day 11 and day 18 after tumor inoculation.
[0275] (4) Detection indicators were the same as those in Example 3.
[0276] (5) Experimental results
[0277] (I) As shown in
TABLE-US-00017 TABLE 17 Intergroup Comparison Significance Con vs Py ** Con vs Py + MMC (low dosage) ** Con vs Py + MMC (medium dosage) ** Con vs Py + MMC (high dosage) ** Py vs Py + MMC (low dosage) * Py vs Py + MMC (medium dosage) ** Py vs Py + MMC (high dosage) ** Py + MMC (low dosage) vs Py + MMC (high dosage) ** Py + MMC (medium dosage) vs Py + MMC (high dosage) **
[0278] (II) As shown in
TABLE-US-00018 TABLE 18 Intergroup Comparison Significance Con vs Py * Con vs Py + MMC (low dosage) ** Py + MMC (low dosage) vs Py + MMC (high dosage) * Py + MMC (medium dosage) vs Py + MMC (high dosage) **
[0279] (III) As shown in
[0280] (IV) As shown in
[0281] (6) Summary: The combined therapy of a low dosage administration of mitomycin and Plasmodium yoelii can more effectively inhibit the growth of lung cancer and prolong the survival time of tumor-bearing mice. The low dosage of mitomycin has a slight inhibitory effect on Plasmodium yoelii but will not eliminate Plasmodium. The medium dosage of mitomycin and the high dosage of mitomycin have certain toxic and side effects and are not suitable for being combined with Plasmodium for treating lung cancer. Mitomycin administrated in divided doses on day 11 and day 18 at a total dosage of 0.054 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 10
[0282] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent docetaxel. The effects of different dosages of docetaxel in combination with Plasmodium yoelii immunotherapy in treating lung cancer were observed.
[0283] Experimental materials and reagents required in this example differed from those in Example 9 only in that the chemotherapeutic agent was docetaxel (abbreviated as DTX), which was purchased from SANOFI.
[0284] (1) An animal model was established by the following specific method:
[0285] Steps (I), (II) and (III) were the same as those in Example 9.
[0286] (IV) Experimental grouping: mice were randomly divided into five groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a treatment group of a low dosage of docetaxel in combination with Plasmodium (Py+DTX (low dosage)), a treatment group of a medium dosage of docetaxel in combination with Plasmodium (Py+MMC (medium dosage)) and a treatment group of a high dosage of docetaxel in combination with Plasmodium (Py+MMC (high dosage)). There were 10 mice in each group and 50 mice in total.
[0287] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 9.
[0288] (3) Docetaxel was administered by the following specific method:
[0289] (I) Mode of administration: intravenous injection;
[0290] (II) Dosage of administration: a low dosage of 2.2 mg/kg×3, a medium dosage of 6.7 mg/kg×3 and a high dosage of 2 mg/kg×3;
[0291] (III) Drug preparation: docetaxel was dissolved in normal saline to be prepared into a solution with a concentration of 0.22 mg/mL, a solution with a concentration of 0.673 mg/mL and a solution with a concentration of 2 mg/mL;
[0292] (IV) Time of administration: in the Py+DTX (low dosage), Py+DTX (medium dosage) and Py+DTX (high dosage) groups, drug was administered on day 3, day 10 and day 17 after tumor inoculation.
[0293] (4) Detection indicators were the same as those in Example 9.
[0294] (5) Experimental results
[0295] (I) As shown in
TABLE-US-00019 TABLE 19 Intergroup Comparison Significance Con vs Py ** Con vs Py + DTX (low dosage) ** Con vs Py + DTX (medium dosage) ** Con vs Py + DTX (high dosage) ** Py vs Py + DTX (low dosage) * Py vs Py + DTX (medium dosage) ** Py vs Py + DTX (high dosage) ** Py + DTX (low dosage) vs Py + DTX (high dosage) ** Py + DTX (medium dosage) vs Py + DTX (high dosage) *
[0296] (II) As shown in
TABLE-US-00020 TABLE 20 Intergroup Comparison Significance Con vs Py * Con vs Py + DTX (low dosage) ** Con vs Py + DTX (medium dosage) ** Py + DTX (medium dosage) vs Py + DTX (high dosage) *
[0297] (III) As shown in
[0298] (IV) As shown in
[0299] (6) Summary: The combined therapy of a medium dosage of docetaxel and Plasmodium yoelii can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice. Docetaxel administrated in divided doses on day 3, day 10 and day 17 at a total dosage of 6.7 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 11
[0300] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and a chemotherapeutic agent etoposide. The effects of different dosages of etoposide in combination with Plasmodium yoelii immunotherapy in treating lung cancer were observed.
[0301] Experimental materials and reagents required in this example differed from those in Example 9 only in that the chemotherapeutic agent was etoposide (abbreviated as VP16), which was purchased from Bristol Myers Squibb.
[0302] (1) An animal model was established by the following specific method:
[0303] Steps (I), (II) and (III) were the same as those in Example 9.
[0304] (IV) Experimental grouping: mice were randomly divided into five groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a treatment group of a low dosage of etoposide in combination with Plasmodium (Py+VP16 (low dosage)) and a treatment group of a high dosage of docetaxel in combination with Plasmodium (Py+VP16 (high dosage)). There were 10 mice in each group and 40 mice in total.
[0305] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 9.
[0306] (3) Etoposide was administered by the following specific method:
[0307] (I) Mode of administration: intraperitoneal injection;
[0308] (II) Dosage of administration: a low dosage of 10 mg/kg×3 and a high dosage of 30 mg/kg×3;
[0309] (III) Drug preparation: etoposide was dissolved in normal saline to be prepared into a solution with a concentration of 1 mg/mL and a solution with a concentration of 3 mg/mL;
[0310] (IV) Time of administration: in the Py+VP16 (low dosage) and Py+VP16 (high dosage) groups, drug was administered on day 11, day 14 and day 17 after tumor inoculation.
[0311] (4) Detection indicators were the same as those in Example 9.
[0312] (5) Experimental results
[0313] (I) As shown in
TABLE-US-00021 TABLE 21 Intergroup Comparison Significance Con vs Py ** Con vs Py + VP16 (low dosage) ** Con vs Py + VP16 (high dosage) ** Py vs Py + VP16 (low dosage) * Py + VP16 (low dosage) vs Py + VP16 (high dosage) *
[0314] (II) As shown in
TABLE-US-00022 TABLE 22 Intergroup Comparison Significance Con vs Py * Con vs Py + VP16 (low dosage) ** Con vs Py + VP16 (high dosage) **
[0315] (III) As shown in
[0316] (IV) As shown in
[0317] (6) Summary: The low dosage of etoposide in combination with Plasmodium yoelii can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice. The high dosage of etoposide and the low dosage of etoposide both have inhibitory effects on Plasmodium yoelii infection but will not eliminate Plasmodium. Etoposide administrated in divided doses on day 11, day 14 and day 17 at a total dosage of 30 mg/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
Example 12
[0318] This example provides an anti-tumor combined pharmaceutical composition. The combined pharmaceutical composition includes Plasmodium yoelii and an HIV protease inhibitor nelfinavir. The effect of nelfinavir administration in combination with Plasmodium yoelii immunotherapy in treating lung cancer was observed.
[0319] Experimental materials and reagents required in this example differed from those in Example 9 only in that the chemotherapeutic agent was nelfinavir (abbreviated as NFV), which was purchased from Agouron Pharmaceuticals, Inc.
[0320] (1) An animal model was established by the following specific method:
[0321] Steps (I), (II) and (III) were the same as those in Example 9.
[0322] (IV) Experimental grouping: mice were randomly divided into four groups according to a size of tumor: a tumor control group (Con), a Plasmodium treatment group (Py), a nelfinavir treatment group (NFV) and a treatment group of nelfinavir in combination with Plasmodium (Py+CTX). There were 10 mice in each group and 40 mice in total.
[0323] (2) Tumor-bearing mice were inoculated with Plasmodium by the same specific method as in Example 9.
[0324] (3) Nelfinavir was administered by the following specific method:
[0325] (I) Mode of administration: intraperitoneal injection;
[0326] (II) Dosage of administration: 400 mg/kg×10;
[0327] (III) Drug preparation: nelfinavir was dissolved in normal saline to be prepared into a solution with a concentration of 40 mg/mL;
[0328] (IV) Time of administration: in the NFV group and the Py+NFV group, drug was administered from day 10 after tumor inoculation for 10 days at a dosage of 400 mg/kg each time.
[0329] (4) Detection indicators were the same as those in Example 9.
[0330] (5) Experimental results
[0331] (I) As shown in
[0332] Combined therapy can more effectively inhibit tumor growth than single nelfinavir therapy and single Plasmodium yoelii. This indicates that a combined pharmaceutical composition of nelfinavir and Plasmodium yoelii can more effectively inhibit the growth of lung cancer.
TABLE-US-00023 TABLE 23 Intergroup Comparison Significance Con vs Py ** Con vs NFV ** Con vs Py + NFV ** Py vs Py + NFV ** NFV vs Py + NFV **
[0333] (II) As shown in
TABLE-US-00024 TABLE 24 Intergroup Comparison Significance Con vs Py * Con vs Py + NFV ** NFV vs Py + NFV *
[0334] (III) As shown in
[0335] Nelfinavir has a relatively small effect on Plasmodium and can be combined with Plasmodium yoelii therapy for the treatment of lung cancer.
[0336] (IV) As shown in
[0337] (6) Summary: The combined therapy of nelfinavir and Plasmodium yoelii can more effectively inhibit the growth of lung cancer and prolong the median survival time of tumor-bearing mice.
[0338] Nelfinavir will not increase toxic and side effects on tumor-bearing mice. Nelfinavir administrated for 10 days from day 10 at a total dosage of 4 g/kg and Plasmodium yoelii inoculated on day 7 are a potential combined pharmaceutical composition for the treatment of lung cancer.
[0339] The Applicant has stated that multiple combination methods of Plasmodium immunotherapy in combination with chemotherapy in the present application and their uses for treating cancer are described through the preceding examples, but the present application is not limited to the preceding examples, which means that the implementation of the present application does not necessarily depend on the preceding examples. It should be apparent to those skilled in the art that any improvements made to the present application, equivalent replacements of raw materials of the product of the present application, additions of adjuvant ingredients to the product of the present application, and selections of specific manners, etc., all fall within the protection scope and the disclosed scope of the present application.
[0340] Although the preferred embodiments of the present application have been described above in detail, the present application is not limited to details of the above-described embodiments, and various simple modifications can be made to the technical solutions of the present application without departing from the technical concept of the present application. These simple modifications are all within the protection scope of the present application.
[0341] In addition, it is to be noted that if not in collision, the specific technical features described in the preceding embodiments may be combined in any suitable manner. In order to avoid unnecessary repetition, the present application does not further specify any of various possible combination manners.