THEME: "Exploring the Challenges in Pre & Post Formulations and Drug Delivery Systems"
The Hebrew University of Jerusalem, Israel
Title: How to improve safety and antitumoral activity of a new Platinum (IV) compound
Dr Taher Nassar
endeavours to apply his accumulated experience in the field of new Platinum(IV)
complexes containing lipophilic moieties as novel anticancer prodrugs and using
nanotechnology as a delivery system tool to improve its stability and safety
Cisplatin,
carboplatin and oxaliplatin (OXA) are widely used in chemotherapy. However, their clinical
benefits are limited by side-effects attributed to the reactivity of these
Pt(II) compounds and acquired resistance. Pt(IV) complexes with two different
axial groups may have advantages over the reactive Pt(II) species. They are
inert in plasma, reach cancerous lesions in their Pt(IV) form, and activate
their Pt(II) analogs inside the cancerous cells. Unfortunately, clinical
evaluation of Platinum(IV) complexes showed rapid elimination, less or equal
efficacy than Pt (II) drugs. Therefore, no Pt(IV) drug has reached the market.
We synthesized oxaliplatin palmitate acetate (OPA),
a novel Pt(IV) chemical entity derived from OXA and containing both lipophilic
and hydrophilic axial ligands. OPA was found 20 times more efficient in killing
various cancer cells than OXA. Furthermore, OPA demonstrated significantly
higher tumour growth inhibition than OXA in orthotopic and xenograft mice tumour
models of ovarian, pancreatic, lung and liver. However, OPA was also eliminated
before cellular uptake. OPA was incorporated in PEGylated liposomes to overcome
this drawback to optimize therapeutic performance. In vitro studies
showed OPA-loaded liposomes retain OPA potency against di?erent cancer cell
lines.
Furthermore,
liposomes altered PK parameters and biodistribution patterns favouring the
liposome formulations and significantly extended the systemic exposure. Intravenous
administration of OPA liposomes (60 mg/kg, twice weekly) demonstrated delayed
response and higher survival than cisplatin in a mouse liver xenograft model (Hep-3B). Furthermore,
in two identical orthotopic intraperitoneal models of metastatic ovarian cancer
(SKOV3-luc-D3), OPA liposomes were administered intravenously at 15, and 30
mg/kg (twice weekly) exhibited delayed response and higher survival compared to
Avastin. At the same time, a combination of OPA and Avastin showed a
significant synergistic effect enlightening the potential of OPA liposomes in
the treatment of various cancers.