Clinically Translatable Transcrocetin Delivery Platform for Correction of Tumor Hypoxia and Enhancement of Radiation Therapy Effects |
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Authors: | Marie-Charlotte Diringer Pierre Coliat Clélia Mathieu Nina Laurent Carole Mura Mainak Banerjee Chen Zhu Anna Grabowska Alison Ritchie Philip Clarke Alexandre Bernard Claire Vit Hélène Burckel Georges Noel Peter Harvey Xavier Pivot Alexandre Detappe |
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Affiliation: | 1. Institut de Cancérologie Strasbourg Europe, Strasbourg, France;2. Ex Vivo Cancer Pharmacology Centre, Biodiscovery Institute, Translational Medical Sciences, School of Medicine, University of Nottingham, UK;3. Sir Peter Mansfield Imaging Centre, School of Medicine and School of Chemistry, University of Nottingham, UK |
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Abstract: | Improving the tumor reoxygenation to sensitize the tumor to radiation therapy is a cornerstone in radiation oncology. Here, the pre-clinical development of a clinically transferable liposomal formulation encapsulating trans sodium crocetinate (NP TSC) is reported to improve oxygen diffusion through the tumor environment. Early pharmacokinetic analysis of the clinical trial of this molecule performed on 37 patients orient to define the optimal fixed dosage to use in a triple-negative breast cancer model to validate the therapeutic combination of radiation therapy and NP TSC. Notably, it is reported that this formulation is non-toxic in both humans and mice at the defined fixed concentration, provides a normalization of the tumor vasculature within 72 h window after systemic injection, leads to a transient increase (50% improvement) in the tumor oxygenation, and significantly improves the efficacy of both mono-fractionated and fractionated radiation therapy treatment. Together, these findings support the introduction of a first-in-class therapeutic construct capable of tumor-specific reoxygenation without associated toxicities. |
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Keywords: | drug delivery liposome oxygenation trans sodium crocetinate |
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