NZ623550B2 - Therapeutic combination for the treatment of cancer - Google Patents
Therapeutic combination for the treatment of cancer Download PDFInfo
- Publication number
- NZ623550B2 NZ623550B2 NZ623550A NZ62355012A NZ623550B2 NZ 623550 B2 NZ623550 B2 NZ 623550B2 NZ 623550 A NZ623550 A NZ 623550A NZ 62355012 A NZ62355012 A NZ 62355012A NZ 623550 B2 NZ623550 B2 NZ 623550B2
- Authority
- NZ
- New Zealand
- Prior art keywords
- nerium
- extract
- cisplatin
- cancer
- therapeutic combination
- Prior art date
Links
- 230000001225 therapeutic Effects 0.000 title claims abstract description 38
- 201000011510 cancer Diseases 0.000 title claims description 19
- 229960004316 cisplatin Drugs 0.000 claims abstract description 63
- LXZZYRPGZAFOLE-UHFFFAOYSA-L transplatin Chemical compound [H][N]([H])([H])[Pt](Cl)(Cl)[N]([H])([H])[H] LXZZYRPGZAFOLE-UHFFFAOYSA-L 0.000 claims abstract description 63
- 239000000203 mixture Substances 0.000 claims abstract description 52
- 239000000284 extract Substances 0.000 claims abstract description 43
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 claims abstract description 36
- 240000008059 Nerium oleander Species 0.000 claims abstract description 32
- 239000002246 antineoplastic agent Substances 0.000 claims abstract description 20
- 241000894007 species Species 0.000 claims abstract description 19
- 229910052697 platinum Inorganic materials 0.000 claims abstract description 18
- 241000893864 Nerium Species 0.000 claims abstract description 9
- 208000008443 Pancreatic Carcinoma Diseases 0.000 claims abstract description 9
- 201000002528 pancreatic cancer Diseases 0.000 claims abstract description 9
- 206010060862 Prostate cancer Diseases 0.000 claims abstract description 7
- CKNPWBAXEKSCRG-UHFFFAOYSA-J satraplatin Chemical compound CC(=O)O[Pt-2]([NH3+])(Cl)(Cl)(OC(C)=O)[NH2+]C1CCCCC1 CKNPWBAXEKSCRG-UHFFFAOYSA-J 0.000 claims abstract description 7
- 229960005399 satraplatin Drugs 0.000 claims abstract description 7
- 206010006187 Breast cancer Diseases 0.000 claims abstract description 6
- 206010025650 Malignant melanoma Diseases 0.000 claims abstract description 6
- 229950007221 Nedaplatin Drugs 0.000 claims abstract description 6
- IIMIOEBMYPRQGU-UHFFFAOYSA-L Picoplatin Chemical compound N.[Cl-].[Cl-].[Pt+2].CC1=CC=CC=N1 IIMIOEBMYPRQGU-UHFFFAOYSA-L 0.000 claims abstract description 6
- 229950005566 Picoplatin Drugs 0.000 claims abstract description 6
- 201000001441 melanoma Diseases 0.000 claims abstract description 6
- ZROHGHOFXNOHSO-BNTLRKBRSA-L (1R,2R)-cyclohexane-1,2-diamine;oxalate;platinum(2+) Chemical compound [H][N]([C@@H]1CCCC[C@H]1[N]1([H])[H])([H])[Pt]11OC(=O)C(=O)O1 ZROHGHOFXNOHSO-BNTLRKBRSA-L 0.000 claims abstract description 5
- 229960004562 Carboplatin Drugs 0.000 claims abstract description 5
- OLESAACUTLOWQZ-UHFFFAOYSA-L Carboplatin Chemical compound O=C1O[Pt]([N]([H])([H])[H])([N]([H])([H])[H])OC(=O)C11CCC1 OLESAACUTLOWQZ-UHFFFAOYSA-L 0.000 claims abstract description 5
- 201000011231 colorectal cancer Diseases 0.000 claims abstract description 5
- 229960001756 oxaliplatin Drugs 0.000 claims abstract description 5
- BLYVBOMCZVHBIS-UHFFFAOYSA-L triplatin(4+) Chemical compound [NH3+][Pt-2]([NH3+])(Cl)[NH2+]CCCCCC[NH2+][Pt-2]([NH3+])([NH3+])[NH2+]CCCCCC[NH2+][Pt-2]([NH3+])([NH3+])Cl BLYVBOMCZVHBIS-UHFFFAOYSA-L 0.000 claims abstract description 5
- GYAVMUDJCHAASE-UHFFFAOYSA-M Nedaplatin Chemical compound [H][N]([H])([H])[Pt]1([N]([H])([H])[H])OCC(=O)O1 GYAVMUDJCHAASE-UHFFFAOYSA-M 0.000 claims abstract 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 10
- 230000000118 anti-eoplastic Effects 0.000 claims description 9
- 239000003814 drug Substances 0.000 claims description 5
- 241001116389 Aloe Species 0.000 claims description 3
- 235000011399 aloe vera Nutrition 0.000 claims description 3
- -1 latin Chemical compound 0.000 claims description 3
- 229940035295 Ting Drugs 0.000 claims description 2
- 210000004072 Lung Anatomy 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 claims 1
- 206010058467 Lung neoplasm malignant Diseases 0.000 abstract description 7
- 201000005202 lung cancer Diseases 0.000 abstract description 7
- 210000004027 cells Anatomy 0.000 description 71
- 238000002835 absorbance Methods 0.000 description 44
- 238000004166 bioassay Methods 0.000 description 24
- 230000002829 reduced Effects 0.000 description 22
- QTBSBXVTEAMEQO-UHFFFAOYSA-N acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 9
- 239000000975 dye Substances 0.000 description 9
- OMAFFHIGWTVZOH-UHFFFAOYSA-O 1-methyl-2H-tetrazol-1-ium Chemical compound C[N+]1=CN=NN1 OMAFFHIGWTVZOH-UHFFFAOYSA-O 0.000 description 7
- 230000000694 effects Effects 0.000 description 5
- 230000003287 optical Effects 0.000 description 5
- 231100000338 sulforhodamine B assay Toxicity 0.000 description 5
- ATJFFYVFTNAWJD-UHFFFAOYSA-N tin hydride Chemical compound [Sn] ATJFFYVFTNAWJD-UHFFFAOYSA-N 0.000 description 5
- 229940079593 drugs Drugs 0.000 description 4
- XJENLUNLXRJLEZ-UHFFFAOYSA-M lissamine rhodamine Chemical compound [Na+].C=12C=C(C)C(N(CC)CC)=CC2=[O+]C=2C=C(N(CC)CC)C(C)=CC=2C=1C1=CC=C(S([O-])(=O)=O)C=C1S([O-])(=O)=O XJENLUNLXRJLEZ-UHFFFAOYSA-M 0.000 description 4
- 206010028980 Neoplasm Diseases 0.000 description 3
- KLNFSAOEKUDMFA-UHFFFAOYSA-N azanide;2-hydroxyacetic acid;platinum(2+) Chemical compound [NH2-].[NH2-].[Pt+2].OCC(O)=O KLNFSAOEKUDMFA-UHFFFAOYSA-N 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 3
- 230000002401 inhibitory effect Effects 0.000 description 3
- 102000004169 proteins and genes Human genes 0.000 description 3
- 108090000623 proteins and genes Proteins 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 230000002588 toxic Effects 0.000 description 3
- 231100000331 toxic Toxicity 0.000 description 3
- 231100000419 toxicity Toxicity 0.000 description 3
- 230000001988 toxicity Effects 0.000 description 3
- 229940034982 ANTINEOPLASTIC AGENTS Drugs 0.000 description 2
- 230000036880 Cls Effects 0.000 description 2
- 210000003470 Mitochondria Anatomy 0.000 description 2
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 2
- 230000036462 Unbound Effects 0.000 description 2
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Vitamin C Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 2
- 230000001058 adult Effects 0.000 description 2
- 229960005070 ascorbic acid Drugs 0.000 description 2
- 229910002092 carbon dioxide Inorganic materials 0.000 description 2
- 239000000969 carrier Substances 0.000 description 2
- 230000000295 complement Effects 0.000 description 2
- 238000011156 evaluation Methods 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 239000012091 fetal bovine serum Substances 0.000 description 2
- WSFSSNUMVMOOMR-UHFFFAOYSA-N formaldehyde Chemical compound O=C WSFSSNUMVMOOMR-UHFFFAOYSA-N 0.000 description 2
- 150000002500 ions Chemical class 0.000 description 2
- OKKJLVBELUTLKV-UHFFFAOYSA-N methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 2
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 2
- IWCNCUVTGOMGKG-YOVVEKLRSA-N oleandrigenin Chemical compound C1([C@@H]2[C@@]3(C)CC[C@@H]4[C@@]5(C)CC[C@H](O)C[C@H]5CC[C@H]4[C@@]3(O)C[C@@H]2OC(=O)C)=CC(=O)OC1 IWCNCUVTGOMGKG-YOVVEKLRSA-N 0.000 description 2
- JLPDBLFIVFSOCC-XYXFTTADSA-N oleandrin Chemical compound O1[C@@H](C)[C@H](O)[C@@H](OC)C[C@@H]1O[C@@H]1C[C@@H](CC[C@H]2[C@]3(C[C@@H]([C@@H]([C@@]3(C)CC[C@H]32)C=2COC(=O)C=2)OC(C)=O)O)[C@]3(C)CC1 JLPDBLFIVFSOCC-XYXFTTADSA-N 0.000 description 2
- 229950010050 oleandrin Drugs 0.000 description 2
- 239000002953 phosphate buffered saline Substances 0.000 description 2
- 238000010972 statistical evaluation Methods 0.000 description 2
- 231100000747 viability assay Toxicity 0.000 description 2
- GHASVSINZRGABV-UHFFFAOYSA-N 5-flurouricil Chemical compound FC1=CNC(=O)NC1=O GHASVSINZRGABV-UHFFFAOYSA-N 0.000 description 1
- 206010005003 Bladder cancer Diseases 0.000 description 1
- 229940097217 CARDIAC GLYCOSIDES Drugs 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N D-Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- FBPFZTCFMRRESA-KAZBKCHUSA-N D-Mannitol Natural products OC[C@@H](O)[C@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KAZBKCHUSA-N 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 229960002949 Fluorouracil Drugs 0.000 description 1
- 229960002743 Glutamine Drugs 0.000 description 1
- 241001527806 Iti Species 0.000 description 1
- ZDXPYRJPNDTMRX-VKHMYHEASA-N L-glutamine Chemical compound OC(=O)[C@@H](N)CCC(N)=O ZDXPYRJPNDTMRX-VKHMYHEASA-N 0.000 description 1
- 241000124008 Mammalia Species 0.000 description 1
- FBPFZTCFMRRESA-KVTDHHQDSA-N Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 1
- VMGAPWLDMVPYIA-HIDZBRGKSA-N N'-amino-N-iminomethanimidamide Chemical compound N\N=C\N=N VMGAPWLDMVPYIA-HIDZBRGKSA-N 0.000 description 1
- 208000002154 Non-Small-Cell Lung Carcinoma Diseases 0.000 description 1
- 206010033128 Ovarian cancer Diseases 0.000 description 1
- QELSKZZBTMNZEB-UHFFFAOYSA-N Propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 1
- 229960005055 SODIUM ASCORBATE Drugs 0.000 description 1
- 102220460541 SVBP T47D Human genes 0.000 description 1
- 206010057644 Testis cancer Diseases 0.000 description 1
- 229960004319 Trichloroacetic Acid Drugs 0.000 description 1
- YNJBWRMUSHSURL-UHFFFAOYSA-N Trichloroacetic acid Chemical compound OC(=O)C(Cl)(Cl)Cl YNJBWRMUSHSURL-UHFFFAOYSA-N 0.000 description 1
- 239000007983 Tris buffer Substances 0.000 description 1
- 230000001093 anti-cancer Effects 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 239000012298 atmosphere Substances 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- CURLTUGMZLYLDI-UHFFFAOYSA-N carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 201000009030 carcinoma Diseases 0.000 description 1
- 239000002368 cardiac glycoside Substances 0.000 description 1
- 230000024881 catalytic activity Effects 0.000 description 1
- 238000004113 cell culture Methods 0.000 description 1
- 230000001413 cellular Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000002512 chemotherapy Methods 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 230000000875 corresponding Effects 0.000 description 1
- 210000004748 cultured cells Anatomy 0.000 description 1
- 230000001085 cytostatic Effects 0.000 description 1
- 229920003013 deoxyribonucleic acid Polymers 0.000 description 1
- 230000001419 dependent Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N edta Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- 239000007850 fluorescent dye Substances 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 150000004676 glycans Polymers 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 230000000670 limiting Effects 0.000 description 1
- 201000005244 lung non-small cell carcinoma Diseases 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 229960001855 mannitol Drugs 0.000 description 1
- 230000002438 mitochondrial Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000006011 modification reaction Methods 0.000 description 1
- 239000002547 new drug Substances 0.000 description 1
- 210000000056 organs Anatomy 0.000 description 1
- 239000000546 pharmaceutic aid Substances 0.000 description 1
- 239000008177 pharmaceutical agent Substances 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- 150000004804 polysaccharides Polymers 0.000 description 1
- OZAIFHULBGXAKX-UHFFFAOYSA-N precursor Substances N#CC(C)(C)N=NC(C)(C)C#N OZAIFHULBGXAKX-UHFFFAOYSA-N 0.000 description 1
- 230000035755 proliferation Effects 0.000 description 1
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 description 1
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 description 1
- 229960003415 propylparaben Drugs 0.000 description 1
- 230000001681 protective Effects 0.000 description 1
- 238000011002 quantification Methods 0.000 description 1
- 235000010378 sodium ascorbate Nutrition 0.000 description 1
- PPASLZSBLFJQEF-RKJRWTFHSA-M sodium ascorbate Substances [Na+].OC[C@@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RKJRWTFHSA-M 0.000 description 1
- 238000010186 staining Methods 0.000 description 1
- 238000007619 statistical method Methods 0.000 description 1
- 150000008143 steroidal glycosides Chemical class 0.000 description 1
- 230000002195 synergetic Effects 0.000 description 1
- 201000003120 testicular cancer Diseases 0.000 description 1
- 230000036962 time dependent Effects 0.000 description 1
- 230000004614 tumor growth Effects 0.000 description 1
- 201000005112 urinary bladder cancer Diseases 0.000 description 1
- 230000035899 viability Effects 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
- 238000005303 weighing Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2300/00—Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/28—Compounds containing heavy metals
- A61K31/282—Platinum compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/555—Heterocyclic compounds containing heavy metals, e.g. hemin, hematin, melarsoprol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/66—Phosphorus compounds
- A61K31/665—Phosphorus compounds having oxygen as a ring hetero atom, e.g. fosfomycin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7048—Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/24—Heavy metals; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/24—Heavy metals; Compounds thereof
- A61K33/243—Platinum; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/24—Apocynaceae (Dogbane family), e.g. plumeria or periwinkle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/88—Liliopsida (monocotyledons)
- A61K36/886—Aloeaceae (Aloe family), e.g. aloe vera
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Abstract
The disclosure relates to therapeutic combination comprising an anti-neoplastic agent comprising platinum and an extract from a species of the genus Nerium. The anti-neoplastic agent comprising platinum may be cisplatin, carboplatin, oxaliplatin, satraplatin, picoplatin, nedaplatin, triplatin, or phosphaplatins and the extract from a species of the genus Nerium may be Nerium indicum, Nerium oleander or Nerium odorum.The disclose alos relotes to the use of these combination for the use of treating prostate cancer, melanoma, pancreatic cancer, lung cancer, breast cancer, or colorectal cancer. osphaplatins and the extract from a species of the genus Nerium may be Nerium indicum, Nerium oleander or Nerium odorum.The disclose alos relotes to the use of these combination for the use of treating prostate cancer, melanoma, pancreatic cancer, lung cancer, breast cancer, or colorectal cancer.
Description
TITLE OF THE INVENTION
'I'herapeutic Combination for the Treatment of Cancer
. FIELD OF THE INVENTION
This invention relates to eutic combinations sing a platinum—based anti—
neoplastic agent and an extract from a species of the genus Nerz'um, as well as s of
using such combinations to treat patients suffering from certain types of cancer.
BACKGROUND OF THE INVENTION
Because of the continuing need for more effective ways to treat cancer, great effort continues
to be exerted to develop new drugs that are less toxic to the patient being treated. However,
another approach is to try to lower the toxicity of existing anti-cancer drugs by combining
them with other drugs.
Platinum-based anti-cancer drugs, such as cisplatin, find use in chemotherapy of various
types of cancer, but their toxicity remains a serious problem. rmore, the emergence of
cisplatin resistance in some tumors vitiates its utility at the toxicity-limited dosage. To
mitigate these limitations, cisplatin is commonly used in combination with other drugs, such
as 5-fluorouracil, that exert their toxic effects on different organs than those affected by
tin.
Extracts of Nerz'um er comprise various polysaccharides and ns as well as two
toxic cardiac glycosides, oleandrin and oleandrigenin, that are known to exhibit anti-cancer
activity.
EMBODIMENTS OF THE INVENTION
An ment of the invention is a therapeutic combination comprising (I) an anti-
neoplastic agent comprising platinum and (II) an t from a species of the genus Nerium.
Another embodiment ofthe invention is the above therapeutic combination, wherein (I) is
present in an amount that, in the absence of (II), is effective to produce an increase in anti-
stic activity.
Another embodiment of the invention is the above therapeutic combination, wherein (I) is
t in an amount that, in the absence of (II), is ineffective to produce an increase in anti—
neoplastic activity.
Another embodiment of the invention is the above therapeutic combination, wherein (I) is
selected from the group consisting of cisplatin, latin, oxaliplatin, satraplatin,
picoplatin, nedaplatin, tin, and phosphapiatins.
Another embodiment ofthe invention is the above therapeutic combination, wherein (I) is
cispiatin.
Another embodiment ofthe invention is the above eutic combination, wherein (II) is an
extract from a species selected from the group consisting ofNerium m, Nerz'um
Oleander, and Nerium odorum.
Another embodiment of the invention is the above therapeutic combination, wherein (II) is an
extract from the species Nerium Oleander.
Another embodiment ofthe ion is the above therapeutic combination, wherein (II) is a
based extract.
Another embodiment ofthe invention is the above therapeutic combination, wherein (II) is an
ased extract.
Another embodiment ofthe invention is the above therapeutic ation, wherein (I) is
cisplatin and (II) is an extract from the species Nerium Oleander.
Another embodiment of the invention is the above therapeutic combination, wherein (I) and
(II) are present as separate formulations.
Yet another embodiment of the invention is a method for treating cancer comprising
administering to a patient in need thereof a therapeutic combination comprising (I) an anti-
neoplastic agent comprising platinum and (II) an t from a species of the genus Nerium.
Another embodiment of the invention is the above method, wherein (I) is present in an
amount that, in the e of (II), is effective to produce an increase in anti—neoplastic
activity.
Another embodiment ofthe invention is the above method, wherein (I) is present in an
amount that, in the absence of (II), is ineffective to produce an increase in anti—neoplastic
activity.
Another embodiment of the invention is the above method, wherein (I) is selected from the
group ting of cisplatin, carboplatin, oxaliplatin, satraplatin, picoplatin, nedaplatin,
triplatin, and phosphaplatins.
Another embodiment of the invention is the above method, n (I) is cisplatin.
Another embodiment of the invention is the above method, wherein (II) is an extract from a
species ed from the group consisting of Nerz'um indicum, Nerz'um Oleander, and Nerz'um
odnrum.
Another embodiment of the invention is the above , n (II) is an extract from the
species Nerz'um Oleander.
r ment of the invention is the above method, wherein (II) is a water-based
extract.
Another embodiment of the invention is the above method, wherein (II) is an aloe—based
extract.
Another embodiment ofthe invention is the above method, wherein (I) is cisplatin and (II) is
an extract from the species Nerium Oleander.
Another embodiment of the invention is the above method, wherein (I) and (II) of said
therapeutic combination are administered to the patient simultaneously, separately, or
sequentially.
r embodiment of the invention is the above method, n (II) is administered to the
patient intramuscularly, sublingually, or intramuscularly and gually.
Another embodiment of the invention is the above , wherein (II) is administered to the
patient sublingually in two or more doses.
Another embodiment of the invention is the above method, wherein the cancer treated is
te cancer, melanoma, pancreatic cancer, lung cancer, breast , or colorectal
cancer.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 s a graph of the relative reduction in cells of the LNCaP prostate cancer cell
line in the ce of AnvirzelTM, tin, and a combination of the two.
Figure 2 depicts a graph of the relative reduction in cells of the A375 melanoma cancer cell
line in the presence of AnvirzelTM, cisplatin, and a combination of the two.
Figure 3 s a graph of the relative reduction in cells of the PANC-l pancreatic cancer
cell line in the presence of AnvirzelTM, cisplatin, and a combination of the two.
Figure 4 depicts a graph of the relative reduction in cells of the 9N lung cancer cell
line in the presence of AnvirzelTM, cisplatin, and a combination of the two.
DETAILED DESCRIPTION OF THE ION
It has singly been found that combinations of an anti-neoplastic agent comprising
platinum and an extract from a species of the genus Nerz'um synergistically exhibit increased
anti—neoplastic activity. As a , otherwise ineffective but well-tolerated doses of such
platinum-based anti-neoplastic agents, when combined with dosages of the extract that lack
efficacy themselves, exert clinically useful anti-neoplastic efficacy.
The therapeutic combinations of this invention se an anti-neoplastic agent comprising
platinum and an extract from a species of the genus Nerium.
The anti-neoplastic agent used in the therapeutic combinations of this invention can be any
known anti-cancer or anti-tumor agent or drug that contains platinum. Non-limiting
es include cisplatin, latin, oxaliplatin, satraplatin, picoplatin, nedaplatin,
triplatin, and phosphaplatins, such as those disclosed in US. Patent No. 8,034,964 and which
are incorporated herein by reference. These compounds can be prepared by methods known
in the art. Preferably, the anti-neoplastic agent is cisplatin. Cisplatin is a divalent inorganic ‘
water-soluble, platinum containing complex widely used to treat testicular, bladder, and
ovarian cancers.
The platinum—based anti—neoplastic agents used in the therapeutic combinations of this
invention can be combined with any pharmaceutically acceptable excipient, carrier, adjunct,
or t known in the art.
The extract used in the therapeutic combinations of this invention can be derived from any
species of the genus Nerz'um. Non-limiting examples include extracts from the species
Nerium indicum, Nerium Oleander, and Nerium odorum. ably, the extract is derived
from Nerium Oleander.
Extracts ofNerium Oleander can be prepared by methods known in the art. Such methods
include extraction with hot water (US. Patent Nos. 6,565,897 and 5,135,745), room
temperature water and aqueous alcohol, ularly aqueous methanol and ethanol (US.
Patent App. Pub. No. 2007/0154573 A1), supercritical carbon dioxide (U.8. Patent No.
7,402,325), and aloe (US. Patent App. Pub. No. 2010/00925 85 Al). These aforementioned
extraction methods disclosed in US. Patent Nos. 6,565,897, 5,135 ,745, and 325 and
U.8. Patent App. Pub. Nos. 154573 A1 and 2010/00925 85 A1 are incorporated herein
by reference. AnvirzelTM is a hot water extract ofNerium Oleander that contains oleandrin
and oleandrigenin as its main constituents.
The extracts used in the combinations of the invention can contain any ceutically
acceptable excipient, carrier, t, or diluent known in the art. Examples include
mannitol, ascorbic acid, sodium ascorbate, methyl n, propyl paraben, and mixtures
thereof.
ably, the therapeutic combination of the invention comprises cisplatin and an extract
from the species Nerium Oleander.
The anti-neoplastic agent comprising platinum and the extract from a species of the genus
Nerz'um can be present in the therapeutic combinations of the invention as either separate or
combined formulations.
The method of this invention for treating cancer comprises administering to a patient in need
thereof a therapeutic combination comprising an eoplastic agent comprising platinum
and an extract from a species of the genus Nerz‘um. As used herein, the term "patient" refers
to a mammal afflicted with cancer. The red patient is a human.
The anti-neoplastic agent comprising platinum can be present in the therapeutic combinations
of the invention and used in the method of this invention in an amount that, in the absence of
the extract from a species of the genus Nerz‘um, is either effective or ineffective to produce an
increase in eoplastic activity. An amount or dose that is "effective” is that which
produces a particular cancer cell growth— or proliferation-inhibiting effect, tumor growth
inhibiting effect, tumor volume increase—inhibiting , or cancer treatment effect in a
cancer cell or tumor.
The anti-neoplastic agent comprising platinum can be stered to the patient via any
mode known in the art, such as intravenously in the case of cisplatin, carboplatin, and
oxalplatin, and orally in the ease of satraplatin. A typical dosage of cisplatin for an adult is
70-100 mg/m2 a day for three days, followed by two weeks off, constituting one cycle.
Patients can receive a maximum of six cycles of therapy, but owing to toxicity problems most
patients can only endure four cycles of such therapy. A typical adult (170 cm tall and
weighing 70 kg), has 1.83 m2 (The Journal of Pediatrics 1978 93:1:62-66; Gehan EA, George
SL), corresponding to a dosage of about 125—185 mg.
The extract used in this method can be administered intramuscularly, sublingually, or
intramuscularly and sublingually, either in a single dose or in le doses. The normal
dosage for AnvirzelTM is 0.5 to 1.0 mL intramuscularly, 1.0 to 2.0 mL gually, or a
ation of intramuscular and gual administration so that the total amount in a 24
hour period is no greater that 2 mL. AnvirzelTM administered sublingually only is divided into
a series of smaller sub-doses, typically two to four doses of 0.5 mL or less per 24 hours.
As is common with pharmaceutical agents, the respective therapeutic doses of the
components ofthe therapeutic combinations of the invention may vary with the condition of
the patient and the route by which the drug is administered. The dose, and perhaps the dose
ncy, will also vary according to the age, body weight, and response of the individual
t. It may be necessary to use dosages outside these ranges in some cases, as will be
apparent to those skilled in the art. Further, it is noted that the ian or ng physician
will know how and when to interrupt, adjust, or ate therapy in conjunction with
individual patient response. The terms "therapeutic amount" and "therapeutically effective
amount" are encompassed by the above-described dosage amounts and dose frequency
schedules.
The therapeutic combinations of the invention can be administered to the patient
simultaneously, separately, or sequentially.
The therapeutic combinations of the invention can be used according to this method to treat
any type of cancer. es include prostate cancer, ma, pancreatic cancer, lung
cancer, breast cancer, and colorectal .
The following non-limiting examples demonstrate the synergistic cytostatic effect of co-
administration of a Nerium Oleander extract with cisplatin.
While these examples show certain specific embodiments of the invention, it will be manifest
to those skilled in the art that s modifications and ngements of the parts may be
made without departing from the spirit and scope of the underlying inventive t and that
the same is not limited to the particular forms herein shown and described.
EXAMPLES
Viability Assays
Three different viability assays were chosen to complement each other and yielded results
dependent on concentration and cell line: the Methyl Tetrazolium dye assay, the
Sulforhodarnine B fluorescent dye assay, and the Crystal Violet dye assay.
The -Tetrazolium dye assay measures the activity of enzymes in mitochondria. The
dye precursor is taken up by cells, where it undergoes reduction to the purple an. It
measures only the mitochondrial activity and, thus, it is not always a reliable tion of
whether the cells themselves are alive or dead, since even a recently dead cell has lower
enzyme activity in mitochondria. ellular glucose concentration, pH, and time before
assay all affect the ements.
The Sulforhodamine B and Crystal Violet assays provide information about protein and were
used to complement the Methyl—Tetrazolium dye assay. The Sulforhodamine B assay is more
sensitive for the detection of small number of cells and shows a linear relationship between
cell number and its staining intensity. It is used for the quantification of cellular proteins of
cultured cells. The assay using Crystal Violet, a dye that binds electrostatically to proteins
and stains DNA, provides a reliable, simple assay for measuring viability of cells.
The Methyl olium, Sulforhodamine B, and Crystal Violet assays were used to assess
cell ities. The incubation times were 24 hours, 48 hours, and 72 hours. The Nerz'um
Oleander extract AnvirzelTM (a hot water extract of Oleander obtained from Salud Integral,
Honduras) was tested in concentrations ranging from 0.01 ng/mL to 10 ng/mL. Cisplatin
(Sigma, P4394) was tested in concentrations ranging from 0.1 ug/mL to 100 ug/mL.
Cells were detached by trypsinization (Trypsin-0.25% EDTA, Invitrogen, 25200-072) during
the logarithmic phase of culture growth and plated in 96-well plates (18.000 cells/well)
(Corning, Costar 359) in a final volume of 200ul of medium per well. After 70 to 80%
confluence of the culture, the medium was d and the AnvirzelTM diluted in water and
tin diluted in N,N—dimethylformamide (Fluka, 40255) were added to the cells in
graduated densities. The absorbance was measured after 24 hours, 48 hours, and 72 hours of
' incubation.
For the hodamine B assay, 96-well plates were fixed by 10% trichloroacetic acid
(Fluka, 91228) and were incubated at 4 °C for lhour. ards, plates were rinsed with
water and cells were stained with 0.4% Sulforhodamine B (Sigma, 34173 8), dissolved in 1%
acetic acid (Carlo Ebra, 401422) for 15 minutes at room temperature (RT). The unbound stain
was washed twice with 1% acetic acid. Finally, 10 mM Tris Buffer pH 10.5 , T6791)
was added to dissolve the dye.
For the Crystal Violet assay, the medium was d from the 96—well plates, the plates
rinsed with PBS (Sigma, P3813) and then the cells were rinsed by the addition of 10%
formalin (MERCK, 2500) .for 20 minutes at RT. Formalin was removed and 0.25%
aqueous crystal Violet (Sigma, HT901), ved in Water, was added for 10 minutes at RT.
Unbound Crystal Violet was rinsed by washing with water and finally 33% acetic acid was
added to dissolve the dye.
For the Methyl-Tetrazolium assay, the dye (Sigma, M2128; 5 mg/mL, diluted in phosphate-
buffered saline) was added to each well and plates were incubated for 3 hours at 37°C. After
the end of the incubation period, the medium was discarded and the cells were rinsed with
phosphate-buffered saline. Finally, the formazan crystals were dissolved in
dimethylsulphoxide (Sigma, D4540).
The optical density of each plate was measured on a uQuant spectrophotometer and the data
were analyzed with Gen5 software (uQuant Biomolecular Spectrophotometer MQXZOO and
GenSTM Microplatc Data Collection & Analysis software, ® Instruments.1nc, April
2008). Absorbance was measured at 570 nm for all assays and a second wavelength was
measured in order to subtract noise. For the -Tetrazolium assay this second
wavelength was 630 nm and for the Sulforhodamine B and Crystal Violet assays it was 690
Cell Lines
Human carcinoma cell lines were ed by the European Collection of Cell Cultures from
Health Protective Agency, UK, and included lines derived from human te cancer (PC3,
LNCaP and 22RV1), human breast cancer (MDA—MB 231, T47D, MCF-7), non-small cell
lung carcinoma (CALU-l, COLO699N, COR-L 105), colorectal cancer (HGT—116, HT55,
HGT-15), ma (A375), and pancreatic cancer (PANCJ).
Cells were cultured in 75 cm2 flasks (Orange Scientific, 5520200, Belgium) in the medium
indicated for each line with the appropriate amount of heat inactivated Fetal Bovine Serum
(FBS, Invitrogen, 10106-169, California) and 2 mM L-Glutamine (Sigma, G5792, Germany)
for each cell line and incubated at 37°C in a 5% C02 atmosphere.
Statistical Analysis
All treatments for each cell line were performed in cate. The tical significance of all
effects was ted by “difference of the means” test (p < 0.05).
elTM concentrations ranged from 0.01 ng/mL to 10 ng/mL, while those for cisplatin
ranged from 0.1 ug/mL to 100 ug/mL. Surprisingly, lower concentrations of both the
AnvirzelTM (0.01 to 0.1 ng/mL) and the cisplatin (0.1 ug/mL) gave better results than higher
concentrations, which yielded unreliable and irreproducible results. The results were also
time-dependent, as was observed after 48 and 72 hours of incubation.
Example 1: LNCaP cell line
Table 1 below shows results for LNCaP cells, a prostatic cancer-derived cell line, with cell
population densities estimated from optical absorbance data.
By Crystal Violet assay, after 48 hours of incubation, unstimulated cells showed an apparent
absorbance of 1.307 (a dimensionless quantity), with essentially the same value (1249)
ed in the presence of 0.01 ng/mL of AnvirzelTM. The presence of 0.1ug/mL of cisplatin
reduced the apparent absorbance to 0.408, but the presence of 0.01 ofng/mL AnvirzelTM and
0.1 ug/niL of cisplatin further d the value to 0.178 (p=0.00008<0.05). A similar
diminution in nt absorbance was found after 72 hours incubation as well.
By Sulforhodamine B assay, after 48 hours of incubation, unstimulated cells showed an
apparent absorbance of 2.616, with essentially the same value (2.667) ed in the
presence of 0.01 ng/mL of AnvirzelTM. The presence of 0.1 ug/mL of cisplatin reduced the
apparent absorbance to 1.681, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL
of cisplatin further reduced the value to 1.033 (p=0.007<0.05). A similar diminution in
apparent absorbance was found after 72 hours incubation as well.
By Methyl—Tetrazolium assay, after 48 hours of tion, unstimulated cells showed an
apparent absorbance of 0.429, with a somewhat lower value (0.292) obtained in the presence
of 0.01 ng/mL of AnvirzelTM. The presence ofO.1 ug/mL ofcisplatin reduced the apparent
absorbance to 0.161, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL of
cisplatin further reduced the value to 0.033 (p=0.005<0.05). A similar diminution in nt
absorbance was found after 72 hours incubation as well.
Table 1: tical evaluation of absorbance in LNCaP prostate cancer cell line.
Unstimulated cells . 1.307
0.01 ng/mL el 1 249 2.416
0.1 g/mL cisplatin 0408 0.448
0.01 ng/mL e1+ 0.178 0.187
0.1itg/mL cisplatin (p=0.00008<0.05 20.002<0.05
Unst1mulated cells
0.01 ng/mL Anvirzel
001 ng/mL Anvirzel +
0.1 - mLcis-latin
1m1rnLO. cislatin 0.161 0.17
0.1ug/mL cisplatin (p=0.005<0.05) (p=0.0001<0.05)
These results in Table l are graphically depicted in Figure 1.
Example 2: A375 Cell Line
Table 2 below shows results for A375 cells, a ma—derived cell line, with cell
population ies estimated from optical absorbance data.
By Crystal Violet assay, after 48 hours of incubation, unstimulated cells showed an apparent
absorbance of 2.791, with essentially the same value (2.71) ed in the presence of 0.01
ng/mL of AnvirzelTM. The presence of 0.1 ug/mL of cisplatin reduced the apparent
absorbance to 1.304, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL of
cisplatin reduced the value to 0.178 0008<0.05). A similar diminution in apparent
absorbance was found after 72 hours incubation as well.
By Sulforhodamine B assay, after 48 hours of incubation, unstimulated cells showed an
apparent absorbance of 2.836, with essentially the same value (2.854) obtained in the
presence of 0.01 ng/mL of AnvirzelTM. The presence of 0.1 ug/mL of cisplatin reduced the
apparent absorbance to 2.421, but the ce of 0.01 ng/mL of AnvirzelTM of and 0.1
ug/mL of cisplatin further reduced the value to 1.89 (p=0.01<0.05). A similar diminution in
apparent absorbance was found after 72 hours incubation as well.
By Methyl—Tetrazolium assay, after 48 hours of incubation, ulated cells showed an
apparent absorbance of 0.45, with essentially the same value (0.49) obtained in the presence
of 0.01 ng/mL of elTM. The presence of 0.1 ug/mL of cisplatin reduced the apparent
absorbance to 0.332, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL of
cisplatin reduced the value to 0.072 02<0.05). A similar diminution in apparent
absorbance was found after 72 hours incubation as well.
Table 2: Statistical evaluation of absorbance in A375 melanoma cancer cell line.
Unstimulated cells 2.791 2.767
0.01 ng/mL Anvirzel 2.71 2.846
0.1ug/mL cisplatin 1.3 04 0.663
0.01 ng/mL Anvirzel + 0.306 0.123
O lug/mL cisplatin (p=0.002<0.05) n=0.0009<0.05)
Unstimulated cells
0.01 ng/mL Anvirzel 2.854
rnL cisplatin 2.421 2.487
0.01 ng/mL Anvirzel + .
0.1 - mL cislatin
inhstihiuiated cells A H
0.922
0.01 ng/mL Anvirzel 0.999
0.1ug/mL cisplatin 0.332 0.479
0.01 ng/mL Anv1rzel + 0.072 0.053
0 lug/mL ClS latln (p=0.002<0.05) (p=0.005<0.05)
These results in Table 2 are graphically depicted in Figure 2.
Example 3: PANC-l Cell Line
Table 3 below shows results for PANC—l cells, a pancreatic cancer-derived cell line, with cell
population densities estimated from optical absorbance data.
By Crystal Violet assay, after 48 hours of incubation, unstimulated cells showed an apparent
absorbance of 0.964, with ially the same value (1.04) obtained in the presence of 0.01
ng/mL ofAnvirzelTM. The ce of 0.1 ug/mL of cisplatin reduced the apparent
absorbance to 0.753, but the presence of 0.01 ng/mL of elTM and 0.1 pg/mL of
cisplatin reduced the value to 0.283 (p=0.01<0.05). A similar diminution in apparent
absorbance was found after 72 hours incubation as well.
By Sulforhodamine B assay, after 48 hours of tion, unstimulated cells showed an
apparent absorbance of 2.332, with essentially the same value (2.328) obtained in the
presence of 0.01 ng/mL of AnvirzelTM. The presence of 0.1 ng/mL of tin reduced the
apparent absorbance to 1.861, but the ce of 0.01 ng/mL of AnvirzelTM and 0.1 ng/mL
of cisplatin further reduced the value to 1.25 (p=0.002<0.05). A similar diminution in
apparent absorbance was found after 72 hours incubation as well.
By Methyl—Tetrazolium assay, after 48 hours of tion, unstimulated cells showed an
apparent absorbance of 0.546, with a similar value (0.518) obtained in the presence of 0.01
ng/mL of AnvirzelTM. The presence of 0.1 ug/mL of cisplatin reduced the apparent
absorbance to 0.286, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL of
cisplatin reduced the value to 0.143 (p=0.0007<0.05). A similar diminution in apparent
ance was found after 72 hours incubation as well.
Table 3: Statistical evaluation of absorbance in PANC-l pancreatic cancer cell line.
Unstimulated cells 0 964 2.862
0 01 ng/mL Anvnzel 2.711
0 lug/mL Cisplatln 0.753 0.872
0.01 ng/mL Anvirzel + 0.283 0.336
0.1ug/rnL latin -=0.0l<0.05 (p=0.001<0.05)
Unstimulated cells 2.332 2.924
0.01 ng/mL Anvirzel 2.328 2.882
mL cisplatin 1.861 2.536
0 01 ng/mL Anvnzel + 1.25 1 837
0 lug/mL ClS latin <0.05 =0.004<0.05)
I i
V r VUnstimulated cells
. .
0.01 ng/mL Anvrrzel 0.518 0.954
0.1ug/mL Cisplatln 0.286 0.344
0.01 ng/mL Anvirzel + 0.143 0.115
0.1 1 mL cis-latin =0.0007<0.05) (p=0.002<0.05)
These results in Table 3 are cally depicted in Figure 3.
Example 4: COLO699N Cell Line
Table 4 below shows results for COLO699N cells, a lung cancer—derived cell line, with cell
population densities estimated from optical absorbance data.
By Crystal Violet assay, after 48 hours of incubation, unstimulated cells showed an apparent
absorbance of 0.918, with a similar value ) obtained in the presence of 0.01 ng/mL of
AnvirzelTM. The presence of 0.1 ug/mL of cisplatin reduced the apparent absorbance slightly
to 0.801, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL of cisplatin d
the value to 0.361 (p=0.01<0.05). A similar diminution in apparent absorbance was found
after 72 hours incubation as well.
By Sulforhodamine B assay, afier 48 hours of incubation, unstimulated cells showed an
apparent absorbance of 2.636, with essentially the same value (2.633) obtained in the
ce of 0.01 ng/mL of AnvirzelTM. The presence of 0.1 ug/mL of cisplatin reduced the
apparent ance to 1.975, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL
of cisplatin further reduced the value to 1.046 (p=0.00001<0.05). A r diminution in
apparent absorbance was found after 72 hours tion as well.
By Methyl—Tetrazolium assay, after 48 hours of incubation, unstimulated cells showed an
apparent absorbance of 0.82, with a somewhat higher value (0.953) obtained in the presence
of 0.01 ng/mL of AnvirzelTM. The presence of 0.1 ug/mL of cisplatin reduced the apparent
absorbance to 0.636, but the presence of 0.01 ng/mL of AnvirzelTM and 0.1 ug/mL of
cisplatin reduced the value to 0.058 (p=0.001<0.05). A r diminution in apparent
absorbance was found after 72 hours incubation as well.
Table 4: Statistical. evaluation of absorbance in COLO699N lung cancer cell line.
U11st1mulatedcells 0.918 1.659
0.01 ng/mL Anvirzel 0.826 1.654
0 lug/mL cisplatin 0-801
0.01 ng/mL Anvirzel + . 0.361 0.138
(-.=001<0.05) (p=0.005<0.05)
Unstimulated cells 2.636 2.758
0.01 ng/mL Anvirzel 2.633 2.655
0 lug/mL cisplatin 1.975 .
0.01 ng/mL Anvirzel + 1.046
0.111g/mL cisplatin =0.00001<0.05) .
Unstimulated cells
0.01 ng/mL Anvirzel 0.953 1.184
0.1ug/mL cisplatin 0.636
0.01 ng/mL Anvirzel + 0.058 0.047
mL cisplatin . =0.001<0.05) (p=0.001<0.05)
These results in Table 4 are cally depicted in Figure 4.
Claims (25)
1. A therapeutic combination sing (I) an anti-neoplastic agent comprising platinum and (II) a hot extract from a species of the genus Nerium.
2. The therapeutic combination of claim 1, wherein (I) is present in an amount that, in the absence of (II), is effective to produce an increase in anti-neoplastic activity.
3. The therapeutic combination of claim 1, wherein (I) is present in an amount that, in the absence of (II), is ineffective to produce an increase in anti-neoplastic activity.
4. The therapeutic combination of claim 1, wherein (I) is selected from the group consisting of cisplatin, carboplatin, latin, satraplatin, picoplatin, nedaplatin, triplatin, and phosphaplatins.
5. The therapeutic combination of claim 1, wherein (I) is cisplatin.
6. The therapeutic combination of claim 1, wherein (II) is an extract from a species ed from the group consisting of Nerium indicum, Nerium oleander, and Nerium odorum.
7. The therapeutic combination of claim 1, n (II) is an extract from the species Nerium er.
8. The therapeutic combination of claim 1, wherein (II) is a water-based extract.
9. The therapeutic combination of claim 1, wherein (II) is an ased extract.
10. The therapeutic combination of claim 1, wherein (I) is cisplatin and (II) is an extract from the species Nerium oleander.
11. The eutic ation of claim 1, wherein (I) and (II) are t as separate formulations, which are suitable for administration to a patient simultaneously, separately, or sequentially. 2736383v1
12. Use of a eutic combination comprising (I) an anti-neoplastic agent comprising platinum and (II) a hot extract from a species of the genus Nerium for the manufacture of a medicament for the treatment of .
13. The use of claim 12, wherein (I) is present in an amount that, in the absence of (II), is effective to produce an increase in anti-neoplastic activity.
14. The use of claim 12, wherein (I) is present in an amount that, in the absence of (II), is ineffective to produce an increase in anti-neoplastic activity.
15. The use of claim 12, wherein (I) is selected from the group ting of cisplatin, carboplatin, oxaliplatin, satraplatin, picoplatin, nedaplatin, triplatin, and phosphaplatins.
16. The use of claim 12, wherein (I) is cisplatin.
17. The use of claim 12, wherein (II) is an extract from a species selected from the group consisting of Nerium indicum, Nerium oleander, and Nerium odorum.
18. The use of claim 12, wherein (II) is an extract from the species Nerium oleander.
19. The use of claim 12, wherein (II) is a based extract.
20. The use of claim 12, wherein (II) is an aloe-based t.
21. The use of claim 12, n (I) is cisplatin and (II) is an extract from the s Nerium oleander.
22. The use of claim 12, wherein (I) and (II) of said therapeutic combination are suitable for administration to a patient simultaneously, separately, or sequentially.
23. The use of claim 12, n (II) is suitable for administration to the patient intramuscularly, sublingually, or intramuscularly and sublingually.
24. The use of claim 12, wherein (II) is suitable for administration to the patient sublingually in two or more doses. 2736383v1
25. The use of claim 12, wherein the cancer treated is prostate cancer, melanoma, pancreatic cancer, lung , breast cancer, or colorectal cancer. 2736383v1
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161549386P | 2011-10-20 | 2011-10-20 | |
US61/549,386 | 2011-10-20 | ||
PCT/US2012/061226 WO2013059753A1 (en) | 2011-10-20 | 2012-10-20 | Therapeutic combination for the treatment of cancer |
Publications (2)
Publication Number | Publication Date |
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NZ623550A NZ623550A (en) | 2016-06-24 |
NZ623550B2 true NZ623550B2 (en) | 2016-09-27 |
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