Unknown

Dataset Information

0

Revisiting Bevacizumab?+?Cytotoxics Scheduling Using Mathematical Modeling: Proof of Concept Study in Experimental Non-Small Cell Lung Carcinoma.


ABSTRACT: Concomitant administration of bevacizumab and pemetrexed-cisplatin is a common treatment for advanced nonsquamous non-small cell lung cancer (NSCLC). Vascular normalization following bevacizumab administration may transiently enhance drug delivery, suggesting improved efficacy with sequential administration. To investigate optimal scheduling, we conducted a study in NSCLC-bearing mice. First, experiments demonstrated improved efficacy when using sequential vs. concomitant scheduling of bevacizumab and chemotherapy. Combining this data with a mathematical model of tumor growth under therapy accounting for the normalization effect, we predicted an optimal delay of 2.8 days between bevacizumab and chemotherapy. This prediction was confirmed experimentally, with reduced tumor growth of 38% as compared to concomitant scheduling, and prolonged survival (74 vs. 70 days). Alternate sequencing of 8 days failed in achieving a similar increase in efficacy, thus emphasizing the utility of modeling support to identify optimal scheduling. The model could also be a useful tool in the clinic to personally tailor regimen sequences.

SUBMITTER: Imbs DC 

PROVIDER: S-EPMC5784740 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

altmetric image

Publications

Revisiting Bevacizumab + Cytotoxics Scheduling Using Mathematical Modeling: Proof of Concept Study in Experimental Non-Small Cell Lung Carcinoma.

Imbs Diane-Charlotte DC   El Cheikh Raouf R   Boyer Arnaud A   Ciccolini Joseph J   Mascaux Céline C   Lacarelle Bruno B   Barlesi Fabrice F   Barbolosi Dominique D   Benzekry Sébastien S  

CPT: pharmacometrics & systems pharmacology 20171207 1


Concomitant administration of bevacizumab and pemetrexed-cisplatin is a common treatment for advanced nonsquamous non-small cell lung cancer (NSCLC). Vascular normalization following bevacizumab administration may transiently enhance drug delivery, suggesting improved efficacy with sequential administration. To investigate optimal scheduling, we conducted a study in NSCLC-bearing mice. First, experiments demonstrated improved efficacy when using sequential vs. concomitant scheduling of bevacizum  ...[more]

Similar Datasets

| S-EPMC8204171 | biostudies-literature
2016-03-16 | E-GEOD-79208 | biostudies-arrayexpress
| S-EPMC3874057 | biostudies-other
2016-03-16 | GSE79208 | GEO
| S-EPMC4168699 | biostudies-literature
| S-EPMC7489893 | biostudies-literature
| S-EPMC6709425 | biostudies-other
| S-EPMC2980950 | biostudies-other
| S-EPMC4636178 | biostudies-literature
| S-EPMC5578482 | biostudies-literature