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   1 dino)-1-piperidino]carbonyloxycamptothec in (CPT-11).                                                
     2 I) plus systemic oxaliplatin and irinotecan (CPT-11).                                                
     3 terase substrate o-NPA and the bulky prodrug CPT-11.                                                 
     4 h naive and drug-resistant colon cancer with CPT-11.                                                 
     5 53 is required for sensitization to TRAIL by CPT-11.                                                 
     6 week cycle plus escalating doses of systemic CPT-11.                                                 
     7 ne that plays a direct role in resistance to CPT-11.                                                 
     8 ase the sensitivity of colon cancer cells to CPT-11.                                                 
     9 mbination with the topoisomerase 1 inhibitor CPT-11.                                                 
    10 rected enzyme prodrug therapy approach using CPT-11.                                                 
    11 ic proteins, for their ability to metabolize CPT-11.                                                 
    12 metabolite of the topoisomerase I inhibitor, CPT-11.                                                 
    13 lity of plasma from these mice to metabolize CPT-11.                                                 
    14  in colorectal tumor cells to treatment with CPT-11.                                                 
    15 pproved camptothecin analogues topotecan and CPT-11.                                                 
    16 finity, high-velocity enzyme with respect to CPT-11.                                                 
    17 vation and conferred sensitivity of cells to CPT-11.                                                 
    18  combination with the chemotherapeutic agent CPT-11.                                                 
    19 2, followed by once weekly i.p. injection of CPT-11.                                                 
    20 er xenografts that was comparable to that of CPT-11.                                                 
    21 r to that observed with IV administration of CPT-11.                                                 
    22 ith those of SN-38, the active metabolite of CPT-11.                                                 
    23 methyl-10,11-methylenedioxycamptothecin, and CPT-11.                                                 
    24 tander growth suppression in the presence of CPT-11.                                                 
    25 essing the rabbit CE to the anticancer agent CPT-11.                                                 
    26 ts and increased the sensitivity of cells to CPT-11.                                                 
    27 g in an increase in the therapeutic index of CPT-11.                                                 
    28 tant cell growth in vitro in the presence of CPT-11.                                                 
    29 the pharmacokinetics and pharmacodynamics of CPT-11.                                                 
    30 , thereby maximizing the antitumor effect of CPT-11.                                                 
    31 ensitizes glioma cells to 5-fluorouracil and CPT-11.                                                 
    32 vided a more stable enzyme for activation of CPT-11.                                                 
    33 lus and evaluation of its enzyme activity on CPT-11.                                                 
    34  undetectable following CED of nanoliposomal CPT-11.                                                 
    35 free CPT-11 and >320 mg/kg for nanoliposomal CPT-11.                                                 
    36 vivo when combined with cyclophosphamide and CPT-11.                                                 
  
    38 or patients in group A was Oxal 100 mg/m(2), CPT-11 150 mg/m(2), and FUDR 0.12 mg/kg x 30 mL divided 
    39 and, for the 3-weekly schedule, the MTDs are CPT-11 (175 mg/m2), oxaliplatin (85 mg/m2), FU (240 mg/m
  
    41 ated with repeated 4-week courses comprising CPT-11 (60 mg/m(2)) administered on days 1, 8, and 15, a
    42 rs alleviates these side effects, which, for CPT-11 {7-ethyl-10-[4-(1-piperidino)-1-piperidino]}, can
  
  
    45 SN38 was far higher than that of irinotecan (CPT-11), a FDA-approved water soluble SN38 prodrug used 
  
  
  
    49 at the combined treatment of Apo2L/TRAIL and CPT-11 achieves tumor control in prostate cancer tumors 
    50 idino)-1-piperidino]carbonyloxycamptothecin (CPT-11) activates NF-kappaB in most colorectal cancer ce
    51 oduced extracts that demonstrated proficient CPT-11 activation and conferred sensitivity of cells to 
    52     hCE-2 likely plays a substantial role in CPT-11 activation in human liver at relevant pharmacolog
    53 e prepared PEG conjugates of the irinotecan (CPT-11) active metabolite SN-38 via a phenyl ether that 
    54 ed 24 h before CPT-11 (sequence II); and (c) CPT-11 administered 24 h before FUra (sequence III).    
    55 administration sequences were evaluated: (a) CPT-11 administered simultaneously with FUra (sequence I
  
    57 road spectrum antitumor activity superior to CPT-11 against some preclinical xenograft models, includ
  
    59 R tyrosine kinase) as a single agent or with CPT-11 alone were smaller (>50%) than those in control m
  
  
    62  characteristics make oral administration of CPT-11 an attractive option for further clinical develop
  
    64  7 mg/kg i.p. daily on days 1 through 5, and CPT-11 and 5FU were administered at doses of 50 and 100 
    65    hCE-2 has a 12.5-fold higher affinity for CPT-11 and a 5-fold higher maximal rate of CPT-11 hydrol
    66  (36 males and 24 females) were treated with CPT-11 and all were assessable for toxicity, response, a
  
  
    69 odel (Ward colon carcinoma); we administered CPT-11 and FUra by i.v. push once a week for four consec
  
    71 ypass the need for the in vivo conversion of CPT-11 and increase the therapeutic index, bifunctional 
  
  
    74 t celecoxib enhances the antitumor effect of CPT-11 and reduces the severity of late diarrhea in a do
    75 re toxicity and low plasma concentrations of CPT-11 and SN-38 achieved in this patient population sug
    76 d previously that the initial uptake rate of CPT-11 and SN-38 by intestinal cells was significantly d
  
    78  the concentration-time curve (AUC) for both CPT-11 and SN-38 lactone, implying no saturation in the 
  
    80 lon tumor model, and compared favorably with CPT-11 and topotecan in the SKNEP anaplastic Wilms' tumo
  
    82 l cancer with the combination of irinotecan (CPT-11) and 5-fluorouracil (FUra) with or without leucov
    83 es, such as the anticancer drugs irinotecan (CPT-11) and capecitabine and the pyrethroid insecticides
    84 tolerated dose (MTD) of systemic irinotecan (CPT-11) and HAI floxuridine (FUDR) plus dexamethasone (D
  
    86 anced activity when MGI-114 is combined with CPT-11, and clinical trials to further evaluate this com
  
  
    89 xpressing SW620 cells were more resistant to CPT-11 as compared with tumors established from vector-t
    90 g Hct116 cells were 3-fold more sensitive to CPT-11 as compared with vector transfected Hct116 cells.
    91 odel, a single CED infusion of nanoliposomal CPT-11 at 1.6 mg resulted in significantly improved medi
    92 or combined systemic CPT-11 and HAI FUDR was CPT-11 at 200 mg/m2 every other week and FUDR at 0.12 mg
  
    94 ow-dose combination (MGI-114 at 35 mg/kg and CPT-11 at 50 mg/kg) resulted in final tumor weights simi
    95 lfate), liposomes were capable of entrapping CPT-11 at extremely high drug-to-lipid ratios (>800 g CP
    96 ancer and liver metastases who received oral CPT-11 at the 80 mg/m2/d dosage achieved a confirmed par
    97 riability in SN-38 (the active metabolite of CPT-11) AUC is explained by ABCC1 1684T>C, ABCB1 IVS9 -4
    98 e predictions, indicating that activation of CPT-11 by a CE is constrained by size-limited access of 
  
  
  
   102 e that toxicity associated with high dose of CPT-11 can be eliminated without loss of the antitumor e
   103 tor JBT 3002 combined with i.p. injection of CPT-11 can decrease the growth of human pancreatic carci
   104 the chemotherapeutic drugs 5-fluorouracil or CPT-11, causing substantial tumor regression or complete
   105 -fold and tissue t(1/2) by 22-fold over free CPT-11; CED in intracranial U87 glioma xenografts showed
  
  
   108 rmined the therapeutic effect of irinotecan (CPT-11) combined with the immunomodulator JBT 3002, a sy
  
   110     The combination IFN-beta and irinotecan (CPT-11) cooperatively inhibits cell growth and IRF-5 syn
   111  different mechanisms of action, and lack of CPT-11 cross-resistance to previous FUra/LV treatment.  
   112  the ATP-dependent drug transporter ABCG2 in CPT-11 cytotoxicity is unclear because some ABCG2 mutant
  
   114 , or the combination of cyclophosphamide and CPT-11 does not significantly affect oncolytic virus rep
  
   116 l modification of CPT-11 doses, resulting in CPT-11 dose attenuations to < or = 40 mg/m(2) in the maj
  
  
   119 dification provisions that avoid unnecessary CPT-11 dose reductions to exploit more directly the ther
   120 ng severe and lethal mucositis at much lower CPT-11 doses, a result of the proliferative cell loss an
   121 y design led to preferential modification of CPT-11 doses, resulting in CPT-11 dose attenuations to <
   122 ent of TRAIL-resistant tumors with TRAIL and CPT-11 dramatically slowed tumor growth and induced a tr
  
   124 ndomized studies have shown that irinotecan (CPT-11) extends survival in metastatic colorectal cancer
   125 ies and clinical activity of two irinotecan (CPT-11), fluorouracil (FU), leucovorin (LV), and oxalipl
  
   127 trial of the topoisomerase I (Topo I) poison CPT-11 followed by the cyclin-dependent kinase inhibitor
   128 n therapy of SN-38 (the active metabolite of CPT-11) followed by flavopiridol, the induction of apopt
   129 d subsequent exposure of cells to 1-5 microM CPT-11 for 4 h increased the toxicity of CPT-11 to three
   130 use rabbit CE expression in combination with CPT-11 for gene therapy approaches for the treatment of 
   131 h CPT-11 and Apo2L/TRAIL, or pretreated with CPT-11 for up to 24 h followed by 2 h Apo2L/TRAIL, resul
  
  
  
  
   136 rrent HAI and systemic Oxal plus irinotecan (CPT-11; group A) or Oxal, fluorouracil (FU), and leucovo
   137 e treated with the combination of AEE788 and CPT-11 had significantly smaller tumors (P < 0.01) and c
  
   139 rs undergo apoptosis in response to TRAIL or CPT-11, implying that these proteins have nonoverlapping
   140 1 was shown to be as active as camptothecin (CPT)-11 in the HCT-8 colon tumor model, and compared fav
   141 ly superior efficacy when compared with free CPT-11 in human breast (BT474) and colon (HT29) cancer x
  
  
  
   145  a transient upregulation of DR5 mRNA, while CPT-11 increased both death and decoy receptor expressio
  
  
   148 ed cellular toxicity, we postulated that the CPT-11-induced diarrhea was preventable by influencing t
   149 gt1(DeltaGI) mice were highly susceptible to CPT-11-induced diarrhea, developing severe and lethal mu
  
  
   152 IL-15 to provide significant protection from CPT-11-induced intestinal toxicity with maintenance of a
  
   154  chemotherapeutic CPT-11 treatment prevented CPT-11-induced serious diarrhea while maintaining the an
  
  
   157 rase (AcChE), in vitro assays confirmed that CPT-11 inhibited both human and electric eel AcChE with 
  
  
   160 e prodrugs, cyclophosphamide and irinotecan (CPT-11), into their active metabolites, respectively.   
  
  
   163 , which converts the camptothecin derivative CPT-11 (irinotecan) to the much more potent chemotherape
   164 l nanoparticle/liposome construct containing CPT-11 (irinotecan) with unprecedented drug loading effi
   165  combined with the topoisomerase I inhibitor CPT-11 (irinotecan), Apo2L/TRAIL exhibits enhanced apopt
   166  sensitivity of a solid tumor to the prodrug CPT-11 (irinotecan), we constructed an adenovirus vector
   167 idino)-1-piperidino]carbonyloxycamptothecin [CPT-11 (irinotecan)] is a water-soluble camptothecin-der
  
   169 described adenovirus/rabbit carboxylesterase/CPT-11 (irinotecan, 7-ethyl-10[4-(1-piperidino)-1-piperi
   170 MTD and recommended phase II dosage for oral CPT-11 is 66 mg/m2/d in patients younger than 65 years o
  
  
  
  
  
  
   177  One of the major side effects observed with CPT-11 is gastrointestinal toxicity, and we supposed tha
   178 er drug administration, a very high level of CPT-11 is present in the bile; this is deposited into th
   179  of the common colon cancer chemotherapeutic CPT-11 is severe diarrhea caused by symbiotic bacterial 
  
   181 idino] carbonyloxy-camptothecin (irinotecan; CPT-11) is a prodrug activated by carboxylesterase enzym
  
   183 idino)-1-piperidino]carbonyloxycamptothecin (CPT-11) is activated by carboxylesterases (CE) to yield 
  
   185 idino)-1-piperidino]carbonyloxycamptothecin (CPT-11)] is metabolized by esterases to yield the potent
   186 These results suggest that gut toxicity from CPT-11 may be due in part to direct drug conversion by C
   187 gene and concomitant local administration of CPT-11 may have potential as a strategy for control of t
   188 an CE gene and concomitant administration of CPT-11 may have potential as a strategy for local contro
   189 xtended benefits of combining celecoxib with CPT-11 may significantly improve the outcome of cancer p
  
  
  
   193 oxylesterase (CE) that was very efficient at CPT-11 metabolism; however, a human homolog that was mor
   194  extremely high drug-to-lipid ratios (>800 g CPT-11/mol phospholipid) and retaining encapsulated drug
  
   196 ghly stable nanoparticle/liposome containing CPT-11 (nanoliposomal CPT-11) would provide a dual drug 
  
  
  
  
   201 g topoisomerase I inhibitor camptothecin-11 (CPT-11) or SN38 (7-ethyl-10-hydroxycamptothecin) under h
   202 re treated with either single agent MGI-114, CPT-11, or 5FU, or MGI-114 in combination with CPT-11 or
  
   204 y-two cohort 2 patients received intravenous CPT-11/oxaliplatin (infusion, day 1) and FU/LV (90-minut
  
  
  
  
   209 t can explain the variability in irinotecan (CPT-11) pharmacokinetics and neutropenia in cancer patie
  
   211 ated the efficacy and safety of weekly bolus CPT-11 plus FU plus LV in the treatment of patients with
  
  
   214 ly sequence dependent and that a sequence of CPT-11 preceding FUra is superior with a significant inc
  
  
   217     Moreover, the combination of MGI-114 and CPT-11 produced partial responses in nearly all of the a
  
  
  
  
   222 rtantly, prolonged exposure to nanoliposomal CPT-11 resulted in no measurable central nervous system 
  
   224 s Hct116 with SN-38 (an active metabolite of CPT-11) resulted in G2 cell cycle arrest without inducti
  
   226 ntestinal tissues after treatment with LD of CPT-11 revealed dramatic protection of duodenal and colo
   227 quence I); (b) FUra administered 24 h before CPT-11 (sequence II); and (c) CPT-11 administered 24 h b
  
   229  When MGI-114 at 3.5 mg/kg was combined with CPT-11, significant decrements in final tumor weights oc
  
  
   232 27% of the variation in APC (a metabolite of CPT-11), SN-38 glucuronide (SN-38G), and SN-38G/SN-38 AU
  
   234 ther demonstrate the correlation between the CPT-11/SN-38 initial uptake rate and the induced toxicit
  
   236  curve (AUC) 6 over 30 minutes on day 1, and CPT-11 starting at 40 mg/m(2) over 90 minutes, days 1 an
   237  rCE-expressing HB1.F3.C1 cells and 15 mg/kg CPT-11 survived for 1 year without detectable tumors.   
  
   239 ng this mutant were 3-fold less sensitive to CPT-11 than COS-7 cells expressing the wild-type protein
  
   241 .C1 cells and schedules of administration of CPT-11 that produced levels of active drug (SN-38) toler
   242 is associated with resistance to irinotecan (CPT-11) therapy in preclinical colorectal cancer models 
   243 cutaneous A549 tumors in nude mice receiving CPT-11, there was 35% reduction in tumor size at day 27 
   244 ant A549-based tumors in nude mice receiving CPT-11, there was a 1.8-fold reduction in tumor size at 
  
   246 e antitumor efficacy by reducing the dose of CPT-11 to at least 50% of its MTD, whereas the dose of F
   247 ases from colorectal cancer, adding systemic CPT-11 to HAI therapy in an adjuvant regimen is feasible
  
   249 ells in vitro that was sufficient to convert CPT-11 to its active metabolite, SN-38, and effectively 
  
   251 camptothecin (SN-38) or direct conversion of CPT-11 to SN-38 by carboxylesterases (CE) in the small i
  
   253 ine butyryl-cholinesterase (BuChE) converted CPT-11 to SN-38 with K(m)s of 42.4 and 44.2 microM for t
   254 ated that are efficient in the conversion of CPT-11 to SN-38, yet both demonstrate little homology to
  
  
   257 roM CPT-11 for 4 h increased the toxicity of CPT-11 to three neuroblastoma cell lines (SJNB-1, NB-169
  
   259 ion trial of orally administered irinotecan (CPT-11) to characterize the maximum-tolerated dose (MTD)
   260 re shown to activate the prodrug irinotecan (CPT-11) to produce 7-ethyl-10-hydroxycamptothecin (SN-38
   261  ([AUC(SN-38 total) + AUC(SN-38G total)]/AUC(CPT-11 total)) was 0.7 to 0.8, which suggests that oral 
   262 ve contribution of each protein in mediating CPT-11 toxicity by both drug accumulation and cell growt
   263  the expression of ABCG2 protects cells from CPT-11 toxicity, even in the presence of high levels of 
  
  
   266 avage of p21 protein in the Apo2L/TRAIL plus CPT-11 treatment contributes to the positive cooperation
   267 ection from apoptosis induced in response to CPT-11 treatment is effectively inhibited by the transie
  
   269 uinoline (42) combined with chemotherapeutic CPT-11 treatment prevented CPT-11-induced serious diarrh
  
  
  
  
   274 y shows that intraliposomal stabilization of CPT-11 using a polymeric or highly charged, nonpolymeric
  
  
   277  that the ability of each enzyme to activate CPT-11 was dependent on the size of the entrance to the 
  
   279 at brains, tissue retention of nanoliposomal CPT-11 was greatly prolonged, with >20% injected dose re
  
  
  
   283 ) could be maintained, even when the dose of CPT-11 was reduced to 12.5% of the MTD as long as the do
  
   285  study of bevacizumab (BVZ) plus irinotecan (CPT-11) was conducted in children with recurrent maligna
   286 ing HB1.F3.C1 cells (HB1.F3.C1/AdCMVrCE) and CPT-11 were comparable with those in mice receiving CPT-
  
   288 rectal tumor xenografts in mice treated with CPT-11, whereas either agent alone was less effective.  
   289 han the currently used camptothecin analogue CPT-11, which requires metabolic activation and is toxic
  
  
   292 antitumor activity and toxicity of combining CPT-11 with FUra is highly sequence dependent and that a
  
   294  cytotoxicity assays, incubation of 1 microM CPT-11 with hCE-2 (3.6 microg/ml) resulted in a 60% redu
  
  
  
  
  
   300 le/liposome containing CPT-11 (nanoliposomal CPT-11) would provide a dual drug delivery strategy for 
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