Review Article

Combination Drug Delivery Approaches in Metastatic Breast Cancer

Table 5

Combination drug delivery systems based on polymeric nanoparticles.

Carrier compositionTherapeuticsIndicationStatusTargetingReferences

Polymer-polymer micellar nanoparticles
PEG-PLGALonidamine + PaclitaxelMDR breast cancerIn vivoActive; EGFR[83]
Methoxy PEG-PLGADoxorubicin + PaclitaxelVarious cancerIn vitroPassive[84]
PEG-PLAPaclitaxel, Etoposide, or Docetaxel + 17-AAGVarious cancerIn vitroActive; HSP90[85]
PEG-PLACombretastatin A4 + DoxorubicinVarious cancerIn vitroActive; angiogenesis[86]
PDMAEMA-PCL-PDMAEMAPaclitaxel + siRNAProstate cancerIn vitroActive; VEGF[87]

Polymer-Lipid micellar nanoparticles
PEG-DSPE/PLGACombretastatin + DoxorubicinLung carcinomaIn vivoPassive[88]
PEG-PLA and PEG-DSPE/TPGSPaclitaxel + 17-AAG (HSP90 inhibitor)Ovarian cancerIn vitroActive; HSP90[89]
P(MDS-co-CES)Paclitaxel + Interleukin-12 or siRNABreast cancerIn vivoActive; Bcl-2[90]
PEG-b-PHSADoxorubicin + WortmanninBreast cancerIn vitroPassive[91]

Nonmicellar polymeric nanoparticles
PLGAVincristine + VerapamilHepatocellular carcinomaIn vitroPassive[92]
PACADoxorubicin + Cyclosporine AVarious cancerIn vitroPassive[93]

17-AAG: 17-allylamino-17-demethyoxygeldanamycin; EGFR: epidermal growth factor receptor; HSP90: heat shock protein; PDMAEMA-PCL-PDMAEMA: poly(N,N-dimethylamino-2-ethyl methacrylate)-polycaprolactone-poly(N,N-dimethylamino-2-ethyl methacrylate); PEG: polyethylene glycol; PEG-b-PHSA: PEG-block-poly(N-hexyl stearate l-aspartamide); PEG-PLA: polyethylene glycol-poly lactic acid; PEG-DSPE: PEG-distearoylphosphatidyl ethanolamine; PACA: polyalkylcyanoacrylate; PLGA: poly(d,l-lactide-co-glycolide); P(MDS-co-CES): poly(N-methyldietheneamine sebacate)-co-[(cholesteryl oxocarbonylamido ethyl) methyl bis(ethylene) ammonium bromide] sebacate; TPGS: tocopheryl polyethylene glycol; VEGF: vasculature epidermal growth factor.