Review Article
Reviving Lonidamine and 6-Diazo-5-oxo-L-norleucine to Be Used in Combination for Metabolic Cancer Therapy
Table 2
Summary of phase II clinical studies with lonidamine.
| Number of studies | # pts | Tumor type | Treatment | Overall response rate (ORR) | Observations | References |
|
4 | 51 | Breast | LND + epi: | 21% | Metastatic disease |
[36–39] | 24 29 22 | LND + epi; LND + epi + cis LND + epi + cis | 57% 73% 81.8% | Mean response duration 12.4, 7.0, and 9.8 months in the first three trials, respectively |
| 3 | 25 54 31 | Lung | LND alone; LND + cis + gem + vnr; LND + cis + epi | 24%, 37% 41.4% | Advanced or metastatic disease Mean response duration 13.7, 4.5, and 8.5 months | [40–42] |
| 4 | 35 27 9 26 | Ovarian | LND + cis + pac LND + cis LND + cis LND + epi | 80% 37% 44% 33.3% | LND + cis + pac, untreated pts. PFS 28.5 months The other 3 studies in pretreated patients | [43–46] |
|
3 | 40 |
Head and neck | LND + RT | CR 65% | Untreated |
[47–49] | 89 | LND + mtx versus mtx + pla | ORR 26.3 versus 18.2% | Advanced/recurrent | 96 | LND + RT versus RT + pla | CR 66 versus 65% | Untreated 5-year DFS 40 versus 19%, |
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LND: lonidamine; epi: epirubicin; cis: cisplatin; gem: gemcitabine; vnr; vinorelbine; pac: paclitaxel; RT: radiation; mtx: methotrexate; pla: placebo; CR: complete response; PFS: progression-free survival; DFS: disease-free survival.
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