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 typeTreatmentOverall response rate (ORR)ObservationsReferences

451BreastLND + epi: 21%Metastatic disease [3639]
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

325
54
31
LungLND 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
[4042]

435
27
9
26
OvarianLND + 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
[4346]

340 Head and neckLND + RTCR 65% Untreated [4749]
89LND + mtx versus mtx + plaORR 26.3 versus 18.2%Advanced/recurrent
96 LND + RT versus RT + plaCR 66 versus 65%Untreated 5-year DFS 40 versus 19%,

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.