Review Article

Reviving Lonidamine and 6-Diazo-5-oxo-L-norleucine to Be Used in Combination for Metabolic Cancer Therapy

Table 3

Phase III clinical studies with lonidamine in metastatic breast cancer.

Patients accrued TreatmentResponse %ObservationsReferences

265LND versus LND + FACORR (%) 42.3 versus 66.3Median PFS 6 versus 9 months
Multicentric study
[50]

181 dox to all, then randomized to dox + LND versus doxORR (%) 50 versus 38Response in liver metastases
68 versus 33%  
[51]

326 FEC/EM versus FEC/EM + LNDCR 10.8% versus 20.4%No differences in PFS or OS[52]

207LND + epi versus epiORR (%) 60 versus 39
Higher response in liver metastases with LND + epi.
No differences in PFS or OS
[53]

371epi versus epi + cis versus epi + LND versus epi + cis + LNDORR (%)
54 no LND arms versus 62.9 LND arms
Median OS 29.8 versus 32.2 months
TTP 9.9 versus 10.8 months, trend favoring LND arms,
[54]

FAC: 5-fluorouracil-doxorubicin-cyclophosphamide; dox: doxorubicin; FEC: 5-fluorouracil-epirubicin-cyclophosphamide; EM: epirubicin-mitomycin; cis: cisplatin; ORR: overall response rate; PFS: progression-free survival; OS: overall survival; TTP: time to progression.