Combination of Temozolomide with Immunocytokine F16-IL2 for the Treatment of Glioblastoma
Overview
Affiliations
Background: Glioblastoma patients are still not cured by the treatments available at the moment. We investigated the therapeutic properties of temozolomide in combination with F16-IL2, a clinical-stage immunocytokine consisting of human interleukin (IL)-2 fused to the human antibody F16, specific to the A1 domain of tenascin-C.
Methods: We conducted three preclinical therapy studies, using subcutaneous and intracranial U87MG glioblastoma tumours xenografted in BALB/c nude mice. The same therapeutic schedule was used, consisting of five total administrations every third day, of 0.525 mg temozolomide, 20 microg F16-IL2, the combination, or the control solution.
Results: Immunohistochemical analysis of U87MG xenografts and of human glioblastoma specimens showed selective tumour staining of F16. A quantitative biodistribution confirmed the preferential tumour accumulation of radiolabelled F16-IL2. In the study with subcutaneous xenografts, the combination of F16-IL2 with temozolomide induced complete remission of the animals, which remained tumour free for over 160 days. The same treatment led to a consistent size reduction of intracranial xenografts and to a longer survival of animals. The immunocytokine promoted the recruitment of leukocytes into tumours of both models.
Conclusion: The combined use of temozolomide with F16-IL2 deserves clinical investigations, which will be facilitated by the excellent safety profile in cynomolgus monkeys, and by the fact that F16-IL2 is in clinical trials in patients with cancer.
Wickman E, Lange S, Wagner J, Ibanez J, Tian L, Lu M J Immunother Cancer. 2024; 12(11).
PMID: 39572158 PMC: 11580246. DOI: 10.1136/jitc-2024-009743.
Tumor-Homing Antibody-Cytokine Fusions for Cancer Therapy.
Prodi E, Neri D, De Luca R Onco Targets Ther. 2024; 17:697-715.
PMID: 39224695 PMC: 11368152. DOI: 10.2147/OTT.S480787.
TNC upregulation promotes glioma tumourigenesis through TDG-mediated active DNA demethylation.
Xu H, Long S, Xu C, Li Z, Chen J, Yang B Cell Death Discov. 2024; 10(1):347.
PMID: 39090080 PMC: 11294444. DOI: 10.1038/s41420-024-02098-w.
Targeted Cytokine Delivery for Cancer Treatment: Engineering and Biological Effects.
Rybchenko V, Aliev T, Panina A, Kirpichnikov M, Dolgikh D Pharmaceutics. 2023; 15(2).
PMID: 36839658 PMC: 9960319. DOI: 10.3390/pharmaceutics15020336.
Matricellular protein tenascin C: Implications in glioma progression, gliomagenesis, and treatment.
Fu Z, Zhu G, Luo C, Chen Z, Dou Z, Chen Y Front Oncol. 2022; 12:971462.
PMID: 36033448 PMC: 9413079. DOI: 10.3389/fonc.2022.971462.