Abstract
Topotecan, a promising topoisomerase I inhibitor being developed as an anticancer agent, was evaluated vs the SK-MES human lung tumor xenograft in nude mice. Topotecan (4 mg/kg; daily × 5) was tested as a single agent, and in combination with navelbine or gemcitabine. Topotecan alone was quite effective vs SK-MES, causing 75% tumor growth inhibition, with greater than 50% tumor shrinkage in several mice. Neither gemcitabine (3 mg/kg; daily × 5) nor navelbine (2 mg/kg; daily × 5) as a single agent was active in this model. Addition of gemcitabine or navelbine to the topotecan regimen did not improve the efficacy of topotecan given alone. Also, each combination resulted in a number of drug-related deaths in mice, without improving the efficacy of topotecan. In conclusion, topotecan demonstrated excellent activity as a single agent against the SK-MES human lung tumor xenograft. The data suggest that topotecan may have potential as an antineoplastic agent in patients with lung cancer.
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