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CONCLUSIONS
•combination of ultra low dose chemotherapy using drugs such
as vinblastine or taxol,(e.g.1/10 -1/20 the MTD)and anti-
VEGF receptor2 antibodies (DC101)were effective in causing
sustained regressions or inducing dormancy of large established
human tumor xenografts S including prostate cancer.
•no significant toxicity was observed,despite continuous therapy
for 3S7 months using this type of combination treatment
•in contrast,treatment with low dose chemotherapy alone,or
DC101 alone,was only transiently effective,i.e.,relapses
occurred,or was ineffective
•preliminary experiments suggest using a selective COX-2
inhibitor (Celebrex)as the anti-angiogenic drug may also be
effective for this type of treatment strategy,thus making it
possible to consider evaluating the concept in clinical trials
•phase II clinical trials in Toronto,and elsewhere in Ontario
have been,or are about to be initiated,using continuous low
dose chemotherapy (e.g.daily,50 mg,cyclophosphamide)and
Celebrex,in a variety of advanced drug resistant malignancies,
including relapsing,androgen independent prostate cancer
•for several reasons androgen independent prostate cancer would
appear an ideal type of cancer to consider treating using the low
dose metronomic combination anti-angiogenic chemotherapy
strategy,not the least of which is the fact that elderly patients
would be better able to cope with this type of therapy than
protocols utilizing standard doses of cytotoxic drugs.
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