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A Novel Hsp90 Inhibitor as a Chemo and Radiosensitizer in Adults with Glioblastoma

一种新型 Hsp90 抑制剂作为成人胶质母细胞瘤的化疗和放射增敏剂

基本信息

批准号：
10480888
负责人：
VINAY K PUDUVALLI
金额：
$ 57.05万
依托单位：
UNIVERSITY OF TX MD ANDERSON CAN CTR
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-01-01 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10480888
关键词：
Address Adjuvant Adult Affect Aftercare Alkylating Agents Animal Model Animals Blood - brain barrier anatomy Brain Neoplasms Bypass CRISPR/Cas technology Cancer Center Cell Line Cell Survival Cells Chemotherapy and/or radiation Client Clinical Clinical Trials Complex Correlative Study DNA DNA Repair DNA Repair Gene Data Defense Mechanisms Development Development Plans Drug Kinetics Epidermal Growth Factor Receptor Evolution Funding Future Generations Glioblastoma Glioma Grant Growth HSP 90 inhibition Heat shock proteins Heat-Shock Proteins 90 Heat-Shock Response Heterogeneity Human In Vitro Individual Institution MGMT gene Malignant Neoplasms Malignant neoplasm of brain Maximum Tolerated Dose Mediating Mediator of activation protein Methylation Microdialysis Mismatch Repair Modeling Molecular Chaperones Mus Newly Diagnosed Normal Cell Oncogenic Oncology Oncoproteins Operative Surgical Procedures Outcome Pathway interactions Patients Peripheral Blood Mononuclear Cell Pharmaceutical Preparations Pharmacodynamics Phase Phase I Clinical Trials Plasma Positioning Attribute Primary Brain Neoplasms Process Protein Family Proteins Radiation therapy Radiation-Sensitizing Agents Randomized Recurrence Recurrent tumor Resistance Role Sampling Schedule Serum Signal Transduction Slice Specimen Stress Tissues Toxic effect Treatment Failure Tumor Tissue Up-Regulation Ursidae Family Zebrafish aggressive therapy angiogenesis antitumor effect base cancer cell chemoradiation chemotherapy co-clinical trial conventional therapy cytotoxic ds-DNA efficacy trial epidermal growth factor receptor VIII glioma cell line improved improved outcome in vivo inhibitor insight knock-down member migration mouse model neoplastic cell novel novel therapeutics patient subsets pharmacokinetics and pharmacodynamics phase 2 study phase I trial phase II trial pre-clinical protein complex radiation effect resistance mechanism response stem cells temozolomide therapy resistant transcriptome transcriptome sequencing treatment strategy tumor tumor growth tumor heterogeneity

项目摘要

PROJECT SUMMARY Glioblastoma is a lethal primary brain tumor with limited treatment options. The current standard therapy with combined chemoradiation therapy (chemoRT) with temozolomide (TMZ), an alkylating agent offers a median survival of only 16-18 months. There is an urgent need for novel therapies especially those that can overcome resistance to chemoRT. Cancer cells develop complex resistance mechanisms that enable them to survive the effects of conventional therapies. One such evolutionally conserved mechanism is the heat shock response (HSR) which can deploy several diverse defense processes in the setting of adverse environmental conditions. The HSR is mediated by heat shock proteins (HSP), a class of molecular chaperones that shuttle and configure client oncoproteins into proper functional states. In preliminary studies, we show that onalespib, a novel long acting inhibitor of heat shock protein 90 (Hsp90), a critical mediator of the HSR in cancer cells, blocked tumor growth, invasion and angiogenesis in gliomas suggesting the potential for a strong independent antitumor effect. Relevant to this proposal, onalespib sensitizes glioma cells to TMZ and RT in patient-derived (PDX) cell lines and in a zebrafish and mouse intracranial glioma animal models. Based on these data, in this grant submission, we propose a phase I clinical trial through the NCI-funded Adult Brain Tumor Consortium to identify the maximum tolerated dose of the combination of onalespib with chemoRT in adults with newly diagnosed GBM. We also propose to conduct key correlative tissue and plasma studies through the following specific aims: Aim 1 will identify the MTD of onalespib in combination of chemoRT and adjuvant temozolomide and will determine whether onalespib can cross the blood brain barrier and achieve sufficient concentrations in enhancing and non-enhancing glioma tissue compared with plasma levels. Aim 2 will determine the pharmacodynamic effects of onalespib by assessing whether onalespib can inhibit Hsp90, its target, in human GBM tissue obtained in this trial and whether this inhibition can affect its chaperone oncoprotein clients particularly those relevant to DNA repair and cell survival against the effects of RT and TMZ. In Aim 3, we will conduct co-clinical trials using PDX intracranial glioma models and organotypic human glioma slices to determine the mechanisms of sensitivity and resistance to onalespib effects to provide insights that can help modify the subsequent phase II trial. This is the first human trial of an Hsp90 inhibitor in brain tumors and the first to combine an Hsp90 inhibitor with chemo- and radiation therapy against GBM. Successful completion of this trial will enable us to proceed to a Phase II efficacy trial (approved by NRG oncology) and will provide comprehensive PK and PD data that can help the development of onalespib and Hsp90 inhibitors in other malignancies.

项目总结