5-aza-2′,2′-difluoro deoxycytidine (nuc013): a novel nucleoside dna methyl transferase inhibitor and ribonucleotide reductase inhibitor for the treatment of cancer

5-aza-2′,2′-difluoro deoxycytidine (nuc013): a novel nucleoside dna methyl transferase inhibitor and ribonucleotide reductase inhibitor for the treatment of cancer

;Richard Daifuku;Zhenbo Hu;Yogen Saunthararajah
journal of cerebral blood flow and metabolism 2017 Vol. 10 pp. 65-
198
daifuku2017pharmaceuticals5-aza-2,2-difluoro

Abstract

Tumor suppressor genes can be silenced genetically as well as epigenetically. One approach to reversing epigenetic suppression of tumor suppressor genes is to inhibit DNA methyl transferase. 5-aza-2′,2′-difluorodeoxycytidine (NUC013) is a novel DNA methyl transferase and ribonucleotide reductase inhibitor that is a more potent inhibitor of growth than decitabine in the NCI 60 cancer cell line panel. NUC013 is more active than decitabine against p53-null/mutant cancer cell lines (p = 0.027) but is even more so against p53 wild-type (WT) cell lines (p = 0.0025). The maximum tolerated dose in mice of NUC013 is greater than 120 mg/kg administered intravenously for three consecutive days a week for three weeks. With this regimen and a dose of 20 mg/kg in a human leukemia HL-60 (p53-null) NCr-nu/nu mouse xenograft model (n = 10/group), NUC013 demonstrated a survival benefit (saline median survival (MS) = 26.5 days, NUC013 MS = 32 days and hazard ratio (HR) = 0.26 (p = 0.032)). In a colon cancer LoVo (TP53 WT) xenograft, mice treated with decitabine at 5 mg/kg had worse survival than saline controls (decitabine MS = 31 days, saline MS > 60 days and HR = 26.89 (p < 0.0001)). At a dose of 20 mg/kg NUC013, mean tumor volume in the LoVo xenografts was lower than controls by 50.9% and at 40 mg/kg by 53.7% (both p < 0.0001).

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