PMID- 21520111 OWN - NLM STAT- MEDLINE DCOM- 20110628 LR - 20211020 IS - 1531-4995 (Electronic) IS - 0023-852X (Print) IS - 0023-852X (Linking) VI - 121 IP - 5 DP - 2011 May TI - Efficacy and comparative effectiveness of sirolimus as an anticancer drug. PG - 978-82 LID - 10.1002/lary.21724 [doi] AB - OBJECTIVES/HYPOTHESIS: To evaluate antitumor efficacy of the generic mammalian target of rapamycin (mTOR) inhibitor sirolimus in preclinical animal models of head and neck squamous cell carcinoma (HNSCC) and compare its effects with those of the patented analogue temsirolimus. STUDY DESIGN: In vivo study. METHODS: To develop xenograft established tumor model (ETM) of HNSCC, FaDu cells were injected subcutaneously into nude mice. When tumors reached 50 to 60 mm(3), mice were randomized into five groups and treated daily intraperitoneally with sirolimus at various doses for 5 days per week for 3 weeks. Tumor volumes were measured. The results were compared with historical data on temsirolimus effects. In the minimal residual disease (MRD) model, surgical wounds were created and FaDu cells implanted. After 72 hours, animals were randomized into two groups and were injected intraperitoneally with 0 or 5 mg/kg sirolimus for 5 days per week for 30 days. RESULTS: In the ETM, sirolimus significantly inhibited tumor growth (P < .01), although there was no overall significant difference in tumor growth inhibition between sirolimus and temsirolimus. In the MRD model, sirolimus significantly suppressed growth of tumors (P < .001) and improved survival compared with controls (P < .01). There was a significant decrease in pS6 expression, indicating mTOR inhibition. CONCLUSIONS: In this study, we demonstrate that the generic mTOR inhibitor sirolimus shows potent antitumor activity in HNSCC and produces comparable effects to the patent drug temsirolimus. Sirolimus has the potential of serving as an economic and comparative targeted agent to temsirolimus in the treatment of HNSCC. CI - Copyright (c) 2011 The American Laryngological, Rhinological, and Otological Society, Inc. FAU - Hu, Melissa AU - Hu M AD - Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130-3932, USA. FAU - Ekshyyan, Oleksandr AU - Ekshyyan O FAU - Herman Ferdinandez, Lilantha AU - Herman Ferdinandez L FAU - Rong, Xiaohua AU - Rong X FAU - Caldito, Gloria AU - Caldito G FAU - Nathan, Cherie-Ann O AU - Nathan CO LA - eng GR - R01 CA102363/CA/NCI NIH HHS/United States GR - R01 CA102363-05S1/CA/NCI NIH HHS/United States GR - R01CA102363/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Antineoplastic Agents) RN - 624KN6GM2T (temsirolimus) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Agents/*therapeutic use MH - Carcinoma, Squamous Cell/*surgery MH - Disease Models, Animal MH - Head and Neck Neoplasms/*surgery MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - Sirolimus/*analogs & derivatives/*therapeutic use PMC - PMC3085006 MID - NIHMS264479 COIS- Conflict of Interest: None EDAT- 2011/04/27 06:00 MHDA- 2011/06/29 06:00 PMCR- 2012/05/01 CRDT- 2011/04/27 06:00 PHST- 2011/04/27 06:00 [entrez] PHST- 2011/04/27 06:00 [pubmed] PHST- 2011/06/29 06:00 [medline] PHST- 2012/05/01 00:00 [pmc-release] AID - 10.1002/lary.21724 [doi] PST - ppublish SO - Laryngoscope. 2011 May;121(5):978-82. doi: 10.1002/lary.21724.