Isolated limb perfusion with actinomycin D and TNF-alpha results in improved tumour response in soft-tissue sarcoma-bearing rats but is accompanied by severe local toxicity
2002

Improved Tumor Response with Actinomycin D and TNF-alpha in Rats

Sample size: 20 publication 10 minutes Evidence: moderate

Author Information

Author(s): Seynhaeve A L B, de Wilt J H W, van Tiel S T, Eggermont A M M, ten Hagen T L M

Primary Institution: Department of Surgical Oncology, University Hospital Rotterdam Dijkzigt/Daniel den Hoed Cancer Center, Rotterdam, the Netherlands

Hypothesis

Isolated limb perfusion with actinomycin D and TNF-alpha will improve tumor response in soft-tissue sarcoma-bearing rats.

Conclusion

The combination of actinomycin D and TNF-alpha leads to a tumor response but also causes severe local toxicity.

Supporting Evidence

  • Isolated limb perfusion with actinomycin D and TNF-alpha resulted in a 40% tumor response rate.
  • Severe local toxicity was observed, including muscle tissue destruction and massive edema.
  • Previous studies showed that TNF-alpha combined with melphalan had better response rates.

Takeaway

When rats with tumors were treated with a mix of two drugs, they had some success in shrinking the tumors, but it also caused a lot of damage to the surrounding tissue.

Methodology

Rats were perfused with actinomycin D and TNF-alpha, and tumor responses were measured along with local toxicity assessments.

Potential Biases

Potential bias in the selection of drug concentrations and the animal model used.

Limitations

The study was limited to a rat model and the severe local toxicity may not be applicable to human patients.

Participant Demographics

Male inbred BN rats, weighing 250–300 g.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600169

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