4.7 Article

Preclinical testing of an Atr inhibitor demonstrates improved response to standard therapies for esophageal cancer

Journal

RADIOTHERAPY AND ONCOLOGY
Volume 121, Issue 2, Pages 232-238

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.radonc.2016.10.023

Keywords

ATR; Esophageal cancer; Radiation; Hypoxia

Funding

  1. Medical Research Council UK [MC_PC_12001/2]
  2. NIHR Oxford Biomedical Research Centre
  3. CRUK grant
  4. CICAMS
  5. OCRC development fund
  6. Cancer Research UK [19276] Funding Source: researchfish
  7. Cancer Research UK
  8. Versus Arthritis [20874] Funding Source: researchfish
  9. Medical Research Council [MC_PC_12001/2] Funding Source: researchfish
  10. MRC [MC_PC_12001/2] Funding Source: UKRI

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Background and purpose: Esophageal cancer has a persistently low 5-year survival rate and has recently been classified as a cancer of unmet need by Cancer Research UK. Consequently, new approaches to therapy are urgently required. Here, we tested the hypothesis that an ATR inhibitor, VX-970, used in combination with standard therapies for esophageal cancer could improve treatment outcome. Material and methods: Using esophageal cancer cell lines we evaluated the efficacy of combining VX-970 with cisplatin and carboplatin in vitro and with radiation in vitro and in vivo. Radiation experiments were also carried out in hypoxic conditions to mimic the tumor microenvironment. Results: Combining VX-970 with cisplatin, carboplatin and radiation increased tumor cell kill in vitro. A significant tumor growth delay was observed when VX-970 was combined with radiotherapy in vivo. Conclusions: VX-970 is an effective chemo/radiosensitizer which could be readily integrated in the current treatment paradigm to improve the treatment response in esophageal cancer and we plan to test it prospectively in the forthcoming phase I dose escalation safety study combining the ATR inhibitor VX-970 with chemoradiotherapy in esophageal cancer (EudraCT number: 2015-003965-27). (C) 2016 The Authors. Published by Elsevier Ireland Ltd.

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