Mesenchymal stem cells (MSCs) are present in the circulation of cancer patients, and are recruited to the stroma of both the primary tumor and metastasis. Recent preclinical research has shown that in response to platinum-based chemotherapy, MSCs secrete two specific platinum-induced fatty acids (PIFAs) which induce resistance to a broad spectrum of chemotherapies. The secreted PIFAs are the fatty acid oxo-heptadecatetraenoic acid (KHT) and the omega-3 fatty acid hexadecatetraenoic acid (16:4). These PIFAs are produced via the COX-1 pathway. COX inhibitors, including indomethacin. This phase 1 study explores the safety of combining indomethacin with platinum containing chemotherapy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
13
3 times per day from 2 days before until 5 days after chemotherapy. Escalating dosage each cohort.
the Netherlands Cancer Institute
Amsterdam, Amsterdam, Netherlands
Meander Medisch Centrum
Amersfoort, Utrecht, Netherlands
UMC Utrecht
Utrecht, Utrecht, Netherlands
Oncology Institute of Southern Switzerland
Bellinzona, Switzerland
Number of dose limiting toxicities at each dosage cohort
Time frame: From first dose of indomethacin until 28 days after last dose of indomethacin
Pharmacodynamics
Serum levels of mesenchymal stem cells and platinum induced fatty acids at T = pre-chemotherapy, one, two and four hours expressed in pmol/L.
Time frame: During first 2 cycles of 3 weeks each
Efficacy
Efficacy will be assessed according RECIST 1.1 criteria. Progression free survival is defined as time from baseline CT scan to progressive disease according RECIST 1.1 criteria.
Time frame: From baseline to date of progressive disease according RECIST 1.1, approximately 9 to 18 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.