Radiotherapy combined with hypoxic cell sensitizers
The invention discloses a method of treating cancer in a patient, comprising administering to the patient a radiation sensitizer selected from nitroimidazoles in an amount effective to sensitize a patient to radiation and subjecting the patient to radiation therapy. In certain embodiments the radiation sensitizer is etanidazole or doranidazole.
1. A method for the treatment of cancer in a patient, comprising:
(a) administering to a patient with a locally advanced or recurrent tumor a pharmaceutically acceptable composition comprising a therapeutically effective amount of a hypoxic cell radiation sensitizer;
(b) after the administering of the hypoxic cell sensitizer to the patient, performing resection of said tumor in an operating room, thereby leaving a body cavity; and
(c) subjecting the body cavity to a therapeutically effective amount of intraoperative particle beam radiation therapy from a source, wherein said source of said intraoperative particle beam radiation therapy is located in the same operating room and said intraoperative particle beam radiation therapy occurs within one hour of administering said hypoxic cell radiation sensitizer, wherein said source is a mobile electron beam therapy system.
2. The method of claim 1 , wherein the cancer is colon cancer, rectal cancer, stomach cancer, cancer of the small intestine, lung cancer, cervical cancer, brain cancer, pancreatic cancer, cancer of the head or neck, esophageal cancer, breast cancer or cancer of the oral cavity.
3. The method of claim 2 , wherein the cancer is of the head or neck.
4. The method of claim 2 , wherein the cancer is rectal cancer.
5. The method of claim 2 , wherein the cancer is lung cancer.
6. The method of claim 1 , wherein the radiation sensitizer is etanidazole.
7. The method of claim 1 , wherein the radiation sensitizer is doranidazole.
8. The method of claim 1 , wherein the patient is administered said radiation sensitizer and subjected to said intraoperative particle beam radiation therapy within 40 minutes of each other.
9. The method of claim 1 , wherein said intraoperative particle beam radiation therapy is ionizing.
10. The method of claim 1 , wherein said hypoxic cell radiation sensitizer is associated with a targeting moiety.
11. The method of claim 10 , wherein the targeting moiety is covalently associated with the radiation sensitizer.
12. The method of claim 10 , wherein the targeting moiety is non-covalently associated with the radiation sensitizer.
13. The method of claim 10 , wherein the targeting moiety and the radiation sensitizer are associated in a liposome.
14. The method of claim 1 , wherein said intraoperative particle beam radiation therapy is administered in a single dosage.
15. The method of claim 14 , wherein said single dosage is selected from 5 to 20 Gy.
16. The method of claim 15 , wherein said single dose is selected from 10 to 15 Gy.
17. The method of claim 1 , wherein said intraoperative particle beam therapy is administered in two, three, four or five doses.
18. The method of claim 17 , wherein said intraoperative particle beam therapy is administered in two or three doses.
19. The method of claim 1 , wherein the patient is further administered a second form of radiation therapy selected from internal radiation, external radiation and systemic radiation therapies.
20. The method of claim 19 , wherein said second form of radiation therapy is selected from stereotactic body radiotherapy, stereotactic radiosurgery, and intensity-modulated radiation therapy.
21. The method of claim 19 , wherein said second form of radiation therapy is administered hours after said resection.
22. The method of claim 19 , wherein said second form of radiation therapy is administered one or more days after said resection.
23. The method of claim 19 , wherein said second form of radiation therapy is administered one or more hours before said resection.
24. The method of claim 19 , wherein said second form of radiation therapy is administered one or more days before said surgical resection.
25. The method of claim 1 , wherein said performing resection of said tumor comprises incising tissue to reveal said tumor and removing said tumor.
26. The method of claim 25 , wherein the method further comprises step (d) wherein said tissue is sutured following administration of said intraoperative particle beam therapy.