Method of treating a mammal, including human, against cancer using methionine and asparagine depletion
The invention is related to a new method for treating liquid and solid cancers, in a mammal, including human, wherein methioninase is administered before asparaginase. The invention also encompasses the use of a dietary methionine deprivation, possibly combined with methioninase administration, in advance of asparaginase treatment. Methioninase and asparaginase may be used in particular under free form, pegylated form or encapsulated into erythrocytes.
1. A method for treating cancer in a mammal in need thereof, the method comprising administering to the mammal in need thereof, a composition comprising a methioninase and then a composition containing an asparaginase, wherein there is a delay of between about 1 h and about 30 days between the end of the methioninase administration and the initiation of the asparaginase administration, and wherein:
when methioninase is under free form or is pegylated, the delay is between about 1 h and about 7 days, between about 3 h and about 6 days, or between about 1 day and 5 days; and
when methioninase is encapsulated into erythrocytes, the delay is between about 1 day and about 20 days, or between about 1 day and about 10 days.
2. The method of claim 1 , wherein the methioninase comprises methioninase encapsulated inside erythrocytes and the asparaginase comprises asparaginase encapsulated inside erythrocytes, optionally wherein the erythrocytes have been encapsulated using a hypoosmotic encapsulation method.
3. The method of claim 2 , wherein the delay between the end of the methioninase administration and the initiation of the asparaginase administration is between about 1 day and about 10 days.
4. The method of claim 2 , wherein the methioninase is administered once or more in an amount of between about 100 and about 100,000 IU.
5. The method of claim 2 , wherein the asparaginase is administered once or more in an amount of between about 500 and about 100,000 IU, or about 1,000 and about 50,000 IU.
6. The method of claim 2 , wherein the methioninase is administered at least once or twice before the asparaginase is administered, and each methioninase administration is accompanied or followed by administration of PLP or a precursor of PLP before the asparaginase is administered.
7. The method of claim 6 , wherein the non-phosphate precursor of PLP is administered once or more after each administration of methioninase.
8. The method of claim 7 , wherein the non-phosphate precursor of PLP is administered once a day, or twice or more per day, during the time of each methioninase administration.
9. The method of claim 2 , wherein the cancer is leukemia or gastric cancer, optionally wherein the composition further comprises at least one additional anticancer agent.