Page last updated: 2024-10-25

eflornithine and Disease Exacerbation

eflornithine has been researched along with Disease Exacerbation in 25 studies

Eflornithine: An inhibitor of ORNITHINE DECARBOXYLASE, the rate limiting enzyme of the polyamine biosynthetic pathway.
eflornithine : A fluoroamino acid that is ornithine substituted by a difluoromethyl group at position 2.

Research Excerpts

ExcerptRelevanceReference
"Although tamoxifen appears to markedly reduce breast cancer risk in women with a prior diagnosis of atypical hyperplasia or in situ carcinoma, it is not clear what other groups of women receive substantial benefit."8.81Beyond tamoxifen new endpoints for breast cancer chemoprevention, new drugs for breast cancer prevention. ( Fabian, CJ; Kimler, BF, 2001)
"Although tamoxifen appears to markedly reduce breast cancer risk in women with a prior diagnosis of atypical hyperplasia or in situ carcinoma, it is not clear what other groups of women receive substantial benefit."4.81Beyond tamoxifen new endpoints for breast cancer chemoprevention, new drugs for breast cancer prevention. ( Fabian, CJ; Kimler, BF, 2001)
"Disease progression was observed in 2 of 54 (3."3.11Combination of Sulindac and Eflornithine Delays the Need for Lower Gastrointestinal Surgery in Patients With Familial Adenomatous Polyposis: Post Hoc Analysis of a Randomized Clinical Trial. ( Balaguer, F; Boytim, ML; Bruckheimer, EM; Burke, CA; Church, J; Cohen, A; Dekker, E; Du, W; Hüneburg, R; Lim, RM; Lynch, PM; Samadder, NJ; Stoffel, EM; Van Cutsem, E; Wise, PE, 2022)
"In this trial involving patients with familial adenomatous polyposis, the incidence of disease progression was not significantly lower with the combination of eflornithine and sulindac than with either drug alone."2.94Eflornithine plus Sulindac for Prevention of Progression in Familial Adenomatous Polyposis. ( Balaguer, F; Burke, CA; Burn, J; Castells, A; Church, J; Cohen, A; Dekker, E; Ford, M; Gallinger, S; Ginsberg, GG; Grady, WM; Gryfe, R; Gupta, S; Henderson, A; Hüneburg, R; Kallenberg, FG; Kanth, P; Lalloo, F; Lim, R; Lynch, P; Roos, VH; Rustgi, AK; Samadder, NJ; Sinicrope, FA; Stoffel, EM; Strassburg, CP; Syngal, S; Van Cutsem, E; Weiss, JM; Willingham, FF; Wise, PE, 2020)
"The pathogenesis of Alzheimer's disease (AD) is a critical unsolved question; and although recent studies have demonstrated a strong association between altered brain immune responses and disease progression, the mechanistic cause of neuronal dysfunction and death is unknown."1.42Arginine deprivation and immune suppression in a mouse model of Alzheimer's disease. ( Brown, CM; Colton, CA; Everhart, AL; Gunn, MD; Hoofnagle, AN; Jansen, M; Kan, MJ; Lee, JE; Vitek, MP; Wilson, JG, 2015)
"Eflornithine seems to be a better first-line therapy for treating late-stage Gambian trypanosomiasis in the Republic of the Congo."1.33Melarsoprol versus eflornithine for treating late-stage Gambian trypanosomiasis in the Republic of the Congo. ( Balasegaram, M; Checchi, F; Ghorashian, S; Hamel, C; Harris, S; Karunakara, U, 2006)
" However, a dose-response reduction in invasive carcinoma growth was observed for both DFMO, an inhibitor of ornithine decarboxylase, and DHEA, the primary steroid precursor to both androgens and estrogens in primates."1.312-difluoromethylornithine and dehydroepiandrosterone inhibit mammary tumor progression but not mammary or prostate tumor initiation in C3(1)/SV40 T/t-antigen transgenic mice. ( Anver, MR; Green, JE; Kelloff, G; Lubet, R; Moon, RC; Shibata, E; Shibata, MA, 2001)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's7 (28.00)18.2507
2000's10 (40.00)29.6817
2010's6 (24.00)24.3611
2020's2 (8.00)2.80

Authors

AuthorsStudies
Burke, CA3
Dekker, E3
Lynch, P1
Samadder, NJ3
Balaguer, F2
Hüneburg, R2
Burn, J1
Castells, A1
Gallinger, S1
Lim, R1
Stoffel, EM2
Gupta, S1
Henderson, A1
Kallenberg, FG1
Kanth, P1
Roos, VH1
Ginsberg, GG1
Sinicrope, FA1
Strassburg, CP1
Van Cutsem, E2
Church, J2
Lalloo, F1
Willingham, FF1
Wise, PE2
Grady, WM1
Ford, M1
Weiss, JM1
Gryfe, R1
Rustgi, AK1
Syngal, S1
Cohen, A3
Lynch, PM1
Lim, RM1
Boytim, ML1
Du, W1
Bruckheimer, EM1
Mohammed, A2
Janakiram, NB2
Madka, V1
Ritchie, RL1
Brewer, M3
Biddick, L2
Patlolla, JM1
Sadeghi, M1
Lightfoot, S2
Steele, VE2
Rao, CV2
Lozier, AM1
Rich, ME1
Grawe, AP1
Peck, AS1
Zhao, P1
Chang, AT1
Bond, JP1
Sholler, GS1
Kan, MJ1
Lee, JE1
Wilson, JG1
Everhart, AL1
Brown, CM1
Hoofnagle, AN1
Jansen, M1
Vitek, MP1
Gunn, MD1
Colton, CA1
Evageliou, NF1
Haber, M1
Vu, A1
Laetsch, TW1
Murray, J1
Gamble, LD1
Cheng, NC1
Liu, K1
Reese, M1
Corrigan, KA1
Ziegler, DS1
Webber, H1
Hayes, CS1
Pawel, B1
Marshall, GM1
Zhao, H1
Gilmour, SK1
Norris, MD1
Hogarty, MD1
Stoffel, E1
Bryant, T1
Zhang, Y2
Duff, A1
Singh, A1
Anderson, MW1
Goodin, C1
Kim, S1
Estensen, RD1
Wiedmann, TS1
Sekar, P1
Buncher, CR1
Khoury, JC1
Garbow, JR1
You, M1
Tichelaar, JW1
Fischer, SM1
Conti, CJ1
Viner, J1
Aldaz, CM1
Lubet, RA1
Ranger-Moore, J1
Alberts, DS1
Montironi, R1
Garcia, F1
Davis, J1
Frank, D1
Mariuzzi, GM1
Bartels, HG1
Bartels, PH1
Balasegaram, M2
Harris, S2
Checchi, F2
Hamel, C2
Karunakara, U2
Ghorashian, S1
Levin, VA2
Jochec, JL1
Shantz, LM1
Aldape, KD1
Brawley, OW1
Thompson, IM1
Buckner, JC1
Burch, PA1
Cascino, TL1
O'Fallon, JR1
Scheithauer, BW1
Boiko, IV1
Mitchell, MF2
Hu, W1
Pandey, DK1
Mathevet, P1
Malpica, A1
Hittelman, WN1
Arbeit, JM1
Riley, RR1
Huey, B1
Porter, C1
Kelloff, G2
Lubet, R2
Ward, JM1
Pinkel, D1
Poulin, N1
Boiko, I1
MacAulay, C1
Boone, C1
Nishioka, K1
Hittelman, W1
Bacus, JW1
Boone, CW1
Bacus, JV1
Follen, M1
Kelloff, GJ1
Kagan, V1
Lippman, SM1
Herbert, BS1
Wright, AC1
Passons, CM1
Wright, WE1
Ali, IU1
Kopelovich, L1
Shay, JW1
Hess, KR1
Wong, ET1
Jaeckle, KA1
Kyritsis, AP1
Prados, MD1
Yung, WK1
Green, JE1
Shibata, MA1
Shibata, E1
Moon, RC1
Anver, MR1
Fabian, CJ1
Kimler, BF1
Umar, A1
Viner, JL1
Hawk, ET1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase III Trial of the Safety and Efficacy of Eflornithine Combined With Sulindac Compared to Eflornithine, Sulindac as Single Agents in Patients With Familial Adenomatous Polyposis[NCT01483144]Phase 3171 participants (Actual)Interventional2013-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Improvement in Investigator Lower GI Assessment

Global assessment of change in lower GI polyp burden. These are binary outcomes derived from scores assigned by the investigator during each procedure, using a scale (-2, -1, 0, +1, +2) which corresponds, respectively, to the investigator's overall qualitative assessment of: much worse, worse, no change, improved, much improved. Summarizes the corresponding 6- and 12-month investigator change scores according to whether or not there was any positive improvement at either month 6 (compared to baseline) or at month 12 (compared to baseline or month 6), under the condition that there be no worsening at either timepoint. (NCT01483144)
Timeframe: through month 12 assessment

,,
InterventionParticipants (Count of Participants)
ImprovedNot Improved
Eflornithine Plus Sulindac2234
Eflornithine Plus Sulindac Placebo1641
Sulindac Plus Eflornithine Placebo2236

Improvement in Investigator Upper GI Assessment

Global assessment of change in upper GI polyp burden. These are binary outcomes derived from scores assigned by the investigator during each procedure, using a scale (-2, -1, 0, +1, +2) which corresponds, respectively, to the investigator's overall qualitative assessment of: much worse, worse, no change, improved, much improved. Summarizes the corresponding 6- and 12-month investigator change scores according to whether or not there was any positive improvement at either month 6 (compared to baseline) or at month 12 (compared to baseline or month 6), under the condition that there be no worsening at either timepoint. (NCT01483144)
Timeframe: through month 12 assessment

,,
InterventionParticipants (Count of Participants)
ImprovedNot Improved
Eflornithine Plus Sulindac1145
Eflornithine Plus Sulindac Placebo1047
Sulindac Plus Eflornithine Placebo1048

Number of Subjects With Any FAP-related Event.

Progression of disease by evaluation of FAP-related events over the course of study treatment (NCT01483144)
Timeframe: Up to 48 months from the start of treatment

,,
InterventionParticipants (Count of Participants)
Number with FAP-related eventsNumber with Lower GI FAP-related events
Eflornithine Plus Sulindac182
Eflornithine Plus Sulindac Placebo2310
Sulindac Plus Eflornithine Placebo229

Reviews

2 reviews available for eflornithine and Disease Exacerbation

ArticleYear
Beyond tamoxifen new endpoints for breast cancer chemoprevention, new drugs for breast cancer prevention.
    Annals of the New York Academy of Sciences, 2001, Volume: 952

    Topics: Aneuploidy; Angiogenesis Inhibitors; Anticarcinogenic Agents; Apoptosis; Aromatase Inhibitors; Breas

2001
The future of colon cancer prevention.
    Annals of the New York Academy of Sciences, 2001, Volume: 952

    Topics: Adenocarcinoma; Adenoma; Animals; Anti-Inflammatory Agents, Non-Steroidal; Anticarcinogenic Agents;

2001

Trials

7 trials available for eflornithine and Disease Exacerbation

ArticleYear
Eflornithine plus Sulindac for Prevention of Progression in Familial Adenomatous Polyposis.
    The New England journal of medicine, 2020, 09-10, Volume: 383, Issue:11

    Topics: Adenomatous Polyposis Coli; Adult; Disease Progression; Drug Therapy, Combination; Eflornithine; Fem

2020
Combination of Sulindac and Eflornithine Delays the Need for Lower Gastrointestinal Surgery in Patients With Familial Adenomatous Polyposis: Post Hoc Analysis of a Randomized Clinical Trial.
    Diseases of the colon and rectum, 2022, Apr-01, Volume: 65, Issue:4

    Topics: Adenomatous Polyposis Coli; Adult; Disease Progression; Eflornithine; Humans; Proctocolectomy, Resto

2022
Efficacy and safety of eflornithine (CPP-1X)/sulindac combination therapy versus each as monotherapy in patients with familial adenomatous polyposis (FAP): design and rationale of a randomized, double-blind, Phase III trial.
    BMC gastroenterology, 2016, Aug-02, Volume: 16, Issue:1

    Topics: Adenomatous Polyposis Coli; Adult; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Proto

2016
The chemoprevention of prostate cancer and the Prostate Cancer Prevention Trial.
    Cancer treatment and research, 1996, Volume: 88

    Topics: 5-alpha Reductase Inhibitors; Androgens; Antineoplastic Agents; Chemoprevention; Combined Modality T

1996
Phase II trial of recombinant interferon-alpha-2a and eflornithine in patients with recurrent glioma.
    Journal of neuro-oncology, 1998, Volume: 36, Issue:1

    Topics: Adult; Aged; Disease Progression; Drug Therapy, Combination; Eflornithine; Female; Glioma; Humans; I

1998
Nuclear morphometry as an intermediate endpoint biomarker in chemoprevention of cervical carcinoma using alpha-difluoromethylornithine.
    Cytometry, 1999, Oct-15, Volume: 38, Issue:5

    Topics: Antineoplastic Agents; Biomarkers, Tumor; Carcinoma, Squamous Cell; Cell Nucleus; Disease Progressio

1999
Response and progression in recurrent malignant glioma.
    Neuro-oncology, 1999, Volume: 1, Issue:4

    Topics: Actuarial Analysis; Adolescent; Adult; Aged; Aged, 80 and over; Alitretinoin; Antineoplastic Combine

1999

Other Studies

16 other studies available for eflornithine and Disease Exacerbation

ArticleYear
Eflornithine (DFMO) prevents progression of pancreatic cancer by modulating ornithine decarboxylase signaling.
    Cancer prevention research (Philadelphia, Pa.), 2014, Volume: 7, Issue:12

    Topics: Animals; Apoptosis; Blotting, Western; Carcinoma, Pancreatic Ductal; Cell Proliferation; Disease Pro

2014
Targeting ornithine decarboxylase reverses the LIN28/Let-7 axis and inhibits glycolytic metabolism in neuroblastoma.
    Oncotarget, 2015, Jan-01, Volume: 6, Issue:1

    Topics: Adenosine Triphosphate; Animals; Antineoplastic Agents; Brain Neoplasms; Cell Line, Tumor; Disease P

2015
Arginine deprivation and immune suppression in a mouse model of Alzheimer's disease.
    The Journal of neuroscience : the official journal of the Society for Neuroscience, 2015, Apr-15, Volume: 35, Issue:15

    Topics: Age Factors; Alzheimer Disease; Amyloid beta-Protein Precursor; Animals; Antigens, CD; Arginine; Bra

2015
Polyamine Antagonist Therapies Inhibit Neuroblastoma Initiation and Progression.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2016, Sep-01, Volume: 22, Issue:17

    Topics: Animals; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Celecoxib; Cell Line

2016
Potentiating NK cell activity by combination of Rosuvastatin and Difluoromethylornithine for effective chemopreventive efficacy against Colon Cancer.
    Scientific reports, 2016, 11-14, Volume: 6

    Topics: Adenocarcinoma; Animals; Antineoplastic Agents; beta Catenin; Colonic Neoplasms; Cyclin D1; Disease

2016
Effect of dietary green tea extract and aerosolized difluoromethylornithine during lung tumor progression in A/J strain mice.
    Carcinogenesis, 2008, Volume: 29, Issue:8

    Topics: Aerosols; Animals; Antineoplastic Agents; Chemoprevention; Disease Progression; Eflornithine; Female

2008
Celecoxib and difluoromethylornithine in combination have strong therapeutic activity against UV-induced skin tumors in mice.
    Carcinogenesis, 2003, Volume: 24, Issue:5

    Topics: Animals; Antineoplastic Agents; Apoptosis; Celecoxib; Cell Division; Cyclooxygenase 2; Disease Progr

2003
Karyometry in the early detection and chemoprevention of intraepithelial lesions.
    European journal of cancer (Oxford, England : 1990), 2005, Volume: 41, Issue:13

    Topics: Antineoplastic Agents; Breast Neoplasms; Carcinoma; Carcinoma, Ductal, Breast; Disease Progression;

2005
Treatment outcomes and risk factors for relapse in patients with early-stage human African trypanosomiasis (HAT) in the Republic of the Congo.
    Bulletin of the World Health Organization, 2006, Volume: 84, Issue:10

    Topics: Adolescent; Adult; Animals; Child; Cohort Studies; Democratic Republic of the Congo; Disease Progres

2006
Melarsoprol versus eflornithine for treating late-stage Gambian trypanosomiasis in the Republic of the Congo.
    Bulletin of the World Health Organization, 2006, Volume: 84, Issue:10

    Topics: Adolescent; Adult; Animals; Child; Democratic Republic of the Congo; Disease Progression; Eflornithi

2006
Relationship between ornithine decarboxylase levels in anaplastic gliomas and progression-free survival in patients treated with DFMO-PCV chemotherapy.
    International journal of cancer, 2007, Nov-15, Volume: 121, Issue:10

    Topics: Anaplasia; Antineoplastic Combined Chemotherapy Protocols; Cisplatin; Cyclophosphamide; Disease Prog

2007
Epidermal growth factor receptor expression in cervical intraepithelial neoplasia and its modulation during an alpha-difluoromethylornithine chemoprevention trial.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 1998, Volume: 4, Issue:6

    Topics: Anticarcinogenic Agents; Antineoplastic Agents; Biomarkers; Cervix Uteri; Disease Progression; Eflor

1998
Difluoromethylornithine chemoprevention of epidermal carcinogenesis in K14-HPV16 transgenic mice.
    Cancer research, 1999, Aug-01, Volume: 59, Issue:15

    Topics: Administration, Oral; Animals; Anticarcinogenic Agents; Carcinoma, Squamous Cell; Disease Progressio

1999
Image morphometric nuclear grading of intraepithelial neoplastic lesions with applications to cancer chemoprevention trials.
    Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 1999, Volume: 8, Issue:12

    Topics: Antineoplastic Agents; Biopsy; Breast Neoplasms; Carcinoma in Situ; Carcinoma, Ductal, Breast; Cell

1999
Effects of chemopreventive and antitelomerase agents on the spontaneous immortalization of breast epithelial cells.
    Journal of the National Cancer Institute, 2001, Jan-03, Volume: 93, Issue:1

    Topics: Antineoplastic Agents; Breast; Breast Neoplasms; Cell Division; Cell Transformation, Neoplastic; Cel

2001
2-difluoromethylornithine and dehydroepiandrosterone inhibit mammary tumor progression but not mammary or prostate tumor initiation in C3(1)/SV40 T/t-antigen transgenic mice.
    Cancer research, 2001, Oct-15, Volume: 61, Issue:20

    Topics: Animals; Anticarcinogenic Agents; Antigens, Polyomavirus Transforming; Apoptosis; Cell Division; Deh

2001