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hydroxychloroquine and Neoplasm Metastasis

hydroxychloroquine has been researched along with Neoplasm Metastasis in 6 studies

Hydroxychloroquine: A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970)
hydroxychloroquine : An aminoquinoline that is chloroquine in which one of the N-ethyl groups is hydroxylated at position 2. An antimalarial with properties similar to chloroquine that acts against erythrocytic forms of malarial parasites, it is mainly used as the sulfate salt for the treatment of lupus erythematosus, rheumatoid arthritis, and light-sensitive skin eruptions.

Neoplasm Metastasis: The transfer of a neoplasm from one organ or part of the body to another remote from the primary site.

Research Excerpts

ExcerptRelevanceReference
"Hydroxychloroquine (HCQ) enhances the anti-cancer activity of the histone deacetylase inhibitor, vorinostat (VOR), in pre-clinical models and early phase clinical studies of metastatic colorectal cancer (mCRC)."7.83Vorinostat and hydroxychloroquine improve immunity and inhibit autophagy in metastatic colorectal cancer. ( Curiel, T; Goros, M; Hurez, V; Mahalingam, D; Michalek, J; Nawrocki, ST; Patel, S; Sarantopoulos, J, 2016)
" We evaluated hydoxychloroquine (HCQ), an inhibitor of autophagy, in patients with pancreatic cancer and analyzed pharmacodynamic markers in treated patients and mice."6.79Phase II and pharmacodynamic study of autophagy inhibition using hydroxychloroquine in patients with metastatic pancreatic adenocarcinoma. ( Chan, JA; Cleary, JM; Enzinger, PC; Fuchs, CS; Killion, L; Kimmelman, AC; Mamon, H; McCleary, NJ; Meyerhardt, JA; Ng, K; Rubinson, DA; Schrag, D; Sikora, AL; Spicer, BA; Wang, X; Wolpin, BM, 2014)
"Hydroxychloroquine (HCQ) enhances the anti-cancer activity of the histone deacetylase inhibitor, vorinostat (VOR), in pre-clinical models and early phase clinical studies of metastatic colorectal cancer (mCRC)."3.83Vorinostat and hydroxychloroquine improve immunity and inhibit autophagy in metastatic colorectal cancer. ( Curiel, T; Goros, M; Hurez, V; Mahalingam, D; Michalek, J; Nawrocki, ST; Patel, S; Sarantopoulos, J, 2016)
" We evaluated hydoxychloroquine (HCQ), an inhibitor of autophagy, in patients with pancreatic cancer and analyzed pharmacodynamic markers in treated patients and mice."2.79Phase II and pharmacodynamic study of autophagy inhibition using hydroxychloroquine in patients with metastatic pancreatic adenocarcinoma. ( Chan, JA; Cleary, JM; Enzinger, PC; Fuchs, CS; Killion, L; Kimmelman, AC; Mamon, H; McCleary, NJ; Meyerhardt, JA; Ng, K; Rubinson, DA; Schrag, D; Sikora, AL; Spicer, BA; Wang, X; Wolpin, BM, 2014)
"Sec62 promotes GC metastasis by activating autophagy and subsequently regulating TIMP-1 and MMP2/9 balance."1.72Sec62 promotes gastric cancer metastasis through mediating UPR-induced autophagy activation. ( Chu, Y; Jiang, MZ; Jin, YR; Li, XF; Liang, J; Lin, JC; Shi, YT; Su, S; Wu, N; Xu, B; Zhou, H, 2022)
"Twenty-five stage IV cancer patients were identified."1.42Addition of rapamycin and hydroxychloroquine to metronomic chemotherapy as a second line treatment results in high salvage rates for refractory metastatic solid tumors: a pilot safety and effectiveness analysis in a small patient cohort. ( Chi, KH; Chi, MS; Kao, SJ; Ko, HL; Lee, CY; Yang, KL, 2015)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's4 (66.67)24.3611
2020's2 (33.33)2.80

Authors

AuthorsStudies
Su, S1
Shi, YT1
Chu, Y1
Jiang, MZ1
Wu, N1
Xu, B1
Zhou, H1
Lin, JC1
Jin, YR1
Li, XF1
Liang, J1
Chen, X1
Yu, Q1
Liu, Y1
Sheng, Q1
Shi, K1
Wang, Y1
Li, M1
Zhang, Z1
He, Q1
Bui, AN1
Hirner, J1
Singer, SB1
Eberly-Puleo, A1
Larocca, C1
Lian, CG1
LeBoeuf, NR1
Wolpin, BM1
Rubinson, DA1
Wang, X1
Chan, JA1
Cleary, JM1
Enzinger, PC1
Fuchs, CS1
McCleary, NJ1
Meyerhardt, JA1
Ng, K1
Schrag, D1
Sikora, AL1
Spicer, BA1
Killion, L1
Mamon, H1
Kimmelman, AC1
Chi, KH1
Ko, HL1
Yang, KL1
Lee, CY1
Chi, MS1
Kao, SJ1
Patel, S1
Hurez, V1
Nawrocki, ST1
Goros, M1
Michalek, J1
Sarantopoulos, J1
Curiel, T1
Mahalingam, D1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase II Study of Hydroxychloroquine in Previously Treated Patients With Metastatic Pancreatic Cancer[NCT01273805]Phase 220 participants (Actual)Interventional2011-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

2-month Progression-Free Survival Rate

2-month progression-free survival rate was defined as the percentage of patients absent progression (PD) or death before 2 months. Patients were considered to have experienced PD if they demonstrated either clinical deterioration resulting in withdrawal or PD per RECIST 1.0 criteria: At least a 20% increase in the sum of longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. PD for the evaluation of non-target lesions is the appearance of one or more new lesions and/or unequivocal progression of non-target lesions. (NCT01273805)
Timeframe: Disease was evaluated radiologically at baseline and at the first restaging at 2 months.

Interventionpercentage of patients (Number)
Hydroxychloroquine 400 mg b.i.d.10
Hydroxychloroquine 600 mg b.i.d.10

Grade 4-5 Treatment-Related Toxicity

All grade 4-5 adverse events with treatment attribution of possibly, probably or definite based on CTCAEv3 as reported on case report forms. (NCT01273805)
Timeframe: Adverse events were assessed each cycle throughout treatment. Participants were followed for the duration of treatment, an average of 34 days for this study population.

InterventionParticipants (Count of Participants)
Hydroxychloroquine 400 mg b.i.d.0
Hydroxychloroquine 600 mg b.i.d.0

Overall Survival

Overall survival estimated using Kaplan-Meier (KM) methods is defined as the time from study entry to death or date last known alive. (NCT01273805)
Timeframe: All patients were followed until death. Median survival follow-up in this study cohort was 60 days (95% CI: 40-184).

Interventiondays (Median)
Hydroxychloroquine 400 mg b.i.d.51.5
Hydroxychloroquine 600 mg b.i.d.83

Progression-Free Survival

Progression-free survival based on the Kaplan-Meier method is defined as the duration of time from study entry to time of objective progression on CT scan or the time of death for patients with clinical deterioration resulting in withdrawal from the trial. Per RECIST 1.0 criteria: progressive disease (PD) is at least a 20% increase in the sum of longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. PD for the evaluation of non-target lesions is the appearance of one or more new lesions and/or unequivocal progression of non-target lesions. Patients without an event were censored at date of last disease evaluation. (NCT01273805)
Timeframe: Disease was evaluated radiologically at baseline and every 2 months on treatment. Median PFS follow-up in this study cohort was 46.5 days (95% CI 33-61).

Interventiondays (Median)
Hydroxychloroquine 400 mg b.i.d.51.5
Hydroxychloroquine 600 mg b.i.d.44.5

Tumor Response Rate

Tumor response rate is the percentage of patients achieving complete or partial response on treatment based on RECIST 1.0 criteria. For target lesions, complete response (CR) is disappearance of all target lesions and partial response (PR) is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. CR for the evaluation of non-target lesions is the disappearance of non-target lesions and normalization of tumor marker level. Appearance of one or more new lesions is classified as progression of non-target lesions. CR or PR confirmation is required >/= 4 weeks. (NCT01273805)
Timeframe: Disease was evaluated radiologically at baseline and every 2 months on treatment. Median duration of treatment for this study cohort was 34 days.

Interventionpercentage of patients (Number)
Hydroxychloroquine 400 mg b.i.d.0
Hydroxychloroquine 600 mg b.i.d.0

Trials

1 trial available for hydroxychloroquine and Neoplasm Metastasis

ArticleYear
Phase II and pharmacodynamic study of autophagy inhibition using hydroxychloroquine in patients with metastatic pancreatic adenocarcinoma.
    The oncologist, 2014, Volume: 19, Issue:6

    Topics: Adenocarcinoma; Animals; Antineoplastic Combined Chemotherapy Protocols; Autophagy; Disease-Free Sur

2014

Other Studies

5 other studies available for hydroxychloroquine and Neoplasm Metastasis

ArticleYear
Sec62 promotes gastric cancer metastasis through mediating UPR-induced autophagy activation.
    Cellular and molecular life sciences : CMLS, 2022, Feb-15, Volume: 79, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Animals; Autophagy; Cell Line, Tumor; eIF-2 Kinase; Female; Humans;

2022
Synergistic cytotoxicity and co-autophagy inhibition in pancreatic tumor cells and cancer-associated fibroblasts by dual functional peptide-modified liposomes.
    Acta biomaterialia, 2019, Volume: 99

    Topics: Animals; Antineoplastic Agents; Autophagy; Cancer-Associated Fibroblasts; Carcinoma, Pancreatic Duct

2019
De novo subacute cutaneous lupus erythematosus-like eruptions in the setting of programmed death-1 or programmed death ligand-1 inhibitor therapy: clinicopathological correlation.
    Clinical and experimental dermatology, 2021, Volume: 46, Issue:2

    Topics: Administration, Topical; Adrenal Cortex Hormones; Aged; Antimalarials; Combined Modality Therapy; Ex

2021
Addition of rapamycin and hydroxychloroquine to metronomic chemotherapy as a second line treatment results in high salvage rates for refractory metastatic solid tumors: a pilot safety and effectiveness analysis in a small patient cohort.
    Oncotarget, 2015, Jun-30, Volume: 6, Issue:18

    Topics: Administration, Metronomic; Aged; Antineoplastic Combined Chemotherapy Protocols; Autophagy; Dose-Re

2015
Vorinostat and hydroxychloroquine improve immunity and inhibit autophagy in metastatic colorectal cancer.
    Oncotarget, 2016, Sep-13, Volume: 7, Issue:37

    Topics: Adult; Aged; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Autophagy; Color

2016