“This drug is selectively taken up by cancer cells and then shuts down the production of energy in the mitochondria,” said Timothy Pardee, M.D., Ph.D., director of leukemia translational research at Wake Forest Baptist and principal investigator of the trial. “This is the first drug to inhibit mitochondria in this way and if it proves effective in further clinical trials, it will open up a whole new approach to fighting cancer.”
Mitochrondria, which are the powerhouses of the cell, are used differently by healthy cells and cancer cells. Healthy cells use mitochondria as a source of energy to carry out essential functions, whereas leukemia cells use it to reproduce faster and to repair damage from chemotherapy, Pardee said.
In the Phase I trial, 26 patients with relapsed or refractory hematological malignancies were enrolled and given the new drug, CPI-613, as a two-hour infusion on days one and four for three weeks every 28 days. Of the 21 patients who completed the trial, 29 percent saw a benefit from the drug, including one who achieved a complete remission that has lasted more than three years and another who had a partial response that has lasted more than two years.
These data suggest that agents targeting mitochondrial metabolism can be safely administered and have activity in blood-related cancers like leukemia, the researchers reported.
Based on these findings, a Phase II clinical trial is underway at Wake Forest Baptist.
Support for the clinical trial was provided by National Cancer Institute grants P30CA012197 and 1K08CA169809, the Doug Coley Foundation for Leukemia Research, the Frances P. Tutwiler Fund, The MacKay Foundation for Cancer Research and Cornerstone Pharmaceuticals, which manufactured and provided CPI-613.
Pardee has received honoraria in the past from Cornerstone Pharmaceuticals, as well as research support.
Co-authors of the study are King Lee, Ph.D., Scott Isom, M.S., Lance D. Miller, Ph.D., Kristin M. Stadelman, M.S., Denise Levitan, M.D., David Hurd, M.D., Leslie R. Ellis, M.D., Robin Harrelson, B.S.N., Megan Manuel, M.S.N., Sarah Dralle, M.S.N., Susan Lyerly, PA-C, and Bayard L. Powell, M.D., of Wake Forest Baptist; and John Luddy, M.S., Claudia Maturo, M.S., and Robert Rodriguez, M.B.A., of Cornerstone Pharmaceuticals Inc.