2013
DOI: 10.1158/1078-0432.ccr-12-3752
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In Vitro and In Vivo Antitumor Activity of a Novel Alkylating Agent, Melphalan-Flufenamide, against Multiple Myeloma Cells

Abstract: Purpose The alkylating agent melphalan prolongs survival in multiple myeloma (MM) patients; however, it is associated with toxicities and development of drug-resistance. Here, we evaluated the efficacy of melphalan-flufenamide (Mel-flufen), a novel dipeptide prodrug of melphalan in MM. Experimental Design MM cell lines, primary patient cells, and the human MM xenograft animal model were utilized to study the antitumor activity of mel-flufen. Results Low doses of mel-flufen triggers a more rapid and higher … Show more

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Cited by 89 publications
(139 citation statements)
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“…Recently a renewed scientific interest on melphalan is emerging, and major efforts have been devoted to delineate the mechanisms underlying primary or acquired melphalan-resistance (13). These efforts have already led to the design of novel regimens to overcome melphalan-resistance or to improve its anti-tumor activity (14). …”
Section: Introductionmentioning
confidence: 99%
“…Recently a renewed scientific interest on melphalan is emerging, and major efforts have been devoted to delineate the mechanisms underlying primary or acquired melphalan-resistance (13). These efforts have already led to the design of novel regimens to overcome melphalan-resistance or to improve its anti-tumor activity (14). …”
Section: Introductionmentioning
confidence: 99%
“…It has demonstrated high preclinical activity even in melphalan resistant cells, based on a preferential delivery of melphalan to tumor cells due to the intracellular cleavage of melflufen by some peptidases overexpressed in malignant cells. [133]…”
Section: Clinical Results With the Most Promising Novel Agents Under mentioning
confidence: 99%
“…Each group was tested in 4 replicates. Cell concentrations were calculated by equation 1 at 525 nm [23,24,25,26,27]. …”
Section: Methodsmentioning
confidence: 99%