Table 2. Anti-tumor activity of regorafenib alone and in combination against pediatric xenografts.
Treatment | Schedule (dose dq) | Tumor (n) | Initial Tumor Volume (mm3) | Td (days) | PR | CR | TFS | TGI (at Day) | p | 5 x Vi (days) | TGD (days) | p |
---|---|---|---|---|---|---|---|---|---|---|---|---|
ET-1 | ||||||||||||
D13 | ||||||||||||
Control | 0.15 mL x 15d | 13 | 166 (75–426) | 3.2 | 0 | 0 | 0 | 8 | ||||
Regorafenib | 30 mg/kg x 30d | 14 | 221 (93–473) | 0 | 0 | 0 | 78% | 0.0002 | 33 | 25 | <0.0001 | |
EW7 | ||||||||||||
D17 | ||||||||||||
Control | 0.15 mL x 24d | 6 | 192 (80–250) | 4.9 | 18.5 | |||||||
Regorafenib | 30 mg/kg x 21d x 2 cycles | 6 | 203 (80–414) | 0 | 0 | 0 | 93% | 0.0152 | 64 | 46 | 0.0022 | |
SJ-N-N8 | ||||||||||||
D16 | ||||||||||||
Control | 0.15 mL x 16d | 3 | 180 (156–377) | 3.7 | 0 | 0 | 0 | 10 | ||||
Regorafenib | 30 mg/kg x 21d | 4 | 242 (198–931) | 0 | 0 | 0 | 82% | 0.0286 | 31 | 21 | 0.0286 | |
SK-N-AS | ||||||||||||
D20 | ||||||||||||
Control | 0.15 mL x 20d | 9 | 93 (37–143) | 6.3 | 0 | 0 | 0 | 11.5 | ||||
Regorafenib | 10 mg/kg x 21d | 11 | 95 (45–136) | 0 | 0 | 0 | 80% | 0.008 | 25 | 13 | 0.0124 | |
Regorafenib | 30 mg/kg x 21d | 10 | 85 (53–190) | 0 | 0 | 0 | 87% | 0.003 | 27 | 16 | <0.0001 | |
RMS-1 | ||||||||||||
D13 | ||||||||||||
Control | 0.15 mL x 13d | 13 | 184 (75–470) | 4.7 | 9 | |||||||
Regorafenib | 10 mg/kg x 34d | 13 | 203 (113–332) | 0 | 0 | 0 | 67% | 0.0058 | 22 | 13 | 0.0036 | |
Regorafenib | 30 mg/kg x 44d | 14 | 175 (74–420) | 0 | 0 | 0 | 78% | <0.0001 | 31 | 22 | <0.0001 | |
Control combination | 0.125 mL x 13d + 0.25ml x 5d, 0.15 mL x 8d | 12 | 189 (137–397) | 0 | 0 | 0 | 2% | ns | 9 | ns | ||
Refametinib | 25 mg/kg x 5d, 15 mg/kg x 8d | 13 | 176 (73–480) | 0 | 0 | 0 | 19% | ns | 10 | 1 | ns | |
Regorafenib + Refametinib | 10 mg/kg x 38d + 25 mg/kg x 5d,15 mg/kg x 33d | 13 | 162 (92–375) | 0 | 0 | 0 | 73% | 0.0005 | 32 | 23 | <0.0001 | |
IGR-N91-Luc | ||||||||||||
D29 | ||||||||||||
Control | 0.15 mL x 29d | 7 | 1.7 | |||||||||
Regorafenib | 30 mg/kg x 29d | 7 | 99% | 0.0022 | ||||||||
IGRG93 | ||||||||||||
D11 | ||||||||||||
Control | 0.15 mL | 10 | 156 (83–307) | 2.9 | 9 | |||||||
Regorafenib | 10 mg/kg x 21d | 10 | 140 (60–391) | 0 | 0 | 0 | 86% | ns | 27 | 19 | 0.0356 | |
Regorafenib | 30 mg/kg x 21d | 11 | 200 (67–351) | 0 | 0 | 0 | 101% | 0.0408 | 32 | 23 | <0.0001 | |
Control + Radiotherapy | 0.15 mL x 21d + 1 Gy x 5d | 11 | 160 (62–311) | 4 | 0 | 0 | 100% | ns | 19 | 10 | ns | |
Regorafenib + Radiotherapy | 10 mg/kg x 21d + 1 Gy x 5d | 10 | 215 (73–329) | 6 | 3 | 1 | 111% | <0.0001 | 34 | 25 | <0.0001 | |
Regorafenib + Radiotherapy | 30 mg/kg x 21d + 1 Gy x 5d | 11 | 195 (68–500) | 5 | 6 | 0 | 114% | <0.0001 | 37 | 28 | <0.0001 | |
IGRM57 | ||||||||||||
D27 | ||||||||||||
Control | 0.15 mL x 29d | 6 | 285 (87–385) | 3.7 | 19 | |||||||
Regorafenib | 30 mg/kg x 39d | 6 | 217 (167–262) | 5 | 0 | 0 | 108% | 0.0043 | 62 | 43 | 0.0307 | |
Control + CPT-11 | 0.15 mL x 39d + 27 mg/kg x 5d | 7 | 231 (97–287) | 5 | 2 | 0 | 108% | 0.0012 | 55 | 36 | ns | |
Regorafenib + CPT-11 | 30 mg/kg x 39d + 27 mg/kg x 5d | 7 | 222 (125–444) | 1 | 6 | 0 | 111% | 0.0012 | 90 | 71 | 0.0005 | |
NEM14 | ||||||||||||
D28 | ||||||||||||
Control | 0.15 mL x 29d | 6 | 117 (79–166) | 9 | 0 | 0 | 0 | 20 | ||||
Regorafenib | 30 mg/kg x 29d | 7 | 159 (80–184) | 0 | 0 | 0 | 74% | ns | 32 | 12 | ns | |
Control + Radiotherapy | 0.15 mL x 29d + 1 Gy x 5d | 7 | 109 (80–171) | 0 | 0 | 0 | 74% | ns | 30 | 10 | ns | |
Regorafenib + Radiotherapy | 30 mg/kg x 29d + 1 Gy x 5d | 7 | 150 (91–276) | 0 | 0 | 0 | 93% | 0.0176 | 42 | 22 | 0.0036 |
CR, complete regression; PR, partial regression; TGD, tumor growth delay; TGI, tumor growth inhibition; 5xVi, Time to reach five time initial tumor volume; TD, tumor doubling time; TFS, tumor free survivor at day 120; ns, non-significant; Statistical analysis was performed using the non-parametric Mann-Whitney test for experiments with 2 treatment groups and the Kruskal-Wallis test for those with more than 2 groups