Evaluation of treatment with doxorubicin and piroxicam or doxorubicin alone for multicentric lymphoma in dogs.

OBJECTIVE To evaluate the antitumor and toxic effects of treatment with doxorubicin combined with piroxicam or doxorubicin alone for multicentric lymphoma in dogs. DESIGN Nonrandomized clinical trial. ANIMALS 75 dogs with multicentric lymphoma. PROCEDURE 33 dogs were treated with doxorubicin (30 mg/m2, IV, q 21 d, for 3 doses) and piroxicam (0.3 mg/kg [0.14 mg/lb], PO, q 24 h); results were compared with a historical control group of 42 dogs treated with doxorubicin (30 mg/M2, IV, q 21 d, for 3 doses) alone. Results-The percentages of dogs that had remission with doxorubicin-piroxicam treatment (79%) or doxorubicin treatment alone (74%) were not significantly different. Median duration of first remission was 130 days with doxorubicin-piroxicam and 147 days with doxorubicin alone; these values were not significantly different. Severe toxicosis was observed in 22% of dogs treated with doxorubicin-piroxicam and 17% of dogs treated with doxorubicin alone. CONCLUSIONS AND CLINICAL RELEVANCE Both treatment protocols were efficacious and well tolerated. The doxorubicin-piroxicam treatment was no more effective regarding response rate, remission duration, or survival duration, compared with the control group treated with doxorubicin alone.

[1]  T. Chou,et al.  Synergistic effects of new chemopreventive agents and conventional cytotoxic agents against human lung cancer cell lines. , 1999, Cancer research.

[2]  Y. Sasaki,et al.  Cyclooxygenase inhibitors suppress angiogenesis and reduce tumor growth in vivo. , 1999, Laboratory investigation; a journal of technical methods and pathology.

[3]  R. DuBois,et al.  Cyclooxygenase Regulates Angiogenesis Induced by Colon Cancer Cells , 1998, Cell.

[4]  K. Seibert,et al.  Chemopreventive activity of celecoxib, a specific cyclooxygenase-2 inhibitor, against colon carcinogenesis. , 1998, Cancer research.

[5]  G. Piazza,et al.  Apoptosis primarily accounts for the growth-inhibitory properties of sulindac metabolites and involves a mechanism that is independent of cyclooxygenase inhibition, cell cycle arrest, and p53 induction. , 1997, Cancer research.

[6]  Joanna S Morris,et al.  Small Animal Clinical Oncology , 1996 .

[7]  R. DuBois,et al.  Alterations in cellular adhesion and apoptosis in epithelial cells overexpressing prostaglandin endoperoxide synthase 2 , 1995, Cell.

[8]  T. Kuczek,et al.  Evaluation of in vitro cytotoxicity of nonsteroidal anti-inflammatory drugs against canine tumor cells. , 1995, American journal of veterinary research.

[9]  T. Kuczek,et al.  Piroxicam therapy in 34 dogs with transitional cell carcinoma of the urinary bladder. , 1994, Journal of veterinary internal medicine.

[10]  S. Piantadosi,et al.  Treatment of colonic and rectal adenomas with sulindac in familial adenomatous polyposis. , 1993, The New England journal of medicine.

[11]  M. Thun,et al.  Aspirin use and reduced risk of fatal colon cancer. , 1991, The New England journal of medicine.

[12]  T. Gerig,et al.  Efficacy and toxicity of doxorubicin/cyclophosphamide maintenance therapy in dogs with multicentric lymphosarcoma. , 1991, Journal of veterinary internal medicine.

[13]  M. Pollard,et al.  Prevention and treatment of primary intestinal tumors in rats by piroxicam. , 1989, Cancer research.

[14]  R. Dunstan,et al.  Natural killer cell activity in untreated and treated dogs with lymphoma. , 1989, American journal of veterinary research.

[15]  D. Ross,et al.  Piroxicam inhibits the growth of an adenocarcinoma isograft in Fischer rats. , 1988, The Journal of surgical research.

[16]  I. Frydecka Natural killer cell activity during the course of disease in patients with Hodgkin's disease , 1985, Cancer.

[17]  Craig W. Reynolds,et al.  In vivo role of natural killer cells: involvement of large granular lymphocytes in the clearance of tumor cells in anti-asialo GM1-treated rats. , 1983, Journal of immunology.

[18]  M. Lipinski,et al.  Low natural killer cell activity in patients with malignant lymphoma , 1982, Cancer.

[19]  J. Reed,et al.  Defective natural cytotoxicity in patients with cancer: normal number of effector cells but decreased recycling capacity in patients with advanced disease. , 1982, Journal of immunology.

[20]  R. Rees,et al.  Depressed spontaneous natural killing and interferon augmentation in patients with malignant lymphoma. , 1982, European journal of cancer & clinical oncology.

[21]  G. R. Dodge,et al.  Prostaglandin E inhibits the production of human interleukin 2 , 1982, The Journal of experimental medicine.

[22]  R. Burton,et al.  Definitive evidence that natural killer (NK) cells inhibit experimental tumor metastases in vivo. , 1981, Journal of immunology.

[23]  J. Ortaldo,et al.  Natural killer cells: their roles in defenses against disease. , 1981, Science.

[24]  R. Herberman,et al.  Inhibition of murine natural killer cell activity by prostaglandins. , 1980, Journal of immunology.

[25]  O. Haller,et al.  Role of non-conventional natural killer cells in resistance against syngeneic tumour cells in vivo , 1977, Nature.

[26]  D. Knapp,et al.  Phase I trial of piroxicam in 62 dogs bearing naturally occurring tumors , 2004, Cancer Chemotherapy and Pharmacology.

[27]  N. Glickman,et al.  Prostaglandin E2 concentrations in naturally occurring canine cancer. , 2001, Prostaglandins, leukotrienes, and essential fatty acids.

[28]  T. Kuczek,et al.  Cisplatin versus cisplatin combined with piroxicam in a canine model of human invasive urinary bladder cancer , 2000, Cancer Chemotherapy and Pharmacology.

[29]  B. Teicher,et al.  Cyclooxygenase and lipoxygenase inhibitors in cancer therapy. , 1996, Prostaglandins, leukotrienes, and essential fatty acids.

[30]  D. Alberts,et al.  Piroxicam and other cyclooxygenase inhibitors: Potential for cancer chemoprevention , 1992, Journal of cellular biochemistry. Supplement.

[31]  J. Breau,et al.  [Regression and slowing of the growth of human pulmonary metastases induced by piroxicam, an inhibitor of prostaglandin synthesis]. , 1989, Bulletin du cancer.

[32]  J. Harmon,et al.  Glucocorticoid receptors and glucocorticoid resistance in human leukemia in vivo and in vitro. , 1986, Advances in experimental medicine and biology.