About: Comment on 'cytotoxic effect of disulfiram/copper on human glioblastoma cell lines and ALDH-positive cancer-stem-like cells'     Goto   Sponge   NotDistinct   Permalink

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  • I have read the article on anticancer activity of an old antialcoholism drug disulfiram published in this Journal (Liu et al, 2012) with great interest. In this Letter to the Editor, I would like to stress that we already have clinical evidence for disulfiram anticancer activity. One molecule of disulfiram is cleaved, even as early as in the stomach, to two molecules of ditiocarb, which forms the copper complex in the body (Johansson, 1992). About 20 years ago, Dufour et al (1993) published encouraging results of phase II placebo-controlled clinical trial of ditiocarb(diethyldithiocarbamate) in 64 women with high-risk breast cancer . After 6 years, overall survival was 81% in ditiocarb group vs 55% in placebo group. The authors used (for 70 kg woman) 700 mg of sodium ditiocarb (B600 mg of ditiocarb itself) dosing per week. However, the trial has been forgotten and the authors did not realise that ditiocarb is a main metabolite of disulfiram. The standard dosing of disulfiram today is 250-500 mg per day and was even as high as 3000 mg per day (Suh et al, 2006). Arguably, breast cancer patients on higher doses of disulfiram may experience much more remarkable benefit than it was shown in Dufour et al (1993) trial. In public interest, we urgently need new phase III clinical trials of disulfiram in breast cancer patients to repurpose the cheap (1-year long therapy costs approximately US$550) and safe drug for breast cancer (Cvek, 2012).
  • I have read the article on anticancer activity of an old antialcoholism drug disulfiram published in this Journal (Liu et al, 2012) with great interest. In this Letter to the Editor, I would like to stress that we already have clinical evidence for disulfiram anticancer activity. One molecule of disulfiram is cleaved, even as early as in the stomach, to two molecules of ditiocarb, which forms the copper complex in the body (Johansson, 1992). About 20 years ago, Dufour et al (1993) published encouraging results of phase II placebo-controlled clinical trial of ditiocarb(diethyldithiocarbamate) in 64 women with high-risk breast cancer . After 6 years, overall survival was 81% in ditiocarb group vs 55% in placebo group. The authors used (for 70 kg woman) 700 mg of sodium ditiocarb (B600 mg of ditiocarb itself) dosing per week. However, the trial has been forgotten and the authors did not realise that ditiocarb is a main metabolite of disulfiram. The standard dosing of disulfiram today is 250-500 mg per day and was even as high as 3000 mg per day (Suh et al, 2006). Arguably, breast cancer patients on higher doses of disulfiram may experience much more remarkable benefit than it was shown in Dufour et al (1993) trial. In public interest, we urgently need new phase III clinical trials of disulfiram in breast cancer patients to repurpose the cheap (1-year long therapy costs approximately US$550) and safe drug for breast cancer (Cvek, 2012). (en)
Title
  • Comment on 'cytotoxic effect of disulfiram/copper on human glioblastoma cell lines and ALDH-positive cancer-stem-like cells'
  • Comment on 'cytotoxic effect of disulfiram/copper on human glioblastoma cell lines and ALDH-positive cancer-stem-like cells' (en)
skos:prefLabel
  • Comment on 'cytotoxic effect of disulfiram/copper on human glioblastoma cell lines and ALDH-positive cancer-stem-like cells'
  • Comment on 'cytotoxic effect of disulfiram/copper on human glioblastoma cell lines and ALDH-positive cancer-stem-like cells' (en)
skos:notation
  • RIV/61989592:15310/13:33147710!RIV14-MSM-15310___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(EE.2.3.20.0062)
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 66007
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15310/13:33147710
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • disulfiram, antabuse, breast cancer, clinical trial (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [5BD0E1349C08]
http://linked.open...i/riv/nazevZdroje
  • British Journal of Cancer
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 108
http://linked.open...iv/tvurceVysledku
  • Cvek, Boris
http://linked.open...ain/vavai/riv/wos
  • 000316775900033
issn
  • 0007-0920
number of pages
http://bibframe.org/vocab/doi
  • 10.1038/bjc.2013.18
http://localhost/t...ganizacniJednotka
  • 15310
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