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Cancer Center, Medical College of Wisconsin, Milwaukee, Wisconsin 53226 [Y. A. S., E. C. B.], 3M Pharmaceuticals, 3M Company, St. Paul, Minnesota 55144 [C. E. W., M. J. R.], and the University of Wisconsin Clinical Cancer Center, Madison, Wisconsin 53792 [J. F. H., G. T. B.]
The low-molecular-weight imidazoquinolinamine derivative, 1-(2-methylpropyl)-1H-imidazo[4,5-c]quinolin-4-amine (imiquimod, previously described as R-837), induced
-interferon (IFN-
) in mice. IFN induction was identified at oral doses as low as 3 mg/kg. The 10% lethal dose for daily treatment with imiquimod was 200 mg/kg. Oral treatment with 30 mg/kg imiquimod once every three days significantly inhibited MC-26 colon carcinoma. Delay of treatment from day 1 to day 5, when tumors were easily palpable, did not reduce benefits. Ten daily treatments were slightly more effective than five. However, delivery of the same total dose of imiquimod either once every day for 20 days, once every 4 days, once every 7 days, or once every 10 days inhibited tumor growth to the same level. The antitumor effects of imiquimod were significantly abrogated by an antiserum to murine IFN-
, suggesting that the antitumor effect was to a substantial extent mediated by IFN induction. Imiquimod also significantly reduced the number of lung colonies in mice inoculated i.v. with MC-26 tumor cells. Combination of treatment with imiquimod and cyclophosphamide was significantly (P < 0.01) better than treatment with either drug alone. Combination treatment with cyclophosphamide led to cures in some of the mice inoculated either s.c. or i.v. with MC-26 cells. Treatment with imiquimod also inhibited the growth of RIF-1 sarcoma and Lewis lung carcinoma but was ineffective for P388 leukemia. Imiquimod is an oral IFN-
inducer with antitumor effectiveness for transplantable murine tumors.
1 Supported in part by grants from 3M Pharmaceuticals, 3M Company, St. Paul, MN. E. C. B. is an American Cancer Society Professor of Clinical Oncology.
2 To whom requests for reprints should be addressed, at Cancer Center, Medical College of Wisconsin, 8901 Watertown Plank Road, Milwaukee, WI 53226.
Received 9/20/91. Accepted 4/24/92.
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