Exploratory Rat Toxicology and Efficacy of the Boron Neutron Capture Therapy Drug Boronotyrosine in a Mouse Model of Head and Neck Cancer.

Abstract

Boronotyrosine (BTS) is a potential next-generation boron neutron capture therapy (BNCT) drug that exhibits higher solubility and improved tumor boron delivery and retention in mice over boronophenylalanine (BPA), the standard BNCT drug. These characteristics of BTS suggest that clinical protocols used for BPA can be altered to improve BNCT practicality, efficacy, and safety outcomes such as shorter irradiation time or changes in infusion timing and dose. These parameters were tested in a human head and neck cancer mouse xenograft model, and exploratory rat toxicology was conducted to determine maximal safe dosing. Toxicology was performed in Sprague-Dawley rats with BTS bolus dosed at 1800, 2100, and maximal formulated dose of 2500 mg/kg. Clinical observations were made immediately and at 4 and 24 hours. Blood chemistry was analyzed at 24 hours. BNCT was performed using the human FaDu hypopharyngeal xenograft model implanted in nude mice using a reactor neutron source. BTS dosed at 1800, 2100, and 2500 mg/kg induced no adverse effects and no notable alterations in blood chemistry outside of normal ranges. BNCT with 6 minutes irradiation administered 90 minutes after injection with BTS at 900 mg/kg resulted in sustained tumor regression. BPA dosed with its standard 300 mg/kg dose exhibited tumor stasis then tumor regrowth. BTS at 2480 mg/kg also mediated sustained tumor regression. No abnormal alterations of mouse body weights were observed, suggesting no adverse toxicities. BNCT with 6 minutes of irradiation delivered 240 minutes after injection still mediated strong inhibition with BTS, but marked loss of efficacy was observed for BPA. Shortening irradiation time to 3 minutes delivered 90 minutes after injection also demonstrated superior inhibition with BTS over BPA. These results support development of BTS as a next-generation BNCT boron delivery compound and exploration of alternative BNCT protocols than those used for BPA.