Several
promising anticancer drug candidates have been sidelined
owing to their poor physicochemical properties or unfavorable pharmacokinetics,
resulting in high overall cost of drug discovery and development.
Use of alternative formulation strategies that alleviate these issues
can help advance new molecules to the clinic at a significantly lower
cost. Tylocrebrine is a natural product with potent anticancer activity.
Its clinical trial was discontinued following the discovery of severe
central nervous system toxicities. To improve the safety and potency
of tylocrebrine, we formulated the drug in polymeric nanoparticles
targeted to the epidermal growth factor receptor (EGFR) overexpressed
on several types of tumors. Through in vitro studies
in different cancer cell lines, we found that EGFR targeted nanoparticles
were significantly more effective in killing tumor cells than the
free drug. In vivo pharmacokinetic studies revealed
that encapsulation in nanoparticles resulted in lower brain penetration
and enhanced tumor accumulation of the drug. Further, targeted nanoparticles
were characterized by significantly enhanced tumor growth inhibitory
activity in a mouse xenograft model of epidermoid cancer. These results
suggest that the therapeutic index of drugs that were previously considered
unusable could be significantly improved by reformulation. Application
of novel formulation strategies to previously abandoned drugs provides
an opportunity to advance new molecules to the clinic at a lower cost.
This can significantly increase the repertoire of treatment options
available to cancer patients.