The NSAID, sulindac and/or its metabolites and derivatives, in combination
with hydrogen peroxide or another oxidizing agent, such as arsenic
trioxide that generates reactive oxygen species (ROS), significantly
enhances the killing of cancer cells. This effect occurs at
concentrations of each compound that individually have little or no
activity directed against cancer cells. A skin cream has been developed
and used to treat skin cancer and precancerous skin growths that
effectively removes the lesions with no effect on surrounding normal
skin.