Banerjee D
Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
Curr Opin Investig Drugs. 2001 Apr;2(4):574-80.
Genasense (formerly known as G-3139), an antisense oligonucleotide specific for Bcl-2, is under development by Genta as an iv drip infusion for the potential treatment of various cancers including melanoma, prostate, breast and colon cancer [3083751. It is in phase III trials for malignant melanoma, for which it has been awarded Fast Track status 1359044]. Genasense received Orphan Drug status in August 2000 [3782331. In September 2000, the company announced that pivotal phase III trials in multiple melanoma, chronic lymphocytic leukemia (CLL) and acute myelocytic leukemia (AML) would be underway by 2001 [382783]. By January 2001, trials in AML and CLL had been initiated 1396512]. As of February 2001, Genta was planning the initiation of two additional, registration quality trials. Pending positive results from these trials, launch of Genasense is anticipated in 2002 13984111. A phase III trial in patients with advanced multiple myeloma at 65 centers in the US, Canada and Great Britain began in February 2001. The trial will examine whether the addition of Genasense can improve response rates, response duration and quality of life compared with dexamethasone therapy alone 13989081. Genta Inc has been issued a patent (US-05831066) for Genasense 1283005]. The patent provides protection to Genta for the composition of Genasense and its analogs. Furthermore, Genta Inc has also been issued two new patents that cover a series of compounds containing new backbone constructions that enhance the antisense affinity of the drug to the target pre-RNA, while the other patent covers the methods for preparation of antisense oligonucleotides containing the new backbone structures 12896851. Genta has already licensed the rights for the use of Bd-2 as a target for antisense- and gene therapy-based treatments from The University of Pennsylvania. The licensing agreements with Chugai Pharmaceutical Co for worldwide marketing and profit sharing places Genta in a favorable position. In January 2001, Needham & Co expected Genasense to have a potential market of 47,700 malignant melanoma patients in the US. The analysts also expected potential patient market sizes of 50,000 (CLL), 21,000 (AML), 136,000 (non-small cell lung cancer; NSLCC) and 180,000 (prostate cancer) in the US. In addition, the analysts predicted that Genasense would be approved for melanoma in the second quarter of 2002, with approvals to follow for CLL (third quarter of 2002), AML (third quarter of 2002) and myeloma (fourth quarter of 2002) 1399251].
吉纳森斯(原称G - 3139)是一种针对Bcl - 2的反义寡核苷酸,由根塔公司研发,作为静脉滴注药物用于潜在治疗包括黑色素瘤、前列腺癌、乳腺癌和结肠癌在内的多种癌症[3083751]。它正在进行恶性黑色素瘤的III期试验,并因此获得了快速通道地位[1359044]。吉纳森斯于2000年8月获得孤儿药地位[3782331]。2000年9月,该公司宣布到2001年将在多种黑色素瘤、慢性淋巴细胞白血病(CLL)和急性髓细胞白血病(AML)方面开展关键的III期试验[382783]。到2001年1月,AML和CLL的试验已经启动[1396512]。截至2001年2月,根塔公司正计划启动另外两项符合注册质量标准的试验。在这些试验取得阳性结果之前,预计吉纳森斯将于2002年推出[13984111]。2001年2月,在美国、加拿大和英国65个中心针对晚期多发性骨髓瘤患者开展了一项III期试验。该试验将研究与单独使用地塞米松治疗相比,添加吉纳森斯是否能提高缓解率、缓解持续时间和生活质量[13989081]。根塔公司已获得吉纳森斯的一项专利(美国专利号:05831066)[1283005]。该专利为根塔公司的吉纳森斯及其类似物的成分提供保护。此外,根塔公司还获得了两项新专利,一项涵盖一系列含有新骨架结构的化合物,这些结构增强了药物对靶前体RNA的反义亲和力,另一项专利涵盖含有新骨架结构的反义寡核苷酸的制备方法[12896851]。根塔公司已从宾夕法尼亚大学获得将Bcl - 2用作基于反义及基因疗法治疗靶点的使用权。与中外制药株式会社就全球营销和利润分享达成的许可协议使根塔公司处于有利地位。2001年1月,Needham & Co预计在美国吉纳森斯对47700名恶性黑色素瘤患者有潜在市场。分析师们还预计在美国潜在患者市场规模分别为50000名(CLL)、21000名(AML)、136000名(非小细胞肺癌;NSCLC)和180000名(前列腺癌)。此外,分析师们预测吉纳森斯将于2002年第二季度获批用于黑色素瘤治疗,随后依次是CLL(2002年第三季度)、AML(2002年第三季度)和骨髓瘤(2002年第四季度)[1399251]。