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RRx-001 的发现:一种具有肿瘤靶向细胞毒性和健康组织细胞保护特性的 Myc 和 CD47 下调小分子化合物,目前处于临床开发阶段。

Discovery of RRx-001, a Myc and CD47 Downregulating Small Molecule with Tumor Targeted Cytotoxicity and Healthy Tissue Cytoprotective Properties in Clinical Development.

机构信息

EpicentRx Inc., 11099 North Torrey Pines Road, Suite 160, La Jolla, California 92037, United States.

SciClone Pharmaceuticals Co., Ltd., 22 Floor, Shanghai Central Plaza, No. 381 Middle Huaihai Road, Huangpu, Shanghai 200020, China.

出版信息

J Med Chem. 2021 Jun 10;64(11):7261-7271. doi: 10.1021/acs.jmedchem.1c00599. Epub 2021 May 27.

DOI:10.1021/acs.jmedchem.1c00599
PMID:34043360
Abstract

After extensive screening of aerospace compounds in an effort to source a novel anticancer agent, RRx-001, a first-in-class dinitroazetidine small molecule, was selected for advancement into preclinical and clinical development. RRx-001 is a minimally toxic small molecule with a distinct chemical structure and mechanism of action. The paradox of RRx-001 is that it mediates both antitumor cytotoxicity and normal tissue protection. The question of exactly how RRx-001 does this, and by means of what mechanism(s), depending on the route of delivery, intravenous or intratumoral, are explored. RRx-001 is currently in phase 2 and 3 clinical trials for the treatment of multiple solid tumor malignancies and as a supportive care drug.

摘要

经过广泛筛选航天化合物,以寻找一种新型的抗癌药物,RRx-001,一种首创的二硝基氮杂环丁烷小分子,被选中进行临床前和临床开发。RRx-001 是一种具有独特化学结构和作用机制的低毒性小分子。RRx-001 的矛盾之处在于,它既能介导抗肿瘤细胞毒性,又能保护正常组织。RRx-001 究竟是如何做到这一点的,以及通过何种机制(取决于给药途径,静脉内或肿瘤内),正在进行探索。RRx-001 目前正处于治疗多种实体瘤恶性肿瘤和支持性护理药物的 2 期和 3 期临床试验阶段。

相似文献

1
Discovery of RRx-001, a Myc and CD47 Downregulating Small Molecule with Tumor Targeted Cytotoxicity and Healthy Tissue Cytoprotective Properties in Clinical Development.RRx-001 的发现:一种具有肿瘤靶向细胞毒性和健康组织细胞保护特性的 Myc 和 CD47 下调小分子化合物,目前处于临床开发阶段。
J Med Chem. 2021 Jun 10;64(11):7261-7271. doi: 10.1021/acs.jmedchem.1c00599. Epub 2021 May 27.
2
The immunomodulatory anticancer agent, RRx-001, induces an interferon response through epigenetic induction of viral mimicry.免疫调节抗癌药物RRx-001通过病毒模拟的表观遗传诱导来引发干扰素反应。
Clin Epigenetics. 2017 Jan 19;9:4. doi: 10.1186/s13148-017-0312-z. eCollection 2017.
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RRx-001: a systemically non-toxic M2-to-M1 macrophage stimulating and prosensitizing agent in Phase II clinical trials.RRx-001:一种正在进行II期临床试验的全身无毒的M2型巨噬细胞刺激和致敏剂。
Expert Opin Investig Drugs. 2017 Jan;26(1):109-119. doi: 10.1080/13543784.2017.1268600.
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Rockets, radiosensitizers, and RRx-001: an origin story part I.火箭、放射增敏剂与RRx-001:起源故事第一部
Discov Med. 2016 Mar;21(115):173-80.
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RRx-001, a downregulator of the CD47- SIRPα checkpoint pathway, does not cause anemia or thrombocytopenia.RRx-001 是一种 CD47-SIRPα 检查点通路的下调调节剂,不会导致贫血或血小板减少症。
Expert Opin Drug Metab Toxicol. 2021 Apr;17(4):355-357. doi: 10.1080/17425255.2021.1876025. Epub 2021 Jan 22.
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RRx-001, a first-in-class small molecule inhibitor of MYC and a downregulator of CD47, is an "erythrophagoimmunotherapeutic".RRx-001是一种一流的MYC小分子抑制剂和CD47下调剂,是一种“红细胞吞噬免疫疗法”。
Oncoimmunology. 2020 Apr 3;9(1):1746172. doi: 10.1080/2162402X.2020.1746172.
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RRx-001 Increases Erythrocyte Preferential Adhesion to the Tumor Vasculature.RRx-001 增加红细胞对肿瘤血管的优先黏附。
Int J Mol Sci. 2021 Apr 29;22(9):4713. doi: 10.3390/ijms22094713.
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Nitric Oxide Donor-Based Cancer Therapy: Advances and Prospects.基于一氧化氮供体的癌症治疗:进展与前景。
J Med Chem. 2017 Sep 28;60(18):7617-7635. doi: 10.1021/acs.jmedchem.6b01672. Epub 2017 May 23.
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A look inside the mechanistic black box: Are red blood cells the critical effectors of RRx-001 cytotoxicity?深入探究作用机制的黑匣子:红细胞是RRx-001细胞毒性的关键效应器吗?
Med Oncol. 2016 Jul;33(7):63. doi: 10.1007/s12032-016-0775-3. Epub 2016 May 26.
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A novel hypoxia-selective epigenetic agent RRx-001 triggers apoptosis and overcomes drug resistance in multiple myeloma cells.一种新型的缺氧选择性表观遗传药物RRx-001可引发多发性骨髓瘤细胞凋亡并克服其耐药性。
Leukemia. 2016 Nov;30(11):2187-2197. doi: 10.1038/leu.2016.96. Epub 2016 Apr 27.

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