Brostallicin
Brostallicin (bräst-al-iss-in) is a small
molecule, anti-cancer drug with a novel, unique mechanism of action
and excellent long-term patent protection. Data in more than 200
patients treated in phase I/II clinical trials reveal evidence
of activity in patients with refractory cancer and patient/physician-friendly
dosage and administration. Brostallicin may ultimately be useful in combination
with standard chemotherapy and newer, targeted cancer therapies.
Brostallicin is a new class of cancer drug — a
synthetic DNA minor groove binding agent. Most cytotoxic agents
bind DNA’s major groove, have little sequence-specificity,
and are severely toxic to normal tissues (including topoisomerase inhibitors,
such as camptothecins and anthracyclines).
DNA minor groove binders such as brostallicin
possess high affinity and selectivity for interaction with DNA.
All minor groove binders bind to the same DNA structure; however,
brostallicin has a unique and very interesting mechanism of action.
Brostallicin
binds to DNA only in the presence of glutathione (GSH) and glutathione
S-transferase (GST) which are overexpressed in cancer cells but
not in normal cells, conferring upon brostallicin a novel and highly
selective mechanism of action superior to other minor groove binding
agents.
By binding to the minor groove, brostallicin provides a
new target to interfere with DNA division and lead to tumor cell
death. Brostallicin is potently synergistic in combination with
standard cytotoxic agents as well as newer targeted therapies.
Brostallicin
has a unique ability to become more active in tumors that are resistant
to other cancer drugs. Its anti-tumor activity remains high in
the presence of a number of critical cancer causing genetic abnormalities
that cause resistance to standard anti-cancer agents. This activity
profile makes it of extreme interest in designing trials to test
its activity in targeted patients with certain genetic abnormalities.
Brostallicin Clinical Research
Brostallicin is currently in phase II clinical trials
versus doxorubicin as first-line single-agent chemotherapy in patients
with advanced or metastatic soft tissue sarcoma. |