Canfosfamide (development code TLK286) an investigational

anticancer An anticarcinogen (also known as a carcinopreventive agent) is a substance that counteracts the effects of a carcinogen or inhibits the development of cancer. Anticarcinogens are different from anticarcinoma agents (also known as anticancer or ant ...

drug that has been evaluated for its potential efficacy in treating a variety of

solid tumors A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...

. TLK286 functions as a prodrug activated by the enzyme

glutathione S-transferase Glutathione ''S''-transferases (GSTs), previously known as ligandins, are a family of eukaryote, eukaryotic and prokaryote, prokaryotic Biotransformation#Phase II reaction, phase II metabolic isozymes best known for their ability to Catalysis, ...

P1-1 (GST P1-1), which is often overexpressed in cancer cells, leading to selective cytotoxicity towards tumor cells compared to normal cells.>

Mechanism of action

Canfosfamide is specifically activated in the presence of elevated GST P1-1, which is commonly found in various cancer types. Upon activation, it is converted into an alkylating agent that induces DNA damage, leading to apoptosis in cancer cells.

Clinical trials

Phase I clinical trials evaluated the safety, tolerability, and pharmacokinetics of canfosfamide. Phase II trials evaluated clinical activity in various tumor types, especially ovarian cancer and non-small cell lung cancer. Phase III trials focused on its efficacy as part of combination therapy, particularly with standard chemotherapeutic agents. However, the trials did not demonstrate significant improvement in overall survival when compared to standard treatments alone.

References

{{reflist Experimental cancer drugs Nitrogen mustards Phosphoramides Amino acid derivatives Dicarboxylic acids Carboxamides Sulfones Chloroethyl compounds