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

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

  • J Med Chem. 2021 Jun 10;64(11):7261-7271. doi: 10.1021/acs.jmedchem.1c00599.
Bryan Oronsky 1 XiaoNing Guo 2 XiaoHui Wang 2 Pedro Cabrales 3 David Sher 4 Lou Cannizzo 5 Bob Wardle 5 Nacer Abrouk 1 Michelle Lybeck 1 Scott Caroen 1 Arnold Oronsky 6 Tony R Reid 1
Affiliations

Affiliations

  • 1 EpicentRx Inc., 11099 North Torrey Pines Road, Suite 160, La Jolla, California 92037, United States.
  • 2 SciClone Pharmaceuticals Co., Ltd., 22 Floor, Shanghai Central Plaza, No. 381 Middle Huaihai Road, Huangpu, Shanghai 200020, China.
  • 3 Department of Bioengineering, University of California San Diego, 9500 Gilman Drive, La Jolla, California 92093, United States.
  • 4 Department of Radiation Oncology, UT Southwestern Medical Center, 2280 Inwood Road, Dallas, Texas 75390, United States.
  • 5 Department of Space Systems, Northrop Grumman Corporation, 2980 Fairview Park Drive, Falls Church, Virginia 22042, United States.
  • 6 InterWest Partners, 467 First Street, Suite 201, Los Altos, California 94022, United States.
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.

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