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Cloretazine® (VNP40101M) is a novel alkylating agent that is being evaluated for the treatment of acute myelogenous leukemia (AML), in a pivotal Phase 2 trial in elderly de novo poor-risk AML. In addition, three clinical trials of Cloretazine® (VNP40101M) are underway in: (i) elderly AML and myelodysplastic syndromes in combination with cytarabine; (ii) brain tumors in combination with temozolomide; and (iii) advanced hematologic malignancies in combination with hematopoietic cell transplantation. A: Cloretazine® (VNP40101M) is a small molecule that works by damaging DNA. Cloretazine® (VNP40101M) releases the DNA chloroethylating agent 90CE after entering the blood stream. 90CE chloroethylates the O6 position of guanine residues, ultimately resulting in an interstrand DNA cross-link. Interstrand DNA cross-links are difficult to repair and are toxic to cells. Cloretazine® (VNP40101M) demonstrated a broad spectrum of anticancer activity in preclinical studies, including activity in selected cell lines resistant to other alkylating agents such as BCNU, cyclophosphamide and melphalan. In preclinical studies, Cloretazine® (VNP40101M) has been combined with other anticancer agents such as cytarabine (Ara-C). In addition, Cloretazine® (VNP40101M) or its metabolite, has been shown to be capable of crossing the blood brain barrier in preclinical models. Q. In what clinical trials is Cloretazine® (VNP40101M) being evaluated? A: Cloretazine® (VNP40101M) is being evaluated for the treatment of acute myelogenous leukemia (AML) in a pivotal Phase 2 trial in elderly de novo poor-risk AML. In addition, three clinical trials of Cloretazine® (VNP40101M) are underway in: (i) elderly AML and myelodysplastic syndromes in combination with cytarabine; (ii) brain tumors in combination with temozolomide; and (iii) advanced hematologic malignancies in combination with hematopoietic cell transplantation.
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