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For more information on the Genta clinical development program please contact us at ClinicalTrials@genta.com or at http://www.clinicaltrials.gov

Mechanism of Action

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Targeted Tubulin Inhibitor

Tesetaxel stabilizes cytoskeletal structures known as microtubules. This effect induces potent cytotoxicity in a wide range of tumor cell types. Microtubule stabilization occurs when tesetaxel binds the beta-tubulin subunit in assembled microtubules, thus “locking” them in place.  The chemical structure of tesetaxel appears below.

targeted-tubulin

Preclinical studies have shown that tesetaxel inhibited tubulin depolymerization, which resulted in the inhibition of mitosis by arresting tumor cells at G2/M phase.  The cytotoxic activity of tesetaxel against various types of human tumor cell lines was about 10-fold and 3-fold greater than paclitaxel and docetaxel, respectively.  In particular, tesetaxel exhibited much greater cytotoxicity against multidrug-resistant cell lines that constitutively over-expressed pgp. As shown in the table below, the anti-tumor activity of tesetaxel against pgp-expressing cells was greater than paclitaxel and docetaxel both in vitro and in vivo.

 

Cell lines 

IC50 (ng/ml)

Tesetaxel

Paclitaxel

Docetaxel

All Tumor Cell Lines (n=23)

 0.544

 5.58

 1.73

P-gp negative cell lines (n=17)

 0.455

 1.79

 0.774

P-gp positive cell lines (n=6)

  0.780

  15.7

  4.

Reference: Data on file, Genta Incorporated

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Preclinical Data

Cancer cells become resistant to taxanes by a mechanism known as “multidrug resistance” that is mediated by a factor called p-glycoprotein.

 

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Clinical Development

To date, oral tesetaxel has been studied in Phase 1 and Phase 2 studies involving more than 280 patients.

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