Discovery Of Rrx-001, A Myc And Cd47 Downregulating Small Molecule With Tumor Targeted Cytotoxicity And Healthy Tissue Cytoprotective Properties In Clinical Development

JOURNAL OF MEDICINAL CHEMISTRY(2021)

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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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Key words
tumor targeted cytotoxicity,cd47 downregulating small molecule,healthy tissue cytoprotective properties
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