Drug intelligence / Profile preview

arsenic trioxide

Development stage
Approved
Lead developer
Teva Pharmaceutical Industries
Modality
Small Molecules
Administration
Intravenous, Topical, Intratumoral
01

Overview

Arsenic trioxide is an inorganic antineoplastic agent that serves as a cornerstone in the treatment of acute promyelocytic leukemia (APL). Its primary mechanism in APL involves binding to the PML-RARα fusion protein, inducing its degradation and subsequently promoting the differentiation and apoptosis of leukemic cells. Beyond hematologic malignancies, arsenic trioxide is being investigated for its activity in solid tumors as a radiosensitizer and anti-angiogenic agent. It exerts pleiotropic effects, including the induction of reactive oxygen species (ROS), inhibition of the Notch and Hedgehog signaling pathways, and activation of the intrinsic mitochondrial apoptotic pathway through caspase activation. It has been studied in various formulations, including intravenous solutions for systemic therapy and topical gels for cutaneous lesions.

Brand names
Trisenox
Other names
As2O3As-2O3As 2O3arsenic(III) oxidewhite arsenicarsenous acid anhydridearsenous oxide
02

Targets

TXNRD2 (Thioredoxin reductase 2)PML-RARA (PML-retinoic acid receptor alpha fusion protein)

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