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Epofolate is a folate receptor-targeting antimitotic agent developed as a conjugate of folic acid and the epothilone analog BMS-748285. It was designed to selectively target cancer cells that overexpress the folate receptor, facilitating targeted drug delivery. Once bound to the folate receptor, epofolate is internalized by cancer cells via receptor-mediated endocytosis. Inside the cell, it disrupts microtubule dynamics by stabilizing tubulin polymers, leading to cell cycle arrest and apoptosis—mechanisms characteristic of the epothilone class of microtubule-stabilizing agents. Epofolate underwent Phase I/IIa clinical trials for advanced solid tumors but did not demonstrate significant antitumor activity; its development has since been discontinued[2][3][4][5].
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