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TSB-9-W1 is an investigational, orally administered **botanical extract** derived from gamboge resin obtained from *Garcinia* species. It is a milled 5-micrometer form of TSB-9, a preparation comprising 90% gamboge resin extract and 10% brown sugar. The heterogeneous extract contains multiple constituents, including gambogic acid, formoxanthone A, betulin, betulinic acid, morellic acid, isomorellic acid, isogambogic acid, isomorellinol, and desoxymorellin. It has been evaluated by Taiwan Sunpan Biotechnology Development in a completed Phase 1 dose-escalation study in previously treated metastatic colorectal cancer. Its proposed anticancer activity is multifactorial and includes induction of tumor-cell apoptosis, cytotoxicity, and inhibition of tumor-cell proliferation; no single validated molecular target has been established for the complete extract.
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