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WAC-224 is a novel quinolone-class small molecule inhibitor of DNA topoisomerase II (Topo II) developed by Wakunaga Pharmaceutical for the treatment of various cancers, including hematological malignancies and multi-drug resistant solid tumors. Unlike traditional Topo II inhibitors like etoposide or doxorubicin, WAC-224 is designed to overcome drug resistance mechanisms. In preclinical studies, it demonstrated potent anti-proliferative activity across multiple cancer cell lines, including acute myeloid leukemia (AML) models, by inducing G2/M phase cell cycle arrest and apoptosis. Notably, WAC-224 has shown significant anti-tumor efficacy in mouse xenograft models with a favorable safety profile, specifically lacking the gastrointestinal toxicity often associated with this class of drugs.
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