Target intelligence / Profile preview

Hypoxia-Selective Activation Releasing Bromo-Isophosphoramide Mustard (N/A)

Target
N/A
Molecular classification
Prodrug, Alkylating Agent (after activation), Chemotherapeutic Agent (after activation)
01

Overview

Hypoxia-Selective Activation Releasing Bromo-Isophosphoramide Mustard describes the mechanism of action of a class of anticancer prodrugs, exemplified by Evofosfamide (TH-302). These prodrugs are designed to be selectively activated in the hypoxic environment of solid tumors, releasing the cytotoxic agent bromo-isophosphoramide mustard (Br-IPM), a DNA alkylator. The 2-nitroimidazole trigger group undergoes bioreduction in low oxygen conditions, leading to the release of the active drug and subsequent cell death primarily within the tumor microenvironment. After activation and release within hypoxic tumor regions, Br-IPM can diffuse into adjacent normoxic tumor cells.

Other names
Evofosfamide (TH-302)Bromo-isophosphoramide mustard (Br-IPM)Hypoxia-activated prodrugTumor hypoxia-activated prodrug
02

Mechanism of action

Hypoxia-selective bioreductive activation releasing bromo-isophosphoramide mustard, a DNA cross-linking agent.

03

Biological functions

DNA alkylation (after activation)Cell death induction (after activation)Tumor growth inhibition (after activation)
04

Disease associations

Cancer
05

Safety considerations

Systemic toxicity (related to incomplete selectivity)Development of resistanceOff-target effects of Br-IPM
06

Interacting drugs

Doxorubicin

1 more in the full profile.

07

Biomarkers

Tumor hypoxia levelsExpression of bioreductive enzymes

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