Obatoclax

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Obatoclax mesylate, also known as GX15-070, is an experimental drug for the treatment of various types of cancer. It was discovered by Gemin X, which was acquired by Cephalon, which has since been acquired by Teva Pharmaceuticals.[1] Several Phase II clinical trials were completed that investigated use of Obatoclax in the treatment of leukemia, lymphoma, myelofibrosis, and mastocytosis.[2][3][4]

Mechanism of action[edit | edit source]

Obatoclax is an inhibitor of the Bcl-2 family of proteins.[5] This inhibition induces apoptosis in cancer cells, preventing tumor growth. Solubility has been an issue in the development of the drug.[6]

Clinical trials[edit | edit source]

Clinical trial results have been published for treatment of acute myeloid leukemia,[7] small cell lung cancer,[8] Hodgkin's lymphoma,[9] myelodysplastic syndromes,[10]

Teva halted a phase III trial in patients with lung cancer before it had begun, citing "business decisions" as the reason.[11]

See also[edit | edit source]

References[edit | edit source]

  1. Cephalon Announces Definitive Agreement to Acquire Gemin X, March 21, 2011
  2. , Phase II Study of Obatoclax Mesylate (GX15-070), a Small-Molecule BCL-2 Family Antagonist, for Patients with Myelofibrosis, Clinical Lymphoma, Myeloma & Leukemia, 2010, Vol. 10(Issue: 4), pp. 285–9, DOI: 10.3816/CLML.2010.n.059, PMID: 20709666,
  3. Gemin X Presents New Data on Obatoclax at the American Society of Hematology Meeting, Dec 9, 2008
  4. Obatoclax at ClinicalTrials.gov
  5. , Mechanisms of Antileukemic Activity of the Novel Bcl-2 Homology Domain-3 Mimetic GX15-070 (Obatoclax), Cancer Research, 2008, Vol. 68(Issue: 9), pp. 3413–20, DOI: 10.1158/0008-5472.CAN-07-1919, PMID: 18451169, PMC: 4096127,
  6. , Obatoclax is a direct and potent antagonist of membrane-restricted Mcl-1 and is synthetic lethal with treatment that induces Bim, BMC Cancer, 2015, Vol. 15 DOI: 10.1186/s12885-015-1582-5, PMC: 4522062,
  7. , A Multicenter Phase I/II Study of Obatoclax Mesylate Administered as a 3- or 24-Hour Infusion in Older Patients with Previously Untreated Acute Myeloid Leukemia, PLoS ONE, 2014, Vol. 9(Issue: 10), pp. e108694, DOI: 10.1371/journal.pone.0108694, PMID: 25285531, PMC: 4186779,
  8. , Randomized phase II study of carboplatin and etoposide with or without obatoclax mesylate in extensive-stage small cell lung cancer, Lung Cancer, 2014, Vol. 85(Issue: 3), pp. 420–8, DOI: 10.1016/j.lungcan.2014.05.003, PMID: 24997137,
  9. , Experience with obatoclax mesylate (GX15-070), a small molecule pan-Bcl-2 family antagonist in patients with relapsed or refractory classical Hodgkin lymphoma, Blood, 2012, Vol. 119(Issue: 9), pp. 2171–2, DOI: 10.1182/blood-2011-11-391037, PMID: 22383790,
  10. , A Phase II, Multicenter, Open-Label Study of Obatoclax Mesylate in Patients with Previously Untreated Myelodysplastic Syndromes with Anemia or Thrombocytopenia, Clinical Lymphoma, Myeloma & Leukemia, 2014, Vol. 14(Issue: 6), pp. 534–9, DOI: 10.1016/j.clml.2014.04.007, PMID: 25052051,
  11. Clinical trial number NCT01563601 for "Efficacy and Safety of Obatoclax Mesylate in Combination With Carboplatin and Etoposide Compared With Carboplatin and Etoposide Alone in Chemotherapy-Naive Patients With Extensive-Stage Small Cell Lung Cancer" at ClinicalTrials.gov


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