Sagopilone

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Synthetic epothilone with antineoplastic activity


Chemical structure of Sagopilone

Sagopilone is a fully synthetic epothilone and a member of the class of antineoplastic agents. It was developed for its potential use in the treatment of various types of cancer. Sagopilone is notable for its ability to stabilize microtubules, which are essential components of the cytoskeleton in eukaryotic cells.

Chemical Structure and Properties[edit | edit source]

Sagopilone is a synthetic derivative of the natural product epothilone B. It is characterized by its complex macrolide structure, which includes a 16-membered lactone ring. The chemical structure of sagopilone allows it to bind to tubulin, promoting the polymerization of tubulin into microtubules and inhibiting their depolymerization.

Mechanism of Action[edit | edit source]

Sagopilone exerts its antitumor effects by stabilizing microtubules, similar to the mechanism of action of taxanes such as paclitaxel. By binding to the β-tubulin subunit of microtubules, sagopilone prevents their disassembly, leading to cell cycle arrest at the G2/M phase and ultimately inducing apoptosis in rapidly dividing cancer cells.

Pharmacokinetics[edit | edit source]

The pharmacokinetic profile of sagopilone is characterized by its ability to penetrate the blood-brain barrier, making it a candidate for the treatment of central nervous system tumors. Sagopilone is metabolized primarily in the liver and is excreted via the biliary route.

Clinical Development[edit | edit source]

Sagopilone has undergone various phases of clinical trials to evaluate its efficacy and safety in treating different types of cancer, including breast cancer, ovarian cancer, and glioblastoma. Although initial studies showed promise, further development was halted due to strategic decisions by the developing company.

Potential Applications[edit | edit source]

Despite the cessation of its clinical development, sagopilone remains of interest in the scientific community for its unique properties and potential applications in cancer therapy. Its ability to cross the blood-brain barrier and its distinct mechanism of action compared to other microtubule-stabilizing agents make it a valuable compound for further research.

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Contributors: Prab R. Tumpati, MD