The development of the antitumour benzothiazole prodrug, Phortress, as a clinical candidate

Curr Med Chem. 2004 Apr;11(8):1009-21. doi: 10.2174/0929867043455530.

Abstract

This review traces the development of a series of potent and selective antitumour benzothiazoles from the discovery of the initial lead compound, 2-(4-amino-3-methylphenyl)benzothiazole (DF 203) in 1995 to the identification of a clinical candidate, Phortress, scheduled to enter Phase 1 trials in Q1 2004 under the auspices of Cancer Research U.K. Advances in our understanding of the mechanism of action of this unique series of agents are described and can be summarised as follows: selective uptake into sensitive cells followed by Arylhydrocarbon Receptor (AhR) binding and translocation into the nucleus, induction of the cytochrome P450 isoform (CYP) 1A1, conversion of the drug into an electrophilic reactive intermediate and formation of extensive DNA adducts resulting in cell death. Our understanding of this mechanistic scenario has played a crucial role in the drug development process, most notably in the synthesis of fluorinated DF 203 analogues to thwart deactivating oxidative metabolism (5F 203) and water-soluble prodrug design for parenteral administration. Aspects of mechanism of action studies, in vitro and in vivo screening, synthetic chemistry and pharmacokinetics are reviewed here.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Aniline Compounds / chemical synthesis
  • Aniline Compounds / metabolism
  • Aniline Compounds / pharmacology*
  • Animals
  • Antineoplastic Agents / chemical synthesis
  • Antineoplastic Agents / metabolism
  • Antineoplastic Agents / pharmacology*
  • Benzothiazoles
  • Cytochrome P-450 CYP1A1 / metabolism
  • Dose-Response Relationship, Drug
  • Drug Design
  • Prodrugs / chemical synthesis
  • Prodrugs / metabolism
  • Prodrugs / pharmacology*
  • Thiazoles / chemical synthesis
  • Thiazoles / metabolism
  • Thiazoles / pharmacology*
  • Time Factors

Substances

  • 2-(4-amino-3-methylphenyl)-5-fluorobenzothiazole
  • Aniline Compounds
  • Antineoplastic Agents
  • Benzothiazoles
  • NSC 674495
  • Prodrugs
  • Thiazoles
  • Phortress
  • Cytochrome P-450 CYP1A1