2011
DOI: 10.1007/s11060-011-0747-6
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A phase II study of the Ras-MAPK signaling pathway inhibitor TLN-4601 in patients with glioblastoma at first progression

Abstract: This phase II trial was undertaken to evaluate the efficacy of TLN-4601 in patients with glioblastoma (GBM) at first progression. TLN-4601 inhibits the Ras-MAPK signaling pathway, and in animal models crosses the blood-brain barrier and accumulates in implanted gliomas, possibly by binding specifically to the peripheral benzodiazepine receptor. A maximum of 40 patients with recurrent GBM were to be enrolled in this study. TLN-4601 was administered at a dose of 480 mg/m(2)/day by continuous intravenous (CIV) ad… Show more

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Cited by 40 publications
(18 citation statements)
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“…Higher PDSs were associated with bad prognosis on both datasets for all but two pathways. Many of the other 35 pathways (SI Appendix, Table S3) make biological sense: Some are related to angiogenesis, critical to glioblastoma progression (such as VEGF signaling, Fibrinolysis, PDGFRβ signaling, α4β1 integrin signaling, and hypoxia-inducible factor 2-α pathway); many are known key players in glioblastoma and cancer, have a prognostic value, and are promising drug targets [such as MAP kinase (22,23), Insulin signaling and its components (24), RET tyrosine kinase (25), EGFR/ERBB signaling (26), PDGF signaling (27), and integrins (28)]. SI Appendix gives the full list of other survival-related pathways and their roles in glioblastoma.…”
Section: Pathway-based Substratification Of Gbm Has Important Clinicalmentioning
confidence: 99%
“…Higher PDSs were associated with bad prognosis on both datasets for all but two pathways. Many of the other 35 pathways (SI Appendix, Table S3) make biological sense: Some are related to angiogenesis, critical to glioblastoma progression (such as VEGF signaling, Fibrinolysis, PDGFRβ signaling, α4β1 integrin signaling, and hypoxia-inducible factor 2-α pathway); many are known key players in glioblastoma and cancer, have a prognostic value, and are promising drug targets [such as MAP kinase (22,23), Insulin signaling and its components (24), RET tyrosine kinase (25), EGFR/ERBB signaling (26), PDGF signaling (27), and integrins (28)]. SI Appendix gives the full list of other survival-related pathways and their roles in glioblastoma.…”
Section: Pathway-based Substratification Of Gbm Has Important Clinicalmentioning
confidence: 99%
“…110 These compounds have been evaluated in a number of clinical trials with varying results. 111113 …”
Section: High-throughput Screeningmentioning
confidence: 99%
“…As BU-4664L accumulates in implanted gliomas by binding to the peripheral benzodiazepine receptor, it is expected as a new anticancer drug for glioblastoma, although the initial phase II trial was unsuccessful [28]. Based on the proposed biosynthetic pathway, precursor directed biosynthesis has been attempted to produce unnatural BU-4664L analogues [29].…”
Section: Bu-4664l a Cell Migration Inhibitor From Micromonospora Spmentioning
confidence: 99%