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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
GTI-2040. Lorus Therapeutics
1CRC Centre for Cancer Therapeutics, The Institute of Cancer Research, Sutton, Surrey, UK. rosanne@icr.ac.uk
Abstract:
Loris Therapeutics (formerly GeneSense Therapeutics) is developing the antisense oligonucleotide GTI-2040, directed against the R2 component of ribonucleotide reductase, for the potential treatment of cancer [348194]. It is in phase I/II trials [353796] and Lorus had anticipated phase II trials would be initiated in July 2001. By August 2001, GTI-2040 was undergoing a phase II trial as a monotherapy for the potential treatment of renal cell carcinoma, and was about to enter a phase II combination study for this indication with capecitabine (Hoffmann-La Roche). At this time, the company was also planning a phase II trial to study the drug's potential in the treatment of colorectal cancer [418739]. GTI-2040 has been tested in nine different tumor models, including tumors derived from colon, liver, lung, breast, kidney and ovary. Depending on the tumor model, significant inhibition of tumor growth, disease stabilization and dramatic tumor regressions was observed [347683]. Lorus filed an IND to commence phase I/II trials with GTI-2040 in the US in November 1999 [347683], and received approval for the trials in December 1999 [349623]. As of January 2000, these trials had commenced at the University of Chicago Cancer Research Center; it was reported in February 2000 that dosing to date had been well tolerated with no apparent safety concerns [357449]. Lorus has entered into a strategic supply alliance with Proligo to provide the higher volumes of drug product required for the planned multiple phase II trials [385976]. In February 1998, Genesense (now Lorus) received patent WO-09805769. Loris also received a patent (subsequently identified as WO-00047733) from the USPTO in January 2000, entitled 'Antitumor antisense sequences directed against components of ribonucleotide reductase' covering the design and use of unique antisense anticancer drugs, including GTI-2040 and GTI-2501 [353538].
Insights
GTI-2040, an antisense oligonucleotide targeting ribonucleotide reductase, shows promise in treating various cancers. Early trials indicate good tolerability and significant tumor growth inhibition, stabilization, and regressions across multiple tumor models.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- GTI-2040 is an antisense oligonucleotide developed by Lorus Therapeutics.
- It targets the R2 component of ribonucleotide reductase, an enzyme crucial for DNA synthesis and repair.
- Ribonucleotide reductase is often overexpressed in cancer cells, making it a target for cancer therapy.
Purpose of the Study:
- To evaluate the safety, tolerability, and preliminary efficacy of GTI-2040 in cancer patients.
- To explore GTI-2040 as a monotherapy and in combination with other chemotherapeutic agents.
- To assess the anti-tumor activity of GTI-2040 in various preclinical cancer models.
Main Methods:
- Phase I/II clinical trials were initiated to assess GTI-2040 in cancer patients.
- Preclinical studies involved testing GTI-2040 in nine different tumor models (colon, liver, lung, breast, kidney, ovary).
- Combination therapy studies were planned with capecitabine for renal cell carcinoma.
Main Results:
- GTI-2040 demonstrated significant inhibition of tumor growth, disease stabilization, and tumor regressions in preclinical models.
- Phase I/II trials indicated that GTI-2040 was well tolerated with no apparent safety concerns.
- The drug was evaluated as a monotherapy and in combination studies for renal cell carcinoma and planned for colorectal cancer.
Conclusions:
- GTI-2040 shows potential as an anticancer agent targeting ribonucleotide reductase.
- The drug exhibits a favorable safety profile in early clinical trials.
- Further investigation in phase II trials is warranted to confirm its efficacy in various cancer types.
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