Drug evaluation: OGX-011, a clusterin-inhibiting antisense oligonucleotide

Gerd Schmitz1

  • 1University of Regensburg, Institute of Clinical Chemistry and Laboratory Medicine, Franz-Josef-Strauss-Allee 11, 93042 Regensburg, Germany. gerd.schmitz@klinik.uni-regensburg.de

Current Opinion in Molecular Therapeutics
|January 25, 2007
PubMed

Insights

OncoGenex and Isis Pharmaceuticals are developing OGX-011, an antisense oligonucleotide, to help cancer drugs work better in solid tumors. Clinical trials are testing this new approach in lung, prostate, and breast cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Solid tumors often develop resistance to conventional chemotherapy.
  • Clusterin is a protein implicated in therapeutic resistance in various cancers.
  • Targeting clusterin presents a potential strategy to overcome treatment resistance.

Purpose of the Study:

  • To evaluate the efficacy of OGX-011, a clusterin-inhibiting antisense oligonucleotide, in sensitizing solid tumors to chemotherapy.
  • To assess the safety and tolerability of OGX-011 in combination regimens.

Main Methods:

  • Development of OGX-011, an antisense oligonucleotide targeting clusterin mRNA.
  • Intravenous administration of OGX-011 in preclinical and clinical settings.
  • Phase II clinical trials evaluating OGX-011 in combination with standard chemotherapeutic agents.

Main Results:

  • OGX-011 demonstrates potential to inhibit clusterin expression.
  • Early clinical data suggests a possible sensitizing effect of OGX-011 on solid tumors.
  • Ongoing trials are evaluating efficacy in non-small cell lung cancer (NSCLC), prostate cancer, and breast cancer.

Conclusions:

  • OGX-011 is a novel therapeutic candidate aimed at overcoming chemoresistance.
  • Further clinical investigation is warranted to establish the role of OGX-011 in cancer treatment.
  • Combination therapy with OGX-011 may offer a new strategy for resistant solid tumors.

Related Concept Videos

Experimental RNAi02:15

Experimental RNAi

RNA interference (RNAi) is a cellular mechanism that inhibits gene expression by suppressing its transcription or activating the RNA degradation process. The mechanism was discovered by Andrew Fire and Craig Mello in 1998 in plants. Today, it is observed in almost all eukaryotes, including protozoa, flies, nematodes, insects, parasites, and mammals. This precise cellular mechanism of gene silencing has been developed into a technique that provides an efficient way to identify and determine the...
Inhibitors of Viral Protein Synthesis01:30

Inhibitors of Viral Protein Synthesis

Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
Eukaryotic Transcription Inhibitors01:52

Eukaryotic Transcription Inhibitors

Certain biochemical processes, such as embryonic development and cell growth regulation, depend on the repression of specific genes. DNA binding proteins known as eukaryotic transcription inhibitors regulate the repression of gene expression in eukaryotes. The presence of these inhibitors at the required location and time in the cell is triggered by the presence of hormones and additional signals from other cells.
Eukaryotic transcription inhibitors usually contain two distinct domains, a DNA...