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Updated: Jun 1, 2026

Molecular Analysis of Endothelial-mesenchymal Transition Induced by Transforming Growth Factor-β Signaling
Published on: August 3, 2018
The antisense oligonucleotide trabedersen (AP 12009) for the targeted inhibition of TGF-β2
Frank Jaschinski1, Tanja Rothhammer, Piotr Jachimczak
1Antisense Pharma, Josef-Engert-Str. 9, 93053 Regensburg, Germany.
Abstract:
Despite remarkable advances in cancer research, patients with malignant tumors such as high-grade glioma or advanced pancreatic carcinoma still face a poor prognosis. Because of the severe morbidity and mortality of such malignant tumor types, the identification of suitable molecular drug targets for causal treatment approaches is an important area of current research. Transforming growth factor-beta 2 (TGF-β2) is an attractive target because it regulates key mechanisms of carcinogenesis, in particular immunosuppression and metastasis, and is frequently overexpressed in malignant tumors. Here we describe the development of the antisense phosphorothioate oligodeoxynucleotide trabedersen (AP 12009) which was designed for the specific inhibition of TGF-β2 biosynthesis. In vitro and in vivo experiments confirmed the mode of action, efficacy and tolerability of trabedersen and paved the way for clinical studies. In patients with high-grade glioma, intratumoral treatment with trabedersen is currently evaluated in a pivotal, randomized and active-controlled phase III study. Intravenous application of trabedersen for the treatment of patients with advanced pancreatic carcinoma, metastasizing melanoma, or metastatic colorectal carcinoma is assessed in a currently ongoing phase I/II dose escalation study.
Insights
Trabedersen, an antisense drug targeting transforming growth factor-beta 2 (TGF-β2), shows promise for treating aggressive cancers like glioma and pancreatic carcinoma by inhibiting tumor growth and metastasis.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Malignant tumors like high-grade glioma and pancreatic carcinoma have poor prognoses.
- Transforming growth factor-beta 2 (TGF-β2) is crucial in carcinogenesis, promoting immunosuppression and metastasis, and is overexpressed in many cancers.
- Identifying novel molecular targets for cancer treatment is a critical research area.
Purpose of the Study:
- To develop and evaluate trabedersen (AP 12009), an antisense phosphorothioate oligodeoxynucleotide, for specific inhibition of TGF-β2 biosynthesis.
- To assess the efficacy and tolerability of trabedersen in preclinical and clinical settings for various advanced cancers.
Main Methods:
- Development of trabedersen, an antisense oligodeoxynucleotide targeting TGF-β2.
- In vitro and in vivo experiments to confirm mechanism of action, efficacy, and tolerability.
- Clinical studies including a Phase III trial for high-grade glioma and a Phase I/II trial for pancreatic, melanoma, and colorectal cancers.
Main Results:
- Trabedersen demonstrated its intended mode of action in preclinical studies.
- In vitro and in vivo experiments confirmed the efficacy and tolerability of trabedersen.
- Clinical trials are ongoing to evaluate trabedersen in patients with high-grade glioma and advanced pancreatic, metastatic melanoma, and colorectal carcinomas.
Conclusions:
- Trabedersen is a promising therapeutic agent targeting TGF-β2 for various advanced cancers.
- Preclinical data support the efficacy and safety of trabedersen, leading to clinical evaluation.
- Ongoing clinical studies will further define trabedersen's role in treating aggressive malignancies.
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