Fosbretabulin for the treatment of anaplastic thyroid cancer

Roberta Granata1, Laura D Locati, Lisa Licitra

  • 1Head & Neck Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Insights

Fosbretabulin tromethamine, a vascular disrupting agent, demonstrated efficacy in treating anaplastic thyroid cancer. This drug was well-tolerated in preclinical models and early-phase clinical trials, alone or combined with chemotherapy.

Area of Science:

  • Oncology
  • Pharmacology
  • Vascular Biology

Background:

  • Anaplastic thyroid cancer (ATC) is an aggressive malignancy with limited treatment options.
  • Vascular disrupting agents (VDAs) target tumor vasculature, leading to central tumor necrosis.
  • Fosbretabulin tromethamine is a novel VDA investigated for its anti-cancer properties.

Purpose of the Study:

  • To evaluate the efficacy and safety of fosbretabulin tromethamine in anaplastic thyroid cancer.
  • To assess the activity of fosbretabulin in combination with carboplatin and paclitaxel.

Main Methods:

  • Orthotopic xenograft models of anaplastic thyroid cancer were utilized.
  • Phase I/II clinical trials were conducted to assess safety and preliminary efficacy.
  • Fosbretabulin was administered alone and in combination with standard chemotherapy agents.

Main Results:

  • Fosbretabulin demonstrated significant activity against anaplastic thyroid cancer in preclinical models.
  • Clinical trials indicated positive responses when fosbretabulin was used with or without carboplatin and paclitaxel.
  • The drug was consistently well-tolerated across all study arms.

Conclusions:

  • Fosbretabulin tromethamine shows promise as a therapeutic agent for anaplastic thyroid cancer.
  • Combination therapy with fosbretabulin and chemotherapy warrants further investigation.
  • Fosbretabulin's favorable safety profile supports its continued development for ATC treatment.

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