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TM-601

TM-601, or cholortoxin, is a synthetic polypeptide based on the amino acid sequences originally isolated from the venom of the scorpion Leiurus quinquestriatus (Figure 1).

Giant Yellow Israeli scorpion

Figure 1. Scorpion and 3-D Structure and Amino Acid Sequence of Chlorotoxin (TM-601).
Above, left: Giant Yellow Israeli scorpion which produces venom from which chlorotoxin peptide sequence was originally derived. Above, middle: 3-D structure of chlorotoxin determined by nuclear magnetic resonance (NMR). Above, right: Amino acid sequence of chlorotoxin.

TM-601 – Product Profile

Evidence of selective binding – In preclinical research, TM-601 has been shown to bind selectively with malignant cells of numerous tumor types, while showing a low affinity for normal healthy cells, as seen in the following slides (Figure 1).

Binding of TM-601 to Glioblastoma Cells


Figure 1A. No Peptide

No Peptide

Figure 1B. Non-specific Biotinylated Peptide

Non-specific Biotinylated Peptide

Figure 1C. Biotinylated TM-601

Biotinylated TM-601


The following results demonstrate the tumor specificity of TM-601 in a variety of malignant and normal cells from human tissue samples (Table 1-A), and cultured cell samples (Table 1-B).

Table 1-A. Summary of Human Tissues Stained with TM-601

Primary Brain Tumors (Glioma) Cases Results
Glioblastoma multiforme - WHO Grade IV 31 31 positive
Anaplastic astrocytoma - WHO Grade III 7 7 positive
Low-grade astrocytoma - WHO Grade II 4 4 positive
Pilocytic astrocytoma - WHO Grade I 14 13 positive
1 negative
Other ungraded gliomas 5 4 positive
1 negative
Oligodendroglioma 8 8 positive
Gliosarcoma 2 2 positive
Ganglioglioma 5 5 positive
Meningioma 6 6 positive
Ependymona 3 3 positive
 
Peripheral Neuroectodermal Tumors Cases Results
Medulloblastoma 4 4 positive
Neuroblastoma 9 8 positive
1 negative
Ganglioneuroma 4 4 positive
Melanoma (metastatic) 11 11 positive
Melanoma (primary) 3 3 positive
Pheochromocytoma 6 5 positive
1 negative
Ewing’s sarcoma 2 2 positive
Primitive PNET 1 1 negative
Small cell lung carcinoma 5 4 positive
1 negative
Schwannoma 3 3 positive

 

Other Normal or Diseased Brain Tissue Cases Results
Alzheimer brain 8 8 negative
Parkinson/Schizophrenic brain 4 4 negative
(2 each)
Normal brain or uninvolved tissue of brain
cancer patients
29 21 negative
8 positive1
Epilepsy/gliosis/stroke brain 6 6 negative2

 

Normal Human Tissues Cases Results
Colon 2 2 negative
Endometrium/Myometrium 3 3 negative
Eyeball (cross section)
1 1 negative
Heart 2 2 negative
Kidney 3 3 negative3
Adrenal gland 3 3 negative
Liver 2 2 negative
Lung 3 3 negative
Meninges 3 3 negative
Muscle (skeletal) 2 2 negative
Thyroid 1 1 negative
Pancreas 3 1 positive
2 negative
Spleen 2 2 negative
Stomach 2 2 negative
Ovary 2 2 negative
Skin (thigh, abdomen, breast) 6 6 negative
Testes 2 2 negative

 

Table 1-B. Summary of Various Cultured Cells Stained with TM-601

Human Glioma Cell Lines Results Other Glioma
Cell Lines
Results
D54-MG Positive MO59K Positive
U251-MG Positive C6 rat Positive
CH235
Positive 9L rat Positive
STTG1 Positive GL261 mouse Positive
U138-MG Positive Primary Cells 3 negative3
U87-MG Positive Rat primary normal cortical and spinal cord astrocyte cultures
Negative;
< 2% stellate
cells positive
U373-MG Positive Human primary glioma cultures Positive
T98G Positive Human normal astrocyte cultures Negative
A172 Positive Human normal fibroblast cultures Negative
MO59J Positive Human umbilical vascular
endothelial cells (HUVEC)
Positive
 
Non-Glioma Cell Lines Results Non-Glioma Cell Lines Results
SH-SY5Y human neuroblastoma Positive MDA-MB-453 human breast cancer Positive
SK-N-MC human neuroblastoma Positive LNCaP human prostate cancer Positive
HCN-2 human neuronal Negative 2LMP human metastatic breast cancer Positive
PFSK-1 human primitive
neuroectodermal
Positive CCD986Sk human skin fibroblast Negative
HT 29 human colon carcinoma Positive CHO Chinese hamster ovary Positive
COS-2 monkey kidney cell line Positive SKMEL-31 human melanoma Positive
BALBc 3T3 mouse fibroblast cell line
Positive SKMEL-28 human melanoma Positive
HEK 293 human epithelial kidney Negative Malme 3M human metastatic melanoma
Positive
NIH 3T3 mouse fibroblast cell line Negative Panc-1 human pancreatic cancer Positive
CCD19lu human lung fibroblast Negative PaCa-2 human pancreatic cancer Positive
H460 human lung adenocarcinoma Positive HepG2 human hepatic carcinoma Positive
A549 human lung carcinoma Positive Caki-1 human clear cell renal carcinoma
Positive
A-427 human lung carcinoma Positive ACHN human renal cell
adenocarcinoma
Positive
W-62 human lung cancer Positive Daudi human lymphoma Positive
NIH-H1466 human lung
adenocarcinoma
Positive A673 human rhabdomyosarcoma Positive
HI299 human non-small cell lung cell line
Positive SK-UT-1 human leimyosarcoma Positive
Caco-2 human colon carcinoma Negative Tera-1 human testicular carcinoma Positive
HCT 116 human colon carcinoma Negative CAPAN-1 human pancreatic carcinoma
Positive
SW948 human colorectal adenocarcinoma Positive HPAF-II human pancreatic
adenocarcinoma
Positive
DU 145 human prostate cancer Positive NCI-H460 human large
cell lung carcinoma
Positive
PC-3 human prostate cancer Positive    

Preclinical evidence of potential therapeutic effects
Preclinical studies with TM-601 in animal models have revealed a number of important findings that support the premise for therapeutic benefits in brain tumors:

Radiolabeled TM-601 injected directly into the brain not only targeted glioma tumor cells but remained at the tumor site for more than 96 hours after delivery, suggesting the potential for therapeutic effects.
Radiolabeled TM-601 administered intravenously was able to cross the blood-brain barrier and selectively bind to the tumor.
After two treatments with radiolabeled TM-601, survival in treated animals was extended by over 169% over non-treated animals in a glioblastoma animal model study (78 days versus 29 days).
Radiolabeled TM-601 demonstrated potential as a diagnostic tool for imaging tumors.
Systemically delivered unlabeled TM-601 prolonged the survival of mice bearing intracranial glioblastoma tumors.
TM-601 was well-tolerated with no observed adverse effects at doses well above the current human dosage levels. In addition, weak antibody responses to TM-601 indicate low potential for immunogenicity.


Current clinical trial program

Transmolecular has developed a multi-tiered clinical research trial program to explore the potential of radio-labeled and unlabeled TM-601 in the treatment of high-grade glioma – a deadly form of brain cancer – and other aggressive cancers with limited treatment options.

Following the completion in 2004 of a phase I/II clinical trial to evaluate the safety of I-TM-601 administered through an intercavitary device to patients with glioblastoma, the company initiated a phase II trial under orphan, fast tract designation, to establish the efficacy, safety and tolerability of intercavitarily-administered, radio-labeled TM-601 for the same indication. With the dose-escalating stage of this study completed, the second, currently ongoing stage of the study is evaluating its effects on tumor progression and survival in 54 patients with high-grade glioma. Upon completion of the phase II study, Transmolecular plans to conduct a phase III trial to gain FDA approval to market I-TM-601 for treatment of recurrent, high-grade glioma in the United States.

Transmolecular is also conducting imaging studies of IV-administered I-TM-601 in patients with glioma and a variety of malignant/metastatic tumor types. The primary objective of these studies is to determine the efficacy of I-TM-601 in specifically localizing and interacting with tumor cells in patients when it is administered via IV infusion.

In addition, Transmolecular recently gained FDA approval of an IND to investigate unlabeled TM601 based on evidence that IV-administered, unlabeled TM-601 has antitumor effects of its own, potentially due to antiangiogenic activity. TransMolecular is planning to conduct a clinical study to evaluate the effects of unlabeled TM-601 alone in the treatment of high-grade glioma that is expected to begin enrolling patients in early 2008.

As the clinical study program for TM-601 moves forward, the company will continue with ongoing preclinical studies and research to determine the mechanism for the agent’s antitumor effects and to explore its potential as a diagnostic imaging tool for detecting primary and malignant tumors.

For more information on the clinical trial program for TM-601, click here.

 

 

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