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product pipeline
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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).

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.
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).
Figure 1A. No Peptide

Figure 1B. Non-specific Biotinylated Peptide

Figure 1C. 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).
| 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 |
| |
| 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 |
| 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 |
| 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 |
| D54-MG
|
Positive |
MO59K |
Positive |
| U251-MG
|
Positive
|
C6
rat |
Positive |
CH235
|
Positive |
9L rat
|
Positive |
| STTG1
|
Positive
|
GL261
mouse |
Positive |
| U138-MG
|
Positive |
3 |
| 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 |
| |
| 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 |
|
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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. |
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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