This has been posted on some time ago. Here is an update. No trial on PCa so far, I think.
Chemistry, mode of action and clinical efficacy of the anticancer diterpenoid tigilanol tigliate (EBC-46)
G Appendino1 Dipartimento di Scienze del Farmaco, Largo Donegani, 28100 Novara, Italy
A Pagani1 Dipartimento di Scienze del Farmaco, Largo Donegani, 28100 Novara, Italy
C Williams2 School of Chemistry and Molecular Biosciences, University of Queensland, Brisbane, Australia
J Cullen3 Drug Discovery Group, QIMR Berghofer Medical Research Institute, Brisbane, Australia
G Boyle3 Drug Discovery Group, QIMR Berghofer Medical Research Institute, Brisbane, Australia
P Parsons3 Drug Discovery Group, QIMR Berghofer Medical Research Institute, Brisbane, Australia
J Campbell4 QBiotics Group Ltd, Yungaburra, Queensland, Australia
V Gordon4 QBiotics Group Ltd, Yungaburra, Queensland, Australia
P Schmidt4 QBiotics Group Ltd, Yungaburra, Queensland, Australia
P Reddell4 QBiotics Group Ltd, Yungaburra, Queensland, Australia
› Author Affiliations
Further Information
Congress Abstract
Full Text
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Tigilanol tiglate (EBC-46, 1), a novel diterpene ester isolated from the seeds of the endemic Australian rainforest tree Fontainea picrosperma (Euphorbiaceae), is being developed for intratumoral treatment of cancers in humans and companion animals [1],[2]. Here we summarise our current understanding of the chemistry and mechanism of action of the compound, and provide results from recently completed veterinary (Phase III) and human (Phase I/II) clinical trials.
Tigilanol tiglate has a multi-factorial mechanism of action. A single intratumoural injection (1) induces a rapid, highly localised and transient inflammatory response surrounding the tumour mass, (2) significantly increases permeability of the tumour vascular endothelium, and (3) causes rapid tumour cell death by oncosis. In combination, these result in tumour haemorrhagic necrosis, eschar formation and complete tumour destruction within 4 to 14 days. Localised inflammation and increasing permeability of tumour vasculature are associated directly with the activation by tigilanol tiglate of specific isoforms of protein kinase C (-βI, -βII, -α, -γ), while tumour cell death via oncosis requires PKC/C1 domain mediated signalling. The compound also induces changes in cytokine signalling and gene expression that promote wound healing following tumour destruction.
In a Phase III fully-randomised, controlled and blinded veterinary clinic trial, a single treatment with tigilanol tiglate resulted in complete and enduring tumour destruction in more than 75% of canine patients with mast cell tumours. In a clinical Phase I/II human dose-escalation study, maximum tolerated dose was not reached and signs of efficacy were observed in 9 tumour types, including complete response in 4 patients.