Soblidotin
Also known as: Auristatin PE, Dolastatin 10 analogue, TZT-1027
Summary
Soblidotin (TZT-1027) is a synthetic dolastatin 10 analogue and potent antitubulin antitumor peptide. It was evaluated in phase II clinical trials for various solid tumors including non-small cell lung cancer and soft tissue sarcoma. Development was largely discontinued after phase II results showed limited single-agent efficacy.
Mechanism of Action
Inhibits tubulin polymerization by binding to the vinca alkaloid site on tubulin, disrupting microtubule dynamics, arresting cells in G2/M phase, and inducing apoptosis in rapidly dividing tumor cells.
Routes of Administration
Goals & Uses
- Non-small cell lung cancer treatmentOncologyModerate
- Antitubulin antineoplastic activityOncologyModerate
- ADC payload candidateOncologyLow
- Soft tissue sarcoma treatmentOncologyModerate
Contraindications
- Severe peripheral neuropathyNeurotoxicityHigh
- Severe hepatic impairmentOrganHighLiver function concerns
- PregnancyPopulationHighPotential fetal risk or insufficient safety data
Adverse Effects
- Peripheral neuropathyNeurologicalCommon
- AlopeciaDermatologicUncommonHair loss
- ConstipationGastrointestinalUncommonReduced bowel frequency or difficulty passing stool
- Nausea/vomitingGastrointestinalCommon
- NeutropeniaHematologicCommonLow neutrophil count
- FatigueGeneralCommonLow energy or tiredness
Drug Interactions
- Other antineoplasticsModerate
- CYP3A4 inhibitors (e.g., ketoconazole)Moderate
Population Constraints
- Pediatric patientsAgeRelative
- Pregnant or lactating womenReproductiveAbsolute
- Patients with pre-existing neuropathyNeurologicRelative
Regulatory Status
- European UnionInvestigationalPhase II trials conducted but no marketing authorization sought or granted.
- United StatesInvestigationalInvestigated under IND; never approved by the FDA. No active development known.
- United KingdomUnknownNo specific UK regulatory filing identified.
Never received regulatory approval in any jurisdiction. Phase II clinical development was conducted in Japan (Teikoku Hormone/Dainippon Sumitomo Pharma) and internationally. No active IND or ongoing pivotal trials are known as of the knowledge cutoff.
Evidence & Sources
No sources recorded yet.