Aldoxorubicin
Medication
From Wikipedia, the free encyclopedia
Aldoxorubicin (INNO-206) is a tumor-targeted doxorubicin conjugate in development by CytRx. Specifically, it is the (6-maleimidocaproyl) hydrazone of doxorubicin. Essentially, this chemical name describes doxorubicin attached to an acid-sensitive linker (N-ε-maleimidocaproic acid hydrazide, or EMCH).
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| ECHA InfoCard | 100.244.879 |
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| Formula | C37H42N4O13 |
| Molar mass | 750.758 g·mol−1 |
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The proposed mechanism of action is as follows:
- After administration, aldoxorubicin rapidly binds endogenous circulating albumin through the EMCH linker.
- Circulating albumin preferentially accumulates in tumors, bypassing uptake by other non-specific sites including heart, bone marrow and gastrointestinal tract.
- Once albumin-bound aldoxorubicin reaches the tumor, the acidic environment of the tumor causes cleavage of the acid sensitive linker.
- Free doxorubicin is released at the site of the tumor.
Clinical trials and FDA approvals
Aldoxorubicin was used in clinical trials to treat various forms of cancer, particularly soft-tissue sarcomas. Results from the sole phase III trial of Aldoxorubicin were considered disappointing as they did not meet their primary endpoint.[1] As of May 2025, aldoxorubicin has not been approved by the FDA for use in treating cancer.