Page last updated: 2024-11-06

piroxantrone

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Piroxantrone is an anthracenedione-based anticancer drug that has been studied for its potential to treat various types of cancers. It was synthesized in the 1970s as an analog of the anticancer drug mitoxantrone, with the aim of improving its efficacy and reducing its side effects. Piroxantrone is a DNA topoisomerase II inhibitor, meaning it blocks the enzyme that is involved in the unwinding and re-winding of DNA during replication and transcription. This blockage leads to DNA damage and ultimately cell death. Research on piroxantrone has shown its effectiveness in treating cancers such as leukemia, lymphoma, and multiple myeloma. However, its clinical use has been limited due to concerns about its toxicity and the development of resistance. Despite these limitations, ongoing research explores new formulations and delivery methods for piroxantrone, aiming to optimize its therapeutic benefits and minimize its adverse effects.'

Cross-References

ID SourceID
PubMed CID59916
CHEMBL ID203666
SCHEMBL ID93599
SCHEMBL ID7195166
MeSH IDM0135105

Synonyms (32)

Synonym
piroxantrona [inn-spanish]
piroxantrone [inn]
anthra(1,9-cd)pyrazol-6(2h)-one, 5-((3-aminopropyl)amino)-7,10-dihydroxy-2-(2-((2-hydroxyethyl)amino)ethyl)-
piroxantronum [inn-latin]
brn 4725135
NCI60_003106
pd-111815
oxantrazole
dup-942
nsc349174
piroxantrone
(3-aminopropylamino)-dihydroxy-[2-(2-hydroxyethylamino)ethyl][?]one
5-[(3-aminopropyl)amino]-7,10-dihydroxy-2-{2-[(2-hydroxyethyl)amino]ethyl}dibenzo[cd,g]indazol-6(2h)-one
NEURO_000181
CHEMBL203666 ,
bdbm50183475
5-(3-amino-propylamino)-7,10-dihydroxy-2-[2-(2-hydroxy-ethylamino)-ethyl]-2h-dibenzo[cd,g]indazol-6-one
yl4ty9wh22 ,
91441-23-5
piroxantrona
piroxantronum
unii-yl4ty9wh22
SCHEMBL93599
5-((3-aminopropyl)amino)-7,10-dihydroxy-2-(2-((2-hydroxyethyl)amino)ethyl)anthra(1,9-cd)pyrazol-6(2h)-one
SCHEMBL7195166
bio4f4
5-((3-aminopropyl)amino)-7,10-dihydroxy-2-(2-((2-hydroxyethyl)amino)ethyl)dibenzo[cd,g]indazol-6(2h)-one
dup 942; ncs 349174; oxantrazole; pd 111815;
Q27294569
10-(3-aminopropylimino)-6,8-dihydroxy-14-[2-(2-hydroxyethylamino)ethyl]-14,15-diazatetracyclo[7.6.1.02,7.013,16]hexadeca-1,4,6,8,11,13(16)-hexaen-3-one
DTXSID60869079
5-[(3-aminopropyl)amino]-6-hydroxy-2-{2-[(2-hydroxyethyl)amino]ethyl}-1,2-dihydrodibenzo[cd,g]indazole-7,10-dione

Research Excerpts

Overview

Piroxantrone is an anthrapyrazole derivative with broad antitumor activity in vitro. It has less cardiac toxicity than the anthracyclines.

ExcerptReferenceRelevance
"Piroxantrone is an anthrapyrazole derivative with broad antitumor activity in vitro. "( Pharmacokinetics of piroxantrone in a phase I trial of piroxantrone and granulocyte-colony stimulating factor.
Balis, FM; Berg, SL; Cowan, KH; Denicoff, AM; Hillig, M; O'Shaughnessy, JA; Poplack, DG; Savarese, DM, 1993
)
2.05
"Piroxantrone is an anthrapyrazole derivative with broad anti-tumor activity in vitro and less cardiac toxicity than the anthracyclines. "( Pharmacokinetics, cerebrospinal fluid penetration, and metabolism of piroxantrone in the rhesus monkey.
Balis, FM; Berg, SL; Godwin, KS; Poplack, DG, 1993
)
1.96
"Piroxantrone is an anthrapyrazole compound undergoing phase II testing in a variety of diseases. "( Phase II trial of piroxantrone for advanced or metastatic soft tissue sarcomas. A Southwest Oncology Group study.
Balcerzak, SP; Belt, RJ; Benedetti, J; Goodwin, JW; Hantel, A; Hutchins, LF; Zalupski, MM, 1993
)
2.06

Effects

ExcerptReferenceRelevance
"Piroxantrone has minimal activity against gastric adenocarcinoma and no further investigation of this agent on this schedule in this disease is recommended."( Phase II trial of piroxantrone in gastric carcinoma. A Southwest Oncology Group study.
Gluck, WL; Hantel, A; Macdonald, JS; Tangen, C, 1994
)
1.34

Pharmacokinetics

Piroxantrone was studied in plasma and cerebrospinal fluid in a non-human primate model. A 1-h infusion of the drug in combination with granulocyte-colony stimulating factor was conducted.

ExcerptReferenceRelevance
" Therefore, a phase I and pharmacokinetic study of a 1-h infusion of piroxantrone in combination with granulocyte-colony stimulating factor was conducted."( Pharmacokinetics of piroxantrone in a phase I trial of piroxantrone and granulocyte-colony stimulating factor.
Balis, FM; Berg, SL; Cowan, KH; Denicoff, AM; Hillig, M; O'Shaughnessy, JA; Poplack, DG; Savarese, DM, 1993
)
0.84
" The kidney had the greatest affinity for OX with the Cmax being 40."( Targeting anticancer drugs to the brain: II. Physiological pharmacokinetic model of oxantrazole following intraarterial administration to rat glioma-2 (RG-2) bearing rats.
Gallo, JM; Groothius, DR; Hassan, EE; Varkonyi, P, 1993
)
0.29
" In this study we examined the pharmacokinetic behavior of piroxantrone in plasma and cerebrospinal fluid in a non-human primate model."( Pharmacokinetics, cerebrospinal fluid penetration, and metabolism of piroxantrone in the rhesus monkey.
Balis, FM; Berg, SL; Godwin, KS; Poplack, DG, 1993
)
0.76

Dosage Studied

ExcerptRelevanceReference
" The combined formulation and statistical optimization strategy provide a basis to develop other microparticulate systems and led to a dosage form that can be used for future in vivo investigations."( Optimized formulation of magnetic chitosan microspheres containing the anticancer agent, oxantrazole.
Gallo, JM; Hassan, EE; Parish, RC, 1992
)
0.28
" Thirty-seven patients were studied over a dosage range of 150 to 555 mg/m2."( Pharmacokinetics of piroxantrone in a phase I trial of piroxantrone and granulocyte-colony stimulating factor.
Balis, FM; Berg, SL; Cowan, KH; Denicoff, AM; Hillig, M; O'Shaughnessy, JA; Poplack, DG; Savarese, DM, 1993
)
0.61
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Protein Targets (2)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
DNA topoisomerase 2-alphaHomo sapiens (human)IC50 (µMol)4.60000.48004.35649.9400AID381809
Integrase Human immunodeficiency virus 1IC50 (µMol)13.50000.00051.544310.0000AID261420; AID261421
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (16)

Processvia Protein(s)Taxonomy
hematopoietic progenitor cell differentiationDNA topoisomerase 2-alphaHomo sapiens (human)
DNA topological changeDNA topoisomerase 2-alphaHomo sapiens (human)
DNA ligationDNA topoisomerase 2-alphaHomo sapiens (human)
DNA damage responseDNA topoisomerase 2-alphaHomo sapiens (human)
chromosome segregationDNA topoisomerase 2-alphaHomo sapiens (human)
female meiotic nuclear divisionDNA topoisomerase 2-alphaHomo sapiens (human)
apoptotic chromosome condensationDNA topoisomerase 2-alphaHomo sapiens (human)
embryonic cleavageDNA topoisomerase 2-alphaHomo sapiens (human)
regulation of circadian rhythmDNA topoisomerase 2-alphaHomo sapiens (human)
positive regulation of apoptotic processDNA topoisomerase 2-alphaHomo sapiens (human)
positive regulation of single stranded viral RNA replication via double stranded DNA intermediateDNA topoisomerase 2-alphaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIDNA topoisomerase 2-alphaHomo sapiens (human)
rhythmic processDNA topoisomerase 2-alphaHomo sapiens (human)
negative regulation of DNA duplex unwindingDNA topoisomerase 2-alphaHomo sapiens (human)
resolution of meiotic recombination intermediatesDNA topoisomerase 2-alphaHomo sapiens (human)
sister chromatid segregationDNA topoisomerase 2-alphaHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (13)

Processvia Protein(s)Taxonomy
magnesium ion bindingDNA topoisomerase 2-alphaHomo sapiens (human)
DNA bindingDNA topoisomerase 2-alphaHomo sapiens (human)
chromatin bindingDNA topoisomerase 2-alphaHomo sapiens (human)
RNA bindingDNA topoisomerase 2-alphaHomo sapiens (human)
DNA topoisomerase type II (double strand cut, ATP-hydrolyzing) activityDNA topoisomerase 2-alphaHomo sapiens (human)
protein kinase C bindingDNA topoisomerase 2-alphaHomo sapiens (human)
protein bindingDNA topoisomerase 2-alphaHomo sapiens (human)
ATP bindingDNA topoisomerase 2-alphaHomo sapiens (human)
ATP-dependent activity, acting on DNADNA topoisomerase 2-alphaHomo sapiens (human)
DNA binding, bendingDNA topoisomerase 2-alphaHomo sapiens (human)
protein homodimerization activityDNA topoisomerase 2-alphaHomo sapiens (human)
ubiquitin bindingDNA topoisomerase 2-alphaHomo sapiens (human)
protein heterodimerization activityDNA topoisomerase 2-alphaHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (12)

Processvia Protein(s)Taxonomy
nucleolusDNA topoisomerase 2-alphaHomo sapiens (human)
nuclear chromosomeDNA topoisomerase 2-alphaHomo sapiens (human)
centrioleDNA topoisomerase 2-alphaHomo sapiens (human)
chromosome, centromeric regionDNA topoisomerase 2-alphaHomo sapiens (human)
condensed chromosomeDNA topoisomerase 2-alphaHomo sapiens (human)
male germ cell nucleusDNA topoisomerase 2-alphaHomo sapiens (human)
nucleusDNA topoisomerase 2-alphaHomo sapiens (human)
nucleoplasmDNA topoisomerase 2-alphaHomo sapiens (human)
nucleolusDNA topoisomerase 2-alphaHomo sapiens (human)
cytoplasmDNA topoisomerase 2-alphaHomo sapiens (human)
DNA topoisomerase type II (double strand cut, ATP-hydrolyzing) complexDNA topoisomerase 2-alphaHomo sapiens (human)
protein-containing complexDNA topoisomerase 2-alphaHomo sapiens (human)
ribonucleoprotein complexDNA topoisomerase 2-alphaHomo sapiens (human)
nucleusDNA topoisomerase 2-alphaHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (27)

Assay IDTitleYearJournalArticle
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID381808Resistance factor, ratio of IC50 for etoposide-resistant human K/VP.5 cells to IC50 for human K562 cells2008Bioorganic & medicinal chemistry, Apr-01, Volume: 16, Issue:7
The structure-based design, synthesis and biological evaluation of DNA-binding bisintercalating bisanthrapyrazole anticancer compounds.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID381806Growth inhibition of human K562 cells after 72 hrs by MTS method2008Bioorganic & medicinal chemistry, Apr-01, Volume: 16, Issue:7
The structure-based design, synthesis and biological evaluation of DNA-binding bisintercalating bisanthrapyrazole anticancer compounds.
AID261421Inhibition of strand transfer activity of HIV1 integrase2006Journal of medicinal chemistry, Mar-09, Volume: 49, Issue:5
Dynamic pharmacophore model optimization: identification of novel HIV-1 integrase inhibitors.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID261420Inhibition of 3'-processing activity of HIV1 integrase2006Journal of medicinal chemistry, Mar-09, Volume: 49, Issue:5
Dynamic pharmacophore model optimization: identification of novel HIV-1 integrase inhibitors.
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID381807Growth inhibition of etoposide-resistant human K/VP.5 cells after 72 hrs by MTS method2008Bioorganic & medicinal chemistry, Apr-01, Volume: 16, Issue:7
The structure-based design, synthesis and biological evaluation of DNA-binding bisintercalating bisanthrapyrazole anticancer compounds.
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID381805Binding affinity to calf thymus DNA assessed as change in thermal stability at 2 uM in tris-HCl buffer at pH 7.5 by thermal denaturation assay2008Bioorganic & medicinal chemistry, Apr-01, Volume: 16, Issue:7
The structure-based design, synthesis and biological evaluation of DNA-binding bisintercalating bisanthrapyrazole anticancer compounds.
AID381809Inhibition of human topoisomerase 2alpha decantation activity2008Bioorganic & medicinal chemistry, Apr-01, Volume: 16, Issue:7
The structure-based design, synthesis and biological evaluation of DNA-binding bisintercalating bisanthrapyrazole anticancer compounds.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (39)

TimeframeStudies, This Drug (%)All Drugs %
pre-19905 (12.82)18.7374
1990's29 (74.36)18.2507
2000's2 (5.13)29.6817
2010's1 (2.56)24.3611
2020's2 (5.13)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 16.36

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index16.36 (24.57)
Research Supply Index4.13 (2.92)
Research Growth Index5.30 (4.65)
Search Engine Demand Index10.37 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (16.36)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials18 (41.86%)5.53%
Reviews3 (6.98%)6.00%
Case Studies0 (0.00%)4.05%
Observational0 (0.00%)0.25%
Other22 (51.16%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]