Syntheses and antitumor activities of N′1, N′3-dialkyl-N′1,N′3-di- (alkylcarbonothioyl) malonohydrazide: The discovery of elesclomol

Article abstract of DOI:10.1016/j.bmcl.2013.07.032

A series of N′¹,N′³-dialkyl- N′¹,N′³-di(alkylcarbonothioyl) malonohydrazides have been designed and synthesized as anticancer agents by targeting oxidative stress and Hsp70 induction. Structure-activity relationship (SAR) studies lead to the discovery of STA-4783 (elesclomol), a novel small molecule that has been evaluated in a number of clinical trials as an anticancer agent in combination with Taxol.

Full text of DOI:10.1016/j.bmcl.2013.07.032

Accepted Manuscript
Syntheses and antitumor activities of N’ 1, N’ 3-dialkyl-N’ 1, N’ 3-di-(alkylcar‐
bonothioyl) malonohydrazide: the discovery of elesclomol
Shoujun Chen, Lijun Sun, Keizo Koya, Noriaki Tatsuta, Zhiqiang Xia, Timothy
Korbut, Zhenjian Du, Jim Wu, Guiqing Liang, Jun Jiang, Mitsunori Ono, Dan
Zhou, Andrew Sonderfan
PII:
S0960-894X(13)00877-9
DOI:
http://dx.doi.org/10.1016/j.bmcl.2013.07.032
BMCL 20697
Reference:
To appear in:
Bioorganic & Medicinal Chemistry Letters
Received Date:
Revised Date:
Accepted Date:
10 June 2013
3 July 2013
16 July 2013
Please cite this article as: Chen, S., Sun, L., Koya, K., Tatsuta, N., Xia, Z., Korbut, T., Du, Z., Wu, J., Liang, G.,
Jiang, J., Ono, M., Zhou, D., Sonderfan, A., Syntheses and antitumor activities of N’ 1, N’ 3-dialkyl-N’ 1, N’ 3-di-
(alkylcarbonothioyl) malonohydrazide: the discovery of elesclomol, Bioorganic & Medicinal Chemistry Letters
(2013), doi: http://dx.doi.org/10.1016/j.bmcl.2013.07.032
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Syntheses and antitumor activities of N'1, N'3-dialkyl-N'1, N'3-di-
(alkylcarbonothioyl) malonohydrazide: the discovery of elesclomol
Shoujun Chen*, Lijun Sun, Keizo Koya, Noriaki Tatsuta, Zhiqiang Xia, Timothy Korbut,
Zhenjian Du, Jim Wu, Guiqing Liang, Jun Jiang, Mitsunori Ono, Dan Zhou, Andrew Sonderfan
Synta Pharmaceuticals Corp, 45 Hartwell Ave., Lexington, MA 02421
*Corresponding author: Tel: +0017815417255; fax: +0017812748228; e-mail: schen@syntapharma.com
Abstract: A series of N'1,N'3-dialkyl-N'1,N'3-di(alkylcarbonothioyl)malonohydrazides have been
designed and synthesized as anticancer agents by targeting oxidative stress and Hsp70 induction.
Structure activity relationship (SAR) studies lead to the discovery of STA-4783 (elesclomol), a
novel small molecule that has been evaluated in a number of clinical trials as anticancer agent in
combination with Taxol.
Key words: STA-4783, elesclomol, discovery, anticancer, Taxol enhancer, Hsp70 induction, SAR,
oxidative stress, ROS.
Despite the tremendous progress made in cancer chemotherapy, cancers of various kinds still
remain the leading causes of mortality worldwide. Exploiting the unique features of tumor cells
and examining the specific molecular pathways or cellular targets that differentiate cancer cells
from normal cells are among the key focuses in modern oncology drug discovery.1 Scientific
evidence has shown that elevated levels of reactive oxygen species (ROS) can be detected in
almost all cancer cells.2 It is known that an extremely high level of ROS beyond the threshold in
cancer cells can trigger apoptosis.3 It is also well documented that cancer cells have higher levels
of ROS than normal cells and therefore are more sensitive to intruders that induce oxidative
stress or ROS production.4,5 In contrast, the comparably low level of ROS in normal cells can be
effectively detoxified by the endogenous antioxidants and makes normal cells much more
immune to ROS inducers.6 In parallel, very high levels of Hsp70, a 70kDa heat shock protein,
has also been found in malignant human tumors of various origins7 and the cellular expression of
Hsp70 has been shown to positively correlate with elevated levels of ROS generation.8
Furthermore, studies also demonstrate that Hsp70 can act as a biomarker of oxidative injury.9
Therefore, targeting ROS or Hsp70 induction would appear to be a viable approach for new
anticancer drug discovery. We started a program by screening compounds in Synta’s unique
compound library. Since the human Sarcoma cell line MES-SA/Dx5 was a well-established
model for multidrug resistance (MDR) modulators screening,10 we employed this cell-based
assay together with Hsp70 induction assay for our initial library screening. Herewith we report
the discovery, syntheses, and SAR studies of a series of N'1, N'3-dialkyl-N'1, N'3-
di(alkylcarbonothioyl)malonohydrazides as anticancer agents, cumulatively leading to the
generation of STA-4783 (elesclomol), a novel small molecule that has been evaluated in a
number of clinical trials and showed positive results with melanoma patients displaying low
levels of lactate dehydrogenase (LDH).11
The first lead molecule 1a, namely N'1, N'3-diethanethioyl-N'1, N'3-diphenylmalonohydrazide,
was discovered from the screening of our compound library (Figure 1).
1

Figure 1. Structure of hit molecule
Compound 1a showed moderate in vitro activities in inducing Hsp70 (EC50 = 0.75 µM) and potent
anti-proliferative activity against MES-SA/Dx5 cancer cell line (IC50 = 50 nM). However,
compound 1a was found to be fairly chemically unstable, especially when it was exposed to air;
and metabolically unstable as well (data not shown). The two sulfur atoms in the molecule were
easily oxidized to the corresponding oxygen moieties upon direct exposure to air, and this resulted
in inactive molecules. Derivatization of this early lead compound was therefore carried out in order
to explore the SAR for generating superior inhibitors with improved properties. To our surprise,
synthetic methods for these types of malonohydrazides were extremely rare in the literature. This
prompted us to seek facile and efficient synthetic methodologies for the construction of such
molecules in our lead optimization efforts. As a result, three synthetic routes beginning with
different starting materials were eventually developed (Scheme 1, 2, and 3, respectively). As
outlined in Scheme 1, reaction of an arylhydrazine 2 and dialkyl malonate 3 at elevated
temperature in xylene afforded the corresponding malonyl hydrazide with good yield.12a Acylation
by an anhydride followed by cyclization with hydroperchloric acid afforded the salt 5, which, upon
thionation with sodium sulfide and acidic hydrolysis, produced the corresponding final product 1
in satisfactory overall yield.
2

We soon found out that this method had limited success, not only because of the limited
commercial sources for the corresponding anhydride, but also because a majority of aliphatic
anhydrides, such as trifluoroacetic anhydride and chloroacetic anhydride failed to participate in
this type of reaction. Furthermore, in the first step, the scope of the reaction of hydrazine with
dimethyl malonate was also very limited. Although much improvement in terms of reaction scope
and yield was achieved by the replacement of dimethyl malonate with diphenyl malonate, aliphatic
hydrazines, such as methyl hydrazine and butyl hydrazine, failed to give the desired products
under various conditions. Therefore, it was necessary to develop more general methods for the
synthesis of compounds with more diversified structures for SAR studies. Thus, two new synthetic
methods based on a key intermediate, -thioacylhydrazine 12, were developed (Schemes 2 and 3).
As shown in Scheme 2, the key intermediate 12 was synthesized from an aldehyde 6 or Grignard
reagent 9 according to a slightly modified procedure based on Jensen et al.12b Coupling of 12 with
malonic acid with DCC or BOP reagent provided the final product 1 in very good yield.
3

The key intermediate 11 was prepared from two alternative synthetic routes. The first route
started from an aldehyde. Treatment of an aldehyde with sulfur in piperidine resulted in the
formation of thioamide 7. Treatment of 7 with bromoacetic acid afforded 1-(1-
((carboxymethyl)thio)alkylidene)piperidin-1-ium bromide (8) in very good yield. Finally,
reaction of 8 with hydrogen sulfide in ethanol provided the key intermediate 11 in satisfactory to
very good yield. Alternatively, compound 11 could also be obtained from a Gridnard reagent 9.
Treatment of 9 with carbon disulfide in ether resulted in magnesium bromide alkanedithioate 10.
Reaction of 10 with sodium chloroacetate followed by hydrolyses afforded compound 11 in
satisfactory overall yield. The two synthetic routes were complementing each other. For instance,
the first route was preferred when R group in 11 contained moiety such as cyano or carboxylic
acid or ester that was reactive to Grignard reagent. Alternatively, when the corresponding
aldehyde was not readily available or not very stable, the second route would show some
advantages.
A more general synthetic method from more commercially available carboxylic acids or acyl
chlorides was further developed (Scheme 3). Reaction of methylhydrazine with an acylchloride
or coupling with a carboxylic acid provided the desired 2-acylhydrazide with high selectivity and
good yield. In this case, the more nucleophilic methyl-substituted nitrogen atom in
methylhydrazine was selectively acylated.12c However, in the case of the more sterically hindered
hydrazine, protection of the primary amino group by a Boc group was necessary12d in order to
achieve the acylation at the 2-position.
4

A handful of compounds with diversified substituent patterns in 1a were then readily synthesized
according to the chemistries described in Scheme 1 through Scheme 3, and were subsequently
assessed in Hsp70 induction and MES-SA/Dx5 inhibition assays.13-14 The corresponding assay
results were listed in Table 1.
Table 1. N'1,N'3-dialkyl-N'1,N'3-di(alkylcarbonothioyl)malonohydrazides in vitro assay data
5

After observing an obvious correlation between Hsp70 induction activity and MES-SA/Dx5 cell-
based inhibition activity (Table 1), we started to use only an Hsp70 induction assay for further
SAR exploration.
By employing the synthetic methods depicted in Schemes 1 through 3, derivatives with different R
substituents were synthesized and tested in the Hsp70 induction assay. The results were
summarized in Table 2. As shown in the table, the Hsp70 induction activity was very sensitive to
the R group in 1. Both the methyl and phenyl groups showed moderate activity, with an IC50 value
around 0.75 µM. Replacing this substituent with a bulkier alkyl group, either linear or cyclic,
resulted in a complete loss of activity (EC50 > 1.25µM). In subsequent in vitro metabolism studies,
we found that when R is a methyl group, the corresponding compound 1a was very unstable in the
media when exposed to the air. The two thio groups in 1a were oxidized to the corresponding
oxocarbonyl groups. This oxidation process was accelerated under basic conditions. However, the
phenyl group in compound 1p demonstrated much better advantages in this regard (data not
shown).
6

Table 2. Effect of R group in 1 on Hsp70 activity
Therefore we then investigated the SAR at other positions, while fixing the R as a phenyl group.
Eight compounds with different R1, R2 or R3 groups were then synthesized in order to compare
their in vitro activity. The Hsp70 induction activities of those synthesized new derivatives were
listed in Table 3.
Table 3. Effect of R1, R2, and R3 groups in 1 on Hsp70 activity
7

As shown in Table 3, when R2 and R3 were fixed as H (1q, 1r, 1s, 1h, and 1i), the size of R1
appeared to be critical for Hsp70 induction activity. When R1 was a hydrogen group (1r), the
Hsp70 activity was greatly diminished. Larger groups such as n-butyl (1i) or o-methylphenyl (1q)
resulted in loss of activity as well. An ethyl group (1h) was sustainable with quite potent activity
(180nM). Best results were achieved when R1 is a methyl group (1s), resulting in potent Hsp70
induction activity (EC50 = 20nM). Bulky groups at either or both R2 and R3 positions (1u, 1v, and
1w) resulted in loss of activity. Once R1，R2, and R3 were optimized, we retro-tested the SAR at
the R position. The results were listed in Table 4.
8

Table 4. SAR on Hsp70 activity with substituent R in 1
Besides the phenyl group at R1, mono-substituted phenyl groups were also tolerable for Hsp70
induction activity, especially when the substituents were electron-withdrawing groups such as nitro
(1c), fluoro (1d) and cyano at different positions (1w and 1e). On the other hand, electron-
donating groups (1x, 1y, 1z) appeared to diminish HSP70 induction activity. However, in the case
of two substitutions, either electron-withdrawing groups (1z1) or electron-donating groups
(1z2 and 1g) maintained potent Hsp70 induction activity for the parent compounds. In addition to
phenyl or substituted phenyl groups, heterocyclic aromatic rings at this position were also
tolerable. For examples, potent Hsp70 induction activity was maintained when this position was
substituted by a pyridinyl (1z3), quinolonyl (1z4), thiazolyl (1z5), or an oxazolyl group (1z6).
However, the pyrazinyl group (1z7) was an exception, which resulted in loss of activity (Table 4).
On the basis of in vitro Hsp70 induction activity and preliminary in vitro and in vivo PK
properties, compound 1s (STA-4783)15 was selected for further in vitro and in vivo profiling. The
results of cytotoxicity screening against a panel of cancer cell lines by STA-4783 together with
Taxol are listed in Table 5. As demonstrated in Table 5, STA-4783 inhibited a wide range of
tumor cell lines, but not normal cell lines such as 39 SK or hPBMC (IC50 > 10 µM, Table 5).
9

Table 5. in vitro anticancer activity of STA-4783
IC50 (µM)
MIP101 MDA435 DU145
Compd
Clone
MES-
SA
MES-
SA/Dx5 SK
39
H2
HL60 A549
PBMC
A
STA-
4783
Taxol
0.005
0.4
0.1
0.1
0.5
0.05
1.1
5
0.02
0.05
0.005
10
>10
5
>10
5
0.001 0.005
0.01
0.005
0.005
0.005
In addition to the potent activity against a wide range of wild type (WT) tumor cell lines, STA-
4783 also demonstrated potent activity with multidrug-resistant (MDR) tumor cell lines that were
immune to Taxol (Table 6).
Table 6. IC50 (µM) values of STA-4783 and Taxol for Multidrug Resistance (MDR) Cell Lines
STA-4783
Taxol
Cell Line
Human Tissue
WT
0.05
0.4
MDR
0.005
0.05
WT
MDR
MES-SA
HL-60
Bowes
Uterine
Leukemia
Melanoma
0.005
0.002
0.005
5
5
5
0.2
0.01
To demonstrate in vivo efficacy, compound 1s (STA-4783 or elesclomol) was administrated
alone and in combination with Taxol via intravenous bolus QOD (3x/week; Monday,
Wednesday, Friday) for two consecutive weeks in mice with a well-established U937 human
lymphoma xenograft model.16 In this study, no single agent efficacy was observed when STA-
4783 was dosed alone at 25 mg/kg via QOD i.v. dosing. Only weak efficacy was seen from the
dosing group with Taxol alone at 5mg/kg. However, when STA-4783 was dosing at 25mg/kg
together with Taxol at 5mg/kg via similar dose regime, significant efficacy (70% to 100% tumor
regression) was observed (Figure 2).
10

Vehicle
Taxol
1.2
0.8
0.4
0.0
STA-4783
(25 mg/kg)
Taxol
(5 mg/kg)
STA-4783 + Taxol
STA-4783+
(25mg/kg)
Taxol (5mg/kg)
0
5
10
15
Days
Figure 2. Taxol-Enhancing Effects of STA-4783 in U937 human lymphoma xenograft model. Mice used: CD-1 nu/nu
Female (n=5);Tumor type: U937 (Human lymphoma); Subcutaneous implantation: 5x106 cells; Formulation: 10% DMSO,
18% Cremophor RH40; Administration route: intravenous bolus; Dose schedule: 3x/week; Tumor measurement: 2x/week.
In addition to the U937 human lymphoma xenograft model, Taxol-enhancing effects were also
observed for STA-4783 in an MDA-MB-435 human melanoma xenograft model in nude mice.16
Significant tumor regression was observed for the dosing group with STA-4783 (25 mg/kg) and
Taxol (5mg/kg). (Figure 3).
Average Tumor Volume
450
Vehicle
400
Taxol (5 mg/kg)
350
STA-4783 (25mg/kg)
300
250
200
150
100
50
Taxol (5 mg/kg) +
STA- 4783 (25 mg/kg)
0
-8
-4
0
4
8
12
16
20
Day
IV Dosing (Day 1-18 ) 3x/week
11

Figure 3. Taxol-Enhancing Effects of STA-4783 (25 mg/kg) in the MDA-MB-435 human melanoma xenograft
model. Mice: CD-1 nu/nu female (n=5); Tumor cells: MDA-MB-435 (human melanoma); Mammary fat pad
implantation: 5x106 cells; Formulation: 10%DMSO, 18% Cremophor RH40; Administration route: intravenous
bolus; dose schedule: 3x/week; tumor measurement: 2x/week.
To determine the corresponding pharmacokinetics (PK) of STA-4783, the compound was
administered intravenously to nude/nude mice or Sprague-Dawley male rats. Results showed
high systemic clearance, and short apparent terminal half-life (Table 7).
Table 7. PK results of STA-4783 in rats and mice
Dose
(mg/kg)
Cmax
(µM)
T1/2
(hr)
AUC
Cl
Vss
Formulationc
DRD
Species
(µM·hr)
(L/hr/kg)
(L/Kg)
Rata
25
25
56.3
85.2
1.94
1.90
32.7
35.9
0.79
1.74
0.1
Mouseb
0.51
DRD
a Male SD rat data; b Female nu/nu mouse, Cmax: the first time point for PK blood draw, approximately 5 min
after the injection; c DRD: 10% DMSO, 18% CrRH40.
Combination PK studies for STA-4783 and Taxol in male rats and nude/nude mice were also
conducted, and the results did not show apparent difference in Taxol PK parameters (Cmax, T1/2
and AUC) between single (Taxol 5mg/kg) and combination (Taxol 5mg/kg + STA-4783
25mg/kg.) No pharmacokinetic drug-drug interaction was observed. The corresponding
pharmacokinetic parameters (T1/2, AUC, Cmax) are listed in Table 8. Co-administration of
STA-4783 with Taxol resulted in minimum pharmacokinetic interaction, causing no toxicity
impact in nonclinical species.
Table 8. DMPK of STA-4783 and Taxol in rats and mice
Taxol
STA-4783
Taxol
STA-4783
(mg/kg)
Formulationc
Species
Cmax
AUC
Cmax
AUC
T1/2
(hr)
T1/2
(hr)
(mg/kg)
(M)
(M*hr)
(M)
(M*hr)
5
5
0
21.7
20.4
3.1
3.4
10.3
11.9
-
-
-
DRD
DRD
Rata
25
63.3
1.7
36.8
Mouseb
5
25
10.6
2.26
2.95
37.8
1.2
11.9
EED
b
a Male rats: Approximately 5 min after injection; Nu/nu mouse slow bolus injection; c DRD: 10% DMSO,
18% CrRH40; EED: 5% Ethanol, 5% CrEL, 4.5% Dextrose.
12

Furthermore, STA-4783 was well tolerated when given alone or in combination with taxol in
mice, rats, and dogs evaluated in acute non-GLP or GLP toxicology studies. Throughout most of
the doses tested, the dose limiting toxicity of the STA-4783/Taxol drug combination was similar
to that of Taxol administered alone or attributed to Taxol based on clinical observations and
pathological assessments consistent with Taxol toxicity. Additional studies also suggested that
there was no significant toxicity as a result of STA-4783 treatment in combination with Taxol
after repeat-dose toxicity assessment in rats or dogs.
In summary, a hit molecule, N'1, N'3-diethanethioyl-N'1, N'3-diphenylmalonohydrazide (1a) was
discovered from the screening of Synta unique compound library by Hsp70 induction assays,
together with a cytotoxicity assay using a MDR cancer cell line (MES-SA/Dx5). Medichem
optimization of the hit molecule 1a through SAR studies led to the generation of a novel
anticancer agent, N'1, N'3-dimethyl-N'1, N'3-di(phenylcarbonothioyl)malonohydrazide (1s,
STA-4783 or elesclomol). STA-4783 demonstrated potent anti-cancer activity against a wide
range of tumor cell lines including a number of MDR tumor cell lines that was immune to Taxol.
In addition, STA-4783 demonstrated remarkable enhancement effects for the anticancer activity
of Taxol in multiple human tumor xenograft models conducted in mice. As a first-in-class
investigational drug, elesclomol administered in combination with Taxol was shown to prolong
progression-free survival compared with taxol alone in a phase II clinical trial in patients with
metastatic melanoma.11a However, in a more comprehensive phase III clinical trial, it showed a
statistically significant improvement in median PFS for the combination only in a prospectively
defined subgroup patients with normal baseline LDH.17 The mechanism of action is still not yet
fully defined and is currently under further investigation.
Acknowledgements
The authors acknowledge John Chu, Yi Ren, Masa Nagai, Yuan Liu, Alex Sarovschii, Luisa
Shin Ogawa, Qianfan Wang and Haili Zhang for technical assistance. We thank Richard Bates
and Nicholas Triano for helpful discussion and editorial assistance.
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Hsp70 induction assay was conducted as follows: Hsp70 induction is measured in
Ramos B lymphoma cells. Cells are seeded at 80-tl/well in 96-plate and treated with
compounds at 10, 50, 250 and 1250 nM for 5h. The cell density is determined by
titration where testing compound shows Hsp70 induction in linear manner with
concentration. Cells are lysed in culture medium with 14-vol of alkaline-detergent
buffer composed of 200 mM bicarbonate, pH 9.4, and 20% Triton X100 to include
Hsp70 that would be released into culture supernatant. The whole culture lysis
significantly contributes to throughput as omitting experimental labor of cell separation
from culture supernatant may cause experimental error. Fifty microliter of the whole
culture lysate is transferred to Hsp70 ELISA assay well (Assay Design) including
150uL of immunoenhancer solution (Toyobo, Japan). Then the assay steps are
carried out according to the protocol of the manufacturer.
14. Cell culture and assays were carried out in a similar manner as described by our lab
previously: James, D; Koya, K.; Li, H.; Chen, S.; Xia, Z.; Ying, W.; Wu, Y.; Sun, L.
Bioorg. Med. Chem. Lett. 2006, 16, 5164-5168.
15. a) In the in vitro PK studies, numerous metabolites were observed in plasma. Amide
hydrolysis, sulfur replacement to oxygen, and hydroxylation were the main metabolic
pathways. This multiple metabolic pathways may account for the short half-life observed
14

for these derivatives. STA-4783 was selected based on its relative higher metabolic
stability and more potent in vitro activities.
b) Typical procedures for the synthesis of STA-4783: to a stirred solution of N-methyl-N-
thiobenzoylhydrazine12b (12, 1.66 g, 10 mmol), HOBt.H2O (0.15 g, 11 mmol) and
malonic acid (0.052 g, 5 mmol) in DMF (2 mL) was added DCC (0.22 g, 10.7 mmol) at 0
°C. The resultant suspension was stirred at 0 °C for 3 h and at rt for 18h. Precipitated
material was filtered off and washed with EtOAc (3 x 15 mL). Combined filtrate and
washings was washed successively with H2O (2 x 20 mL), 5% citric acid (20 mL), H2O
(20 mL), Saturated NaHCO3 (20 mL) and brine (20 mL). After being dried over Na2SO4,
the solvent and volatile components were removed under reduced pressure to afford the
crude product as a yellow solid, which was recrystallized from THF/Hexane. 0.16 g
(yield 80%) of pure product was obtained as a fine powder. STA-4783: Rf 0.3
1
(Hexane/EtOAc 1:1 v/v); mp 191-193 °C; H NMR (CDCl3)  3.1 – 3.8 (m, 6H), 3.4 (s,
13
2H), 7.1 – 7.45 (m, 10 H), 9.5 – 10.5 (m, 1H) ppm; C NMR (DMSO-d6)  40.5, 44.8,
127.6, 129.2, 130.7, 143.4, 165.0, 204.2 ppm; FTIR (KBr): 3205, 1688, 1299, 1247, 1091
cm-1; MS (ES-) m/z 399 (M – 1); Anal. Calcd for C19H20N4O2S2 (400.10): C 56.98, H
5.03, N 13.99, O 7.99, S 16.01; found: C 57.12, H 5.12, N 13.90, O 7.99, S 16.00.
16. General procedure for in vivo efficacy testing: The in vivo anticancer enhancing effects
of STA-4783 were assessed in tumor bearing mice using the tumor growth inhibition
assay. U-937 human lymphoma cells were purchased from American Type Culture
Collection (ATCC Cat. No. CRL-1593.2). The cells were implanted by injection of a
tumor cell suspension subcutaneously into the mammary fat pad of nude mice. MDA-
MB-435 human melanoma tumor cells were also purchased from ATCC (Cat No.
HTB-129) and implanted subcutaneously into nude mice. These cells were
previously characterized as mammary gland pleural effusion. Treatment of the tumor
with STA-4783 and Taxol was initiated after the tumor had been established (tumor
volume ~ 100 mm3). The animals were then started on a multiple injection schedule
where STA-4783 and Taxol were administered by IV route of administration. Tumor
volumes were measured 2x/week. During the course of this assay, animals were
monitored daily for signs of toxicity including body weight loss.
17. O'Day, S.J.; Eggermont, A.M.; Chiarion-Sileni, V.; Kefford, R.; Grob, J.J.; et al. J Clin
Oncol. 2013, 31(9):1211-8.
15

Graphical Abstract
Syntheses and antitumor activities of N'1, N'3-dialkyl-
N'1, N'3-di-(alkylcarbonothioyl) malonohydrazide:
Leave this area blank for abstract info.
the discovery of elesclomol
Shoujun Chen*, Lijun Sun, Keizo Koya, Noriaki Tatsuta, Zhiqiang Xia,
Timothy Korbut, Zhenjian Du, Jim Wu, Guiqing Liang, Jun Jiang, Mitsunori Ono, Dan Zhou, and Andrew Sonderfan
2