“…In vivo, its water-soluble prodrug, CA-4P, induces a rapid and selective shutdown of tumour blood flow and subsequently tumour regression (7,8) and thus the compound is currently undergoing clinical trials as a vascular-disrupting agent. The therapeutic efficacy of CA-4 is limited by its intrinsic instability rendering it readily isomerisable to its inactive trans-conformation (15)(16)(17). Therefore, non-isomerisable CA-4 analogues have been developed to provide more stable alternatives to CA-4.…”