“…6 The mechanism of action of echinomycin is attributed to the bis-intercalation and binding with high affinity to the 5 0 -CG bases of DNA, which prevent the unwinding of the double helical DNA; thus, inhibiting the replication of chromosomal DNA. 4,7,8 Furthermore, it is a potent inhibitor of the hypoxia-inducible factor-1 (HIF-1) DNA-binding, a factor that controls genes necessary in tumor biology including cell growth, glycolysis, angiogenesis, metastasis, and invasion. 7 Unfortunately, no signicant response was observed in clinical trials conducted on patients suffering from metastatic so tissue sarcoma, advanced breast cancer, squamous cell cervical carcinoma, advanced ovarian cancer, advanced renal carcinoma, central nervous system, and colorectal cancer due to its high dose-related toxicity.…”