2014
DOI: 10.1186/1479-5876-12-38
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Translation of TRO40303 from myocardial infarction models to demonstration of safety and tolerance in a randomized Phase I trial

Abstract: BackgroundAlthough reperfusion injury has been shown to be responsible for cardiomyocytes death after an acute myocardial infarction, there is currently no drug on the market that reduces this type of injury. TRO40303 is a new cardioprotective compound that was shown to inhibit the opening of the mitochondrial permeability transition pore and reduce infarct size after ischemia-reperfusion in a rat model of cardiac ischemia-reperfusion injury.MethodsIn the rat model, the therapeutic window and the dose effect r… Show more

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Cited by 32 publications
(38 citation statements)
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“…TRO40303 (3,5-seco-4-nor-cholestan-5-one oxime-3-ol) was derived from a chemistry optimization program based on the structure of TRO19622 and has pronounced cytoprotective effects and preserves cardiac tissue in a rat model of cardiac ischemia-reperfusion injury (Schaller et al, 2010). These cholesterol oximes access brain after oral administration, are safe, and have moved forward into clinical trials (Le Lamer et al, 2014; Lenglet et al, 2014). They bind to mitochondrial outer membrane proteins, the 18kDa translocator protein (TSPO) and the voltage-dependent anion channel (VDAC, TRO19622 only), reduce oxidative stress-induced mitochondrial permeability transition (mPTP), and the release of pro-apoptotic factors (Bordet et al, 2007; Schaller et al, 2010).…”
Section: Introductionmentioning
confidence: 99%
“…TRO40303 (3,5-seco-4-nor-cholestan-5-one oxime-3-ol) was derived from a chemistry optimization program based on the structure of TRO19622 and has pronounced cytoprotective effects and preserves cardiac tissue in a rat model of cardiac ischemia-reperfusion injury (Schaller et al, 2010). These cholesterol oximes access brain after oral administration, are safe, and have moved forward into clinical trials (Le Lamer et al, 2014; Lenglet et al, 2014). They bind to mitochondrial outer membrane proteins, the 18kDa translocator protein (TSPO) and the voltage-dependent anion channel (VDAC, TRO19622 only), reduce oxidative stress-induced mitochondrial permeability transition (mPTP), and the release of pro-apoptotic factors (Bordet et al, 2007; Schaller et al, 2010).…”
Section: Introductionmentioning
confidence: 99%
“…Despite identification of small molecule inhibitors of mPT presenting an obvious therapeutic opportunity, the availability and development of such agents remains limited. A number of groups have identified novel molecules modulating mitochondrial propensity for permeability transition30323334353637. However, as yet, reports of positive clinical development are yet to emerge.…”
mentioning
confidence: 99%
“…administration in previous studies (Le Lamer et al. ). In a second stage, TRO40303 was administered by i.v.…”
Section: Resultsmentioning
confidence: 72%