Dissertations / Theses on the topic 'Peptide Prodrugs'

Peptides are potential therapeutic agents involved in a wide range of biological processes. In principle, rotaxanes can be used as novel prodrug delivery systems to overcome the problems of peptide degradation in vivo and their poor membrane transport permeability. The presence of the macrocycle around the peptide thread acts as a protective shield against peptidases and modifies its cell membrane transport characteristics. However, the classical ‘clipping’ method of rotaxane formation is mainly limited to dipeptide sequences since the presence of intramolecular hydrogen bonds in longer threads causes folding of the backbone, preventing good interactions with the precursor to the macrocycle. This thesis focused on the synthesis of short peptide rotaxane building blocks. Their elongation on both sides of the peptide backbone was then applied to the straightforward synthesis of oligopeptide [2] and [3]rotaxanes in very good yields.

During this thesis we tried to design, synthesise and analyse some novel devices for the selective delivery of peptides. These systems are based on the enzyme-activated anticancer prodrugs developed by Prof. Gesson in Poitiers and the peptide rotaxanes developed by Prof. Leigh in Edinburgh. The innovative rotaxanes we constructed are devised to protect and selectively release a peptide in response to an enzyme-specific stimulus for the targeted therapy of cancer. In Chapter 1 we tried to expose the main synthetic strategies aimed at improving the stability and permeation features of biologically active peptides. We examined some prodrug approaches and particularly the tumour-activated prodrugs (TAPs), largely investigated for use in anticancer chemotherapy. TAPs are generally three-part molecules composed of trigger, spacer and effector units. We also presented the original methodology developed by Prof. Leigh, namely the hydrogen bond-directed assembly of peptide rotaxanes, to protect a peptide thread from external environment. Finally we presented our project which consists of a combination of the peptide prodrug and rotaxane approaches. Therefore, based on the knowledge of both research groups we tried in Chapter 2 to develop some model systems in order to study the influence of the rotaxane architecture upon prodrug molecules. The first step towards such rotaxane-based peptide prodrugs relied on the efficient design of a spacer which has to be bulky enough to work as a stopper for the macrocycle. Much of the work presented in this chapter is based on the design and synthesis of such self-immolative units. We then explored the response of our model rotaxanes under the action of the activating enzyme. After this detailed study, in Chapter 3 we applied our concept to the biologically active peptide Met-enkephalin. In this chapter we presented a comparison between a rotaxane prodrug of Met-enkephalin and its non-interlocked derivative. Thus both compounds were successfully synthesised and evaluated to release the free peptide after enzymatic activation. The protective effect of encapsulating the peptide within a rotaxane assembly was also studied in human plasma and with different proteases. Finally, in Chapter 4, we introduced the construction of a rotaxane-based molecular machine programmed to synthesise a short peptide unit from the amino acids carried on its thread. We synthesised with success a one-station model rotaxane to study the catalyst effect of the macrocycle. Unfortunately this model machine proved not to work and current research is still ongoing to achieve such a synthetic device.

Photodynamic therapy (PDT) is an emerging therapy for the treatment of cancer and various other human disorders. 5-Aminolaevulinic acid (ALA) is a simple natural product that is of great interest for PDT because it can be converted within cells via the haem biosynthetic pathway to the photosensitiser, protoporphyrin IX (PpIX). ALA-PDT has become a first line clinical approach for the treatment of cancerous and precancerous skin lesions (e.g Bowen’s disease, basal skin carcinomas, and actinic keratosis) that would otherwise require significant conventional surgery. However, ALA being a zwitterion suffers from poor lipid solubility and at the same time has stability issues at physiological or alkaline pH. The work herein describes some novel strategies to enhance the delivery of ALA to specific cell types using targeted ALA dendrimeric prodrugs. Specifically, it describes the synthesis of molecules consisting of branched units with 3 or more copies of ALA attached to a central core structure (e.g. gallic acid) using copper-catalysed azide-alkyne click chemistry (CuAAC). Selective delivery of the dendrimeric ALA cargo was achieved by attachment of a homing peptide to an independently addressable functional group on the prodrug core. As proof of concept of this approach, systems were prepared containing a peptide that allows selective targeting of the epidermal growth factor receptor (EGFR) which is overexpressed in a variety of tumours. Targeted ALA delivery and PpIX production was studied with these prodrugs in EGFR-expressing breast adenocarcinoma cells (MDA-MB-231 cells) and a peptide-targeted derivative with 9 ALA units was found to have enhanced PDT efficacy compared to an equimolar dose of ALA. Other targeting units that have been attached to these dendrimeric ALA prodrugs include biomolecules such as vitamin E, thymidine (a nucleoside) and a glucose derivative. Additionally, strain-promoted azide-alkyne cycloadditions (SPAAC) of the same EGFR-targeting peptide with some classical photosensitisers were also investigated and biological studies in EGFR-overexpressing cell lines were carried out. Lastly, a group of cell penetrating peptide-ALA conjugates have been synthesised via CuAAC as a novel approach for targeted ALA delivery.

Improving the therapeutic efficacy and quality of life of patients by reducing the side effects caused by non-specificity of cytotoxic drugs has been a challenge in cancer treatment. A hypothesis was developed where integrin binding induced conformational change in a drug conjugated to hairpin peptide with an integrin binding ligand can lead to preferential accumulation of drug and reduced collateral damage by decreased premature prodrug activation. A model drug, MTX and a tripeptide ligand, RGD, known to specifically bind tumor overexpressing α v β 3 integrin receptors, were selected to test the hypothesis. A twelve amino acid sequence that has been previously shown to preferentially adopt an anti-parallel beta hairpin conformation in aqueous environment was flanked with MTX and RGD on N and C termini respectively by solid phase peptide synthesis to form a labile link between Arg-Glu specifically cleaved by SGPE, a Streptomyces griseus derived endopeptidase. Adenoviral vector was developed using AdEasy system for β 3 cDNA transfection to overexpress integrin α v β 3 receptor. MTX-α-RGD and MTX-β-hairpin-RGD were characterized using MALDI-TOF (MTX-α-RGD, 782.6(M+H + ); MTX-β-hairpin-RGD, 2272.1(M+H + )). Cell adhesion assay using HUVEC and A549 cells that overexpress α v β 3 showed that RGD conjugated prodrugs recognize and preferentially bind to integrin α v β 3 in RGD dependent manner. In rabbit plasma, MTX-β-hairpin-RGD was found to be 3 times more stable than MTX-α-RGD. In the absence of α v β 3 binding, SGPE mediated hydrolysis rate of MTX-β-hairpin-RGD was 0.7±0.1 ng/hr, that was significantly (P<0.025) lower than that of MTX-α-RGD (1.0±0.1ng/hr), a prodrug without hairpin structure. In presence of α v β 3 over-expressing cells, significant increase (P<0.025) in hydrolysis rate of MTX-β-hairpin-RGD to 1.0±0.1 ng/hr was observed, not significantly (P=0.6) different from that of MTX-α-RGD (1.1±0.1ng/hr). In addition, there was 400% increase in the fluorescence when FRET based quenching was abolished by the binding induced unfolding. These experiments along with docking studies using molecular modeling support the binding induced unfolding. Results from this investigation suggest that drugs conjugated to peptide ligands such as RGD may reduce the dose needed to achieve therapeutic concentrations by preferential recognition and binding to overexpressed integrin markers. Secondly, reduction of premature activation of prodrugs and thus reduced collateral damage may be achieved by making the the drug release to occurs preferentially upon binding to cells expressing specific integrin markers.

Methotrexate (MTX) is an antimetabolite anticancer agent that is used in treatment of multiple cancers, such as acute lymphoblastic leukaemia and osteosarcoma. A lack of selective tumour toxicity is one of the major problems associated with MTX chemotherapy, especially when given at high doses, as in high dose MTX (HDMTX) therapy. MTX causes various toxicity problems including life-threatening nephrotoxicity, haematological toxicity and neurotoxicity. Overcoming this toxicity is of great importance and has been attempted in various ways, not least via the design of prodrugs. The concept of tumour protease, and specifically matrix metalloproteinase (MMP), activated prodrugs was the focus of the work described in this thesis. This concept relies upon attachment of an MMP-sensitive peptide sequence to a specific site in a drug structure, so as to inactive it. The activity of the parent drug is restored once it is activated by the MMPs in the tumour microenvironment. In this work, different MMP-sensitive peptide sequences linked to MTX were synthesised, resulting in 63 MTX prodrugs. The MMP-mediated activation of these conjugates in tumour tissues (specifically HT1080 homogenates) ex vivo was assessed and the results were compared to the activation of these conjugates in various normal tissues specifically liver, kidney and lung. Specific criteria were established for the selection of promising conjugates for more detailed study. From 7 promising compounds, compound 75 was identified as the lead prodrug, demonstrating selective MMP activation, as indicated by inhibition of its activation by broad spectrum MMP inhibitor ilomastat. The pharmacokinetics of compound 75 was studied in tumour (HT1080) xenograft-bearing mice and the results were compared to those obtained from administration of equimolar doses of conventional MTX. Compound 75 led to enhanced tumour concentrations of MTX, with reduced exposure to normal tissues in vivo compared to conventional MTX therapy. Furthermore, the efficacy of equimolar doses of compound 75 and directly dosed MTX in reduction of HT1080 volume were compared. Superior antitumour activity was observed with compound 75 compared to MTX treatment. Compound 75 is the first example of an MMP-activated prodrug to be reported with enhanced therapeutic index, as evidenced by a full in vivo pharmacokinetic analysis and normal tissue metabolism data. The data presented in thesis support the concept of MMP-activated prodrug development, and form a strong foundation upon which to develop a clinicallyuseful MTX prodrug, with the potential to enhance efficacy and reduce toxicity to the patient.

Thesis (Ph. D.)--School of Pharmacy. University of Missouri--Kansas City, 2007.
"A dissertation in pharmaceutical sciences and pharmacology." Advisor: Ashim K. Mitra. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed May 23, 2008. Includes bibliographical references (leaves 210-225). Online version of the print edition.

Conventional treatments for prostate cancer have significant limitations making it difficult to control the disease. Cyclopropabenzindoles (CBI) are more biologically potent, stable and synthetically accessible analogues of cyclopropapyrroloindole (CPI) anti-tumour antibiotics, such as duocarmycin-SA and CC1065. A polymeric prodrug carrying a CBI drug attached to the polymeric backbone through a PSA cleavable linker peptide has two modes of selectivity: activation by PSA and the EPR effect. To synthesise a 5-amino-seco-CBI analogue, 2,4-dinitronaphthalen- 1-ol gave di-Boc-1-iodonaphthalene-2,4-diamine in five steps (triflation, SNAr displacement with iodide, reduction (loss of iodine), protection and restoration of the iodine. For the amino-seco-CBI, it was important to discriminate between N2 and N4. Acidic removal of the Boc-group(s) resulted in deiodination. NMR investigations showed an unexpected Wheland-like cationic intermediate. N3 of naphthalene-1,3-diamine was selectively trifluoroacetylated and N1 was masked with Boc. Electrophilic iodination gave an orthogonally protected 1-iodonaphthalene-2,4-diamine. Allylation at the trifluoroacetamide was followed by free radical cyclisation with TEMPO trap. Removal of the trifluoroacetyl group allowed coupling to 5-(2-(dimethylamino)ethoxy)-1H-indole-2-carboxylic acid. Reductive removal of 2,2,6,6-tetramethylpiperidine, substitution of the exposed hydroxy group with chloride and removal of the Boc-group gave the amino-seco-CBI drug, 5-amino-1-chloromethyl-3-(5-(2-dimethylaminoethoxy)indole-2-carbonyl)-2,3-dihydro-1H-benz[e]indole. A DNA-melting assay confirmed that it binds very strongly to dsDNA causing a 13 deg. C increase in melting temperature. The drug was a highly potent cytotoxin in vitro, with IC50 = 18 nM against LNCaP prostate cancer cells. The polymeric prodrug system involved the synthesis of the pentapeptide SSKLQ. The amide side chain of glutamine can be masked as the nitrile and this can be quantitatively hydrated to the γ-carboxamide of L-Gln with hydroperoxide. The pentapeptide was coupled to 4-methoxynaphthalen-1-amine and to poly(ethylene glycol) as a model polymeric prodrug system. Efficient release of the model drug from the polymeric prodrug by PSA will allow this polymeric prodrug system to be adopted for the synthesised amino-seco-CBI drug.

Matrix metalloproteinases (MMPs) play a significant role in degrading the extracellular matrix in cancer development and metastasis. Overexpression of matrix metalloproteinases in tumour tissues relative to normal tissues has been exploited as a target for peptide-based therapeutics, to improve therapeutic index of currently used agents. The stability of MMP-activated prodrugs in normal tissue or organs is a significant challenge for their success in the clinic. In an in vitro study, the stability of twenty six prodrugs was studied in mouse liver, kidney, lung and tumour homogenates using HPLC and LC/MS. Selected agents were studied in vivo. Each prodrug has a characteristic amino acid sequence with dominant FITC N-terminal end cap. All prodrugs were conjugated to a colchicine derivative (ICT 2552) which is a vascular disrupting agent causing tumour vasculature shutdown and consequently, tumour necrosis. ICT 3146, ICT 3019, ICT 3120 and ICT 3115 prodrugs showed significant stability in normal tissues and considerable activation in certain tumour tissues compared to the lead compound ICT 2588. Also, the selectivity of promising prodrugs to the MMP family was confirmed by using leupeptin (serine, cysteine and threonine protease inhibitor), pepstatin A (aspartate protease inhibitor), phosphoramidon (nepralysin inhibitor), ilomastat (metalloproteinase inhibitor) and BML-P115 (matrix metalloproteinase inhibitor). Moreover, members of the MMP family responsible for cleaving the selected prodrugs were identified using recombinant MMP enzymes. Furthermore, a LC/MS-MS method was developed to specifically detect and quantify MMP-16 protein expression in H460 tumour. MMP- 16 was responsible for the cleavage of ICT 3146 and ICT 3115. Therefore, MMPactivated prodrugs could be a useful therapeutic approach to avoid off-site toxicities of currently used anti-tumour agents.

The present study was divided between two different drug delivery goals, each involving naltrexone (NTX) or its active metabolite, 6-β-naltrexol (NTXOL). First, amino acid esters of NTX and NTXOL were prepared in order to test their candidacy for microneedle-enhanced transdermal delivery. Second, a 3-O-(-)-cytisine-naltrexone (CYT-NTX) codrug was prepared for screening as a potential oral delivery form of NTX and (-)-cytisine (CYT). The amino acid prodrugs were intended for the treatment of alcohol abuse, while the codrug was designed as a single agent for the treatment of alcoholism and tobacco-dependency co-morbidities. One hypothesis of this work was that prodrugs of NTX or NTXOL can be designed that possess superior skin transport properties through microneedle-treated skin compared to parent NTX or NTXOL. Nine amino acid ester prodrugs were prepared, and only three 6-O amino acid ester prodrugs of NTXOL were stable enough at skin pH (pH 5.0) to move forward to studies in 50% human plasma. 6-O-β-Ala-NTXOL, the lead compound, exhibited the most rapid bioconversion to NTXOL in human plasma (t1/2 = 2.2 ± 0.1 h); however, this in vitro stability value indicates that the prodrug may require hepatic enzyme-mediated hydrolysis for sufficiently rapid bioconversion to NTXOL in vivo. A second hypothesis of this work was that a CYT-NTX codrug could be designed with appropriate stability characteristics for oral delivery. CYT-NTX was found to be stable over the time course of 24 h in buffer systems of pH 1.5, 5.0, 7.4 and 9.0, and in 80% rat plasma, 80% human plasma, simulated gastric fluid and simulated intestinal fluid. Six (3 rats/group) Sprague-Dawley male rats were dosed i.v. with 1 mg/kg CYT-NTX codrug, or 10 mg/kg, p.o. Oral administration of a 10 mg/kg dose of CYT-NTX codrug resulted in rapid absorption and distribution (5 min) of CYT-NTX codrug, and NTX was released from codrug with a peak plasma concentration of 6.8 ± 0.9 nmol/L reached within 65 minutes. Plasma CYT was not detected; however, NTX delivery was achieved with a fraction absorbed value of 13%. Thus, CYT-NTX may hold promise as a potential oral codrug for further optimization and development.

碩士
國立臺灣大學
藥學研究所
84
In this study, we prepared a series of di- and tripeptide prodrugs of L-dopa, in which D-phenylglycine or D-p- hydroxyphenylglycine was attached as tools for intestinal delivery. In order to examine whether the absorption of these prodrugs is improved, bioavailability studies of single dose of either dipeptide D-phenylglycine-L-dopa (1) or tripeptide D-p- hydroxyphenylglycine-L-proline-L-dopa (2) were conducted. In comparison with L-dopa (BA=5.93+/-.34%), compound 1 was well absorbed with absolute oral bioavailability of 83.38+/-8.69%, On the other hand, compound 2, was poorly absorbed with oral bioavailability of 0.45+/-0.15%. From this study, we also found that the absorption of L-dopa and compound 2 is a flip-flop model . In summary, the high fraction of oral absorption presented by prodrug 1 indicated that the nonessential amino acid, D- phenylglycine, proved to be a good delivery tool for the improvement of GI absorption of L-dopa. In this study, small portion of L-dopa was released in plasma from these two prodrugs (3.63+/-0.78% for compound 1 and 3.58+/- 0.87% for compound 2). However, i.p. injection of both prodrugs exhibited anti-Parkinsonism effect with activities significantly higher than that of L-dopa. In order to improve the oral absorption of adenosine, we used D- phenylglycine and D-p- hydroxyphenylglycine as delivery tools to be included in the prodrug molecules. Compounds N(Boc)- phenylglycine-adenosine (22), N(Boc)-p-hydroxyphenylglycine-TPDS -adenosine (21)and N( Boc)-phenylglycine-L-glycine-TPDS-adenosine (26) were synthesized. However, the desired prodrug molecules D- phenylglycine-adenosine and D-p-hydroxyphenylglycine-adenosine were unstable and we were unable to isolate the desired products. Conditions for purification and stabilization of the final products have to be investigated before the studies of oral absorption and metabolism are conducted.

Les prodrogues sont des dérivés biologiquement inactifs d’un principe actif qui, après administration à un organisme, subissent une transformation chimique ou enzymatique pour libérer le principe actif au site d’action. Elles améliorent les propriétés physicochimiques du principe actif pour permettre un meilleur transport à travers les barrières biologiques et pour augmenter l’activité in vivo. Elles sont utilisées pour améliorer la formulation et l’administration, accroître la perméabilité et l’absorption, modifier le profil de distribution et éviter le métabolisme et la toxicité. Cette approche est très utile pour améliorer l'administration de principes actifs. Il existe deux types de prodrogues : les prodrogues liées à un transporteur et les bioprécurseurs. Dans le premier cas, la molécule active est liée par une liaison covalente à un groupement temporaire, ce qui fournit une nouvelle molécule, qui est inactive. Le groupement temporaire libéré ne doit pas avoir, par lui-même, d'action pharmacologique ni de toxicité. Dans le second cas, le principe actif est transformé métaboliquement ou chimiquement par réaction d’hydratation, d’oxydation ou de réduction. Les azapeptides sont des mimes peptidiques dans lesquels un ou plusieurs carbones de la chaîne peptidique sont remplacés par des atomes d’azote. Ce remplacement augmente la rigidité de la chaîne peptidique et favorise le repliement de type β. Le repliement β des azapeptides est associé à plusieurs propriétés thérapeutiques. Certains azapeptides ont montré une meilleure activité, une meilleure sélectivité et une plus grande stabilité comparativement aux peptides parents ce qui prolonge leur durée d'action et les rend plus résistants aux dégradations métaboliques. Ce mémoire s’intéresse particulièrement à l’azapeptide : [aza(p-MeO)F⁴]-GHRP-6. Celui-ci est un analogue du peptide sécréteur d’hormone de croissance 6 (GHRP-6, H-His-D-Trp-Ala-Trp-D-Phe-Lys-NH₂), qui possède une affinité pour deux récepteurs distincts : les récepteurs de growth hormone secretagogue receptor 1a (GHS-R1a) et le récepteur cluster of differentiation 36 (CD36). L’[aza(p-MeO)F⁴]-GHRP-6 démontre une sélectivité envers le récepteur CD36 offrant des possibilités de traitement de maladies telles que l’athérosclérose et la dégénérescence maculaire liée à l’âge (DMLA). De plus, le récepteur CD36 peut interagir avec un corécepteur toll-like receptor 2 (TLR2), et l’[aza(p-MeO)F⁴]-GHRP-6 peut réduire des réponses immunitaires innées. La stratégie des prodrogues a été utilisée dans ce mémoire pour augmenter la durée d’action de l’azapeptide [aza(p-MeO)F⁴]-GHRP-6. Plus précisément, cinq analogues des prodrogues α-acyloxyéthylcarbamates de l’aza(p-MeO)F⁴-GHRP-6 ont été synthétisées. Ce mémoire présente la première synthèse de prodrogues α-acyloxyéthylcarbamates à caractère PEG de l’[aza(p-MeO)F⁴]-GHRP-6.
A prodrug is a biologically inactive derivative of a drug which after administration undergoes chemical or enzymatic modification to release the active drug at targeted sites of activity. Prodrugs improve physicochemical properties to enable better transport through biological barriers and enhance activity. They are used to improve formulation and administration, to enhance permeability and absorption, to modify distribution profiles and to avoid metabolism and toxicity. The prodrug approach is useful for improving drug delivery. Prodrugs are classified into two types: carrier-linked prodrugs and bio-precursors. In the first case, the parent drug is linked by a covalent bond to an inert carrier or transport moiety. The carrier should not be active or toxic. The active drug is released by a chemical or enzymatic cleavage in vivo. In the second case, the parent drug is converted metabolically or chemically by hydration, oxidation or reduction reactions. Azapeptides employ a semicarbazide as an amino amide surrogate in a peptide analog in which the backbone α-CH is replaced by nitrogen. Through electronic interactions, the semicarbazide favors backbone β-turn geometry due to a combination of urea planarity and hydrazine nitrogen lone pair – lone pair repulsion. Azapeptides have proven therapeutic utility. Some of them exhibit better selectivity, activity and stability than the parent peptides with increased duration of action and improved metabolic stability. Growth hormone releasing peptide-6 (GHRP-6, H-His-D-Trp-Ala-Trp-D-Phe-Lys-NH₂) is a synthetic peptide possessing an affinity for two different receptors: growth hormone secretagogue receptor 1a (GHS-R1a) and cluster of differentiation receptor 36 (CD36). The GHRP-6 azapeptide analogue, [aza(p-MeO)F⁴]-GHRP-6, has exhibited good affinity for CD36 and reduced nitric oxide overproduction in macrophage cells stimulated with the TLR-2 agonist R-FSL-1. Azapeptide ligands of CD36, such as [aza(p-MeO)F⁴]-GHRP-6, offers potential as prototypes for developing treatments of diseases such as atherosclerosis and age-related macular degeneration. A prodrug strategy has been pursued to improve the pharmacokinetic properties, such as duration of action, of [aza(p-MeO)F⁴]-GHRP-6. The first examples of α-acyloxyethyl carbamate peptides have been prepared. Five α-acyloxyethyl carbamate analogues of [aza(p-MeO)F⁴]-GHRP-6 have been synthesized by routes featuring acylation of the resin-bound peptide using different activated α-acyloxyethyl carbonates prior to resin cleavage and side chain deprotection. The evaluation of the activity of the pharmacokinetic properties of the [aza(p-MeO)F⁴]-GHRP-6 prodrugs is currently in progress and will be reported in due time.

Yes
There is a need to understand the nature of aggregation of cyclodextrins (CDs) with guest molecules in increasingly complex formulation systems. To this end an innovative application of Taylor dispersion analysis (TDA) and comparison with dynamic light scattering (DLS) have been carried out to probe the nature of ICT01-2588 (ICT-2588), a novel tumor-targeted vascular disrupting agent, in solvents including a potential buffered formulation containing 10% hydroxypropyl-β-cyclodextrin. The two hydrodynamic sizing techniques give measurement responses are that fundamentally different for aggregated solutions containing the target molecule, and the benefits of using TDA in conjunction with DLS are that systems are characterised through measurement of both mass- and z-average hydrodynamic radii. Whereas DLS measurements primarily resolve the large aggregates of ICT01-2588 in its formulation medium, methodology for TDA is described to determine the size and notably to quantify the proportion of monomers in the presence of large aggregates, and at the same time measure the formulation viscosity. Interestingly TDA and DLS have also distinguished between aggregate profiles formed using HP-β-CD samples from different suppliers. The approach is expected to be widely applicable to this important class of drug formulations where drug solubility is enhanced by cyclodextrin and other excipients.

No
Development of therapeutic strategies for tumor-selective delivery of therapeutics through exploitation of the proteolytic tumor phenotype has significant scope for improvement of cancer treatment. ICT2588 is a peptide-conjugated prodrug of the vascular disrupting agent (VDA) azademethylcolchicine developed to be selectively hydrolyzed by matrix metalloproteinase-14 (MMP-14) within the tumor. In this report, we extend our previous proof-of-concept studies and demonstrate the therapeutic potential of this agent against models of human colorectal, lung, breast, and prostate cancer. In all tumor types, ICT2588 was superior to azademethylcolchicine and was greater or comparable to standard clinically used agents for the respective tumor type. Prodrug activation in clinical human lung tumor homogenates relative to stability in human plasma and liver was observed, supporting clinical translation potential. A major limiting factor to the clinical value of VDAs is their inherent cardiovascular toxicity. No increase in plasma von Willebrand factor (vWF) levels, an indicator of systemic vascular dysfunction and acute cardiovascular toxicity, was detected with ICT2588, thereby supporting the tumor-selective activation and reduced potential of ICT2588 to cause cardiovascular toxicity. Our findings reinforce the improved therapeutic index and tumorselective approach offered by ICT2588 and this nanotherapeutic approach.