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The R-(-) enantiomer of gossypol (AT-101) has been evaluated in Phase I/II clinical trials as an anti-cancer agent. A Phase II trial in castration-resistant prostate cancer (Liu et al., 2009, Clinical Cancer Research) showed modest single-agent activity. The male antifertility effect was documented in Chinese studies involving over 10,000 men, with effective contraception at 20 mg/day but unacceptable hypokalemia in 1–10% of subjects and irreversible azoospermia in approximately 20%.
Representative pattern: C₇H₆O₃
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