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DRUG CLASS:

Aurora kinase B inhibitor

10d
Phase 3 Clinical Study of Chiauranib Capsule in Patients With Small-cell Lung Cancer (clinicaltrials.gov)
P3, N=184, Completed, Chipscreen Biosciences, Ltd. | Recruiting --> Completed | Trial completion date: Dec 2025 --> Apr 2024 | Trial primary completion date: Dec 2024 --> Apr 2024
Trial completion • Trial completion date • Trial primary completion date
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chiauranib (CS 2164)
14d
Denfivontinib activates effector T-cells through NLRP3-inflammasome, yielding potent anticancer effects by combination with pembrolizumab. (PubMed, Mol Cancer Ther)
To demonstrate the extent to which our findings reflect clinical results, we analyzed bulk-RNA sequencing data from 21 NSCLC patients undergoing anti-PD-1 immunotherapy. The NLRP3 inflammasome score influenced enhanced immune responses in patient data undergoing anti-PD-1 immunotherapy, suggesting a role for NLRP3 inflammasome in activating immune responses during treatment.
Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma) • CD4 (CD4 Molecule) • NLRP3 (NLR Family Pyrin Domain Containing 3)
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IFNG expression
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Keytruda (pembrolizumab) • denfivontinib (SKI-G-801)
17d
Phase 3 Clinical Study of Chiauranib Capsule in Patients With Small-cell Lung Cancer (clinicaltrials.gov)
P3, N=180, Recruiting, Chipscreen Biosciences, Ltd. | Trial completion date: Dec 2024 --> Dec 2025
Trial completion date
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chiauranib (CS 2164)
22d
Targeting the EGFR and Spindle Assembly Checkpoint Pathways in Oral Cancer: A Plausible Alliance to Enhance Cell Death. (PubMed, Cancers (Basel))
We analyzed the effects of co-treating OSCC cells with small molecules targeting MPS-1 (BAY1217389), Aurora-B (Barasertib), or KSP (Ispinesib), alongside Cetuximab. Additionally, we examined EGFR, MPS-1, Aurora-B, and KSP expression in OSCC patient samples, revealing their clinicopathologic significance. This combinatorial approach suggests a promising strategy to improve treatment outcomes in OSCC.
Journal
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EGFR (Epidermal growth factor receptor)
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Erbitux (cetuximab) • ispinesib (SB-715992) • barasertib (AZD1152)
30d
A Phase II Study of Chiauranib in Combine With Capecitabine in TNBC (clinicaltrials.gov)
P2, N=9, Terminated, Chipscreen Biosciences, Ltd. | N=38 --> 9 | Recruiting --> Terminated; During the enrollment period of this project, due to the increasing proportion of patients receiving capecitabine adjuvant therapy and the large number of trials competing for the same number of lines in various centers
Enrollment change • Trial termination • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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ER negative • PGR negative
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capecitabine • chiauranib (CS 2164)
1m
Construction of a novel lipid drop-mitochondria-associated genetic profile for predicting the survival and prognosis of lung adenocarcinoma. (PubMed, Discov Oncol)
Our results suggest that the LD-M risk score is an effective prognostic indicator for individualized treatment of LUAD.
Journal • IO biomarker
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CAV2 (Caveolin 2)
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BMS-754807 • ZM 447439
1m
Aurora kinase B is required for growth and expansion of medulloblastoma cells in the tissue context. (PubMed, Neoplasia)
We validated tumor suppressive activities of the AURKB inhibitor (AURKBi) Barasertib (AZD1152-HQPA) and the structurally unrelated compound GSK-1070916 in cerebellum slice culture models for SHH, and Grp3 MB...We revealed that the combination of AURKBi with the SRC/BCR-ABL inhibitor Dasatinib acts synergistically to repress tumor growth and expansion in the highly invasive MB cell model ONS-76, but not in Grp3 MB cells...In conclusion, we demonstrate that AURKB is essential for MB tumor growth and expansion in the tissue context and the inhibition of AURKB is equally efficient as irradiation in repressing tumor cell growth. In patients younger than three years, pharmacological targeting of AURKB may thus constitute a novel means to overcome radiotherapy limitations.
Journal
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ABL1 (ABL proto-oncogene 1) • BCR (BCR Activator Of RhoGEF And GTPase) • AURKB (Aurora Kinase B)
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dasatinib • barasertib-HQPA (AZD2811) • NMI-900
2ms
Differential regulation of expression of the protein kinases DYRK1A and DYRK1B in cancer cells. (PubMed, Sci Rep)
Consistently, AURK inhibitors VX-680 (tozasertib), MLN8237 (alisertib), AZD1152-HQPA (barasertib) resulted in the upregulation of DYRK1B expression in A549 cells. In summary, our findings indicate that the expression of DYRK1A and DYRK1B is differentially regulated in cancer cells and reveal that the kinase inhibitor XMU-MP-1 increases DYRK1B expression likely through off target inhibition of Aurora kinases.
Journal
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AURKA (Aurora kinase A) • AURKB (Aurora Kinase B) • DYRK1A (Dual Specificity Tyrosine Phosphorylation Regulated Kinase 1A) • DYRK1B (Dual Specificity Tyrosine Phosphorylation Regulated Kinase 1B)
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alisertib (MLN8237) • barasertib-HQPA (AZD2811) • tozasertib (MK-0457)
2ms
Cell cycle inhibitors activate hypoxia-induced DDX41-STING pathway to mediate anti-tumor immune response in liver cancer. (PubMed, JCI Insight)
We demonstrated that Paclitaxel (microtubule stabilizer), Palbociclib (cyclin dependent kinase 4/6 inhibitor), AZD1152 and GSK1070916 (aurora kinase B inhibitors) have anti-cancer functions beyond arresting cell cycle. We observed a trend that Paclitaxel suppressed STINGWT HCC more effectively than STINGKO HCC, suggesting that STING might contribute to the anti-tumor effects of Paclitaxel. Our study revealed the immune-mediated tumor-suppressing properties of cell cycle inhibitors and suggested combined treatment with immunotherapy as a potential therapeutic approach.
Journal • PD(L)-1 Biomarker • IO biomarker
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • STING (stimulator of interferon response cGAMP interactor 1) • DDX41 (DEAD-Box Helicase 41) • AURKB (Aurora Kinase B)
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HIF1A expression
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Ibrance (palbociclib) • paclitaxel • NMI-900 • barasertib (AZD1152)
4ms
Repurposed AT9283 triggers anti-tumoral effects by targeting MKK3 oncogenic functions in Colorectal Cancer. (PubMed, J Exp Clin Cancer Res)
Overall, we demonstrated that the anti-tumoral effects triggered by AT9283 treatment recapitulated the MKK3 depletion effects in all tested CRC models in vitro and in vivo, suggesting that AT9283 is a repurposed drug. According to its good tolerance when tested with primary colonocytes (CCD-18CO), AT9283 is a promising drug for the development of novel therapeutic strategies to target MKK3 oncogenic functions in late-stage and metastatic CRC patients.
Journal
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AURKA (Aurora kinase A) • MAP2K3 (Mitogen-Activated Protein Kinase Kinase 3)
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AT9283
5ms
Phase 3 Clinical Study of Chiauranib Capsule in Patients With Small-cell Lung Cancer (clinicaltrials.gov)
P3, N=180, Recruiting, Chipscreen Biosciences, Ltd. | Trial primary completion date: Mar 2024 --> Dec 2024
Trial primary completion date
|
chiauranib (CS 2164)
5ms
Chiauranib for Advanced Solid Malignant Tumors and Relapsed/Refractory SCLC. (clinicaltrials.gov)
P1/2, N=36, Recruiting, Chipscreen Biosciences, Ltd. | Trial completion date: Apr 2024 --> May 2025 | Trial primary completion date: Mar 2024 --> Mar 2025
Trial completion date • Trial primary completion date • Metastases
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chiauranib (CS 2164)
5ms
A Phase II Study of Chiauranib in Combine With Capecitabine in TNBC (clinicaltrials.gov)
P2, N=38, Recruiting, Chipscreen Biosciences, Ltd. | Trial completion date: Aug 2024 --> Dec 2024 | Trial primary completion date: Mar 2024 --> Dec 2024
Trial completion date • Trial primary completion date • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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capecitabine • chiauranib (CS 2164)
5ms
Chiauranib for Advanced or Unresectable Soft Tissue Sarcoma(STS) (clinicaltrials.gov)
P2, N=40, Active, not recruiting, Chipscreen Biosciences, Ltd. | Recruiting --> Active, not recruiting | Trial completion date: Jun 2024 --> Dec 2024 | Trial primary completion date: Feb 2024 --> Dec 2024
Enrollment closed • Trial completion date • Trial primary completion date • Metastases
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chiauranib (CS 2164)
5ms
Role of AURKB Inhibition in Reducing Proliferation and Enhancing Effects of Radiotherapy in Triple-Negative Breast Cancer. (PubMed, Breast Cancer (Dove Med Press))
The combination of AZD1152 at IC50 concentrations together with ionizing radiation further reduced colony formation as compared to the single agent treatment. Our data support the notion that inhibition of the AURKB pathway is a promising strategy for treatment and radiosensitization of TNBC and warrants further translational studies.
Journal
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AURKB (Aurora Kinase B)
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barasertib (AZD1152)
5ms
Mass Balance Study of [14C]Chiauranib (clinicaltrials.gov)
P=N/A, N=6, Completed, Chipscreen Biosciences, Ltd. | Recruiting --> Completed | Trial primary completion date: Nov 2023 --> Mar 2024
Trial completion • Trial primary completion date
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chiauranib (CS 2164)
5ms
Drug-induced senescence by aurora kinase inhibitors attenuates innate immune response of macrophages on gastric cancer organoids. (PubMed, Cancer Lett)
It was found that DGCs showed drug-induced senescent phenotype after treatment by aurora kinases inhibitors (AURKi) Barasertib-HQPA and Danusertib. The up-regulation of local MCP-1/CCL2 can interact with MCP-1/CCL2 receptor (CCR2) expressed on macrophages and suppress their innate immunity to cancer cells. Overall, the special response of DGC to AURKi suggests that clinicians should select a sequential therapy with senescent cell clearance after AURKi treatment for DGC.
Journal
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CCL2 (Chemokine (C-C motif) ligand 2) • CCR2 (C-C Motif Chemokine Receptor 2)
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barasertib-HQPA (AZD2811) • danusertib (PHA-739358)
5ms
New P2 trial • Metastases
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gemcitabine • albumin-bound paclitaxel • chiauranib (CS 2164)
5ms
Enrollment change • Combination therapy • Metastases
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EP0042
6ms
Coupling Kinesin Spindle Protein and Aurora B Inhibition with Apoptosis Induction Enhances Oral Cancer Cell Killing. (PubMed, Cancers (Basel))
Here, we investigated the impact of inhibiting anti-apoptotic signals with the BH3-mimetic Navitoclax in oral cancer cells treated with the selective KSP inhibitor, Ispinesib, or AurB inhibitor, Barasertib, aiming to potentiate cell death. A mechanistic analysis underlying this synergistic activity, undertaken by live-cell imaging, is presented. Our data underscore the importance of combining BH3-mimetics with antimitotics in clinical trials to maximize their effectiveness.
Journal
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AURKB (Aurora Kinase B)
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navitoclax (ABT 263) • ispinesib (SB-715992) • barasertib (AZD1152)
8ms
AURKB promotes colorectal cancer progression by triggering the phosphorylation of histone H3 at serine 10 to activate CCNE1 expression. (PubMed, Aging (Albany NY))
Furthermore, it was showed that the inhibitor specific for AURKB (AZD1152) can suppress CCNE1 expression in CRC cells and inhibit tumor cell growth. To conclude, this research demonstrates that AURKB accelerated the tumorigenesis of CRC through its potential to epigenetically activate CCNE1 expression, suggesting AURKB as a promising therapeutic target in CRC.
Journal • Epigenetic controller
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CCNE1 (Cyclin E1) • AURKB (Aurora Kinase B)
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CCNE1 expression
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barasertib (AZD1152)
8ms
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • AURKB (Aurora Kinase B)
9ms
The cell death-related genes machine learning model for precise therapy and clinical drug selection in hepatocellular carcinoma. (PubMed, J Cell Mol Med)
Moreover, our investigation has shown that AZD2014, SB505124, LJI308 and OSI-207 show a greater efficacy in patients in the low-risk category. Conversely, for the high-risk group patients, PD173074, ZM447439 and CZC24832 exhibit a stronger response...This innovative model provides a novel approach for forecasting prognosis and assessing drug sensitivity in HCC patients, driving a more personalized and efficacious treatment paradigm, elevating clinical outcomes. Nonetheless, additional research endeavours are required to confirm the model's precision and assess its potential to inform clinical decision-making for HCC patients.
Journal • Tumor mutational burden • Machine learning
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TMB (Tumor Mutational Burden)
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TMB-L
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vistusertib (AZD2014) • CZC24832 • ZM 447439
9ms
Chiauranib for Advanced Solid Malignant Tumors and Relapsed/Refractory SCLC. (clinicaltrials.gov)
P1/2, N=36, Recruiting, Chipscreen Biosciences, Ltd. | Phase classification: P1b/2 --> P1/2
Phase classification • Metastases
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chiauranib (CS 2164)
9ms
Regulation of Cell Cycle Progression through RB Phosphorylation by Nilotinib and AT-9283 in Human Melanoma A375P Cells. (PubMed, Int J Mol Sci)
In this study, we delved into the underlying mechanisms of specific BCR-ABL tyrosine kinase inhibitors (imatinib, nilotinib, ZM-306416, and AT-9283) in human melanoma A375P cells. Consequently, the expression of the E2F target genes (CCNA2, CCNE1, POLA1, and TK-1) was markedly suppressed in nilotinib and AT9283-treated A375P cells. In summary, our findings suggest that BCR-ABL tyrosine kinase inhibitors may regulate the G1-to-S transition in human melanoma A375P cells by modulating the RB-E2F complex.
Journal
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ABL1 (ABL proto-oncogene 1) • BCR (BCR Activator Of RhoGEF And GTPase) • CCNE1 (Cyclin E1) • CCNA2 (Cyclin A2) • POLA1 (DNA Polymerase Alpha 1)
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imatinib • Tasigna (nilotinib) • AT9283
10ms
DLGAP5 promotes lung adenocarcinoma growth via upregulating PLK1 and serves as a therapeutic target. (PubMed, J Transl Med)
Our research has demonstrated that DLGAP5 is upregulated in LUAD and exhibits a strong correlation with unfavorable prognosis. Furthermore, DLGAP5 assumes a significant function in the regulation of tumor immunity and treatment outcome of immune checkpoint inhibitors. Of note, we found that DLGAP5 promotes cell proliferation of LUAD via upregulating PLK1. Targeting DLGAP5 by AT9283, our newly identified DLGAP5 inhibitor, suppresses LUAD growth. DLGAP5 may become a promising prognostic biomarker and therapeutic target for patients with LUAD.
Journal • IO biomarker
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PLK1 (Polo Like Kinase 1)
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AT9283
10ms
Enrollment closed • Metastases
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denfivontinib (SKI-G-801)
10ms
Trial completion • Enrollment change
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denfivontinib (SKI-G-801)
10ms
A Phase IIII Study of AL8326 in Small Cell Lung Cancer (clinicaltrials.gov)
P3, N=243, Recruiting, Advenchen Laboratories Nanjing Ltd.
New P3 trial • Metastases
11ms
Inhibition of Aurora B kinase (AURKB) enhances the effectiveness of 5-fluorouracil chemotherapy against colorectal cancer cells. (PubMed, Br J Cancer)
AURKB inhibition may be a rational approach to augment the effectiveness of 5-FU chemotherapy in CRC.
Journal
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AURKB (Aurora Kinase B)
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5-fluorouracil • barasertib (AZD1152)
11ms
Aurora B facilitates cholangiocarcinoma progression by stabilizing c-Myc. (PubMed, Animal Model Exp Med)
Aurora B plays an essential role in CCA progression by modulating c-Myc stability and represents a new target for treatment and chemosensitization in CCA.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog)
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gemcitabine • barasertib (AZD1152)
12ms
EP0042-101: Study to Evaluate the Safety and Tolerability of EP0042 (clinicaltrials.gov)
P1/2, N=50, Recruiting, Ellipses Pharma | Trial completion date: Dec 2023 --> Dec 2025 | Trial primary completion date: Sep 2023 --> Oct 2025
Trial completion date • Trial primary completion date • Combination therapy • Metastases
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FLT3 wild-type
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EP0042
12ms
Aurora kinase B disruption suppresses pathological retinal angiogenesis by affecting cell cycle progression. (PubMed, Exp Eye Res)
In conclusion, AURKB significantly influenced pathological retinal angiogenesis, thereby presenting a promising therapeutic target in ocular neovascular diseases.
Journal
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AURKB (Aurora Kinase B)
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barasertib (AZD1152)
12ms
Probing Baicalin as potential inhibitor of Aurora kinase B: A step towards lung cancer therapy. (PubMed, Int J Biol Macromol)
Finally, cell-based studies suggested that Baicalin exhibited in-vitro cytotoxicity and anti-proliferative effects on lung cancer cell lines. Conclusively, Baicalin may be considered a promising therapeutic molecule against AURKB, adding an additional novel lead to the anti-cancer repertoire.
Journal
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AURKB (Aurora Kinase B)
almost1year
The Aurora kinase inhibitor AT9283 inhibits Burkitt lymphoma growth by regulating Warburg effect. (PubMed, PeerJ)
The reversal of the Warburg effect in BL cells and the subsequent inhibition of cell proliferation and induction of apoptosis were observed by targeting Aurora A and Aurora B with AT9283. This finding may present new therapeutic options and targets for BL.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • LDHA (Lactate dehydrogenase A) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • HK2 (Hexokinase 2) • PKM (Pyruvate Kinase M1/2)
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HIF1A expression
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AT9283
1year
Antineoplastic effects of pharmacological inhibitors of aurora kinases in CSF3R-driven cells. (PubMed, Blood Cells Mol Dis)
In the present study, the cellular and molecular effects of pharmacological inhibitors of aurora kinases, such as aurora A inhibitor I, AZD1152-HQPA, and reversine, were evaluated in Ba/F3 expressing the CSF3R mutation...Reversine more efficiently modulated genes associated with cell cycle and apoptosis compared to other drugs. In summary, our findings shed new insights into the use of AURKB inhibitors in the context of CNL.
Journal • PARP Biomarker
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ABL1 (ABL proto-oncogene 1) • CSF3R (Colony Stimulating Factor 3 Receptor) • AURKA (Aurora kinase A) • AURKB (Aurora Kinase B)
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CSF3R T618I • CSF3R mutation
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barasertib-HQPA (AZD2811)
1year
Mitotic Dysregulation at Tumor Initiation Creates a Therapeutic Vulnerability to Combination Anti-Mitotic and Pro-Apoptotic Agents for MYCN-Driven Neuroblastoma. (PubMed, Int J Mol Sci)
Prophylactic treatment using antimitotic agents barasertib and vincristine significantly delayed the onset of tumor formation, reduced pre-malignant neuroblast hyperplasia, and prolonged survival in TH-MYCN mice. Moreover, combination therapy with antimitotic compounds and BCL2 inhibitors exploited mitotic stress induced by antimitotics and was synergistically toxic to neuroblastoma cell lines. These results collectively suggest that mitotic dysregulation is a key component of tumorigenesis in early neuroblasts, which can be inhibited by the combination of antimitotic compounds and pro-apoptotic compounds in MYCN-driven neuroblastoma.
Journal • IO biomarker
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MYCN (MYCN Proto-Oncogene BHLH Transcription Factor)
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MYCN amplification • MYCN expression
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vincristine • barasertib (AZD1152)
1year
EP0042, a Dual FLT3 and Aurora Kinase Inhibitor: Results from an Ongoing Phase I/IIa Dose-Finding/Dose Optimization Study in Patients with Relapsed/Refractory Acute Myeloid Leukemia (ASH 2023)
12 patients received a prior FLT3 inhibitor including midostaurin, gilteritinib or sorafenib and 8/12 patients received ≥2 prior FLT3 inhibitors. Dose optimisation cohorts are continuing to identify the RP2D. Further cohorts are planned for evaluation of EP0042 in combination with standard of care therapies.
Clinical • P1/2 data
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FLT3 (Fms-related tyrosine kinase 3)
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FLT3-ITD mutation • FLT3 mutation • FLT3 wild-type
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sorafenib • Xospata (gilteritinib) • Rydapt (midostaurin) • EP0042
1year
High in vitro and in vivo activity of BI-847325, a dual MEK/Aurora kinase inhibitor, in human solid and hematologic cancer models. (PubMed, Cancer Res Commun)
BI-847325 showed a broader range of activity than the MEK inhibitor GDC-0623. In conclusion, dual MEK/Aurora kinase inhibition shows remarkable potential for treating multiple types of hematological and solid tumors. The combination with capecitabine was synergistic in colorectal, gastric, and mammary cancer.
Preclinical • Journal
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BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog) • MAP2K1 (Mitogen-activated protein kinase kinase 1)
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BRAF mutation • NRAS mutation
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capecitabine • BI 847325 • GDC-0623
1year
The Comprehensive Analysis of m6A-Associated Anoikis Genes in Low-Grade Gliomas. (PubMed, Brain Sci)
AT.9283, EXEL.2280, Gilteritinib, and Pracinostat had the largest correlation (absolute value) with a risk score. Four risk model genes (mRNAs), 12 miRNAs, and 21 lncRNAs formed an mRNA-miRNA-lncRNA network, containing HOXA10-hsa-miR-129-5p-LINC00689 and KIF18A-hsa-miR-221-3p-DANCR. Through bioinformatics, we constructed a prognostic model of m6A-associated anoikis genes in LGG, providing new ideas for research related to the prognosis and treatment of LGG.
Journal • BRCA Biomarker
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BRCA1 (Breast cancer 1, early onset) • CD4 (CD4 Molecule) • MIR221 (MicroRNA 221) • ANXA5 (Annexin A5) • DANCR (Differentiation Antagonizing Non-Protein Coding RNA) • KIF18A (Kinesin Family Member 18A) • MIR129 (MicroRNA 129)
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Xospata (gilteritinib) • pracinostat (SB939) • AT9283