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DRUG CLASS:

CDK5 inhibitor

Associations
5ms
A Phase I/II Study of Zotiraciclib for Recurrent Malignant Gliomas With Isocitrate Dehydrogenase 1 or 2 (IDH1 or IDH2) Mutations (clinicaltrials.gov)
P1/2, N=96, Recruiting, National Cancer Institute (NCI) | Trial completion date: Aug 2029 --> Aug 2032 | Trial primary completion date: Aug 2025 --> Aug 2028
Trial completion date • Trial primary completion date
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IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2)
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IDH2 mutation
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TruSight Oncology 500 Assay
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zotiraciclib (TG02)
8ms
Exploiting the therapeutic vulnerability of IDH-mutant gliomas with zotiraciclib. (PubMed, iScience)
We posit that the combination of mitochondrial dysfunction and an inability to adapt to oxidative stress resulted in significant cell death upon ZTR treatment, ultimately increasing the therapeutic vulnerability of IDH-mutant gliomas. These findings prompted a clinical trial evaluating ZTR in IDH-mutant gliomas (NCT05588141).
Journal
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CDK9 (Cyclin Dependent Kinase 9)
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zotiraciclib (TG02)
11ms
A non-randomised open-label exploratory 'window of opportunity' study of TG02 treatment in patients with locally advanced primary and recurrent RAS mutant colorectal cancer. (PubMed, Heliyon)
Low numbers limit conclusive clinical outcome reporting. High PD-1 expression on post-treatment TILs encourages the addition of an immune checkpoint inhibitor to TG02 and potentially other studies of peptide vaccines in future studies.
Journal • PD(L)-1 Biomarker • IO biomarker
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KRAS (KRAS proto-oncogene GTPase) • RAS (Rat Sarcoma Virus) • CSF2 (Colony stimulating factor 2)
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KRAS mutation • RAS mutation • PD-1 overexpression • PD-1 expression
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zotiraciclib (TG02) • TG02
1year
A new knockin mouse carrying the E364X patient mutation for CDKL5 deficiency disorder: neurological, behavioral and molecular profiling. (PubMed, Heliyon)
A targeted analysis to study synaptic plasticity in cerebellum and hippocampus showed reduced Gabra1 and Gabra5 expression levels in females, whereas Gabra1 expression was increased in males, suggesting an opposite, sex-dependent regulation of the GABA receptor expression already described in humans. In conclusion, the novel Cdkl5E364X mouse model is characterized by robust neurological and neurobehavioral alterations, associated with a molecular profile related to synaptic function indicative of a cerebellar GABAergic hypofunction, pointing to Gabra1 and Gabra5 as novel druggable target candidates for CDD.
Preclinical • Journal
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CDKL5 (Cyclin Dependent Kinase Like 5)
1year
EphrinB2-mediated CDK5/ISL1 pathway enhances cardiac lymphangiogenesis and alleviates ischemic injury by resolving post-MI inflammation. (PubMed, Signal Transduct Target Ther)
EphrinB2 enhanced the transcriptional activity of ISL1 at the VEGFR3 (FLT4) promoter, and VEGFR3 inhibitor MAZ51 significantly diminished the EphrinB2-mediated lymphangiogenesis and deteriorated the ischemic cardiac function. We uncovered a novel mechanism of EphrinB2-driven cardiac lymphangiogenesis in improving myocardial remodeling and function after MI.
Journal
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FLT4 (Fms-related tyrosine kinase 4) • LYVE1 (Lymphatic vessel endothelial hyaluronan receptor 1)
1year
PI3K/Akt inhibition promotes AR activity and prostate cancer cell proliferation through p35-CDK5 modulation. (PubMed, Biochim Biophys Acta Mol Basis Dis)
Inhibiting PI3K/Akt with LY294002, Capivasertib (AZD5363), or using an inactive Akt mutant significantly increased p35 expression and subsequently enhanced AR stability and activation in PCa cells. Importantly, CDK5 knockdown further reduced PI3K/Akt-inhibition-induced AR and cell viability maintenance, suggesting a compensatory role for CDK5-AR in maintaining cell viability under Akt inhibition. In conclusion, PI3K/Akt inhibition could trigger p35-CDK5-dependent AR activation and cell viability, highlighting p35-CDK5 as a critical link connecting PI3K/Akt inhibition to AR activation and pivotal in PCa cell resistance to PI3K/Akt blockade.
Journal
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PTEN (Phosphatase and tensin homolog) • AR (Androgen receptor) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • STAT3 (Signal Transducer And Activator Of Transcription 3) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • EGR1 (Early Growth Response 1)
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Truqap (capivasertib) • LY294002
1year
Efficacy and Safety Evaluation of Hyperthermic Baths in the Treatment of Seizures in Children With CDKL5 Deficiency (clinicaltrials.gov)
P=N/A, N=8, Recruiting, Xuanwu Hospital, Beijing | Not yet recruiting --> Recruiting | Initiation date: Jun 2024 --> Sep 2024
Enrollment open • Trial initiation date
1year
Prenatal p25-activated Cdk5 induces pituitary tumorigenesis through MCM2 phosphorylation-mediated cell proliferation. (PubMed, Neoplasia)
Silencing Cdk5 or Mcm2 suppressed cell proliferation and colony formation in the 293T cell lines. Therefore, our findings provide a new mouse model of intermediate lobe-originated pituitary adenoma induced by p25/Cdk5 and unveil a previously unappreciated role of Cdk5 and Mcm2 in pituitary adenoma tumorigenesis.
Journal
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MCM2 (Minichromosome maintenance complex component 2)
1year
Reciprocal regulation of oxidative stress and mitochondrial fission augments parvalbumin downregulation through CDK5-DRP1- and GPx1-NF-κB signaling pathways. (PubMed, Cell Death Dis)
N-acetylcysteine (NAC), roscovitine and Mdivi-1 ameliorated SE-induced PV neuronal degeneration by mitigating CDK5 Y15 hyperphosphorylation, aberrant mitochondrial fragmentation and reduced GPx1-mediated NF-κB inhibition. Furthermore, SN50 (a NF-κB inhibitor) alleviated SE-induced PV neuronal degeneration, independent of dysregulation of mitochondrial fission, CDK5 hyperactivation and GPx1 downregulation. These findings provide an evidence that oxidative stress may activate CDK5-DRP1- and GPx1-NF-κB-mediated signaling pathways, which would be possible therapeutic targets for preservation of PV neurons in various diseases.
Journal
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CDK5 (Cyclin Dependent Kinase 5)
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seliciclib (CYC202)
1year
Astrocyte-induced Cdk5 expedites breast cancer brain metastasis by suppressing MHC-I expression to evade immune recognition. (PubMed, Nat Cell Biol)
Treatment with roscovitine-a clinically applicable Cdk5 inhibitor-alone or combined with immune checkpoint inhibitors, significantly reduces BrM burden and increases tumour-infiltrating functional CD8+ lymphocytes in mice. Thus, astrocyte-induced Cdk5 overexpression endorses BrM immune evasion, whereas therapeutically targeting Cdk5 markedly improves the efficacy of immune checkpoint inhibitors and inhibits BrM growth.
Journal • IO biomarker
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CD8 (cluster of differentiation 8) • NLRC5 (NLR Family CARD Domain Containing 5) • CDK5 (Cyclin Dependent Kinase 5)
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seliciclib (CYC202)
1year
Double-blind, Randomized, Placebo-controlled Trial of Ganaxolone in CDKL5 Deficiency Patients 6 Months to Less Than 2 Years Old (clinicaltrials.gov)
P3, N=20, Not yet recruiting, Marinus Pharmaceuticals | Trial completion date: Dec 2024 --> Mar 2027 | Trial primary completion date: Dec 2024 --> Dec 2026
Trial completion date • Trial primary completion date
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CDKL5 (Cyclin Dependent Kinase Like 5)
over1year
CDK5RAP3 Inhibition by Hypoxia Activates P38MAPK to Facilitate Angiogenesis. (PubMed, Int Heart J)
CDK5RAP3 exhibits a clear regulatory role in vascular regeneration, as downregulating its expression in endothelial cells enhances VEGF synthesis and subsequently improves cell migration and lumen formation capability. This study presents evidence indicating that moderate hypoxia facilitates angiogenesis by inhibiting CDK5RAP3, demonstrating the potential for CKD5RAP3 to be a potent antiangiogenic agent in angiogenesis regulation of cancer, ischemic diseases, and wound healing.
Journal
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CHEK2 (Checkpoint kinase 2) • CHEK1 (Checkpoint kinase 1) • PPM1D (Protein Phosphatase Mg2+/Mn2+ Dependent 1D)