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DRUG CLASS:

CYP11A1 inhibitor

2ms
Enrollment open
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opevesostat (MK-5684)
2ms
Trial completion
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opevesostat (MK-5684)
2ms
New P1 trial
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opevesostat (MK-5684)
2ms
Enrollment open
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opevesostat (MK-5684)
3ms
A Drug-Drug Interaction Study of Diltiazem and MK-5684 in Healthy Adult Male Participants (MK-5684-011) (clinicaltrials.gov)
P1, N=12, Completed, Merck Sharp & Dohme LLC | Active, not recruiting --> Completed
Trial completion
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prednisone • opevesostat (MK-5684)
4ms
A Study of Opevesostat (MK-5684) in China Participants With Metastatic Castration-Resistant Prostate Cancer (mCRPC) (MK-5684-001) (clinicaltrials.gov)
P1, N=14, Active, not recruiting, Merck Sharp & Dohme LLC | Trial completion date: Oct 2027 --> Mar 2027 | Trial primary completion date: Apr 2026 --> Sep 2025
Trial completion date • Trial primary completion date • Metastases
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opevesostat (MK-5684)
4ms
New P1 trial
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prednisone • opevesostat (MK-5684)
4ms
Enrollment closed • Metastases
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opevesostat (MK-5684)
5ms
Opevesostat (MK-5684/ODM-208), an oral CYP11A1 inhibitor, in metastatic castration-resistant prostate cancer (mCRPC): Updated CYPIDES phase II results (ESMO 2024)
53.0% and 36.8% had previously received both abiraterone and enzalutamide, and 69.7% and 64.7% had received cabazitaxel in patients with and without AR-LBD mutation respectively. Administration of Opevesostat to heavily pre-treated mCRPC patients shows promising antitumor activity. PSA50 responses were most frequent among patients harbouring activating AR-LBD mutations.
P2 data • Metastases
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AR positive • AR mutation
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Guardant360® CDx
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Xtandi (enzalutamide) • abiraterone acetate • cabazitaxel • opevesostat (MK-5684)
7ms
Enrollment open
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Lynparza (olaparib) • docetaxel • cabazitaxel • opevesostat (MK-5684)
7ms
Enrollment closed • Metastases
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opevesostat (MK-5684)
8ms
Metabolic activation and cytochrome P450 inhibition of piperlonguminine mediated by CYP3A4. (PubMed, Int J Biol Macromol)
Additionally, in microsomes where N-acetylcysteine was used as a trapping agent, N-acetylcysteine conjugates (M3, M4, M5 and M6) of four isomeric O-quinone-derived reactive metabolites were found...The IC50 shift assay showed time-dependent inhibition of CYP3A4, 2C9, 2E1, 2C8 and 2D6 by PLG. This research contributes to the understanding of PLG-induced enzyme inhibition and bioactivation.
Journal
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
8ms
A Study of MK-5684 in China Participants With Metastatic Castration-Resistant Prostate Cancer (mCRPC) (MK-5684-001) (clinicaltrials.gov)
P1, N=14, Recruiting, Merck Sharp & Dohme LLC | Trial completion date: Feb 2026 --> Oct 2027 | Trial primary completion date: Oct 2025 --> Apr 2026
Trial completion date • Trial primary completion date • Metastases
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opevesostat (MK-5684)
8ms
New P1/2 trial • Metastases
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Lynparza (olaparib) • docetaxel • cabazitaxel • opevesostat (MK-5684)
8ms
Targeting androgen biosynthesis in prostate cancer: implications on endocrine physiology. (PubMed, Curr Opin Oncol)
Agents targeting androgen biosynthesis can have systemic implications. Balancing management of prostate cancer with better understanding of the mechanisms associated with potential side effects will allow for patients to obtain improved antitumor benefit while mitigating against treatment-associated adverse effects.
Journal
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CYP17A1 (Cytochrome P450 Family 17 Subfamily A Member 1)
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opevesostat (MK-5684)
10ms
Targeted Inhibition of CYP11A1 in Castration-Resistant Prostate Cancer. (PubMed, NEJM Evid)
In the Original Article, "Targeted Inhibition of CYP11A1 in Castration-Resistant Prostate Cancer", originally published December 26, 2023 (DOI: https://doi.org/10.1056/EVIDoa2300171), in the Abstract, under "Background", the sentence "ODM-208, a novel inhibitor of cytochrome P450 17A1 …" should have read "ODM-208, a novel inhibitor of cytochrome P450 11A1…" A corrected version of the article has been posted at evidence.nejm.org.
Journal
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CYP17A1 (Cytochrome P450 Family 17 Subfamily A Member 1)
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opevesostat (MK-5684)
11ms
STESIDES: Safety and Pharmacokinetics of ODM-209 (clinicaltrials.gov)
P1/2, N=38, Completed, Orion Corporation, Orion Pharma | Active, not recruiting --> Completed
Trial completion
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative
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ODM-209
11ms
CYPIDES: Safety and Pharmacokinetics of ODM-208 in Patients With Metastatic Castration-resistant Prostate Cancer (clinicaltrials.gov)
P1/2, N=204, Active, not recruiting, Orion Corporation, Orion Pharma | Recruiting --> Active, not recruiting | Trial completion date: Sep 2024 --> Dec 2024 | Trial primary completion date: Sep 2024 --> Dec 2024
Enrollment closed • Trial completion date • Trial primary completion date • Metastases
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opevesostat (MK-5684) • midazolam hydrochloride
11ms
Enrollment open • Metastases
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opevesostat (MK-5684)
11ms
Study of MK-5684 Versus Alternative NHA in mCRPC (MK-5684-003) (clinicaltrials.gov)
P3, N=1200, Recruiting, Merck Sharp & Dohme LLC | Not yet recruiting --> Recruiting | Trial completion date: Jun 2029 --> Aug 2028
Enrollment open • Trial completion date • Metastases
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AR mutation
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Xtandi (enzalutamide) • abiraterone acetate • prednisone • dexamethasone • opevesostat (MK-5684) • Yonsa (abiraterone acetate)
12ms
Enrollment open • Metastases
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Xtandi (enzalutamide) • abiraterone acetate • prednisone • dexamethasone • opevesostat (MK-5684) • Yonsa (abiraterone acetate)
1year
MK-5684 (ODM-208), a CYP11A1 inhibitor, in patients with metastatic castration-resistant prostate cancer (mCRPC) with and without AR-LBD mutations: CYPIDES phase 2 results. (ASCO-GU 2024)
53% and 33.8% of patients had previously received both abiraterone and enzalutamide, and 63.6% and 55.9% patients had received cabazitaxel in AR-LBD mutation positive and negative groups respectively. Administration of MK-5684 to heavily pre-treated mCRPC patients showed promising antitumor activity. PSA50 responses were most frequent among patients harboring activating AR-LBD mutations. Clinical trial information: NCT03436485.
P2 data • Clinical • Metastases
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AR positive • AR mutation
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Guardant360® CDx
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Xtandi (enzalutamide) • abiraterone acetate • cabazitaxel • opevesostat (MK-5684)
1year
Enrollment open • Metastases
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opevesostat (MK-5684)
1year
New P1 trial • Metastases
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opevesostat (MK-5684)
1year
Study of MK-5684 Versus Alternative NHA in mCRPC (MK-5684-003) (clinicaltrials.gov)
P3, N=1200, Not yet recruiting, Merck Sharp & Dohme LLC
New P3 trial • Metastases
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Xtandi (enzalutamide) • abiraterone acetate • prednisone • dexamethasone • opevesostat (MK-5684) • Yonsa (abiraterone acetate)
1year
New P3 trial • Metastases
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Xtandi (enzalutamide) • abiraterone acetate • prednisone • dexamethasone • opevesostat (MK-5684) • Yonsa (abiraterone acetate)
1year
New P1 trial • Metastases
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opevesostat (MK-5684)
almost2years
Characterization of Novel Derivatives of MBQ-167, an inhibitor of the GTP-binding proteins Rac/Cdc42. (PubMed, Cancer Res Commun)
However, MBQ-168 is ~10X less potent than MBQ-167 at inhibiting CYP3A4, thus demonstrating its utility in relevant combination therapies. In conclusion, the MBQ-167 derivatives MBQ-168 and EHop-097 are additional promising anti metastatic cancer compounds with similar and distinct mechanisms.
Journal
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RAC1 (Rac Family Small GTPase 1) • CDC42 (Cell Division Cycle 42) • CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
almost2years
Androgen receptor (AR) mutations in men with metastatic castration-resistant prostate cancer (mCRPC): Incidence and natural history. (ASCO-GU 2023)
Two early phase trials investigating CYP11A1 inhibitors - CYPIDES (ODM208, NCT03436485) and STESIDES (ODM209, NCT03878823) - recruited mCRPC patients with and without pre-specified AR LBD mutation...Overall, 212 (78%), 202 (74%), and 240 (88%) patients had received previous abiraterone, enzalutamide, and docetaxel respectively... AR LBD mutations were detected in ctDNA in 25% of men with advanced mCRPC treated with at least one ARSI. Their incidence was associated with a longer duration of treatment with enzalutamide and a longer time from CRPC and prostate cancer diagnosis. >
Metastases
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AR (Androgen receptor) • STING (stimulator of interferon response cGAMP interactor 1)
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AR mutation • AR T878A • AR F877L • AR H875Y • AR L702H
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Guardant360® CDx • FoundationOne® Liquid CDx
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docetaxel • Xtandi (enzalutamide) • abiraterone acetate • opevesostat (MK-5684) • ODM-209
almost2years
STESIDES: Safety and Pharmacokinetics of ODM-209 (clinicaltrials.gov)
P1/2, N=38, Active, not recruiting, Orion Corporation, Orion Pharma | Trial completion date: Jan 2023 --> Oct 2023 | Trial primary completion date: Jan 2023 --> Oct 2023
Trial completion date • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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ER positive • HER-2 negative
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ODM-209
2years
New P2 trial
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ABL1 (ABL proto-oncogene 1)
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dasatinib
2years
Clinical Pharmacokinetics and Pharmacodynamics of Rucaparib. (PubMed, Clin Pharmacokinet)
Rucaparib weakly increased systemic exposures of oral contraceptives and oral rosuvastatin and marginally increased the exposure of oral digoxin (a P-glycoprotein substrate). An exposure-response analysis revealed dose-dependent changes in selected clinical efficacy and safety endpoints. Overall, this article provides a comprehensive review of the clinical pharmacokinetics, pharmacodynamics, drug-drug interactions, effects of intrinsic and extrinsic factors, and exposure-response relationships of rucaparib.
PK/PD data • Review • Journal • BRCA Biomarker • PARP Biomarker
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • SLC22A1 (Solute Carrier Family 22 Member 1)
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BRCA2 mutation • BRCA1 mutation
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Rubraca (rucaparib)
2years
Discovery of HZ-L105, a Next Generation of Bcl-2 Inhibitor, Overcomes Bcl-2 Mutation and Exhibits Superior Antitumor Activity (ASH 2022)
In summary, HZ-L105 as a next generation Bcl-2 inhibitor, showed great potency on wild type and acquisition resistance mutations of Bcl-2 in vitro, excellent oral bioavailability, superior anti-tumor activities on preclinical xenograft model, and safety profiles,. It may provide new thoughts on treatment for a wide range of Bcl-2-dependent and Venetoclax-resistant hematological cancers.
IO biomarker
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BCL2L1 (BCL2-like 1)
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BCL2 mutation • BCL2 G101V
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Venclexta (venetoclax)
2years
Induction of synergistic apoptosis by tetramethoxystilbene and nutlin-3a in human cervical cancer cells. (PubMed, Toxicol Res)
In addition, combination treatment significantly enhanced the translocation of AIF to the nucleus in HeLa cells. In conclusion, the results demonstrate that the combination of TMS and nutlin-3a induces synergistic apoptosis in HeLa cells, suggesting the possibility that this combination can be applied as a novel therapeutic strategy for cervical cancer.
Journal
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TP53 (Tumor protein P53) • CASP3 (Caspase 3) • XIAP (X-Linked Inhibitor Of Apoptosis) • CYP1B1 (Cytochrome P450 Family 1 Subfamily B Member 1)
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Nutlin-3
2years
Autophagy (but not metabolism) is a key event in mitoxantrone-induced cytotoxicity in differentiated AC16 cardiac cells. (PubMed, Arch Toxicol)
When assessing the effect of different inhibitors/inducers of metabolism, it was observed that metyrapone (a cytochrome P450 inhibitor) and phenobarbital (a cytochrome P450 inducer) slightly increased MTX cytotoxicity, while 1-aminobenzotriazole (a suicide cytochrome P450 inhibitor) decreased fairly the MTX-triggered cytotoxicity in differentiated AC16 cells. When focusing in autophagy, the mTOR inhibitor rapamycin and the autophagy inhibitor 3-methyladenine exacerbated the cytotoxicity caused by MTX and NAPHT, while the autophagy blocker, chloroquine, partially reduced the cytotoxicity of MTX...In conclusion, in our in vitro model, neither metabolism nor exogenously given NAPHT are major contributors to MTX toxicity as seen by the residual influence of metabolism modulators used on the observed cytotoxicity and by NAPHT's low cytotoxicity profile. Conversely, autophagy is involved in MTX-induced cytotoxicity and MTX seems to act as an autophagy inducer, possibly through p62/LC3-II involvement.
Journal
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ATG5 (Autophagy Related 5) • BECN1 (Beclin 1)
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sirolimus • mitoxantrone • chloroquine phosphate
2years
Effect of capmatinib on the pharmacokinetics of substrates of CYP3A (midazolam) and CYP1A2 (caffeine) in patients with MET-dysregulated solid tumours. (PubMed, Br J Clin Pharmacol)
Data from this study demonstrated that capmatinib is a moderate CYP1A2 inhibitor. Capmatinib administration did not cause any clinically relevant changes in midazolam exposure.
PK/PD data • Journal
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CYP1A2 (Cytochrome P450, family 1, subfamily A, polypeptide 2)
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Tabrecta (capmatinib) • midazolam hydrochloride
over2years
Pharmacokinetic Drug-Drug Interaction Studies Between Trilaciclib and Midazolam, Metformin, Rifampin, Itraconazole, and Topotecan in Healthy Volunteers and Patients with Extensive-Stage Small-Cell Lung Cancer. (PubMed, Clin Drug Investig)
Overall, the drug-drug interaction and safety profiles of trilaciclib in these studies support its continued use in patients with extensive-stage small-cell lung cancer.
PK/PD data • Clinical Trial,Phase I • Journal
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SLC22A1 (Solute Carrier Family 22 Member 1)
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topotecan • metformin • Cosela (trilaciclib) • itraconazole • midazolam hydrochloride • rifampicin
over2years
Preliminary phase II results of the CYPIDES study of ODM-208 in metastatic castration-resistant prostate (mCRPC) cancer patients (ESMO 2022)
51% patients had previously received both abiraterone and enzalutamide, and 65% patients both docetaxel and cabazitaxel. Conclusions Administration of ODM-208 to heavily pre-treated mCRPC patients with AR LBD mutation was highly effective in blocking the production of steroid hormones and showed promising antitumor activity. NCT03436485.
P2 data • Clinical
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AR mutation
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Guardant360® CDx
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docetaxel • Xtandi (enzalutamide) • abiraterone acetate • cabazitaxel • opevesostat (MK-5684)