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DRUG CLASS:

Galectin inhibitor

12ms
Enrollment change • Trial withdrawal • Metastases
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CD8 (cluster of differentiation 8) • IL2RA (Interleukin 2 receptor, alpha) • CCR7 (Chemokine (C-C motif) receptor 7) • CD27 (CD27 Molecule) • LGALS3 (Galectin 3) • FAS (Fas cell surface death receptor) • FOXP3 (Forkhead Box P3) • ISG20 (Interferon Stimulated Exonuclease Gene 20)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
12ms
GR-MD-02 Plus Pembrolizumab in Melanoma, Non-small Cell Lung Cancer, and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P1, N=36, Completed, Providence Health & Services | Active, not recruiting --> Completed | N=22 --> 36 | Trial completion date: May 2025 --> Oct 2022
Trial completion • Enrollment change • Trial completion date • Metastases
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BRAF (B-raf proto-oncogene) • CD4 (CD4 Molecule)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
1year
GR-MD-02 + Pembrolizumab Versus Pembrolizumab Monotherapy in Melanoma and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P2, N=92, Suspended, Providence Health & Services | Trial completion date: Mar 2031 --> Jul 2031 | Trial primary completion date: Mar 2027 --> Jul 2027
Trial completion date • Trial primary completion date • Metastases
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CD8 (cluster of differentiation 8) • IL2RA (Interleukin 2 receptor, alpha) • CCR7 (Chemokine (C-C motif) receptor 7) • CD27 (CD27 Molecule) • LGALS3 (Galectin 3) • FAS (Fas cell surface death receptor) • FOXP3 (Forkhead Box P3) • ISG20 (Interferon Stimulated Exonuclease Gene 20)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
1year
Galectin-9 and PD-L1 antibody blockade combination therapy inhibits tumour progression in pancreatic cancer. (PubMed, Immunotherapy)
Furthermore, in a murine model of PDAC, combined anti-galectin-9 and anti-PD-L1 treatment was associated with a greater decrease in tumor growth compared with treatment with either antibody therapy alone. Anti-PD-L1 antibody treatment for PDAC patients may be enhanced by inhibiting galectin-9.
Journal • Combination therapy • PD(L)-1 Biomarker • IO biomarker
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LGALS9 (Galectin 9)
over1year
GR-MD-02 + Pembrolizumab Versus Pembrolizumab Monotherapy in Melanoma and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P2, N=92, Suspended, Providence Health & Services | Trial completion date: Dec 2030 --> Mar 2031 | Trial primary completion date: Dec 2026 --> Mar 2027
Trial completion date • Trial primary completion date • Metastases
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CD8 (cluster of differentiation 8) • IL2RA (Interleukin 2 receptor, alpha) • CCR7 (Chemokine (C-C motif) receptor 7) • CD27 (CD27 Molecule) • LGALS3 (Galectin 3) • FAS (Fas cell surface death receptor) • FOXP3 (Forkhead Box P3)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
over1year
Galectin-1 and Galectin-3 in B-Cell Precursor Acute Lymphoblastic Leukemia. (PubMed, Int J Mol Sci)
Plant-derived carbohydrates GM-CT-01 and GR-MD-02 were used to inhibit extracellular Galectin-1/-3 binding to BCP-ALL cells in co-culture with stromal cells. Treatment with these compounds attenuated migration of the BCP-ALL cells to stromal cells and sensitized human BCP-ALL cells to vincristine and the targeted tyrosine kinase inhibitor nilotinib...Taken together, our results indicate a complicated joint contribution of Galectin-1 and Galectin-3 to BCP-ALL survival, with different roles for endogenous and stromal produced Galectins. These data indicate it will be important to efficiently block both extracellular and intracellular Galectin-1 and Galectin-3 with the goal of reducing BCP-ALL persistence in the protective bone marrow niche during chemotherapy.
Journal
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LGALS1 (Galectin 1) • LGALS3 (Galectin 3) • ST6GAL1 (ST6 Beta-Galactoside Alpha-2,6-Sialyltransferase 1)
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Tasigna (nilotinib) • vincristine • Davanat (galactomannan) • belapectin (GR-MD-02)
over1year
Galectin-1, a novel promising target for outcome prediction and treatment in SCLC. (PubMed, Biomed Pharmacother)
in this study, high levels of Gal-1 and PLR were associated with poorer OS in SCLC patients, supporting their utility as clinical prognostic biomarkers. Moreover, the in vivo model suggests the inhibition of Gal-1 as a novel potential therapy for this disease with very poor prognosis.
Journal
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LGALS1 (Galectin 1)
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OTX-008
over1year
GR-MD-02 + Pembrolizumab Versus Pembrolizumab Monotherapy in Melanoma and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P2, N=92, Suspended, Providence Health & Services | Trial completion date: Aug 2030 --> Dec 2030 | Trial primary completion date: Aug 2026 --> Dec 2026
Trial completion date • Trial primary completion date
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CD8 (cluster of differentiation 8) • IL2RA (Interleukin 2 receptor, alpha) • CCR7 (Chemokine (C-C motif) receptor 7) • CD27 (CD27 Molecule) • LGALS3 (Galectin 3) • FAS (Fas cell surface death receptor) • FOXP3 (Forkhead Box P3)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
almost2years
The LMP1/Lgals1-NF-Kb-IRF1-PDL1 Axis Promotes Immune Escape in Nasopharyngeal Carcinoma (ASTRO 2022)
Our findings reveal a regulatory axis for programmed death ligand 1 (PD-L1) expression in NPC cells, and targeting one component in this axis, Lgals1, is effective in boosting the immunogenicity of NPCs, providing a therapeutic avenue for treating NPC in clinic.
PD(L)-1 Biomarker • IO biomarker
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LGALS1 (Galectin 1) • IRF1 (Interferon Regulatory Factor 1)
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PD-L1 expression • IRF1 expression
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OTX-008
almost2years
GR-MD-02 Plus Pembrolizumab in Melanoma, Non-small Cell Lung Cancer, and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P1, N=22, Active, not recruiting, Providence Health & Services | Trial primary completion date: May 2022 --> May 2023
Trial primary completion date
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BRAF (B-raf proto-oncogene) • CD4 (CD4 Molecule)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
almost2years
KIT Mutations Correlate with Higher Galectin Levels and Brain Metastasis in Breast and Non-Small Cell Lung Cancer. (PubMed, Cancers (Basel))
Changes in protein trafficking and the glycocalyx composition of cancer cells may explain the observed alterations in galectin expression. This study can be useful for the targeted selection of receptor tyrosine kinase and galectin inhibitor anti-cancer treatments.
Journal
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KIT (KIT proto-oncogene, receptor tyrosine kinase) • LGALS1 (Galectin 1)
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KIT mutation • KIT M541L
2years
Non-coding FLT3 Mutation is Associated with Lower Galectin Levels in Breast Cancer Patients. (PubMed, FASEB J)
While galectins are known to influence spatial organization and trafficking of this class of RTKs, no specific relationship has been elucidated between galectins -1 and -9 and FLT3. Our results indicate a potential interaction of clinical significance between FLT3 and galectins -1 and -9, the mechanism of which needs to be investigated further.
Journal
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FLT3 (Fms-related tyrosine kinase 3) • LGALS1 (Galectin 1) • LGALS9 (Galectin 9)
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FLT3 mutation
2years
GR-MD-02 + Pembrolizumab Versus Pembrolizumab Monotherapy in Melanoma and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P2, N=92, Suspended, Providence Health & Services | Initiation date: Jan 2022 --> Jul 2022
Trial initiation date
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CD8 (cluster of differentiation 8) • IL2RA (Interleukin 2 receptor, alpha) • CCR7 (Chemokine (C-C motif) receptor 7) • CD27 (CD27 Molecule) • LGALS3 (Galectin 3) • FAS (Fas cell surface death receptor) • FOXP3 (Forkhead Box P3)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
2years
Novel therapy targeting mutant-KRASG12D and galectin-1 in pancreatic cancer (AACR 2022)
This gene therapy targeting KRAS G12D mutation with a Gal-1 inhibition has a potential to modulate the oncogenic network and tumor microenvironment resulting in the repression of growth, metastasis, chemoresistance, and improvement in patient survival. This study will develop a novel sustainable therapeutic approach to target PDAC growth and improve patient survivability.
PARP Biomarker • PD(L)-1 Biomarker • IO biomarker
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KRAS (KRAS proto-oncogene GTPase) • BCL2 (B-cell CLL/lymphoma 2) • LGALS1 (Galectin 1) • BAX (BCL2-associated X protein)
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KRAS mutation • KRAS G12D • KRAS G12 • KRAS expression
over2years
GR-MD-02 Plus Pembrolizumab in Melanoma, Non-small Cell Lung Cancer, and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P1, N=22, Active, not recruiting, Providence Health & Services | Trial completion date: Oct 2021 --> May 2025 | Trial primary completion date: Oct 2021 --> May 2022
Trial completion date • Trial primary completion date
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BRAF (B-raf proto-oncogene) • CD4 (CD4 Molecule)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
over2years
Effects of galectin-1 inhibitor OTX008 on oral squamous cell carcinoma cells in vitro and the role of AP-1 and the MAPK/ERK pathway. (PubMed, Arch Oral Biol)
OTX008 decreased the viability of OSCC and NOK cells in a dose-dependent manner. The significant regulation of FOS suggests OTX008 causes early induction of the MAPK pathway via the immediate response gene FOS as a subunit of the AP-1 complex.
Preclinical • Journal
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LGALS1 (Galectin 1) • FOS (Fos Proto-Oncogene AP-1 Transcription Factor Subunit 2)
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OTX-008
over2years
Human umbilical cord mesenchymal stem cell-derived exosomes carrying hsa-miRNA-128-3p suppress pancreatic ductal cell carcinoma by inhibiting Galectin-3. (PubMed, Clin Transl Oncol)
Hsa-miRNA-128-3p could be considered as a potential therapy for pancreatic cancer. We provided a new idea for targeted therapy of PDAC.
Journal
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LGALS3 (Galectin 3)
over2years
RASSF1A independence and early galectin-1 upregulation in PIK3CA-induced hepatocarcinogenesis: new therapeutic venues. (PubMed, Mol Oncol)
Galectin-1, which was commonly upregulated in preneoplastic lesions and tumors, emerged as a regulator of SCD1. Co-inhibitory treatment with PIK3CA inhibitors and the galectin-1 inhibitor OTX-008 resulted in synergistic cytotoxicity in human HCC cell lines, suggesting novel therapeutic venues.
Journal
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • LGALS1 (Galectin 1) • FASN (Fatty acid synthase) • RASSF1 (Ras Association Domain Family Member 1) • SCD (Stearoyl-CoA Desaturase)
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PIK3CA mutation • PIK3CA H1047R • PIK3CA E545K • PIK3CA E545
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Piqray (alpelisib) • OTX-008
over2years
Single-Cell RNA Sequencing Suggests Novel Drivers of Chronic Lymphocytic Leukemia Patients with Ibrutinib Resistance (ASH 2021)
In conclusion, our findings demonstrate that ibrutinib-resistant CLL cells exhibit a unique transcriptional pattern. The combination of LGALS1 and LAG3 expression could serve as an indicator of the sensitivity of ibrutinib and prognosis of CLL patients. LGALS1 inhibitor OTX008 helps to overcome ibrutinib-resistance of CLL cells.
Clinical • IO biomarker
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LAG3 (Lymphocyte Activating 3) • LGALS1 (Galectin 1)
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LAG3 expression
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Imbruvica (ibrutinib) • OTX-008
over2years
GR-MD-02 + Pembrolizumab Versus Pembrolizumab Monotherapy in Melanoma and Squamous Cell Head and Neck Cancer Patients (clinicaltrials.gov)
P2, N=92, Suspended, Providence Health & Services | Initiation date: Aug 2021 --> Jan 2022 | Not yet recruiting --> Suspended
Clinical • Trial initiation date • Trial suspension
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CD8 (cluster of differentiation 8) • IL2RA (Interleukin 2 receptor, alpha) • CCR7 (Chemokine (C-C motif) receptor 7) • CD27 (CD27 Molecule) • LGALS3 (Galectin 3) • FAS (Fas cell surface death receptor) • FOXP3 (Forkhead Box P3)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
over2years
Transcriptional control of brain tumor stem cells by a carbohydrate binding protein. (PubMed, Cell Rep)
Importantly, we establish that galectin1 forms a complex with the transcription factor HOXA5 to reprogram the BTSC transcriptional landscape. Our data unravel an oncogenic signaling pathway by which the galectin1/HOXA5 complex maintains BTSCs and promotes glioblastoma.
Journal
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STAT3 (Signal Transducer And Activator Of Transcription 3)
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STAT3 expression
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OTX-008
almost3years
Clinical • New P2 trial
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CD8 (cluster of differentiation 8) • IL2RA (Interleukin 2 receptor, alpha) • CCR7 (Chemokine (C-C motif) receptor 7) • CD27 (CD27 Molecule) • LGALS3 (Galectin 3) • FAS (Fas cell surface death receptor) • FOXP3 (Forkhead Box P3)
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Keytruda (pembrolizumab) • belapectin (GR-MD-02)
almost3years
New Treatment Strategy Targeting Galectin-1 against Thyroid Cancer. (PubMed, Cells)
Finally, the sensitive 8505c line was xenografted in nude mice, and 3 weeks of OTX008 treatment (5 mg/kg/day) demonstrated a significant reduction in tumor and lung metastasize sizes without side effects. Overall, OXT008 showed significant anti-cancer effects both in vitro and in vivo in thyroid cancer lines expressing Gal-1, supporting further investigation of the molecular mechanisms of the drug and future clinical trials in patients with anaplastic thyroid cancer.
Journal
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NOS3 (Nitric oxide synthase 3)
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OTX-008
almost3years
[VIRTUAL] Biochemical regulation of expression of immunosuppressive proteins galectin-9 and VISTA in human cancer and embryonic cells (EACR 2021)
The same mechanism appeared to trigger the expression of VISTA protein, which acts as immunosuppressive receptor in T cells. Our results have therefore demonstrated that TGF-β1-induced signaling pathway can be considered as a potential highly efficient target for cancer immunotherapy.
IO biomarker
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • TGFB1 (Transforming Growth Factor Beta 1) • SMAD3 (SMAD Family Member 3)
almost3years
Glioma-Associated Stromal Cells Stimulate Glioma Malignancy by Regulating the Tumor Immune Microenvironment. (PubMed, Front Oncol)
The methylation of THY1 could be used as prognostic indicator and treatment target for glioma. However, further studies are required to verify these findings.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1) • PD-L2 (Programmed Cell Death 1 Ligand 2) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • THY1 (Thy-1 membrane glycoprotein) • CD86 (CD86 Molecule)
3years
Expression and Prognostic Value of the Immune Checkpoints Galectin-9 and PD-L1 in Glioblastomas. (PubMed, J Neuropathol Exp Neurol)
In multivariate analysis, neither Galectin-9 (HR = 0.99), PD-L1 (HR = 1.05), nor their combinations showed prognostic value. Galectin-9 and PD-L1 were expressed in all investigated GBMs and the majority of patients had co-expression, which may provide rationale for multi-targeted immune checkpoint inhibition.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression