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DRUG CLASS:

GCN2 activator

5d
NXP800-101: A Phase 1 Clinical Study of NXP800 in Subjects with Advanced Cancers and Expansion in Subjects with Ovarian Cancer (clinicaltrials.gov)
P1, N=61, Recruiting, Nuvectis Pharma, Inc. | Trial completion date: Jun 2025 --> Dec 2025 | Trial primary completion date: Dec 2024 --> May 2025
Trial completion date • Trial primary completion date • Metastases
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ARID1A (AT-rich interaction domain 1A) • BRCA (Breast cancer early onset)
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ARID1A mutation • BRCA mutation
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NXP800
6ms
NXP800 for the Treatment of Patients With Advanced or Metastatic Cholangiocarcinoma (clinicaltrials.gov)
P1, N=30, Recruiting, Mayo Clinic | Not yet recruiting --> Recruiting
Enrollment open • Metastases
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NXP800
6ms
Phase I Study of HC-7366 With Azacitidine and Venetoclax for Acute Myeloid Leukemia (clinicaltrials.gov)
P1, N=18, Recruiting, M.D. Anderson Cancer Center | Not yet recruiting --> Recruiting | Initiation date: Aug 2024 --> May 2024
Enrollment open • Trial initiation date
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Venclexta (venetoclax) • azacitidine • HC-7366
6ms
New P1 trial • Metastases
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NXP800
8ms
Phase I Study of HC-7366 With Azacitidine and Venetoclax for Acute Myeloid Leukemia (clinicaltrials.gov)
P1, N=18, Not yet recruiting, M.D. Anderson Cancer Center | N=58 --> 18
Enrollment change
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Venclexta (venetoclax) • azacitidine • HC-7366
9ms
Enrollment open • Combination therapy • Metastases
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VHL (von Hippel-Lindau tumor suppressor)
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VHL mutation
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Welireg (belzutifan) • HC-7366
9ms
A Study of HC-7366 to Establish the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) (clinicaltrials.gov)
P1, N=35, Terminated, HiberCell, Inc. | N=70 --> 35 | Trial completion date: Oct 2024 --> Mar 2024 | Recruiting --> Terminated; sponsor decision
Enrollment change • Trial completion date • Trial termination • Metastases
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HC-7366
9ms
New P1 trial
|
Venclexta (venetoclax) • azacitidine • HC-7366
10ms
New P1 trial
|
VHL (von Hippel-Lindau tumor suppressor)
|
VHL mutation
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Welireg (belzutifan) • HC-7366
1year
Activation of GCN2 By HC-7366 Results in Significant Anti-Tumor Efficacy As Monotherapy and Overcomes Resistance Mechanisms When Combined with Venetoclax in AML (ASH 2023)
Venetoclax (anti-BCL2) is approved for elderly patients with acute myeloid leukemia (AML) in combination with hypomethylating agents such as azacitidine or decitabine. Our in vitro and in vivo results demonstrate that HC-7366 is a potent GCN2 activator with strong antitumor activity in AML as a single agent and in combination with venetoclax. The potential of HC-7366 to counteract multiple known resistance mechanisms to venetoclax could provide a viable treatment option for patients with relapsed/refractory AML when used in combination with venetoclax.
Clinical • IO biomarker
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FLT3 (Fms-related tyrosine kinase 3) • S100A8 (S100 Calcium Binding Protein A8) • ATF4 (Activating Transcription Factor 4)
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TP53 mutation • FLT3-ITD mutation • S100A8 expression
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Venclexta (venetoclax) • azacitidine • decitabine • HC-7366
1year
ETHE1 Accelerates Triple-Negative Breast Cancer Metastasis by Activating GCN2/eIF2α/ATF4 Signaling. (PubMed, Int J Mol Sci)
Notably, inhibition of eIF2α phosphorylation through ISRIB or ATF4 knockdown partially abolished the tumor-promoting effect of ETHE1 overexpression. ETHE1 has a functional and mechanistic role in TNBC metastasis and offers a new therapeutic strategy for targeting ETHE1-propelled TNBC using ISRIB.
Journal
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ATF4 (Activating Transcription Factor 4)
over1year
Activation of GCN2 by HC-7366 results in significant antitumor efficacy as monotherapy and in combination with multiple standard of care agents in various solid cancer models (AACR 2023)
Furthermore, HC-7366 showed significant benefit in colorectal models when combined with DC101 (anti-VEGFR2 antibody), 5-fluorouracil (chemotherapy), alpelisib (PI3Kα inhibitor), or trametinib (MEK1/2 inhibitor). ATF4 and JUN transcriptional activity was enhanced with HC-7366 treatment consistent with activation of ISR. Collectively, our in vitro and in vivo results demonstrate that HC-7366 is a potent GCN2 activator with strong antitumor activity across multiple solid tumor models as a monotherapy or in combination with standard of care agents.
Clinical • Preclinical • Combination therapy
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • ATF4 (Activating Transcription Factor 4) • E2F1 (E2F transcription factor 1)
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Mekinist (trametinib) • 5-fluorouracil • Piqray (alpelisib) • DC101 • HC-7366