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Hensify (crystalline hafnium oxide)

i
Other names: PEP503, NBTXR3, PEP-503, NBTXR 3, NBTX 3, NBTXR-3
Associations
Company:
J&J, LianBio, Nanobiotix
Drug class:
Free radical stimulant, Radiosensitiser
Associations
1m
Superior antitumor immune response achieved with proton over photon immunoradiotherapy is amplified by the nanoradioenhancer NBTXR3. (PubMed, J Nanobiotechnology)
Mice achieving remission through NBTXR3 + PRT + αPD1 exhibited a robust memory immune response, effectively inhibiting growth of subsequent tumors from three distinct lung cancer cell lines. Proton IRT combined with NBTXR3 offers enhanced tumor control and survival rates over photon-based treatments in managing αPD1-resistant lung cancer, indicating its potential as a potent systemic therapy.
Journal • PD(L)-1 Biomarker • IO biomarker
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IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • CD4 (CD4 Molecule) • GZMB (Granzyme B) • TGFB1 (Transforming Growth Factor Beta 1) • NKG7 (Natural Killer Cell Granule Protein 7)
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IFNG expression
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Hensify (crystalline hafnium oxide)
6ms
NBTXR3 and Radiation Therapy for the Treatment of Inoperable Recurrent Non-small Cell Lung Cancer (clinicaltrials.gov)
P1, N=24, Recruiting, M.D. Anderson Cancer Center | Trial completion date: Mar 2024 --> Mar 2026 | Trial primary completion date: Mar 2024 --> Mar 2026
Trial completion date • Trial primary completion date
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Hensify (crystalline hafnium oxide)
7ms
Enrollment closed • Metastases
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Hensify (crystalline hafnium oxide)
11ms
Study 1100: NBTXR3 Activated by Radiotherapy for Patients With Advanced Cancers Treated With An Anti-PD-1 Therapy (clinicaltrials.gov)
P1, N=145, Recruiting, Nanobiotix | Trial primary completion date: Mar 2023 --> Apr 2027
Trial primary completion date • Metastases
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Keytruda (pembrolizumab) • Opdivo (nivolumab) • Hensify (crystalline hafnium oxide)
1year
NBTXR3, Chemotherapy, and Radiation Therapy for the Treatment of Esophageal Cancer (clinicaltrials.gov)
P1, N=24, Recruiting, M.D. Anderson Cancer Center | Trial completion date: Oct 2023 --> Oct 2025 | Trial primary completion date: Oct 2023 --> Oct 2025
Trial completion date • Trial primary completion date
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carboplatin • paclitaxel • docetaxel • capecitabine • oxaliplatin • leucovorin calcium • fluorouracil topical • Hensify (crystalline hafnium oxide)
1year
Assessment of the Spatial Bio-Distribution of NBTXR3 for Locally Advanced or Borderline-Resectable Pancreatic Ductal Adenocarcinoma (LAPC or BRPC) Patients Undergoing Radiation Therapy. (PubMed, Int J Radiat Oncol Biol Phys)
The raw volume of NBTXR3 injected in the pancreas did not significantly change over the duration of the three weeks of treatment. We also did not observe significant changes in the NBTXR3 volume overlapping the GTV in most cases. The stability of NBTXR3 was demonstrated during RT.
Journal • Metastases
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Hensify (crystalline hafnium oxide)
1year
Novel Radioenhancer NBTXR3 Activated by Radiotherapy in Cisplatin-Ineligible Locally Advanced HNSCC Patients: Final Results of a Phase I Trial. (PubMed, Int J Radiat Oncol Biol Phys)
NBTXR3 IT injection followed by activation with RT was confirmed to be feasible and well tolerated in elderly or frail patients with LA HNSSC and significant comorbidities. The high rate of best overall response suggests that NBTXR3+RT is effective in this elderly population ineligible to cisplatin with a high unmet medical need. These results support our ongoing phase III study comparing NBTXR3/RT ± cetuximab vs. RT ± cetuximab in platinum-based chemotherapy ineligible elderly patients with LA-HNSCC: NANORAY 312 (NCIT04892173).
P1 data • Journal • Metastases
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Erbitux (cetuximab) • Hensify (crystalline hafnium oxide)
over1year
Phase I study of endoscopic ultrasound (EUS)-guided NBTXR3 delivery activated by radiotherapy (RT) for locally advanced or borderline resectable pancreatic cancer (LAPC or BRPC) (ESMO 2023)
Conclusions The RP2D of NBTXR3 for LAPC is 42% of GTV. The successful CR and shift to resectability in this patient population, along with the response and CA19-9 decrease and normalization suggest promising anti-tumor efficacy of NBTXR3/RT.
P1 data • Metastases
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CA 19-9 (Cancer antigen 19-9)
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Hensify (crystalline hafnium oxide)
over1year
Nanoparticle-enhanced proton beam immunoradiotherapy drives immune activation and durable tumor rejection. (PubMed, JCI Insight)
This response was further significantly enhanced by the injection of the tumor to be irradiated with NBTXR3 nanoparticles. Tumors of mice treated with the triple combination exhibited increased infiltration and activation of cytotoxic immune cells. This triple combination eradicated both tumors in 37.5% of the treated mice and showed robust long-term immunity to cancer.
Journal
|
Hensify (crystalline hafnium oxide)
over1year
A phase Ib/II trial of PEP503 (NBTXR3, radioenhancer) with radiotherapy and chemotherapy in patients with rectal cancer. (PubMed, Nanomedicine (Lond))
Patients will receive a single intratumoral injection of the nanoparticles, followed by radiotherapy and intravenous infusion of fluorouracil or oral capecitabine concurrently. This study will be the first prospective, open-label, single-arm, nonrandomized study to investigate the efficacy and safety profile of PEP503 (NBTXR3) nanoparticles with radiotherapy and chemotherapy in these patients. Trial registration number: NCT02465593 (ClinicalTrials.gov).
P1/2 data • Review • Journal
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5-fluorouracil • capecitabine • Hensify (crystalline hafnium oxide)
over1year
Enrollment open • Combination therapy • Metastases
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Hensify (crystalline hafnium oxide)
over1year
Early biological impacts of radiotherapy-activated NBTXR3 nanoparticles (AACR 2023)
Following LMP, we measured a significant increase of in lipid peroxidation. These first elements allow a better understanding of the early biological consequences induced by NBTXR3+RT, compared to RT alone.
PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8)
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Hensify (crystalline hafnium oxide)
2years
Combining a nanoparticle-mediated immunoradiotherapy with dual blockade of LAG3 and TIGIT improves the treatment efficacy in anti-PD1 resistant lung cancer. (PubMed, J Nanobiotechnology)
Our results strongly attest to the efficacy and validity of combining nanoparticle-enhanced radiotherapy and simultaneous blockade of multiple immune checkpoint receptors and provide a pre-clinical rationale for investigating its translation into human patients.
Journal
|
LAG3 (Lymphocyte Activating 3) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2)
|
Hensify (crystalline hafnium oxide)
over2years
NBTXR3 Activated by Radiotherapy for Patients With Advanced Cancers Treated With An Anti-PD-1 Therapy (clinicaltrials.gov)
P1, N=145, Recruiting, Nanobiotix | N=60 --> 145 | Trial completion date: Mar 2023 --> May 2028
Enrollment change • Trial completion date
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PD-1 (Programmed cell death 1)
|
Keytruda (pembrolizumab) • Opdivo (nivolumab) • Hensify (crystalline hafnium oxide)
over2years
Radiotherapy-activated NBTXR3 nanoparticles modulate cancer cell immunogenicity and TCR repertoire. (PubMed, Cancer Cell Int)
These results indicate that radiotherapy-activated NBTXR3 can act as an effective immunomodulator, modifying tumor cell immunogenicity and impacting the lymphocyte population.
Journal • IO biomarker
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • CD68 (CD68 Molecule)
|
Hensify (crystalline hafnium oxide)
over2years
Nanoparticle-enhanced radiotherapy combined with triple blockade of PD1, LAG3, and TIGIT enhances anti-tumor immune activation (AACR 2022)
Simultaneous inhibition of LAG3 and TIGIT in tandem with PD1 blockade and NBTXR3-enhanced radiotherapy promotes immune activation at the irradiated site. In addition, abscopal immune responses are improved with blockade of LAG3 and TIGIT. These results suggest that blockade of multiple immune checkpoints in parallel with NBTXR3-mediated radiotherapy may be effective in metastatic cancers.[Y.H.
PD(L)-1 Biomarker • IO biomarker
|
LAG3 (Lymphocyte Activating 3) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2)
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Hensify (crystalline hafnium oxide)
almost3years
A radioenhancing nanoparticle mediated immunoradiation improves survival and generates long-term antitumor immune memory in an anti-PD1-resistant murine lung cancer model. (PubMed, J Nanobiotechnology)
NBTXR3 nanoparticle in combination with radioimmunotherapy significantly improves anti-PD1 resistant lung tumor control via promoting antitumor immune response.
Preclinical • Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
|
Hensify (crystalline hafnium oxide)
3years
[VIRTUAL] Overcoming Resistance to Anti-PD-1 With Tumor Agnostic NBTXR3: From Bench to Bedside (ASTRO 2021)
The clinical efficacy of NBTXR3+RT has been demonstrated as a single agent in STS. Here we demonstrate that it overcomes resistance to anti-PD-1 treatment mechanisms in mice and led to tumor regression in patients having progressed on anti-PD-1 therapy. These results highlight the potential of NBTXR3+RT to positively impact the immuno-oncology field.
PD(L)-1 Biomarker • IO biomarker • Pan tumor
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CD8 (cluster of differentiation 8) • FOXP3 (Forkhead Box P3)
|
Hensify (crystalline hafnium oxide)
3years
[VIRTUAL] Digital XP SH 08 - Digital XP Science Highlights 08 - Biology (ASTRO 2021)
This Science Highlights session will showcase abstracts that are noteworthy in the field of Radiation and Cancer Biology.  The abstracts that will be discussed during this session are: A targeted gene expression risk score predicts meningioma outcomes and responses to radiotherapy Identification of De Novo Pyrimidine Synthesis as a Targetable Vulnerability in a Novel IDH1 Mutant Engineered Astrocytoma Model Overcoming resistance to anti-PD-1 with tumor agnostic NBTXR3: from bench to bedside Focal Adhesion Kinase drives resistance to therapy in HPV-negative head and neck squamous cell carcinoma in a p53-dependent manner CDK4/6 Inhibition and Radiation as a Treatment Strategy to Improve Local Disease Control in Breast Cancers with Poor Prognoses SIRT2 promotes murine melanoma progression through natural killer cell inhibition Click here to view this session on the Digital XP. Be sure to log in.
PD(L)-1 Biomarker • IO biomarker
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IDH1 (Isocitrate dehydrogenase (NADP(+)) 1)
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IDH1 mutation
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Hensify (crystalline hafnium oxide)
3years
Overcoming Resistance to Anti-PD-1 With Tumor Agnostic NBTXR3: From Bench to Bedside. (PubMed, Int J Radiat Oncol Biol Phys)
The clinical efficacy of NBTXR3+RT has been demonstrated as a single agent in STS. Here we demonstrate that it overcomes resistance to anti-PD-1 treatment mechanisms in mice and led to tumor regression in patients having progressed on anti-PD-1 therapy. These results highlight the potential of NBTXR3+RT to positively impact the immuno-oncology field.
Journal • PD(L)-1 Biomarker • IO biomarker • Pan tumor
|
CD8 (cluster of differentiation 8) • FOXP3 (Forkhead Box P3)
|
Hensify (crystalline hafnium oxide)
3years
Dual blockade of LAG3 and TIGIT improves the treatment efficacy of a nanoparticle-mediated immunoradiation in anti-PD1 resistant lung cancer in mice (SITC 2021)
Furthermore, Nanostring transcriptomic analysis of cells isolated from the tumors of mice thus treated showed evidence of classical two-step immunological priming, with an elevation of innate immune genes at the primary tumor and full-blown activation of the immune system within the secondary tumor. Conclusions Blockade of TIGIT and LAG3 with NBTXR3+XRT+aPD1 improved CD8+ T-cell proliferation, augmented the antitumor response at both irradiated and unirradiated (abscopal) tumors, and induced potent long-term antitumor memory in mice.
Preclinical
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CD8 (cluster of differentiation 8) • LAG3 (Lymphocyte Activating 3) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2)
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CD8 expression
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Hensify (crystalline hafnium oxide)
over3years
Clinical • New P2 trial • IO biomarker
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PD-L1 (Programmed death ligand 1)
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Keytruda (pembrolizumab) • Hensify (crystalline hafnium oxide)
over4years
Radiotherapy-Activated Hafnium Oxide Nanoparticles Produce Abscopal Effect in a Mouse Colorectal Cancer Model. (PubMed, Int J Nanomedicine)
These data show that radiotherapy-activated NBTXR3 could increase local and distant tumor control through immune system priming. Our results may have important implications for immunotherapeutic agent combination with radiotherapy.
Preclinical • Journal
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CD8 (cluster of differentiation 8)
|
Hensify (crystalline hafnium oxide)
over4years
[VIRTUAL] Phase I study of NBTXR3 activated by radiotherapy in patients with advanced cancers treated with an anti-PD-1 therapy. (ASCO 2020)
To date, three patients have been treated, one in cohort 1, two in cohort 2. Research Funding: Nanobiotix, SA
Clinical • P1 data • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1)
|
Hensify (crystalline hafnium oxide)
almost5years
NBTXR3 Activated by Radiotherapy for Patients With Advanced Cancers Treated With An Anti-PD-1 Therapy (clinicaltrials.gov)
P1, N=60, Recruiting, Nanobiotix | Not yet recruiting --> Recruiting | Phase classification: P1/2 --> P1 | N=125 --> 60
Clinical • Enrollment open • Phase classification • Enrollment change
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PD-1 (Programmed cell death 1)
|
Hensify (crystalline hafnium oxide)
almost5years
Clinical • P1 data • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1)
|
Hensify (crystalline hafnium oxide)
almost5years
Clinical • P1 data • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1)
|
Hensify (crystalline hafnium oxide)
5years
Clinical • P1 data • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1)
|
Hensify (crystalline hafnium oxide)