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DRUG CLASS:

IAP antagonist

2ms
A Study of Xevinapant (Debio 1143) in Combination With Platinum-Based Chemotherapy and Standard Fractionation Intensity-Modulated Radiotherapy in Participants With Locally Advanced Squamous Cell Carcinoma of the Head and Neck, Suitable for Definitive Chemoradiotherapy (TrilynX) (clinicaltrials.gov)
P3, N=730, Terminated, EMD Serono Research & Development Institute, Inc. | Trial completion date: Apr 2027 --> Sep 2024 | Active, not recruiting --> Terminated; Study has crossed the pre-defined futility boundary at the Interim Analysis.
Trial completion date • Trial termination
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cisplatin • xevinapant (Debio 1143)
2ms
Phase III Xevinapant (Debio 1143) and Radiotherapy in Resected LA SCCHN, High Risk, Cisplatin-ineligible Participants (XRAY VISION) (clinicaltrials.gov)
P3, N=166, Terminated, EMD Serono Research & Development Institute, Inc. | Active, not recruiting --> Terminated; No major safety concerns were identified in XRAY VISION study, but Lack of evidence of efficacy of meaningful clinical benefit.
Trial termination
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xevinapant (Debio 1143)
2ms
XXL_2022-01: Study Comparing RT With Cetuximab + Xevinapant to RT With Cetuximab-placebo in Patients With Head and Neck Cancer (clinicaltrials.gov)
P3, N=19, Suspended, Groupe Oncologie Radiotherapie Tete et Cou | Trial primary completion date: Jul 2024 --> Oct 2024
Trial primary completion date
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Erbitux (cetuximab) • cisplatin • xevinapant (Debio 1143)
2ms
Phase 1b Safety Study of Xevinapant, Weekly Cisplatin, and RT in Participants With Unresected LA SCCHN (HyperlynX) (clinicaltrials.gov)
P1, N=18, Terminated, EMD Serono Research & Development Institute, Inc. | Active, not recruiting --> Terminated; No major safety concerns were identified in HyperlynX study, but Lack of evidence of efficacy of meaningful clinical benefit.
Trial termination • Combination therapy
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cisplatin • xevinapant (Debio 1143)
2ms
Molecular Insights into the Anticancer Activity of Withaferin-A: The Inhibition of Survivin Signaling. (PubMed, Cancers (Basel))
Several Survivin inhibitors, including YM-155, Debio1143, EM1421, LQZ-7I, and TL32711, have emerged as potential anticancer drugs awaiting validation in clinical trials. Furthermore, Wi-AREAL treatment activated apoptosis signaling, as evidenced by reduced PARP-1 and Bcl-2 levels, increased procaspase-3, and elevated Cytochrome C. Additionally, treating cells with a nontoxic low concentration (0.01%) of Wi-AREAL inhibited migration and invasion, as well as EMT (epithelial-mesenchymal transition) signaling. By combining computational and experimental approaches, we demonstrate the potential of Wi-A and Wi-AREAL as natural inhibitors of Survivin, which may be helpful in cancer treatment.
Journal • PARP Biomarker • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BIRC5 (Baculoviral IAP repeat containing 5) • CASP3 (Caspase 3) • CDK1 (Cyclin-dependent kinase 1) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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birinapant (IGM-9427) • xevinapant (Debio 1143) • CINelim (terameprocol)
3ms
RAVINA: Radiotherapy Plus Xevinapant in Older Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma (clinicaltrials.gov)
P2, N=230, Suspended, European Organisation for Research and Treatment of Cancer - EORTC | Recruiting --> Suspended
Trial suspension • Metastases
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xevinapant (Debio 1143)
3ms
A Study of Xevinapant With Cisplatin and Radiation Therapy After Surgery in People With Head and Neck Cancer (clinicaltrials.gov)
P2, N=4, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Recruiting --> Active, not recruiting | N=54 --> 4
Enrollment closed • Enrollment change • Combination therapy • Surgery
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cisplatin • xevinapant (Debio 1143)
3ms
Chimeric antigen receptor dendritic cells targeted delivery of a single tumoricidal factor for cancer immunotherapy. (PubMed, Cancer Immunol Immunother)
An adoptive cell targeting delivery of TNFα combined with an IAP antagonist is a novel effective approach to treat breast cancer and could be expanded to treat other solid cancers. Unlike CAR-T cell, this novel adoptive cell is not activated to produce a wide variety of cytokines, except for additional overexpressed TNF, and thus could avoid the severe side effects such as cytokine release syndrome.
Journal
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MUC1 (Mucin 1) • TNFA (Tumor Necrosis Factor-Alpha) • BIRC3 (Baculoviral IAP repeat containing 3)
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SM-164
4ms
Study to Assess Xevinapant in Preoperative Subjects With Recurrent High-Grade Glioma (rHGG) (clinicaltrials.gov)
P1, N=12, Recruiting, H. Lee Moffitt Cancer Center and Research Institute | Not yet recruiting --> Recruiting
Enrollment open
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xevinapant (Debio 1143)
4ms
Enrollment change • Trial withdrawal
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TNFA (Tumor Necrosis Factor-Alpha)
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cisplatin • carboplatin • xevinapant (Debio 1143)
4ms
Phase 1b Safety Study of Xevinapant, Weekly Cisplatin, and RT in Participants With Unresected LA SCCHN (HyperlynX) (clinicaltrials.gov)
P1, N=18, Active, not recruiting, EMD Serono Research & Development Institute, Inc. | Recruiting --> Active, not recruiting | N=40 --> 18 | Trial completion date: Apr 2025 --> Aug 2024 | Trial primary completion date: Apr 2025 --> Aug 2024
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date • Combination therapy
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cisplatin • xevinapant (Debio 1143)
4ms
Phase III Xevinapant (Debio 1143) and Radiotherapy in Resected LA SCCHN, High Risk, Cisplatin-ineligible Participants (XRAY VISION) (clinicaltrials.gov)
P3, N=166, Active, not recruiting, EMD Serono Research & Development Institute, Inc. | Recruiting --> Active, not recruiting | N=700 --> 166 | Trial completion date: Dec 2030 --> Sep 2024 | Trial primary completion date: Oct 2027 --> Sep 2024
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
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xevinapant (Debio 1143)
4ms
XXL_2022-01: Study Comparing RT With Cetuximab + Xevinapant to RT With Cetuximab-placebo in Patients With Head and Neck Cancer (clinicaltrials.gov)
P3, N=19, Suspended, Groupe Oncologie Radiotherapie Tete et Cou | N=538 --> 19 | Recruiting --> Suspended
Enrollment change • Trial suspension
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Erbitux (cetuximab) • cisplatin • xevinapant (Debio 1143)
5ms
Study to Assess Xevinapant in Preoperative Subjects With Recurrent High-Grade Glioma (rHGG) (clinicaltrials.gov)
P1, N=12, Not yet recruiting, H. Lee Moffitt Cancer Center and Research Institute
New P1 trial
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xevinapant (Debio 1143)
6ms
EXtRaCT study: Study of Xevinapant With Radiation and Chemotherapy for Patients With Head and Neck Cancer (clinicaltrials.gov)
P1, N=42, Active, not recruiting, University of Chicago | Not yet recruiting --> Active, not recruiting | Initiation date: Jan 2025 --> Jan 2024
Enrollment closed • Trial initiation date • Metastases
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cisplatin • carboplatin • paclitaxel • xevinapant (Debio 1143)
6ms
EXtRaCT study: Study of Xevinapant With Radiation and Chemotherapy for Patients With Head and Neck Cancer (clinicaltrials.gov)
P1, N=42, Not yet recruiting, University of Chicago | Initiation date: Jan 2024 --> Jan 2025
Trial initiation date • Metastases
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CDKN2A negative
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cisplatin • carboplatin • paclitaxel • xevinapant (Debio 1143)
8ms
Phase 1b Safety Study of Xevinapant, Weekly Cisplatin, and RT in Participants With Unresected LA SCCHN (HyperlynX) (clinicaltrials.gov)
P1, N=40, Recruiting, EMD Serono Research & Development Institute, Inc. | Not yet recruiting --> Recruiting
Enrollment open • Combination therapy
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cisplatin • xevinapant (Debio 1143)
8ms
Xevinapant combined with pembrolizumab in patients with advanced, pretreated colorectal and pancreatic cancer: results of the phase 1b/2 CATRIPCA trial. (PubMed, Clin Cancer Res)
Xevinapant combined with pembrolizumab was well tolerated with no unexpected adverse events. However, anti-tumor activity was low.
P1/2 data • Journal • Metastases
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MSI (Microsatellite instability)
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Keytruda (pembrolizumab) • xevinapant (Debio 1143)
8ms
Trial initiation date
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TNFA (Tumor Necrosis Factor-Alpha)
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CDKN2A negative
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cisplatin • carboplatin • xevinapant (Debio 1143)
8ms
Enrollment change • Combination therapy
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carboplatin • paclitaxel • docetaxel • BGB-24714
10ms
Study of Xevinapant With Radiation and Chemotherapy for Patients With Head and Neck Cancer (clinicaltrials.gov)
P1, N=42, Not yet recruiting, University of Chicago | Trial primary completion date: Nov 2025 --> Oct 2027
Trial primary completion date • Metastases
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CDKN2A negative
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cisplatin • carboplatin • paclitaxel • xevinapant (Debio 1143)
11ms
Trial completion date • Trial primary completion date • Combination therapy • Surgery
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cisplatin • xevinapant (Debio 1143)
11ms
RAVINA: Radiotherapy Plus Xevinapant in Older Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma (clinicaltrials.gov)
P2, N=230, Recruiting, European Organisation for Research and Treatment of Cancer - EORTC | Not yet recruiting --> Recruiting
Enrollment open
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xevinapant (Debio 1143)
12ms
New P2 trial • Combination therapy • Surgery
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cisplatin • xevinapant (Debio 1143)
1year
Phase 1b Safety Study of Xevinapant, Weekly Cisplatin, and RT in Participants With Unresected LA SCCHN (HyperlynX) (clinicaltrials.gov)
P1, N=40, Not yet recruiting, EMD Serono Research & Development Institute, Inc. | Phase classification: P1b --> P1 | Initiation date: Oct 2023 --> Jan 2024
Phase classification • Trial initiation date • Combination therapy
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cisplatin • xevinapant (Debio 1143)
1year
New P1 trial • Metastases
|
CDKN2A negative
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cisplatin • carboplatin • paclitaxel • xevinapant (Debio 1143)
1year
New P2 trial
|
TNFA (Tumor Necrosis Factor-Alpha)
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CDKN2A negative
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cisplatin • carboplatin • xevinapant (Debio 1143)
1year
BGB-24714-101: Study Investigating BGB-24714 as Monotherapy and With Combination Therapies in Participants With Solid Tumors (clinicaltrials.gov)
P1, N=168, Recruiting, BeiGene | Trial completion date: Jul 2027 --> Nov 2026 | Trial primary completion date: Jan 2027 --> Dec 2025
Trial completion date • Trial primary completion date • Combination therapy
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carboplatin • paclitaxel • BGB-24714
1year
Model-informed selection of the recommended phase 3 dose of the inhibitor of apoptosis protein inhibitor, xevinapant, in combination with cisplatin and concurrent radiotherapy in patients with locally advanced squamous cell carcinoma of the head and neck. (PubMed, Clin Pharmacol Ther)
Exposure-response relationships were not discernible for 12 of 13 evaluated safety endpoints, incidence of dose reductions, and time to first dose reduction. Quantitative integration of all available data, including model-derived target inhibition profiles, positive exposure-efficacy relationships, and lack of discernible exposure-safety relationships for most safety endpoints, supports selection of xevinapant 200 mg/day on days 1-14 of a 3-week cycle as the RP3D, allowing for successive dose reductions to 150 and 100 mg/day to manage adverse events.
P3 data • Journal • Combination therapy • Metastases
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cisplatin • xevinapant (Debio 1143)
over1year
Preparation of injectable hydrophilic dextran/AgNPs nanocomposite product: White light active biomolecules as an antitumor agent. (PubMed, Int J Biol Macromol)
Obtained biocompatible D@AgNP are stable over six months at room temperature and demonstrated absorbance peak at 406 nm...TEM finding shows that D@AgNP are mostly localized at vesicles such as the endosomes, lysosomes and mitochondria. It is anticipated that the introduced new method serves as the cornerstone for improving the generation of biocompatible hydrophilic carbohydrate-based anticancer drugs.
Journal
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xevinapant (Debio 1143)
over1year
The expanding role of IAP antagonists for the treatment of head and neck cancer. (PubMed, Cancer Med)
IAP antagonists have shown great promise for head and neck cancer, especially in combination with radiation therapy. Here, we review recent preclinical and clinical studies on the use of these novel targeted agents for head and neck cancer.
Review • Journal
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birinapant (IGM-9427) • tolinapant (ASTX660) • xevinapant (Debio 1143)
over1year
Long-term results from a clinical study of xevinapant plus chemoradiotherapy in people with high-risk locally advanced squamous cell carcinoma of the head and neck: a plain language summary. (PubMed, Future Oncol)
A phase 3 study, named TrilynX, in a larger group of people, is currently taking place to confirm the results of this study. Clinical Trial Registration: NCT02022098 (Debio 1143-201 Dose-finding and Efficacy Phase I/II Trial) (ClinicalTrials.gov).
Review • Journal • Metastases
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xevinapant (Debio 1143)
over1year
Evaluation of emergency department treat-and-release encounters after major gastrointestinal surgery. (PubMed, J Surg Oncol)
ED treat-and-release encounters are common after major gastrointestinal operations, making up nearly half of postdischarge ED encounters. The reasons for ED treat-and-release encounters differ from those for ED encounters with readmissions.
Retrospective data • Journal • Surgery
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xevinapant (Debio 1143)
over1year
New P3 trial
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Erbitux (cetuximab) • cisplatin • xevinapant (Debio 1143)
over1year
The Effect of Xevinapant Combined with Ionizing Radiation on HNSCC and Normal Tissue Cells and the Impact of Xevinapant on Its Targeted Proteins cIAP1 and XIAP. (PubMed, Cells)
Xevinapant appears to be a potent new drug for HNSCC therapy, especially in combination with IR. IAP levels could be an indicator for impaired DNA damage repair and increased susceptibility to cellular stress.
Journal
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XIAP (X-Linked Inhibitor Of Apoptosis)
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xevinapant (Debio 1143)
over1year
No association between cholecystectomy and risk of colorectal cancer: a meta-analysis of cohort studies. (PubMed, Int J Colorectal Dis)
No clear evidence to support the association between cholecystectomy and an increased risk of colorectal cancer. For patients with valid indications, timely cholecystectomy could be performed without the risk of colorectal cancer.
Retrospective data • Journal
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27
over1year
Highlights of the ASCO and ESMO annual meetings 2022: radiotherapy of head and neck cancer (PubMed, HNO)
Radiotherapy alone for nasopharyngeal carcinoma with an intermediate-risk profile was found to be noninferior to chemoradiotherapy with cisplatin while improving tolerability...In the HNSCC-15-132 trial, sequential application of the PD‑1 inhibitor pembrolizumab to chemoradiotherapy was not significantly, but numerically superior to concomitant application...In addition, new 5‑year overall survival data from the phase II trial of chemoradiotherapy in combination with the inhibitor of apoptosis proteins (IAP) antagonist xevinapant versus placebo were presented. The xevinapant group continued to demonstrate a significant survival advantage and a sustained response to treatment.
Review • Journal
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Keytruda (pembrolizumab) • cisplatin • xevinapant (Debio 1143)
over1year
Comprehensive bioinformatics and experimental analysis of SH3PXD2B reveals its carcinogenic effect in gastric carcinoma. (PubMed, Life Sci)
Our study strongly suggests that SH3PXD2B is a carcinogenic molecule that can be used as a biomarker for GC detection, prognosis, treatment design, and follow-up.
Journal
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ADAM15 (ADAM Metallopeptidase Domain 15) • SH3PXD2B (SH3 And PX Domains 2B)
|
sirolimus • sotrastaurin (AEB071) • BHG712
over1year
New P1/2 trial • Metastases
|
benmelstobart (APL-502) • TQB3728
over1year
BGB-24714, a novel oral IAP antagonist, displayed significant anti-tumor activities in preclinical models as a monotherapy and in combination with paclitaxel (AACR 2023)
BGB-24714 effectively inhibited cIAP1 by inducing its degradation in MDA-MB-231 cells, with an EC50 of 2.5 nM. BGB-24714 also potently antagonized the inhibitory interaction of XIAP with caspase-9 and induced caspase-9 autoactivation in MDA-MB-231 cells, with an EC50 of 23 nM. In a total of 25 breast cancer cell lines treated with TNFα, BGB-24714 potently inhibited the in vitro proliferation of 5 breast cancer cells with EC50 < 100 nM.
Preclinical • Combination therapy
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TNFA (Tumor Necrosis Factor-Alpha) • CASP9 (Caspase 9) • XIAP (X-Linked Inhibitor Of Apoptosis)
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paclitaxel • BGB-24714