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DRUG CLASS:

IAP inhibitor

7d
IAP Antagonists Selectively Eliminate Therapy-Induced Senescent Cancer Cells via TNFα-Independent Apoptosis. (PubMed, Cancer Sci)
Here, we show that AZD5582 and AT406, potent antagonists of cellular inhibitor of apoptosis proteins 1 and 2 (cIAP1 and cIAP2) and X-linked inhibitor of apoptosis protein (XIAP), selectively eliminated HCT116 and RKO cells that had undergone senescence following treatment with a chemotherapeutic agent such as trifluridine, camptothecin, or doxorubicin. At physiological concentrations, TNFα sensitized non-senescent, proliferating cancer cells, but not TIS and nutlin-3a-induced senescent cancer cells, to apoptosis in the presence of IAP antagonists. Collectively, these findings suggest that IAP antagonists could serve as effective concomitant agents to TIS-inducing chemotherapy that promotes TNFα secretion within tumors, functioning not only as TNFα-independent senolytics but also as potentiators of TNFα-mediated apoptosis in adjacent non-senescent, proliferating cancer cells.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • BIRC3 (Baculoviral IAP repeat containing 3) • CASP8 (Caspase 8) • XIAP (X-Linked Inhibitor Of Apoptosis)
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doxorubicin hydrochloride • AZD5582 • xevinapant (Debio 1143)
8d
KIF5B-driven unfolded protein response reprograms breast cancer immunosuppressive microenvironment for single-cell guided therapeutic targeting. (PubMed, Discov Oncol)
Our multimodal analysis establishes KIF5B as a prognostic biomarker and potential therapeutic target in BRCA, with implications for understanding immune evasion and guiding precision treatment strategies.
Journal • BRCA Biomarker
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KIF5B (Kinesin Family Member 5B) • BRCA (Breast cancer early onset)
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LCL161 • sapitinib (AZD8931)
25d
APG-1387 Plus Chemotherapy in Advanced Pancreatic Adenocarcinoma (clinicaltrials.gov)
P1/2, N=21, Terminated, Ascentage Pharma Group Inc. | N=44 --> 21 | Recruiting --> Terminated; Company Strategy
Enrollment change • Trial termination
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gemcitabine • albumin-bound paclitaxel • dasminapant (APG-1387)
26d
Dose-escalation Study of APG-1387 and Toripalimab in Solid Tumors (clinicaltrials.gov)
P1/2, N=40, Terminated, Ascentage Pharma Group Inc. | N=104 --> 40 | Recruiting --> Terminated; Company Strategy
Enrollment change • Trial termination
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EGFR (Epidermal growth factor receptor) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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EGFR wild-type
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Loqtorzi (toripalimab-tpzi) • dasminapant (APG-1387)
30d
SMAC mimetics sensitize HIV-infected cells to oncolytic virus-mediated death. (PubMed, Front Immunol)
As small-molecule second mitochondria-derived activator of caspases (SMAC) mimetics have been shown to increase OV-mediated death in cancer models, we used the SMAC mimetics LCL-161 and birinapant alongside MG1 to enhance the killing of HIV-infected cell lines and monocyte-derived macrophages (MDMs). This cell death occurs via both caspase-dependent and caspase-independent mechanisms and is not completely dependent on tumor necrosis factor alpha (TNFα). Together, these results show that the use of SMAC mimetics alongside OVs may be a viable strategy to eradicate latently/persistently HIV-infected cells.
Journal
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TNFA (Tumor Necrosis Factor-Alpha)
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birinapant (IGM-9427) • LCL161
1m
Discovery based on SPR drug chip that corilagin alleviates acute lung injury in mice by inhibiting necroptosis through targeting RIPK1/RIPK3/MLKL pathway. (PubMed, Chin J Nat Med)
In vitro, corilagin inhibits necroptosis induced by either tuberculosis, tumor necrosis factor-α (TNF-α), LCL-161, and inhibitor (IDN-6556) (TSI) (tumor necrosis TNF-α combined with LCL-161 (a Smac mimic) and pan-caspase inhibitor IDN-6556), or lipopolysaccharide (LPS) with IDN-6556. In a mouse model of sepsis associated with necroptosis, corilagin administration reduces the severity of LPS-induced acute lung injury, correlating with decreased MLKL phosphorylation in lung tissues. These results indicate that corilagin attenuates RIPK1/RIPK3/MLKL signaling, potentially through reducing mtROS production, thereby inhibiting necroptosis and offering protection against LPS-induced acute lung injury.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • RIPK1 (Receptor Interacting Serine/Threonine Kinase 1)
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LCL161
2ms
BET inhibitor-based combinations targeting novel dependencies in MECOM-rearranged (r) AML. (PubMed, Leukemia)
In a MECOM-r AML PDX model, mivebresib with dactolisib or LCL161, was superior to monotherapy or vehicle in reducing AML burden and increasing mouse survival. These findings highlight that cotreatment with BETi and PI3K/mTOR or IAP inhibitor exerts superior in vitro and in vivo efficacy in MECOM-r AML cells and support further evaluation of these BETi-based combinations.
Journal
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2L1 (BCL2-like 1) • MECOM (MDS1 And EVI1 Complex Locus) • GATA2 (GATA Binding Protein 2) • BRD4 (Bromodomain Containing 4) • XIAP (X-Linked Inhibitor Of Apoptosis)
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dactolisib (RTB101) • mivebresib (ABBV 075) • LCL161
2ms
Study on Smac promoting mitochondrial pathway apoptosis and muscle tenderization during postmortem aging of Tibetan sheep meat. (PubMed, Food Chem)
Furthermore, more nuclear chromatin condensation and cell shrinkage were observed in the GDC-0152 treatment group. In conclusion, Smac could promote the degradation of IAPs, accelerate mitochondrial damage, induce Cyt-c oxidation and Apaf-1 recruitment during postmortem aging of Tibetan sheep meat, thus activating caspase-9/3, facilitating mitochondrial pathway apoptosis and effectively improving Tibetan sheep meat tenderness.
Journal
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CASP9 (Caspase 9) • APAF1 (Apoptotic peptidase activating factor 1)
2ms
RB loss sensitizes triple-negative breast cancer to apoptosis induced by cellular stress. (PubMed, Cell Death Discov)
Birinapant in combination with CHK1 or AURKA inhibitors results in selective cell killing in RB-deficient TNBC models and yields durable disease control via apoptosis in vivo. In conclusion, RB loss in TNBC displays an enhanced vulnerability to pro-apoptotic signaling that can enable the effective implementation of new targeted therapeutic strategies.
Journal
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RB1 (RB Transcriptional Corepressor 1) • XIAP (X-Linked Inhibitor Of Apoptosis)
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birinapant (IGM-9427)
3ms
USP13 depletion sensitizes colorectal cancer cells to necroptosis by destabilizing cIAP2 proteins. (PubMed, Cell Death Differ)
The loss of USP13 significantly potentiates TNF-α/SMAC mimetic birinapant/pan-caspase inhibitor Z-VAD-FMK (TBZ)-induced necroptosis in CRC cells and diminishes tumor growth in a xenograft model. Thereby, USP13 may serve as a potential therapeutic target for anticancer treatment of CRC.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • BIRC3 (Baculoviral IAP repeat containing 3) • USP13 (Ubiquitin Specific Peptidase 13)
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birinapant (IGM-9427)
5ms
Integrated single-cell and bulk RNA-sequencing data reveal prognosis and therapeutic response in low-grade glioma based on hypoxia-lactylation related genes. (PubMed, Discov Oncol)
The constructed 4-gene hypoxia-lactylation prognostic model can effectively predict survival risk in LGG patients. The high-risk group is characterized by activation of pro-tumorigenic pathways, high immune infiltration, and sensitivity to specific targeted drugs. FABP5 + TAMs participate in LGG progression by regulating lipid metabolism and inflammatory responses, representing a potential therapeutic target.
Journal
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SERPINE1 (Serpin Family E Member 1) • SLC16A1 (Solute Carrier Family 16 Member 1) • FABP5 (Fatty Acid Binding Protein 5) • KIF2C (Kinesin Family Member 2C)
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AZD8055 • AZD5582
6ms
Opposing regulation of the K63-linked polyubiquitination of RIPK3 by SMURF1 and USP5 in necroptosis. (PubMed, Nat Commun)
Reducing SMURF1, using a RIPK3 mutant defective in SMURF1-mediated ubiquitination, or overexpressing USP5 enhances necroptosis in leukaemia cells, leading to reduced tumour growth in xenograft models treated with birinapant and emricasan. These findings highlight the opposing regulation of K63-linked polyubiquitination of RIPK3 by SMURF1 and USP5 in necroptosis.
Journal
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SMURF1 (SMAD Specific E3 Ubiquitin Protein Ligase 1) • USP5 (Ubiquitin Specific Peptidase 5)
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birinapant (IGM-9427)