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DRUG CLASS:

IGF-2 inhibitor

Related drugs:
5ms
Trial completion • Combination therapy • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
11ms
Trial completion date • Combination therapy • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
EGFR mutation • HER-2 negative • ALK translocation
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Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
1year
Mollugin suppresses proliferation and drives ferroptosis of colorectal cancer cells through inhibition of insulin-like growth factor 2 mRNA binding protein 3/glutathione peroxidase 4 axis. (PubMed, Biomed Pharmacother)
Mollugin treatment caused obvious decrease in cell viability and proliferation in CRC cells, which were aggravated by ferroptosis inducer erastin and attenuated by ferroptosis inhibitor ferrostatin-1...Further investigation indicated that the IGF2BP3/glutathione peroxidase 4 (GPX4) axis was involved in mollugin-regulated ferroptosis in CRC. In conclusions, Mollugin suppresses proliferation and drives ferroptosis of CRC cells by inhibiting the IGF2BP3/GPX4 axis, suggesting that mollugin may be a potential therapeutic option for CRC.
Journal
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GPX4 (Glutathione Peroxidase 4) • IGF2BP3 (Insulin Like Growth Factor 2 MRNA Binding Protein 3)
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erastin
1year
A Phase Ib/II study of IGF-neutralising antibody xentuzumab with enzalutamide in metastatic castration-resistant prostate cancer. (PubMed, Br J Cancer)
Xentuzumab plus enzalutamide was tolerable but lacked antitumour activity in unselected patients with mCRPC.
P1/2 data • Clinical Trial,Phase II • Journal • Metastases
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PTEN (Phosphatase and tensin homolog) • IGF1 (Insulin-like growth factor 1)
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docetaxel • Xtandi (enzalutamide capsule) • abiraterone acetate • xentuzumab (BI-836845)
over1year
Trial completion date • Combination therapy • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
EGFR mutation • HER-2 negative • ALK translocation
|
Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
over1year
XENERA-1: a randomised double-blind Phase II trial of xentuzumab in combination with everolimus and exemestane versus everolimus and exemestane in patients with hormone receptor-positive/HER2-negative metastatic breast cancer and non-visceral disease. (PubMed, Breast Cancer Res)
While this study demonstrated that xentuzumab could be safely combined with everolimus and exemestane in patients with HR-positive/HER2-negative advanced breast cancer with non-visceral disease, there was no PFS benefit with the addition of xentuzumab. Trial registration ClinicalTrials.gov, NCT03659136. Prospectively registered, September 6, 2018.
P2 data • Journal • Combination therapy • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • IGF1 (Insulin-like growth factor 1) • IGF2 (Insulin-like growth factor 2)
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HER-2 positive • HR positive • HER-2 negative • HR positive + HER-2 negative
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everolimus • exemestane • xentuzumab (BI-836845)
over1year
Identification of IGF2 as Genomic Driver and Actionable Therapeutic Target in Hepatoblastoma. (PubMed, Mol Cancer Ther)
The antitumor effect of xentuzumab (a monoclonal antibody targeting IGF1/2) alone or in combination with the conventional therapeutic agent cisplatin was assessed in HB cell lines, in PDX-derived HB organoids and in a xenograft HB murine model. These results suggest that IGF2 is an HB actionable driver and that, in preclinical models of HB, the combination of IGF1/2 inhibition with cisplatin induces superior antitumor effects than cisplatin monotherapy. Overall, our study provides a rationale for testing IGF2 inhibitors in combination with cisplatin in HB patients with IGF2 overexpression.
Journal
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IGF1 (Insulin-like growth factor 1) • IGF2 (Insulin-like growth factor 2) • MIR483 (MicroRNA 483)
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IGF2 overexpression
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cisplatin • xentuzumab (BI-836845)
almost2years
Inhibition of insulin-like growth factor 2 mRNA-binding protein 1 sensitizes colorectal cancer cells to chemotherapeutics. (PubMed, FASEB Bioadv)
We found that inhibition of IGF2BP1 is sufficient to decrease the resistance of chemotherapy-resistant cancer cells with activated Wnt/β-catenin signaling pathway. These findings portray IGF2BP1 as a good candidate for CRC therapy.
Journal
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ABCB1 (ATP Binding Cassette Subfamily B Member 1) • IGF2 (Insulin-like growth factor 2) • IGF2BP1 (Insulin Like Growth Factor 2 MRNA Binding Protein 1)
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oxaliplatin • irinotecan
almost2years
LIF-IGF Axis Contributes to the Proliferation of Neural Progenitor Cells in Developing Rat Cerebrum. (PubMed, Int J Mol Sci)
Further, LIF treatment enhanced cultured NPC proliferation, which was reduced by picropodophyllin, an IGF-1 receptor inhibitor, even under LIF supplementation. Our findings suggest that IGF expression and release from the NPCs of the fetal cerebrum in fetal CSF is induced by LIF, thus supporting the involvement of the LIF-IGF axis in cerebral cortical development in an autocrine/paracrine manner.
Preclinical • Journal
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IGF1 (Insulin-like growth factor 1) • IGF2 (Insulin-like growth factor 2) • IR (Insulin receptor)
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picropodophyllin (AXL1717)
2years
Inhibiting insulin-like growth factor 2 mRNA-binding protein 1 (IGF2BP1) reduces tumor development in the basal cell carcinoma mouse model PTCH+/- (ESDR 2022)
2 million UW-BCC1 cells were injected subcutaneously in the back of 30 immunocompromised mice (Foxn1nu), and they were fed doxycycline supplemented chow. Tumor growth was monitored weekly for eight weeks. Knockdown of IGF2BP1 in UW-BCC1 cells significantly reduced tumor growth in xenograft mice compared to controls (P
Preclinical
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GLI1 (GLI Family Zinc Finger 1) • IGF2 (Insulin-like growth factor 2) • IGF2BP1 (Insulin Like Growth Factor 2 MRNA Binding Protein 1)
|
GLI1 expression
over2years
Trial completion • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 negative • PGR positive
|
everolimus • exemestane • xentuzumab (BI-836845)
almost3years
BI 836845 in Estrogen Receptor Positive Metastatic Breast Cancer (clinicaltrials.gov)
P1, N=164, Completed, Boehringer Ingelheim | Active, not recruiting --> Completed
Trial completion • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
everolimus • exemestane • xentuzumab (BI-836845)
almost3years
A phase 1 trial of xentuzumab, an IGF-neutralizing antibody, in Japanese patients with advanced solid tumors. (PubMed, Cancer Sci)
Xentuzumab monotherapy was well tolerated in Japanese patients and showed evidence of anti-tumor activity. This study was registered with www.clinicaltrials.gov (NCT02145741).
Clinical • P1 data • Journal
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IGF1 (Insulin-like growth factor 1) • IGF2 (Insulin-like growth factor 2)
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xentuzumab (BI-836845)
almost3years
CHK1 inhibition exacerbates replication stress induced by IGF blockade. (PubMed, Oncogene)
Aiming to exploit this effect in therapy we performed a compound screen in five breast cancer cell lines with IGF neutralising antibody xentuzumab...Exogenous RRM2 expression rescued hallmarks of replication stress induced by co-inhibiting IGF with CHK1 or WEE1, identifying RRM2 as a critical target of the functional IGF:CHK1 and IGF:WEE1 interactions. These data identify novel therapeutic vulnerabilities and may inform future trials of IGF inhibitory drugs.
Journal
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RRM2 (Ribonucleotide Reductase Regulatory Subunit M2)
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xentuzumab (BI-836845)
3years
Clinical • P1 data
|
HER-2 (Human epidermal growth factor receptor 2)
|
HR positive • HER-2 negative
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Verzenio (abemaciclib) • fulvestrant • xentuzumab (BI-836845)
3years
The XENERA™ 1 Study Tests Xentuzumab in Combination With Everolimus and Exemestane in Women With Hormone Receptor Positive and HER2-negative Breast Cancer That Has Spread (clinicaltrials.gov)
P2, N=103, Active, not recruiting, Boehringer Ingelheim | Trial completion date: Nov 2022 --> Mar 2022 | Trial primary completion date: Dec 2021 --> Aug 2021
Clinical • Trial completion date • Trial primary completion date • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 negative • PGR positive
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everolimus • exemestane • xentuzumab (BI-836845)
3years
Clinical • Enrollment closed • Combination therapy
|
EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
EGFR mutation • HER-2 negative • ALK translocation
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Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
3years
Phase 1b Open-Label Trial of Afatinib Plus Xentuzumab (BI 836845) in Patients With EGFR Mutation-Positive NSCLC After Progression on EGFR Tyrosine Kinase Inhibitors. (PubMed, JTO Clin Res Rep)
The most common drug-related adverse events were diarrhea (75 %), paronychia (69 %), and rash (69 %) in part A and diarrhea (31 %), rash (19 %), paronychia (19 %), and fatigue (19 %) in part B. There were no new safety issues; xentuzumab and afatinib could be safely coadministered. Nevertheless, the combination revealed only modest activity in patients with EGFR mutation-positive, T790M-negative NSCLC after progression on afatinib.
Clinical • P1 data • Journal
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EGFR (Epidermal growth factor receptor)
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EGFR mutation • EGFR T790M • EGFR T790M negative
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Gilotrif (afatinib) • xentuzumab (BI-836845)
3years
Over-expression of long non-coding RNA insulin-like growth factor 2-antisense suppressed hepatocellular carcinoma cell proliferation and metastasis by regulating the microRNA-520h/cyclin-dependent kinase inhibitor 1A signaling pathway. (PubMed, Bioengineered)
In conclusion, IGF2-AS is a tumor-suppressor in HCC, and lower IGF2-AS expression is associated with poor prognosis of HCC patients; IGF2-AS inhibits HCC oncogenesis and development by IGF2-AS/miR-520h/CDKN1A pathway. Therefore, IGF2-AS may serve as a new biomarker for HCC management.
Journal
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IGF2 (Insulin-like growth factor 2) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
|
CDK6 overexpression
over3years
BI 836845 in Estrogen Receptor Positive Metastatic Breast Cancer (clinicaltrials.gov)
P1, N=164, Active, not recruiting, Boehringer Ingelheim | Trial completion date: Jul 2021 --> Jan 2022
Clinical • Trial completion date • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
everolimus • exemestane • xentuzumab (BI-836845)
over3years
Clinical • Trial completion date • Trial primary completion date • Combination therapy
|
EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
EGFR mutation • HER-2 negative • ALK translocation
|
Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
over3years
[VIRTUAL] A phase Ib study of xentuzumab plus abemaciclib and fulvestrant in patients (pts) with advanced hormone receptor-positive (HR+), HER2-negative breast cancer (BC) with visceral or non-visceral disease. (ASCO 2021)
Combining xentuzumab, an insulin-like growth factor (IGF) ligand-neutralizing antibody, with ET and everolimus, suggested progression-free survival (PFS) benefit in pts with advanced HR+ BC and non-visceral disease . Xentuzumab plus abemaciclib and fulvestrant demonstrated encouraging disease control in pts with advanced HR+ BC with visceral and non-visceral disease . The safety profile was manageable, and consistent with the known profiles of the three agents.
Clinical • P1 data
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HER-2 (Human epidermal growth factor receptor 2) • CCND1 (Cyclin D1)
|
HR positive • HER-2 negative
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everolimus • Verzenio (abemaciclib) • fulvestrant • xentuzumab (BI-836845)
over3years
Clinical • Enrollment open • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 negative • PGR positive
|
everolimus • exemestane • xentuzumab (BI-836845)
over3years
Clinical • Enrollment closed • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 negative • PGR positive
|
everolimus • exemestane • xentuzumab (BI-836845)
almost4years
Clinical • Trial completion date • Trial primary completion date • Combination therapy
|
EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
EGFR mutation • HER-2 negative • ALK translocation
|
Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
almost4years
BI 836845 in Estrogen Receptor Positive Metastatic Breast Cancer (clinicaltrials.gov)
P1, N=164, Active, not recruiting, Boehringer Ingelheim | Trial completion date: Nov 2020 --> Jul 2021
Clinical • Trial completion date • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
everolimus • exemestane • xentuzumab (BI-836845)
over4years
Clinical • Trial completion date • Trial primary completion date • Combination therapy
|
EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
EGFR mutation • HER-2 negative • ALK translocation
|
Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
over4years
Clinical • Enrollment open • Combination therapy
|
EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • PGR (Progesterone receptor)
|
EGFR mutation • HER-2 negative • ALK translocation
|
Verzenio (abemaciclib) • fulvestrant • letrozole • anastrozole • xentuzumab (BI-836845)
over4years
Clinical • Trial suspension • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 negative • PGR positive
|
everolimus • exemestane • xentuzumab (BI-836845)
almost5years
BI 836845 in Estrogen Receptor Positive Metastatic Breast Cancer (clinicaltrials.gov)
P1, N=164, Active, not recruiting, Boehringer Ingelheim | Trial completion date: Jan 2020 --> Sep 2020
Clinical • Trial completion date • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
everolimus • exemestane • xentuzumab (BI-836845)