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DRUG CLASS:

IL-1β inhibitor

17d
New P1/2 trial
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pomalidomide • aspirin
18d
New P2 trial
21d
Spartalizumab in combination with platinum-doublet chemotherapy with or without canakinumab in patients with PD-L1-unselected, metastatic NSCLC. (PubMed, BMC Cancer)
The combination of spartalizumab and PDC, with or without canakinumab, was well tolerated across treatment groups. The antitumor activity across treatment groups was comparable with that of pembrolizumab and pemetrexed combination. Canakinumab did not appear to improve the antitumor activity when combined with spartalizumab, pemetrexed and cisplatin.
Journal • Combination therapy • Metastases
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PD-L1 (Programmed death ligand 1)
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Keytruda (pembrolizumab) • cisplatin • carboplatin • gemcitabine • paclitaxel • pemetrexed • spartalizumab (PDR001) • Ilaris (canakinumab)
28d
Diacerein ameliorates amiodarone-induced pulmonary fibrosis via targeting the TGFβ1/α-SMA/Smad3 pathway. (PubMed, Naunyn Schmiedebergs Arch Pharmacol)
Moreover, DIA reduced TNF-α and caspase-3 protein expression. DIA attenuated AMD-induced pulmonary fibrosis via alleviating the TGF1/α-SMA/Smad3 pathway, reducing STAT-3 activation, and combating oxidative stress and inflammation in addition to promoting autophagy and abrogating apoptosis.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • STAT3 (Signal Transducer And Activator Of Transcription 3) • CASP3 (Caspase 3) • TGFB1 (Transforming Growth Factor Beta 1) • SMAD3 (SMAD Family Member 3)
29d
Structure-Activity Relationship of Potent, Selective, and Orally Bioavailable Molecular Glue Degraders of CK1α. (PubMed, ACS Med Chem Lett)
The original molecular glue degraders (thalidomide, lenalidomide, and pomalidomide) are known to bind to cereblon (CRBN) and alter its surface to induce recruitment, ubiquitination, and degradation of therapeutically valuable neosubstrates (IKZF1, IKZF3, and CK1α). Herein, we describe the medicinal chemistry efforts that resulted in the discovery of SJ3149 as well as other potent and selective CK1α degraders. We report kinetic profiling and parameters of CK1α degradation, ternary complex, antiproliferative effects, in vitro ADME data, and in vivo pharmacokinetic studies with demonstrated oral bioavailability.
Journal
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IKZF1 (IKAROS Family Zinc Finger 1) • CRBN (Cereblon) • IKZF3 (IKAROS Family Zinc Finger 3)
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lenalidomide • pomalidomide • thalidomide
1m
Adult-onset Still's disease masquerading as acute coronary syndrome: a case report and review of the literature. (PubMed, J Med Case Rep)
Adult-onset Still's disease should be considered in the differential diagnoses of fever of undetermined origin. Early identification and initiation of treatment are critical to faster recovery and prevention of progression to severe complications. Steroids remain the standard first-line therapy and should be followed by disease-modifying steroid sparing drugs. The social determinants of health may preclude their timely initiation and should alert providers of proactive ways to avoid further delays.
Review • Journal
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IL6 (Interleukin 6)
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Actemra IV (tocilizumab) • Ilaris (canakinumab) • Kineret (anakinra)
2ms
A Study to Investigate the Efficacy, Safety, and Tolerability of DFV890 and MAS825 for Inflammatory Marker Reduction in Adult Participants With Coronary Heart Disease and Clonal Hematopoiesis of Indeterminate Potential (CHIP) (clinicaltrials.gov)
P2, N=31, Active, not recruiting, Novartis Pharmaceuticals | Recruiting --> Active, not recruiting | Trial completion date: Feb 2026 --> Nov 2024 | Trial primary completion date: Feb 2026 --> Oct 2024
Enrollment closed • Trial completion date • Trial primary completion date
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DNMT3A (DNA methyltransferase 1) • TET2 (Tet Methylcytosine Dioxygenase 2) • IL6 (Interleukin 6) • IL18 (Interleukin 18)
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DNMT3A mutation • TET2 mutation
2ms
Enrollment open
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Ilaris (canakinumab)
2ms
Pomalidomide in patients with multiple myeloma: potential impact on the reconstitution of a functional T-cell immunity. (PubMed, Immunol Res)
These observations imply that Pomalidomide treatment influences the T-cell repertoire, particularly in the CD4 + subpopulation during the later stages of treatment, raising speculation about the potential involvement of these lymphocyte expansions in mechanisms related to antitumor immunity.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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lenalidomide • bortezomib • pomalidomide
2ms
Trial completion date
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IL18 (Interleukin 18) • XIAP (X-Linked Inhibitor Of Apoptosis) • CDC42 (Cell Division Cycle 42)
2ms
Enrollment open
3ms
Study of a Triple Combination Therapy, DTRM-555, in Patients With R/R CLL or R/R Non-Hodgkin's Lymphomas (clinicaltrials.gov)
P2, N=120, Active, not recruiting, Zhejiang DTRM Biopharma | Recruiting --> Active, not recruiting
Enrollment closed
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BCL2 (B-cell CLL/lymphoma 2)
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pomalidomide • DTRM-555 • DTRMWXHS-12
3ms
Clinical response and pathway-specific correlates following TIGIT-LAG3 blockade in myeloma: the MyCheckpoint randomized clinical trial. (PubMed, Nat Cancer)
Persons with myeloma were randomized to receive an anti-TIGIT (T cell immunoreceptor) or anti-LAG3 (lymphocyte activation gene) antibody followed by combination with pomalidomide and dexamethasone ( NCT04150965 ). Anti-TIGIT responders had higher CD226 expression, natural killer cell activation and lower CD112 expression. These data demonstrate the clinical activity of TIGIT-LAG3 blockade and identify pathway-specific response correlates in myeloma.
Clinical • Journal • IO biomarker
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PD-1 (Programmed cell death 1) • LAG3 (Lymphocyte Activating 3) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2) • CD4 (CD4 Molecule) • NECTIN2 (Nectin Cell Adhesion Molecule 2) • CD226 (CD226 Molecule)
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dexamethasone • pomalidomide
3ms
MN-166-GBM-1201: Study to Evaluate Ibudilast and TMZ Combo Treatment in Newly Diagnosed and Recurrent Glioblastoma (clinicaltrials.gov)
P1/2, N=50, Active, not recruiting, MediciNova | Trial completion date: Jun 2024 --> Dec 2024
Trial completion date
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temozolomide • Eyevinal (ibudilast)
3ms
Efficacy, Safety, Tolerability, and Biomarkers of MN-166 (Ibudilast) in Patients Hospitalized With COVID-19 and at Risk for ARDS (clinicaltrials.gov)
P2, N=36, Completed, MediciNova | Active, not recruiting --> Completed | Trial completion date: Dec 2023 --> Aug 2024
Trial completion • Trial completion date
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Eyevinal (ibudilast)
3ms
Study of a Triple Combination Therapy, DTRM-555, in Patients With R/R CLL or R/R Non-Hodgkin's Lymphomas (clinicaltrials.gov)
P2, N=120, Recruiting, Zhejiang DTRM Biopharma | Trial completion date: Mar 2024 --> Dec 2024 | Trial primary completion date: Mar 2024 --> Dec 2024
Trial completion date • Trial primary completion date • Combination therapy
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BCL2 (B-cell CLL/lymphoma 2)
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pomalidomide • DTRM-555 • DTRMWXHS-12
3ms
Trial termination
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CRP (C-reactive protein)
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Ilaris (canakinumab)
3ms
Transcription factor Ikzf1 associates with Foxp3 to repress gene expression in Treg cells and limit autoimmunity and anti-tumor immunity. (PubMed, Immunity)
Pomalidomide, which degrades IKZF1 and IKZF3, induced IFN-γ overproduction in human Treg cells. Mechanistically, the Foxp3-Ikzf1-Ikzf3 complex competed with epigenetic co-activators, such as p300, for binding to target gene loci via chromatin remodeling. Therefore, the Ikzf1 association with Foxp3 is essential for the gene-repressive function of Foxp3 and could be exploited to treat autoimmune disease and cancer.
Journal
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IFNG (Interferon, gamma) • IKZF1 (IKAROS Family Zinc Finger 1) • IKZF3 (IKAROS Family Zinc Finger 3) • FOXP3 (Forkhead Box P3)
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pomalidomide
3ms
Leflunomide, Pomalidomide, and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma (clinicaltrials.gov)
P2, N=29, Recruiting, City of Hope Medical Center | Trial completion date: Jun 2024 --> Feb 2027 | Trial primary completion date: Jun 2024 --> Feb 2027
Trial completion date • Trial primary completion date
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pomalidomide • leflunomide
3ms
A Study of SSGJ-613 in Gout Subjects Initiating Urate-Lowering Treatment. (clinicaltrials.gov)
P2, N=157, Active, not recruiting, Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd. | Recruiting --> Active, not recruiting | Trial primary completion date: Jun 2024 --> Oct 2024
Enrollment closed • Trial primary completion date
3ms
Berberine HCl and diacerein loaded dual delivery transferosomes: Formulation and optimization using Box-Behnken design. (PubMed, ADMET DMPK)
Formulation stored at 4 and 25±2 °C / 60±5 % relative humidity was stable for 3 months. Thus, the results demonstrated successful optimization of the transferosomes for the efficient topical delivery of berberine HCl and diacerein in the effective management of psoriasis.
Journal
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IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • IL23A (Interleukin 23 Subunit Alpha)
4ms
Pilot Study of the Effect of Ibudilast on Neuroinflammation in Methamphetamine Users (clinicaltrials.gov)
P2, N=120, Recruiting, VA Office of Research and Development | Trial completion date: Dec 2024 --> Dec 2025 | Trial primary completion date: Jun 2024 --> Jun 2025
Trial completion date • Trial primary completion date
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Eyevinal (ibudilast)
4ms
Canakinumab With Darbepoetin Alfa in PTs With Lower-Risk MDS Who Have Failed ESA (clinicaltrials.gov)
P1/2, N=41, Recruiting, H. Lee Moffitt Cancer Center and Research Institute | Trial completion date: Jun 2024 --> Aug 2025
Trial completion date
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Aranesp (darbepoetin alfa) • Ilaris (canakinumab)
4ms
Carfilzomib, Pomalidomide, and Dexamethasone in Treating Patients With Relapsed or Refractory Multiple Myeloma (clinicaltrials.gov)
P1/2, N=101, Active, not recruiting, University of Chicago | Recruiting --> Active, not recruiting | Phase classification: P1b/2 --> P1/2
Enrollment closed • Phase classification
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Darzalex (daratumumab) • carfilzomib • pomalidomide
4ms
Evaluation of Canakinumab in High-Risk Former-Smokers (clinicaltrials.gov)
P2, N=75, Recruiting, Peter Shields | Not yet recruiting --> Recruiting | Initiation date: Sep 2023 --> Mar 2024
Enrollment open • Trial initiation date
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IL1B (Interleukin 1, beta) • CASP1 (Caspase 1)
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Ilaris (canakinumab)
4ms
Trial completion
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CRP (C-reactive protein)
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Ilaris (canakinumab)
4ms
The synthesis of 1,2,3-triazoles as binders of D-dopachrome tautomerase (D-DT) for the development of dual-targeting inhibitors. (PubMed, Eur J Med Chem)
Enzyme inhibition experiments led to the discovery of the compound 10d, which exhibited moderate inhibitory potency (IC50 of 5.9 ± 0.7 μM), but unfortunately demonstrated no activity in D-DT degradation experiments. In conclusion, this study offers valuable insight into the SAR of D-DT inhibition, paving the way for the development of novel molecules as tools to study D-DT functions in tumor proliferation and, ultimately, new therapeutics for cancer treatment.
Journal
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CRBN (Cereblon) • MIF (Macrophage Migration Inhibitory Factor) • DCT (Dopachrome Tautomerase)
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pomalidomide
4ms
Reduction of osteoclast formation and survival following suppression of cytokines by diacerein in periodontitis. (PubMed, Biomed Pharmacother)
Osteoclasts with caspase-3-immunolabelled cytoplasm and nuclei with masses of condensed chromatin were observed in PDG, confirming osteoclast apoptosis. Diacerein inhibits osteoclastogenesis by decreasing Tnf and Il1b mRNA levels, resulting in decreased RANKL/OPG ratio, and induces apoptosis in osteoclasts of alveolar process of rat molars with periodontitis.
Journal
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IL6 (Interleukin 6) • CASP3 (Caspase 3) • IL1B (Interleukin 1, beta) • TNFRSF11B (Tumor necrosis factor receptor superfamily member 11B) • TNFSF11 (TNF Superfamily Member 11)
4ms
The Multifaceted Complexity of Tumor Necrosis Factor Receptor-Associated Periodic Syndrome (TRAPS): A Case Report Highlighting Atypical Gastrointestinal Manifestations. (PubMed, Diagnostics (Basel))
This case report emphasizes the diverse manifestations of TRAPS and the importance of recognizing gastrointestinal complications, particularly isolated colic amyloidosis. Comprehensive evaluation, including histological examination, is crucial for identifying atypical disease presentations and guiding management decisions. Continued research is needed to elucidate the underlying mechanisms and optimize treatment strategies for TRAPS and its associated complications.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • TNFRSF1A (TNF Receptor Superfamily Member 1A)
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Ilaris (canakinumab) • Kineret (anakinra)
4ms
Lenalidomide and pomalidomide modulate hematopoietic cell expansion and differentiation in the presence of MSC. (PubMed, Int J Hematol)
Thus, while MSCs support the presence of these immature cell populations, they simultaneously inhibit their maturation. This finding provides novel mechanistic insights into lenalidomide- and pomalidomide-induced cytopenia, and could guide therapeutic strategies for its mitigation.
Journal • IO biomarker
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CD34 (CD34 molecule) • ITGAM (Integrin, alpha M)
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lenalidomide • pomalidomide
4ms
O-GlcNAcylated RALY Contributes to Hepatocellular Carcinoma Cells Proliferation by Regulating USP22 mRNA Nuclear Export. (PubMed, Int J Biol Sci)
Furthermore, we develop a novel RALY protein degrader based on peptide proteolysis-targeting chimeras, named RALY-PROTAC, which we chemically synthesize by linking a RALY-targeting peptide with the E3 ubiquitin ligase recruitment ligand pomalidomide. In conclusion, our findings demonstrate a novel mechanism by which O-GlcNAcylation/RALY/USP22 mRNA axis aggravates HCC cells proliferation. RALY-PROTACs as degraders of the RALY protein exhibit potential as therapeutic drugs for RALY-overexpressing HCC.
Journal
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USP22 (Ubiquitin Specific Peptidase 22)
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pomalidomide
4ms
Blockade of IL-1β and PD-1 with combination chemotherapy reduces systemic myeloid suppression in metastatic pancreatic cancer with heterogeneous effects in the tumor. (PubMed, Cancer Immunol Res)
Patients with treatment-naïve advanced pancreatic ductal adenocarcinoma (n=10) were treated with canakinumab, a high-affinity monoclonal human anti-interleukin-1β (IL-1β), the PD-1 blocking antibody spartalizumab, and gemcitabine/n(ab)paclitaxel. Within the tumor we observed few changes in suppressive myeloid-cell populations or activated T cells as assessed by single-cell transcriptional profiling or multiplex immunofluorescence, although increases in CD8+ T cells suggest that improvements in the tumor immune microenvironment might be revealed by a larger study. Overall, the data indicate that exposure to PD-1 and IL-1β blockade induced a modest reactivation of peripheral CD8+ T cells and decreased circulating monocytic MDSCs; however, these changes did not lead to similarly uniform alterations in the tumor microenvironment.
Journal • Metastases
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CD8 (cluster of differentiation 8) • IL1B (Interleukin 1, beta)
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gemcitabine • paclitaxel • spartalizumab (PDR001) • Ilaris (canakinumab)
4ms
DarPAL: Daratumumab and Pomalidomide in Previously Treated Patients With AL Amyloidosis (clinicaltrials.gov)
P2, N=40, Active, not recruiting, Fondazione IRCCS Policlinico San Matteo di Pavia | Recruiting --> Active, not recruiting | Trial completion date: Mar 2024 --> Jan 2025 | Trial primary completion date: Mar 2024 --> Nov 2024
Enrollment closed • Trial completion date • Trial primary completion date
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pomalidomide • Darzalex Faspro (daratumumab and hyaluronidase-fihj)
4ms
New P3 trial
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Ilaris (canakinumab)
4ms
CanpHy: Canakinumab for the Treatment of Postprandial Hypoglycemia (clinicaltrials.gov)
P3, N=56, Recruiting, University Hospital, Basel, Switzerland | Trial completion date: May 2024 --> May 2026 | Trial primary completion date: May 2024 --> May 2026
Trial completion date • Trial primary completion date
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Ilaris (canakinumab)
4ms
Autologous Stem Cell Transplant With Pomalidomide (CC-4047®) Maintenance Versus Continuous Clarithromycin/ Pomalidomide / Dexamethasone Salvage Therapy in Relapsed or Refractory Multiple Myeloma (clinicaltrials.gov)
P2, N=23, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Dec 2024 --> Dec 2025 | Trial primary completion date: Dec 2024 --> Dec 2025
Trial completion date • Trial primary completion date
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CD34 (CD34 molecule)
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dexamethasone • pomalidomide
5ms
New P1 trial
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Ilaris (canakinumab)