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DRUG CLASS:

IL-12 inhibitor

10d
Decreased RNA-binding protein heterogeneous nuclear ribonucleoprotein U improves multiple myeloma sensitivity to lenalidomide. (PubMed, Br J Haematol)
Immunomodulatory drugs, such as lenalidomide (LEN) and pomalidomide, are backbone agents in MM treatment, and LEN resistance is commonly seen in the MM clinic. hnRNPU function in vivo was confirmed in an immunocompetent MM mouse model constructed by the inoculation of Crbn-humanized murine 5TGM1 cells into CrbnI391V/+ mice. Overall, this study suggests a novel mechanism of LEN sensitivity in which hnRNPU represses CRBN and IKZF1 mRNA translation.
Journal
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IKZF1 (IKAROS Family Zinc Finger 1) • CRBN (Cereblon)
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lenalidomide • pomalidomide
14d
Hypofractionated radiotherapy combined with lenalidomide improves systemic antitumor activity in mouse solid tumor models. (PubMed, Theranostics)
We demonstrate that lena can augment the hRT-induced abscopal effect in mouse solid tumor models in a CD8 T cell- and IFN-I-dependent manner, correlating with enhanced anti-tumor CD8 T cell immunity, DC cross-presentation, and TA-HEC numbers. Our findings may be helpful for the planning of clinical trials in (oligo)metastatic patients.
Preclinical • Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • PD-1 (Programmed cell death 1) • IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • CD70 (CD70 Molecule) • GZMB (Granzyme B) • CD86 (CD86 Molecule)
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lenalidomide
16d
12-C-0107: Carfilzomib, Lenalidomide, and Dexamethasone for Smoldering Multiple Myeloma (clinicaltrials.gov)
P2, N=55, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Jun 2025 --> Jun 2028
Trial completion date
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Chr t(4;14)
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lenalidomide • carfilzomib • dexamethasone • dexamethasone injection
23d
MCLENA-1: A Clinical Trial for the Assessment of Lenalidomide in Amnestic MCI Patients (clinicaltrials.gov)
P2, N=30, Recruiting, St. Joseph's Hospital and Medical Center, Phoenix | Trial completion date: Sep 2024 --> Sep 2025 | Trial primary completion date: Sep 2023 --> Sep 2024
Trial completion date • Trial primary completion date
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • IL1B (Interleukin 1, beta)
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lenalidomide
23d
Frontline Lenalidomide for AL Amyloidosis Involving Myocardium (clinicaltrials.gov)
P3, N=2, Completed, Seoul National University Hospital | Unknown status --> Completed | N=30 --> 2
Trial completion • Enrollment change
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NPPB (Natriuretic Peptide B)
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lenalidomide
1m
Trial completion
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lenalidomide
1m
Population Pharmacokinetic Study Based on Quantitative Pharmacology in Patients With Lenalidomide (clinicaltrials.gov)
P=N/A, N=38, Completed, Qianfoshan Hospital | Recruiting --> Completed | N=60 --> 38 | Trial completion date: May 2024 --> May 2023 | Trial primary completion date: Dec 2023 --> May 2023
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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ABCB1 (ATP Binding Cassette Subfamily B Member 1)
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lenalidomide
1m
Multiple myeloma with IgH::MYC and multiple extramedullary lesions (PubMed, Rinsho Ketsueki)
Complete remission was maintained for over one year with lenalidomide maintenance therapy. A solitary IgH::MYC chromosomal translocation is extremely rare in multiple myeloma and may be associated with high tumor proliferative capacity, multiple extramedullary lesions, and poor prognosis. Combined therapeutic modalities with novel and conventional chemotherapy and radiation might be a promising treatment strategy for patients with this type of multiple myeloma.
Journal
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SDC1 (Syndecan 1)
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MYC positive
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lenalidomide
1m
Trial completion date
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lenalidomide
1m
Trial completion date
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lenalidomide • bortezomib • Hemady (dexamethasone tablets)
2ms
CD8+ NKs as a potential biomarker of complete response and survival with lenalidomide plus R-GDP in the R2-GDP-GOTEL trial in recurrent/refractory diffuse large B cell lymphoma. (PubMed, Front Immunol)
CD8+ NKs represent a new biomarker with prediction and prognosis potential to be considered in the clinical management of patients with R/R DLBCL. https://www.clinicaltrialsregister.eu/ctr-search/search?query=2014-001620-29 EudraCT, ID:2014-001620-29.
Clinical Trial,Phase II • Journal • IO biomarker
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CD8 (cluster of differentiation 8)
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CD8 expression
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lenalidomide
2ms
Velcade and Lenalidomide in Patients With Relapsed AML and MDS After Allogeneic Stem Cell Transplantation (clinicaltrials.gov)
P1, N=22, Active, not recruiting, Massachusetts General Hospital | Trial completion date: Aug 2021 --> Aug 2024
Trial completion date • Combination therapy
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lenalidomide • bortezomib
2ms
Newcastle disease virus suppresses antigen presentation via inhibiting IL-12 expression in dendritic cells. (PubMed, J Zhejiang Univ Sci B)
Furthermore, several other strains of NDV also exhibited inhibitory activity. The current study reveals that NDV can modulate the intensity of the innate‍‒‍adaptive immune cell crosstalk critically toward viral invasion improvement, highlighting a novel mechanism of virus-induced immunosuppression and providing new perspectives on the improvement of NDV-vectored vaccine.
Journal
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IFNG (Interferon, gamma) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha)
2ms
Trial completion date
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lenalidomide • thalidomide • melphalan
2ms
Trial completion date
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lenalidomide • melphalan
2ms
Synergistic anti-tumor effects of lenalidomide and gefitinib by upregulating ADRB2 and inactivating the mTOR/PI3K/AKT signaling pathway in lung adenocarcinoma. (PubMed, Cell Mol Biol (Noisy-le-grand))
PI3K activator SC79 significantly restored reduced cell proliferation, migration and invasion along with elevated cell cycle arrest and apoptosis caused by lenalidomide and gefitinib cotreatment. In conclusion, lenalidomide and gefitinib synergistically suppressed LUAD progression and attenuated gefitinib resistance by upregulating ADRB2 and inactivating the mTOR/PI3K/AKT signaling pathway in lung adenocarcinoma.
Journal
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ADRB2 (Adrenoceptor Beta 2)
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gefitinib • lenalidomide
2ms
CDK6 protein expression is associated with disease progression and treatment resistance in multiple myeloma. (PubMed, Hemasphere)
Furthermore, we observed that patients who underwent lenalidomide-comprising induction therapy had significantly shorter progression-free survival when their samples were CDK6 positive. These data support that CDK6 protein expression is a marker for aggressive and drug-resistant disease and describes a potential drug target in MM.
Journal
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CDK6 (Cyclin-dependent kinase 6)
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CDK6 expression
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lenalidomide
2ms
Decreased circulating myeloid-derived suppressor cell count at the engraftment is one of the risk factors for multiple myeloma relapse after autologous hematopoietic stem cell transplantation. (PubMed, Heliyon)
The advanced MM stage, depth of response, and lower relative count of circulating E-MDSCs at the engraftment were independent risk factors associated with a lower progression-free survival. The obtained data allow us to hypothesize that MDSCs may play a positive role at the stage of leukocyte recovery by ameliorating the long-term anti-tumor response in MM.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • CD33 (CD33 Molecule) • CD14 (CD14 Molecule) • ARG1 (Arginase 1) • CEACAM8 (CEA Cell Adhesion Molecule 8)
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lenalidomide
2ms
Risk of major adverse cardiovascular events and all-cause mortality among patients with psoriatic disease treated with tumor necrosis factor-α and interleukin-12/23 inhibitors: a nationwide population-based cohort study in Korea. (PubMed, J Dermatolog Treat)
In conclusion, No statistically significant difference in MACE risk was observed between patients who used TNF-α and IL-12/23 inhibitors. Nevertheless, the use of IL-12/23 inhibitors, especially among older and female patients, resulted in a lower overall mortality.
Journal • Adverse events
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TNFA (Tumor Necrosis Factor-Alpha)
2ms
RithMM: Rivaroxaban or Aspirin As Thromboprophylaxis in Multiple Myeloma (clinicaltrials.gov)
P2/3, N=57, Active, not recruiting, Lawson Health Research Institute | Recruiting --> Active, not recruiting | N=86 --> 57 | Trial completion date: Jul 2026 --> Sep 2024 | Trial primary completion date: Dec 2024 --> Dec 2023
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
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lenalidomide
3ms
Bortezomib, Lenalidomide and Dexamethasone Combination Therapy in Patients With Newly Diagnosed Multiple Myeloma (clinicaltrials.gov)
P1/2, N=68, Active, not recruiting, Dana-Farber Cancer Institute | Trial completion date: Dec 2023 --> Sep 2024
Trial completion date
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lenalidomide • bortezomib
3ms
Enrollment closed • Enrollment change • Combination therapy • Immunomodulating
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lenalidomide • pomalidomide • Hemady (dexamethasone tablets)
3ms
Study of Early Relapsed, Lenalidomide-refractory Subjects Eligible for Carfilzomib Triplet (clinicaltrials.gov)
P2, N=54, Active, not recruiting, Amgen | Trial completion date: Dec 2025 --> Oct 2024
Trial completion date
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lenalidomide • carfilzomib • pomalidomide
3ms
Lenalidomide Plus Melphalan as a Preparative Regimen for Autologous Stem Cell Transplantation in Relapsed Multiple Myeloma: A Phase 1 / 2 Study (clinicaltrials.gov)
P1/2, N=52, Active, not recruiting, Weill Medical College of Cornell University | Trial completion date: Dec 2025 --> Dec 2024 | Trial primary completion date: Dec 2023 --> Dec 2024
Trial completion date • Trial primary completion date
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CD34 (CD34 molecule)
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lenalidomide • melphalan
3ms
Acute Lymphoblastic Leukaemia Related to Lenalidomide (LenALL) (clinicaltrials.gov)
P=N/A, N=300, Not yet recruiting, University Hospital, Caen
New trial • Adverse events
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lenalidomide
3ms
Design, synthesis, and biological characterization of proteolysis targeting chimera (PROTACs) for the ataxia telangiectasia and RAD3-related (ATR) kinase. (PubMed, Eur J Med Chem)
Among the synthesized compounds, the lenalidomide-based PROTAC 42i was the most promising...42i selectively degraded ATR through the proteasome, dependent on the E3 ubiquitin ligase component cereblon, and without affecting the associated kinases ATM and DNA-PKcs. 42i may be a promising candidate for further optimization and biological characterization in various cancer cells.
Journal
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CRBN (Cereblon) • ATR (Ataxia telangiectasia and Rad3-related protein)
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lenalidomide
3ms
Determinants of lenalidomide response with or without erythropoiesis-stimulating agents in myelodysplastic syndromes: the HOVON89 trial. (PubMed, Leukemia)
The identified predictors of response may guide application of lenalidomide in lower-risk MDS in the era of precision medicine. (EudraCT 2008-002195-10).
Journal
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SF3B1 (Splicing Factor 3b Subunit 1)
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SF3B1 mutation
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lenalidomide
3ms
Low-Dose or High-Dose Lenalidomide in Treating Younger Patients With Recurrent, Refractory, or Progressive Pilocytic Astrocytoma or Optic Pathway Glioma (clinicaltrials.gov)
P2, N=75, Completed, National Cancer Institute (NCI) | Active, not recruiting --> Completed | Trial completion date: Jun 2024 --> Dec 2023
Trial completion • Trial completion date
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lenalidomide
3ms
Unexpected inhibition of the lipid kinase PIKfyve reveals an epistatic role for p38 MAPKs in endolysosomal fission and volume control. (PubMed, Cell Death Dis)
p38 mitogen-activated protein kinases (MAPKs) participate in autophagic signaling; and previous reports suggest that pyridinyl imidazole p38 MAPK inhibitors, including SB203580 and SB202190, induce cell death in some cancer cell-types through unrestrained autophagy. The rate of vacuole dissolution (i.e., LEL fission), following the removal of apilimod, was also significantly reduced in cells treated with BIRB-796, a structurally unrelated p38 MAPK inhibitor. Thus, our studies indicate that pyridinyl imidazole p38 MAPK inhibitors induce cytoplasmic vacuolation through the combined inhibition of both PIKfyve and p38 MAPKs, and more generally, that p38 MAPKs act epistatically to PIKfyve, most likely to promote LEL fission.
Journal
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PIK3C3 (Phosphatidylinositol 3-Kinase Catalytic Subunit Type 3)
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SB202190
4ms
Myxoma Virus Combination Therapy Enhances Lenalidomide and Bortezomib Treatments for Multiple Myeloma. (PubMed, Pathogens)
The addition of MYXV resulted in a statistically significant increase in early apoptosis in both newly diagnosed and refractory MM patients. Our results highlight that patient-based therapy should also be considered for the effective management of MM.
Journal • Combination therapy • IO biomarker
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KIT (KIT proto-oncogene, receptor tyrosine kinase) • CD33 (CD33 Molecule) • NCAM1 (Neural cell adhesion molecule 1) • SDC1 (Syndecan 1) • CD200 (CD200 Molecule) • CASP9 (Caspase 9) • ANXA5 (Annexin A5) • CD86 (CD86 Molecule)
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lenalidomide • bortezomib
4ms
Revlimid® Capsules General Drug Use-results Surveillance (Relapsed or Refractory FL and MZL) (clinicaltrials.gov)
P=N/A, N=110, Recruiting, Celgene | Trial completion date: May 2023 --> Mar 2025 | Trial primary completion date: Sep 2022 --> Mar 2025
Trial completion date • Trial primary completion date
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lenalidomide
4ms
Study Evaluating PK of Ustekinumab Administered Orally Via RaniPill™ Capsule (clinicaltrials.gov)
P1, N=55, Completed, RANI Therapeutics | Active, not recruiting --> Completed
Trial completion
5ms
Discovery of an Inherited Variant Associated with Susceptibility to Secondary Acute Lymphoblastic Leukemia (ALL) after Lenalidomide Maintenance and Autologous HCT for Multiple Myeloma (MM) (TCT-ASTCT-CIBMTR 2024)
All cases and controls had a primary diagnosis of MM and received len-post-autoHCT with melphalan; sequencing was performed on an aliquot of the apheresis product or peripheral blood sample that was collected before autoHCT for MM. Our results demonstrate an interesting risk variant for ALL, and potentially AML/MDS, SPM emerging in the setting of len-post-autoHCT. It is important to identify patients at higher risk of SPMs for survivorship screening, and to better understand the pathogenesis of acute leukemia SPMs associated with lenalidomide maintenance.
Clinical
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IKZF1 (IKAROS Family Zinc Finger 1) • CRBN (Cereblon) • IKZF3 (IKAROS Family Zinc Finger 3) • PLAGL2 (PLAG1 Like Zinc Finger 2)
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lenalidomide • melphalan
5ms
Noncanonical MAVS signaling restrains dendritic cell-driven antitumor immunity by inhibiting IL-12. (PubMed, Sci Immunol)
Moreover, ablation of host MAVS sensitized tumors to immunotherapy and attenuated radiation resistance, thereby facilitating the maintenance of effector CD8 T cells. These findings demonstrate that the host MAVS pathway acts as an immune regulator of DC-driven antitumor immunity and support the development of immunotherapies that antagonize MAVS signaling in DCs.
Journal
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CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma)
6ms
STELLAR-2: Comparing Efficacy and Safety of Bmab 1200 and Stelara in Patients With Moderate to Severe Chronic Plaque Psoriasis (clinicaltrials.gov)
P3, N=384, Active, not recruiting, Biocon Biologics UK Ltd | Trial completion date: Oct 2023 --> May 2024
Trial completion date
6ms
Study Evaluating PK of Ustekinumab Administered Orally Via RaniPill™ Capsule (clinicaltrials.gov)
P1, N=55, Active, not recruiting, RANI Therapeutics | Not yet recruiting --> Active, not recruiting | Trial completion date: Apr 2024 --> Nov 2023 | Trial primary completion date: Apr 2024 --> Nov 2023
Enrollment closed • Trial completion date • Trial primary completion date
over1year
Butyrate producers, "The Sentinel of Gut": Their intestinal significance with and beyond butyrate, and prospective use as microbial therapeutics. (PubMed, Front Microbiol)
Additionally, butyrate producers, such as Roseburia, produce anti-carcinogenic metabolites, such as shikimic acid and a precursor of conjugated linoleic acid. In this review, we summarized the significance of butyrate, critically examined the role and relevance of butyrate producers, and contextualized their importance as microbial therapeutics.
Review • Journal
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IL6 (Interleukin 6) • TGFB1 (Transforming Growth Factor Beta 1)
over1year
Inhibition of IL-12 heterodimers impairs TLR9-mediated prevention of early mouse plasmacytoma cell growth. (PubMed, Front Med (Lausanne))
Moreover, the protective effect of CpG stimulation, and to a lesser extent of TLR3 and TLR7/8, and the role of IL-12 in this protection were confirmed in a model of early mesothelioma AB1 cell growth. These results suggest that modulation of the mouse immune microenvironment by ligation of innate receptors deeply modifies the efficiency of cancer immunosurveillance through the secretion of IL-12, which may at least partly explain the inhibitory effect of previous infections on the prevalence of some cancers.
Preclinical • Journal
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TLR9 (Toll Like Receptor 9) • TLR3 (Toll Like Receptor 3) • TLR7 (Toll Like Receptor 7)
over1year
IL-12 and IL-27 upregulate CD39 expression on CD8+ T-cells and differentially affect CD39+CD8+ T-cell effector function (SITC 2022)
Future experiments will assess the functionality of CD39 + CD8 + T-cells using ex vivo cytotoxicity assays. Data generated in this study will provide novel information on the mechanism of CD39 induction and its effect on CD8 + T-cell function, which can be exploited to improve future cancer therapies.
IO biomarker
|
CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma) • IL2 (Interleukin 2) • LAMP1 (Lysosomal Associated Membrane Protein 1) • ENTPD1 (Ectonucleoside Triphosphate Diphosphohydrolase 1)
|
CD8 expression • IFNG expression
over1year
Therapeutic Adenovirus Vaccine Combined Immunization with IL-12 Induces Potent CD8 T Cell Anti-Tumor Immunity in Hepatocellular Carcinoma. (PubMed, Cancers (Basel))
Likewise, Ad-IL-12/GPC3 vaccine also effectively inhibited lung tumor growth or metastasis by enhancing CD8 DCs-mediated multifunctional CD8 T cell immune responses in the lung metastasis model. Therefore, these results indicate that IL-12 combined with Ad-GPC3 vaccine co-immunization might provide a promising therapeutic strategy for HCC patients.
Journal
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CD8 (cluster of differentiation 8) • ITGAX (Integrin Subunit Alpha X)
almost2years
Codelivery of HBx-siRNA and Plasmid Encoding IL-12 for Inhibition of Hepatitis B Virus and Reactivation of Antiviral Immunity. (PubMed, Pharmaceutics)
Therefore, we believe that codelivery of siRNA and pIL-12 can effectively inhibit hepatitis B virus, reverse virus-induced immunosuppression, reactivate antiviral immunity, and hinder the progression of HBV-induced hepatocellular carcinoma. This investigation provides a promising approach for the synergistic treatment of HBV infection.
Journal
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BCL2 (B-cell CLL/lymphoma 2) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IFNB1 (Interferon Beta 1)