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DRUG:

ingenol mebutate

i
Other names: PEP005
Associations
Trials
Company:
Generic mfg.
Drug class:
PKC modulator
Associations
Trials
9ms
DDX5 super-enhancer promotes vasculogenic mimicry formation and metastasis in nasopharyngeal carcinoma by enhancing ADAM10 transcription. (PubMed, Cell Rep Med)
Ingenol mebutate, which docks excellently with DDX5, reverses ADAM10-mediated gene expression changes, thereby effectively suppressing compensatory VM formation and metastasis and improving prognosis. Collectively, these findings provide insights into the clinical application of AATs.
Journal
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DDX5 (DEAD-Box Helicase 5) • ADAM10 (ADAM Metallopeptidase Domain 10)
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ingenol mebutate
2years
Identification and validation of a glycolysis-related taxonomy for improving outcomes in glioma. (PubMed, CNS Neurosci Ther)
This study elucidates that evaluating GS is essential for comprehending the heterogeneity of glioma, which is pivotal for predicting immune cell infiltration (ICI) characterization, prognosis, and personalized immunotherapy regimens. We also explored the glycolysis-related genes ADM and IM to develop a theoretical framework for anti-tumor strategies targeting glycolysis.
Journal • PD(L)-1 Biomarker • IO biomarker
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ADM (Adrenomedullin)
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ingenol mebutate
over2years
PICAMEL: Prospective Study of Ingenol Mebutate for Non-invasive Lentigo Melanoma of the Face (clinicaltrials.gov)
P2, N=20, Completed, Centre Hospitalier Universitaire de Nice | Unknown status --> Completed
Trial completion
|
ingenol mebutate
over2years
Topical and Intralesional Immunotherapy for Melanoma In Situ: A Review. (PubMed, Cancers (Basel))
The main forms of immunotherapy used are imiquimod and, to a lesser extent, intralesional interferon-α (IL-INF-α) and ingenol mebutate (IM). Also, its use as a neoadjuvant therapy before surgery was shown to reduce the final surgical defect size required to confirm negative histologic margins. In conclusion, local immunotherapy is frequently used in clinical practice and experience confirms it to be an excellent option for certain patients.
Review • Journal
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Zyclara (imiquimod) • ingenol mebutate
over2years
Trial completion
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ingenol mebutate
almost3years
Invasive SCC and tirbanibulin: experience in patient with epidermodysplasia verruciformis (EADV-Sp 2023)
There are reports of successful use of topical imiquimod, photodynamic therapy (PDT) and topical 5-fluorouracil with recurrence when treatment is discontinued...He previously applied topical imiquimod, discontinued due to systemic reaction, ingenol mebutate, 5-fluorouracil, and performed PDT with low benefits...For these reasons, we used tirbanibulin ointment on the area of previous surgery and on the peripheral area (right hemi- frontal), applying it once a day for 2 cycles of 5 days with 14 days of break between the 2 cycles...Tirbanibulin has a selective action against cells that most express microtubules and its action is, ideally, to be considered more effective the greater the number of mitoses. Based on this reasoning, we used tirbanibulin in the treatment of iSCC, not as an alternative to the surgical proposal, which always remains the first-line of therapy, but as an adjuvant approach in a selected patient to reduce the risk of progression, waiting for a possible wide local excision.
Clinical
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Zyclara (imiquimod) • fluorouracil topical • Klisyri (tirbanibulin ointment) • ingenol mebutate • tirbanibulin oral (KX-01 oral)
almost3years
Ingenol mebutate inhibits the growth of pancreatic cancer cells in vitro via STING with an efficacy comparable to that of clinically used anticancer agents. (PubMed, J Nat Med)
Co-exposure of IM and STING inhibitor, H-151, to Panc-1 or MIA PaCa-2 cell lines canceled the growth-inhibitory effects of IM alone. In conclusion, IM may have an efficacy comparable to that of existing pancreatic cancer therapeutic agents on the less drug-sensitive Panc-1 cell line and the immune-related molecule STING plays a role in the mechanism of action of IM.
Preclinical • Journal
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STING (stimulator of interferon response cGAMP interactor 1)
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ingenol mebutate
over3years
Repurposing of ingenol mebutate for treating human colorectal cancer by targeting S100 calcium-binding protein A4 (S100A4). (PubMed, Toxicol Appl Pharmacol)
In addition, CRC cells with higher S100A4 expressions and/or the wild-type p53 gene were more sensitive to ingenol mebutate, and their migration and invasion were inhibited by ingenol mebutate. Therefore, our results suggest the repurposing of ingenol mebutate for treating CRC by targeting S100A4.
Journal
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TP53 (Tumor protein P53) • S100A4 (S100 calcium binding protein A4)
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TP53 wild-type • TP53 expression
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ingenol mebutate
almost4years
PKC agonism restricts innate immune suppression, promotes antigen cross-presentation and synergizes with agonistic CD40 antibody therapy to activate CD8 T cells in breast cancer. (PubMed, Cancer Lett)
In this study, we investigated the effect of PKC agonists PEP005 and prostratin on MDSC expansion, differentiation, and recruitment to the tumor microenvironment...Finally, combination of PKC agonism with agonistic CD40 mAb resulted in a marked reduction in tumor growth with a significant increase in intratumoral activated CD8 T cells and tissue-resident memory CD8 T cells in a syngeneic breast cancer mouse model. In sum, this work proposes a novel promising strategy to simultaneously target MDSCs and promote APC function that may have highly impactful clinical relevance in cancer patients.
Journal • IO biomarker
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CD8 (cluster of differentiation 8) • CD40 (CD40 Molecule) • CDK1 (Cyclin-dependent kinase 1)
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ingenol mebutate
over4years
PKC Agonism Restricts Innate Immune Suppression, Promotes Antigen Cross-Presentation and Synergizes with Agonistic CD40 Therapy in Breast Cancer (SITC 2021)
Methods Using in vitro, ex vivo, in vivo and adoptive transfer systems, we investigated the effect of PKC agonists PEP005 and prostratin on MDSC expansion, differentiation to APC-like cells and recruitment to the TME...Finally, combination of PKC agonism with agonistic CD40 mAb resulted in a marked reduction in tumor growth while synergistically increased intratumoral activated CD8+ T cells and tissue-resident memory CD8+ T cells. Conclusions In sum, we propose a novel promising strategy to simultaneously target MDSCs and promote APC function that may have potential clinical relevance in cancer patients.
IO biomarker
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CD8 (cluster of differentiation 8) • IRF8 (Interferon Regulatory Factor 8) • CD40 (CD40 Molecule) • CDK1 (Cyclin-dependent kinase 1)
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ingenol mebutate
almost5years
Targeting Cutaneous T-Cell Lymphoma Cells by Ingenol Mebutate (PEP005) Correlates with PKCδ Activation, ROS Induction as Well as Downregulation of XIAP and c-FLIP. (PubMed, Cells)
Finally, PEP005 resulted in the activation of proapoptotic PKCδ, and the PKC inhibitor bisindolylmaleimide I reduced apoptosis, caspase-3 processing and ROS production, as well as restored cell viability. In conclusion, PKCδ appeared as a central player in apoptosis regulation in CTCL cells, also suggesting its therapeutic targeting.
Journal
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CASP3 (Caspase 3) • CASP8 (Caspase 8) • XIAP (X-Linked Inhibitor Of Apoptosis) • CFLAR (CASP8 and FADD-like apoptosis regulator)
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ingenol mebutate
almost5years
[VIRTUAL] Myeloid PKCd activation inhibits innate immune suppression and promotes antigen cross-presentation in triple negative breast cancer (AACR 2021)
Finally, treatment of TNBC-bearing C57BL/6J mice with PKC agonist PEP005 markedly reduced tumor burden by decreasing the frequencies of M-MDSCs in tumor, spleen, and bone marrow while increasing cDC1 frequencies in tumors. These findings propose PKCδ as a novel target in myeloid cells to tip the balance from immune suppression to effective antitumor immunity.
Tumor Mutational Burden • IO biomarker
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TMB (Tumor Mutational Burden) • CD8 (cluster of differentiation 8) • ITGAE (Integrin Subunit Alpha E)
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TMB-H • CD8 expression
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ingenol mebutate