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DRUG CLASS:

MERTK inhibitor

12d
ONO-7475-03: Study of ONO-7475 in Combination With Osimertinib in EGFR Gene Mutation-positive Non-small Cell Lung Cancer (clinicaltrials.gov)
P1, N=78, Completed, Ono Pharmaceutical Co. Ltd | Active, not recruiting --> Completed | Trial completion date: Apr 2026 --> Jun 2025 | Trial primary completion date: Apr 2026 --> Jun 2025
Trial completion • Trial completion date • Trial primary completion date
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EGFR (Epidermal growth factor receptor)
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EGFR mutation • EGFR L858R • EGFR exon 19 deletion
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Tagrisso (osimertinib) • tamnorzatinib (ONO-7475)
20d
Design, synthesis, and Lead optimization of novel Quinazoline-based FLT3 inhibitors with potent anti-acute myelogenous leukemia activity. (PubMed, Bioorg Med Chem Lett)
Guided by a scaffold-hopping strategy based on G-749 (denfivontinib), a series of quinazoline-based derivatives was designed and synthesized to explore structure-activity relationships (SAR)...Mechanism studies indicated that W4 induced G0/G1 cell cycle arrest and apoptosis, accompanied by a reduction in intracellular reactive oxygen species levels and a loss of mitochondrial membrane potential. Collectively, these results identified W4 as a potent FLT3 inhibitor and provided valuable SAR insights for further scaffold optimization.
Journal
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FLT3 (Fms-related tyrosine kinase 3) • KIT (KIT proto-oncogene, receptor tyrosine kinase)
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FLT3 mutation
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denfivontinib (SKI-G-801)
29d
KEYNOTE-D35: Oral Axl/Mer/CSF1R Selective Tyrosine Kinase Inhibitor Q702 in Combination With Pembrolizumab in Patients With Selected Advanced Solid Tumors (clinicaltrials.gov)
P1/2, N=120, Active, not recruiting, Qurient Co., Ltd. | Recruiting --> Active, not recruiting | Trial completion date: Jun 2026 --> Mar 2028 | Trial primary completion date: Oct 2025 --> Dec 2027
Enrollment closed • Trial completion date • Trial primary completion date
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Keytruda (pembrolizumab) • adrixetinib (Q702)
30d
Defective Single-Site Nanozymes with Exposed Unsaturated Cu-N2 Sites for Antitumor Immunotherapy via Innate Immune-Checkpoint Blockade. (PubMed, J Am Chem Soc)
Herein, we develop an MRX-2843 (MerTK inhibitor) and Mn2+ codelivered defective metal-organic framework (copper-2,3,6,7,10,11-hexaiminotriphenylene (Cu-HITP))-based single-site nanozyme (Ir@D-Cu-HITP-MMP) for antitumor immunotherapy via innate immune-checkpoint blockade...This synergizes with Mn2+ to enhance the stimulator of interferon genes (STING) activation, triggering robust immune responses. Overall, Ir@D-Cu-HITP-MMP demonstrates potent antitumor effects by activating powerful innate and adaptive immune responses.
Journal • Checkpoint inhibition • IO biomarker
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MERTK (MER Proto-Oncogene, Tyrosine Kinase) • STING (stimulator of interferon response cGAMP interactor 1)
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MRX2843
1m
New P1 trial
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adrixetinib (Q702)
1m
MERTK inhibition cooperates with immunomodulatory cyclophosphamide to induce CXCL9⁺ monocyte-macrophage programming and durable anti-tumor immunity in triple negative breast cancer. (PubMed, bioRxiv)
Combining CTX with the next generation MERTK-selective inhibitor UNC2371 (MRX-2843) drives complete remissions in both models, but durable long-term responses occurred selectively in the basal-like subtype model. Suppressive myeloid programing limits effective adaptive immune engagement in TNBC usually resulting in ICB treatment resistance and tumor recurrence. This study identifies a therapeutically actionable myeloid interferon checkpoint in which MERTK inhibition stabilizes CXCL9⁺ monocyte-macrophage programming to promote CD4⁺ T cell dependent immune memory and durable tumor control in basal-like TNBC.
Journal
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MERTK (MER Proto-Oncogene, Tyrosine Kinase) • CXCL9 (Chemokine (C-X-C motif) ligand 9) • CD4 (CD4 Molecule) • IRF1 (Interferon Regulatory Factor 1) • SOCS1 (Suppressor Of Cytokine Signaling 1) • STAT1 (Signal Transducer And Activator Of Transcription 1) • CXCR3 (C-X-C Motif Chemokine Receptor 3) • IRF7 (Interferon Regulatory Factor 7)
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cyclophosphamide • MRX2843
3ms
Pharmacokinetic and Safety Study of MRX-2843 in Adults With Relapsed/Refractory Advanced and/or Metastatic Solid Tumors (clinicaltrials.gov)
P1, N=42, Completed, Meryx, Inc. | Active, not recruiting --> Completed | Trial completion date: Apr 2025 --> Dec 2025 | Trial primary completion date: Feb 2025 --> Dec 2025
Trial completion • Trial completion date • Trial primary completion date • First-in-human
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MRX2843
3ms
Pharmacokinetic and Safety Study of MRX-2843 in Adolescents and Adults With Relapsed/Refractory AML, ALL, or MPAL (clinicaltrials.gov)
P1, N=50, Recruiting, Meryx, Inc. | Trial completion date: Mar 2026 --> Sep 2026 | Trial primary completion date: Dec 2025 --> Jul 2026
Trial completion date • Trial primary completion date
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MRX2843
3ms
A Study to Evaluate Adrixetinib (Q702) in Adults With Active Chronic Graft-Versus-Host Disease (clinicaltrials.gov)
P1, N=18, Recruiting, Qurient Co., Ltd. | Not yet recruiting --> Recruiting
Enrollment open
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adrixetinib (Q702)
3ms
Oral Axl/Mer/CSF1R Selective Tyrosine Kinase Inhibitor in Patients With Advanced Solid Tumor (clinicaltrials.gov)
P1, N=51, Completed, Qurient Co., Ltd. | Active, not recruiting --> Completed | N=78 --> 51 | Trial completion date: Feb 2025 --> Dec 2025 | Trial primary completion date: Dec 2024 --> Dec 2025
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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adrixetinib (Q702)
3ms
P1 data • P2 data • Journal
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AXL (AXL Receptor Tyrosine Kinase) • MERTK (MER Proto-Oncogene, Tyrosine Kinase)
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Venclexta (venetoclax) • tamnorzatinib (ONO-7475)
5ms
Targeting MERTK tyrosine kinase: Virtual screening and molecular dynamics insights for anti-cancer drug development. (PubMed, PLoS One)
We used known compound UNC2025 as positive control and one million compounds was retrieved from different databases (OTAVA, ZINC, ChEMBL) and docked with MERTK protein...The study finds critical residues which serve a vital part in binding with the inhibitor and the active site of the MERTK protein, i.e., Phe598, Gly599, Lys619, Arg629, Glu633, Glu637, Arg722, Asp723, Arg727, Asp741, Gly743, Leu744, Lys746, Arg758, Ala760, and Lys761 through decomposed binding free energy analysis. This study focuses on the pursuit of several MERTK protein targets, which could have consequences for the development of novel therapeutics for various cancers.
Journal
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MERTK (MER Proto-Oncogene, Tyrosine Kinase) • LRIG1 (Leucine Rich Repeats And Immunoglobulin Like Domains 1) • LIG3 (DNA Ligase 3)
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UNC2025