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DRUG CLASS:

Notch inhibitor

20h
Enrollment open
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itraconazole • varegacestat (AL102)
8d
New P1 trial
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itraconazole • varegacestat (AL102)
15d
Reciprocal inhibition of NOTCH and SOX2 shapes tumor cell plasticity and therapeutic escape in triple-negative breast cancer. (PubMed, EMBO Mol Med)
To counteract monotherapy-induced tumor relapse, we assessed GSI-paclitaxel and dasatinib-paclitaxel combination treatments in NOTCH inhibitor-sensitive and -resistant TNBC xenotransplants, respectively. These distinct preventive combinations and second-line treatment option dependent on NOTCH1 and SOX2 expression in TNBC are able to induce tumor growth control and reduce metastatic burden.
Journal • Tumor cell
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NOTCH1 (Notch 1) • SOX2
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NOTCH1 expression • SOX2 expression
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dasatinib • paclitaxel
15d
Inhibition of Notch enhances efficacy of immune checkpoint blockade in triple-negative breast cancer. (PubMed, Sci Adv)
This is due to (i) therapeutic reduction in Notch-dependent, prometastatic circulating factors released by the primary tumor, and (ii) elevated PD ligand 1 (PD-L1) in lung metastases, rendering them profoundly sensitive to ICB. These findings highlight the potential of combination cytokine inhibition and ICB as an immunotherapeutic strategy in TNBC.
Journal • Checkpoint inhibition • Checkpoint block
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PD-L1 (Programmed death ligand 1)
18d
AL101 Before Surgery for the Treatment of Notch Activated Adenoid Cystic Cancer (clinicaltrials.gov)
P1, N=14, Active, not recruiting, M.D. Anderson Cancer Center | Recruiting --> Active, not recruiting
Enrollment closed
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AL101
23d
Molecular analysis of BRCA1 and BRCA2 genes in La Rioja (Spain): five new variants. (PubMed, Hered Cancer Clin Pract)
The spectrum of pathogenic variants in the BRCA1/2 genes in La Rioja is similar to that in other Spanish regions, with some unique characteristics. The pathogenic c.6024dupG variant in the BRCA2 gene was detected in a large number of families and could have a founding effect in the Ebro riverside areas in the regions of La Rioja and Navarra.
Journal • BRCA Biomarker
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
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BRCA1 mutation • BRCA2 deletion • BRCA1 deletion
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MK-0752
25d
Cepharanthine-mediated endoplasmic reticulum stress inhibits Notch1 via binding GRP78 for suppressing hepatocellular carcinoma metastasis. (PubMed, Phytomedicine)
Taken together, the present study finds that Cep possesses excellent anti-metastasis of HCC, wherein the GRP78 could be directly bound and activated by Cep, leading to ER stress and Notch1 blockage. This study reveals for the first time the effect, critical target, and mechanism of the Cep-mediated anti-cancer effect, providing novel insights into the molecular target therapy by phytomedicine.
Journal
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NOTCH1 (Notch 1) • MMP2 (Matrix metallopeptidase 2) • TGFB1 (Transforming Growth Factor Beta 1) • HSPA5 (Heat Shock Protein Family A (Hsp70) Member 5) • MMP9 (Matrix metallopeptidase 9)
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NOTCH1 expression • NOTCH1 overexpression
29d
Journal • Tumor cell
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NOTCH1 (Notch 1) • CCNE2 (Cyclin E2)
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crenigacestat (LY3039478)
1m
A High-Throughput Drug Repurposing Strategy to Treat TBX2 and/or TBX3 Dependent Cancers. (PubMed, Cancer Med)
Niclosamide, piroctone olamine, and pyrvinium pamoate are promising, cost-effective therapeutic agents for the treatment of TBX2/TBX3-dependent cancers.
Journal
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TBX2 (T-Box Transcription Factor 2)
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niclosamide
1m
Journal
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AR (Androgen receptor)
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abiraterone acetate • niclosamide
2ms
SYT7 as a Potential Prognostic Marker Promotes the Metastasis of Epithelial Ovarian Cancer Cells by Activating the STAT3 Pathway. (PubMed, Mol Carcinog)
Importantly, treatment with the STAT3 inhibitor niclosamide effectively counteracted the oncogenic effects of SYT7 in EOC...Our findings suggest that the upregulation of SYT7 in EOC is associated with a negative prognosis, as it enhances tumor migration and invasion by activating the STAT3 signaling pathway. Thus, SYT7 might be utilized as a EOC prognostic marker and treatment target.
Journal
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MMP2 (Matrix metallopeptidase 2)
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niclosamide
2ms
RINGSIDE: A Study of AL102 in Patients With Progressing Desmoid Tumors (clinicaltrials.gov)
P2/3, N=192, Active, not recruiting, Immunome, Inc. | Trial completion date: Feb 2025 --> Oct 2026 | Trial primary completion date: Jan 2025 --> Oct 2025
Trial completion date • Trial primary completion date
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varegacestat (AL102)
2ms
Lacidipine Inhibits NF-κB and Notch Pathways and Mitigates DSS-Induced Colitis. (PubMed, Dig Dis Sci)
Lacidipine demonstrated a protective effect in UC, reducing inflammation and modulating key signaling pathways. These findings suggest that lacidipine could be a promising candidate for the treatment of UC.
Journal
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NFKBIA (NFKB Inhibitor Alpha 2)
3ms
A Study of CC-99712, a BCMA Antibody-Drug Conjugate, in Participants With Relapsed and Refractory Multiple Myeloma (clinicaltrials.gov)
P1, N=47, Terminated, Celgene | N=160 --> 47 | Active, not recruiting --> Terminated; Slow accrual
Enrollment change • Trial termination
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crenigacestat (LY3039478) • ispectamab debotansine (BMS-986352)
3ms
Pharmacological investigation of new niclosamide-based isatin hybrids as antiproliferative, antioxidant, and apoptosis inducers. (PubMed, Sci Rep)
Computational in silico modeling of the new hybrids revealed that they presented acceptable physicochemical values as well as drug-like characteristics, which may introduce them as drug-like candidates. The study proved that compound X1 might be a novel candidate for the development of anticancer agents as it presents antiproliferative activity mediated by apoptosis.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BCL2L1 (BCL2-like 1) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • XIAP (X-Linked Inhibitor Of Apoptosis) • CASP7 (Caspase 7)
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niclosamide
3ms
Phase II Study to Evaluate Safety and Efficacy of CB-103 With Venetoclax in Adolescent and Young Adult Patients With Relapsed/Refractory T-ALL or T-LBL (clinicaltrials.gov)
P2, N=2, Terminated, M.D. Anderson Cancer Center | N=30 --> 2 | Trial completion date: Jul 2026 --> Aug 2024 | Recruiting --> Terminated | Trial primary completion date: Jul 2026 --> Aug 2024; The sponsor requested termination due to internal reprioritization of resources.
Enrollment change • Trial completion date • Trial termination • Trial primary completion date • Combination therapy
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BCL2 (B-cell CLL/lymphoma 2) • CD8 (cluster of differentiation 8) • CD34 (CD34 molecule) • CD5 (CD5 Molecule) • CD7 (CD7 Molecule) • CD2 (CD2 Molecule)
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Venclexta (venetoclax) • CB-103
3ms
Enhanced depletion of MLL-fusion proteins in acute leukemia: potential for improved therapeutic outcomes. (PubMed, Exp Hematol Oncol)
Inspired by the paradigm of depleting the PML-RARA fusion protein in acute promyelocytic leukemia using all-trans retinoic acid and arsenic trioxide, we conducted a screen to identify FDA-approved drugs capable of depleting MLL-fusion protein expression in leukemia cells. Previously, we reported potent anti-leukemia effects of disulfiram (DSF), identified through this screen. In the present study, we demonstrate that another hit compound, niclosamide (NSM), is also able to deplete MLL-fusion proteins derived from a range of different MLL-fusion genes in both acute myeloid (AML) and acute lymphoid (ALL) leukemias...In contrast, DSF/NSM drug combination had little impact on normal hematopoietic progenitor cell differentiation. This study demonstrates that two FDA-approved drugs with excellent safety profiles can be combined to increase the efficacy of MLL-fusion protein depletion and elimination of MLL-rearranged leukaemia.
Journal
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KMT2A (Lysine Methyltransferase 2A) • PML (Promyelocytic Leukemia)
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arsenic trioxide • niclosamide
4ms
Superior Anticancer and Antifungal Activities of New Sulfanyl-Substituted Niclosamide Derivatives. (PubMed, Biomedicines)
Slight improvements in the survival rate of G. mellonella larvae infected with M. mycetomatis were observed. Thus, salicylanilides such as 2a and 3a can become new anticancer and antifungal drugs.
Journal
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BCL2 (B-cell CLL/lymphoma 2) • MCL1 (Myeloid cell leukemia 1) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • STAT3 (Signal Transducer And Activator Of Transcription 3)
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niclosamide
4ms
Inhibition of Notch4 using Novel Neutralizing Antibodies Reduces Tumor Growth in Murine Cancer Models by Targeting the Tumor Endothelium. (PubMed, Cancer Res Commun)
Analysis of early and late treatment timepoints revealed significant differences in vessel area and perfusion in response to anti-Notch4 treatment. We conclude that targeting Notch4 improves tumor growth control through endothelial intrinsic mechanisms.
Preclinical • Journal
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NOTCH1 (Notch 1) • NOTCH4 (Notch 4)
5ms
Treatment of HNSC and pulmonary metastasis using the anti-helminthic drug niclosamide to modulate Stat3 signaling activity. (PubMed, J Cancer)
In conclusion, these analyses highlight the ability of niclosamide to inhibit HNSC cell migration and proliferative activity while provoking apoptotic death mediated via p-Stat3 and β-catenin pathway inactivation. Niclosamide thus holds promise for repurposing as a candidate drug for the more effective clinical management of HNSC.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • CASP3 (Caspase 3)
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niclosamide
5ms
Impact of Oncogenic Changes in p53 and KRAS on Macropinocytosis and Ferroptosis in Colon Cancer Cells and Anticancer Efficacy of Niclosamide with Differential Effects on These Two Processes. (PubMed, Cells)
Niclosamide, an FDA-approved anti-helminthic, blocks the functions of SLC7A11 and SLC38A5, thus inducing ferroptosis and suppressing macropinocytosis, with the resultant effective reversal of tumor-promoting actions of oncogenic changes in p53 and KRAS. These findings underscore the potential of this drug in colon cancer treatment.
Journal
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KRAS (KRAS proto-oncogene GTPase) • TP53 (Tumor protein P53) • SLC7A11 (Solute Carrier Family 7 Member 11)
5ms
CB-103 With Either Lenvatinib or Abemaciclib in Patients With NOTCH ACC (clinicaltrials.gov)
P1/2, N=34, Recruiting, Glenn J. Hanna | Trial primary completion date: Jun 2024 --> Jun 2025
Trial primary completion date
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Lenvima (lenvatinib) • Verzenio (abemaciclib) • CB-103
6ms
Anti-tumor activity of niclosamide-mediated oxidative stress against acute lymphoblastic leukemia. (PubMed, Carcinogenesis)
The results showed that niclosamide treatment potently inhibited the growth of ALL cells and induced apoptosis via elevating the levels of reactive oxygen species (ROS) and activating TP53. These findings suggest that niclosamide may be a promisingly potential agent for ALL therapy.
Journal
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TP53 (Tumor protein P53)
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niclosamide
6ms
Inhibition of NOTCH4 sensitizes FLT3/ITD acute myeloid leukemia cells to FLT3 tyrosine kinase inhibition. (PubMed, Leukemia)
A patient-derived xenograft model showed that the combination reduced both the level of leukemic involvement of primary human FLT3/ITD AML cells and their ability to engraft secondary recipients. In summary, these results demonstrate that NOTCH4 inhibition synergizes with FLT3 TKIs to eliminate FLT3/ITD AML cells, providing a new therapeutic target for AML with FLT3/ITD mutations.
Journal
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FLT3 (Fms-related tyrosine kinase 3) • NOTCH4 (Notch 4)
6ms
AL101 Before Surgery for the Treatment of Notch Activated Adenoid Cystic Cancer (clinicaltrials.gov)
P1, N=14, Recruiting, M.D. Anderson 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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AL101
6ms
Journal
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TP53 (Tumor protein P53)
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azacitidine • niclosamide
7ms
Vitamin D opposes multilineage cell differentiation induced by Notch inhibition and BMP4 pathway activation in human colon organoids. (PubMed, Cell Death Dis)
Consistently, in normal organoids, calcitriol inhibited early signaling by BMP4 as assessed by reduction of the level of phospho-SMAD1/5/8. Our results show that BMP and Notch signaling play key roles in human colon stem cell differentiation to the enterocytic and goblet cell lineages and that calcitriol modulates these processes favoring stemness features.
Journal
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KLF4 (Kruppel-like factor 4) • AGR2 (Anterior gradient 2) • KRT20 (Keratin 20) • TFF3 (Trefoil factor 3) • BMP4 (Bone Morphogenetic Protein 4)
7ms
STAT3 promotes cytoplasmic-nuclear translocation of RNA-binding protein HuR to inhibit IL-1β-induced IL-8 production. (PubMed, Int Immunopharmacol)
We report here that STAT3 inhibitors Stattic and Niclosamide up-regulated IL-1β-induced IL-8 production in C33A, CaSki, and Siha cervical cancer cells...And IL-6 activation of STAT3 induced HuR cytoplasmic-nuclear transport. Taken together, these results suggest that STAT3 contributes to HuR nuclear localization and inhibits Il-1β-induced IL-8 production through this non-transcriptional mechanism.
Journal
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IL6 (Interleukin 6) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • STAT3 (Signal Transducer And Activator Of Transcription 3) • IL1B (Interleukin 1, beta)
7ms
Oxyberberine sensitizes liver cancer cells to sorafenib via inhibiting NOTCH1-USP7-c-Myc pathway. (PubMed, Hepatol Commun)
These results indicate that OBB enhances the sensitivity of liver cancer cells to sorafenib through inhibiting notch homolog 1-USP7-c-Myc signaling pathway, which potentially provides a novel therapeutic strategy for liver cancer to improve the effectiveness of sorafenib.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • NOTCH1 (Notch 1) • USP7 (Ubiquitin Specific Peptidase 7)
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sorafenib
8ms
Induction of Oxidative Stress and Ferroptosis in Triple-Negative Breast Cancer Cells by Niclosamide via Blockade of the Function and Expression of SLC38A5 and SLC7A11. (PubMed, Antioxidants (Basel))
Niclosamide decreased the glutathione levels, inhibited proliferation, suppressed GPX4 expression, increased lipid peroxidation, and induced ferroptosis in TNBC cells. It also significantly reduced the growth of the TNBC cell line MB231 in mouse xenografts.
Journal
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GPX4 (Glutathione Peroxidase 4) • SLC7A11 (Solute Carrier Family 7 Member 11)
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GPX4 expression
8ms
Lipid-Based Self-Microemulsion of Niclosamide Achieved Enhanced Oral Delivery and Anti-Tumor Efficacy in Orthotopic Patient-Derived Xenograft of Hepatocellular Carcinoma in Mice. (PubMed, Int J Nanomedicine)
We successfully developed an orally bioavailable formulation of niclosamide, which significantly enhanced oral bioavailability and anti-tumor efficacy in an HCC PDX mouse model. Our data support its clinical translation for the treatment of solid tumors.
Preclinical • Journal
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CASP3 (Caspase 3)
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niclosamide
8ms
Early treatment with fluvoxamine, bromhexine, cyproheptadine, and niclosamide to prevent clinical deterioration in patients with symptomatic COVID-19: a randomized clinical trial. (PubMed, EClinicalMedicine)
When started very soon after symptom onset, these repurposed drugs have high potential to prevent clinical deterioration and death in vaccinated and unvaccinated COVID-19 patients. Ped Thai Su Phai (Thai Ducks Fighting Danger) social giver group.
Clinical • Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • IL1B (Interleukin 1, beta)
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niclosamide
8ms
Chidamide enhances T-cell-mediated anti-tumor immune function by inhibiting NOTCH1/NFATC1 signaling pathway in ABC-type diffuse large B-cell lymphoma. (PubMed, Leuk Lymphoma)
It can also improve the abnormal DLBCL microenvironment in which immune escape occurs, and inhibit immune escape. This study provides a new therapeutic idea for the exploration of individualized precision therapy for patients with malignant lymphoma.
Journal • PD(L)-1 Biomarker • IO biomarker
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NOTCH1 (Notch 1) • 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) • CD4 (CD4 Molecule) • IL2 (Interleukin 2) • IL10 (Interleukin 10) • NFATC1 (Nuclear Factor Of Activated T Cells 1)
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PD-1 expression • HAVCR2 expression • NOTCH1 expression
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Epidaza (chidamide)
8ms
CD146+CAFs promote progression of endometrial cancer by inducing angiogenesis and vasculogenic mimicry via IL-10/JAK1/STAT3 pathway. (PubMed, Cell Commun Signal)
This process could be blocked by the JAK1/STAT3 inhibitor niclosamide...We concluded that CD146+CAFs could promote angiogenesis and VM formation via the IL-10/JAK1/STAT3 signalling pathway. These findings may lead to the identification of potential targets for antiangiogenic therapeutic strategies for endometrial cancers.
Journal
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JAK1 (Janus Kinase 1) • IL10 (Interleukin 10) • MCAM (Melanoma Cell Adhesion Molecule) • CDH5 (Cadherin 5)
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IL10 elevation
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niclosamide
9ms
Modulating Th1/Th2 drift in asthma-related immune inflammation by enhancing bone mesenchymal stem cell homing through targeted inhibition of the Notch1/Jagged1 signaling pathway. (PubMed, Int Immunopharmacol)
In conclusion, inhibiting the Notch signaling pathway enhances the expression of the SDF-1 and CXCR4 chemokine axis, facilitating the migration of allogeneic BMSCs to injured lung tissues. This, in turn, promotes immune regulation and improves the Th1/Th2 imbalance, thereby enhancing the therapeutic effect on asthmatic airway inflammation.
Journal
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NOTCH1 (Notch 1) • CXCR4 (Chemokine (C-X-C motif) receptor 4) • IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • CXCL12 (C-X-C Motif Chemokine Ligand 12) • IL13 (Interleukin 13)
9ms
RINGSIDE: A Study of AL102 in Patients With Progressing Desmoid Tumors (clinicaltrials.gov)
P2/3, N=192, Active, not recruiting, Ayala Pharmaceuticals, Inc, | Recruiting --> Active, not recruiting
Enrollment closed
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varegacestat (AL102)
9ms
Resveratrol prevents age-related heart impairment through inhibiting the Notch/NF-κB pathway. (PubMed, Food Sci Nutr)
RSV alleviated aging-induced cardiac dysfunction through the suppression of oxidative stress and inflammation via the Notch/NF-κB pathway in heart tissue. Furthermore, this therapeutic effect was found to be associated with its protective roles in the intestine.
Journal • IO biomarker
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NOTCH1 (Notch 1) • TNFA (Tumor Necrosis Factor-Alpha) • TLR4 (Toll Like Receptor 4) • IL1B (Interleukin 1, beta)
9ms
A Study of CC-99712, a BCMA Antibody-Drug Conjugate, in Participants With Relapsed and Refractory Multiple Myeloma (clinicaltrials.gov)
P1, N=160, Active, not recruiting, Celgene | Trial completion date: May 2025 --> Aug 2024 | Trial primary completion date: May 2025 --> Aug 2024
Trial completion date • Trial primary completion date
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crenigacestat (LY3039478) • ispectamab debotansine (BMS-986352)
9ms
TENACITY: A Study of AL101 Monotherapy in Patients With Notch Activated Triple Negative Breast Cancer (clinicaltrials.gov)
P2, N=18, Terminated, Ayala Pharmaceuticals, Inc, | N=67 --> 18 | Active, not recruiting --> Terminated; Sponsor's decision
Enrollment change • Trial termination
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HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
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HER-2 negative
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AL101
9ms
Discovery of anticancer compound possessing potential to bind γ-secretase catalytic subunit and inhibit notch promoter activity. (PubMed, J Biomol Struct Dyn)
Confocal microscopy revealed that STOTCK1N-23234 treatment at test concentration induced apoptosis related morphological changes, reduced mitochondria membrane potential and increased reactive oxygen species production in HCT-116 cells compared to non-treated cells. In conclusion, STOCK1N-23234 is a novel lead natural anticancer compound which requires in depth validation in cancer preclinical models.Communicated by Ramaswamy H. Sarma.
Journal
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HES1 (Hes Family BHLH Transcription Factor 1)
10ms
ACCURACY: A Study Of AL101In Patients With Adenoid Cystic Carcinoma (ACC) Bearing Activating Notch Mutations (clinicaltrials.gov)
P2, N=87, Completed, Ayala Pharmaceuticals, Inc, | Active, not recruiting --> Completed
Trial completion
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AL101
10ms
Myeloid-specific knockout of Notch-1 inhibits MyD88- and TRIF-mediated TLR signaling pathways by regulating oxidative stress-SHP2 axis, thus restraining aneurysm progression. (PubMed, Aging (Albany NY))
Notch-1 in monocytes/macrophages can activate the Toll-like receptor (TLR)-mediated inflammatory and stress responses by activating oxidative stress and inhibiting the SHP2 protein expression, thus facilitating aneurysm progression.
Journal • IO biomarker
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NOTCH1 (Notch 1) • MYD88 (MYD88 Innate Immune Signal Transduction Adaptor) • IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta) • IFNB1 (Interferon Beta 1)