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DRUG CLASS:

Notch inhibitor

4d
Niclosamide suppresses gastric cancer progression through YTHDF2 inhibition-affected lactate metabolic reprogramming. (PubMed, iScience)
Our research revealed comprehensive metabolic alterations in gastric cancer, including upregulated lactate metabolism that promotes tumorigenesis via the lactate shuttle. Niclosamide targets the m6A methylation regulatory protein YTHDF2, which influences genes related to metabolism, indicating its potential as a prospective treatment for GC.
Journal
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YTHDF2 (YTH N6-Methyladenosine RNA Binding Protein 2)
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niclosamide
8d
Novel Therapeutic Strategy for Renal Cell Carcinoma: Niclosamide Enhances Sunitinib Efficacy via DNA Repair and Cell Cycle Pathways. (PubMed, Int J Mol Sci)
Tyrosine kinase inhibitors (TKIs), such as sunitinib and sorafenib, are standard treatments for renal cell carcinoma (RCC). RNA sequencing (RNA-seq) and bioinformatic analyses showed that niclosamide modulated critical pathways, including BRIP1- and FANCA-mediated DNA repair and E2F2-regulated cell cycle progression. These findings provide proof-of-concept that niclosamide enhances TKI efficacy through modulation of DNA repair and cell cycle pathways, supporting the rationale for DNA damage response (DDR)-targeted combination strategies in RCC.
Journal
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FANCA (FA Complementation Group A) • BRIP1 (BRCA1 Interacting Protein C-terminal Helicase 1) • E2F2 (E2F Transcription Factor 2)
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sorafenib • sunitinib • niclosamide
16d
Succinate Dehydrogenase-Deficient Cancer Cells Have Increased Susceptibility to Ym155 Induced DNA Damage. (PubMed, bioRxiv)
Given the reduced ATP-generating capacity of SDHB -KO cells, we hypothesized they would be uniquely sensitive to futile cycle induction with mitochondrial ionophores (2,4-Dinitrophenol (2-DNP), BAM15, Niclosamide, Nitazoxanide). Thus, the accumulation of succinate in SDH-deficient tumors inhibits KDM4 activity, impairs DNA repair and yields enhanced susceptibility to Ym155-induced reactive oxygen species (ROS) generation. The identified intrinsic susceptibilities of SDHB -deficient cancers has the potential to be therapeutically leveraged.
Journal
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SDHB (Succinate Dehydrogenase Complex Iron Sulfur Subunit B)
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niclosamide
1m
Implication of an exosome-based gene signature for estimating clinical outcomes of triple-negative breast cancer and assisting in individualized therapy. (PubMed, Sci Rep)
High-risk tumors owned shorter overall survival time, but were suitable for treatment with docetaxel and several small-molecule agents (MK-0752, BRD-K33199242, IC-87114, fumonisin B1, ilomastat, GW-788388, afobazole, and batimastat). Experimentally, inhibition of FAM129B effectively attenuated proliferative and aggressive phenotypes of TNBC cells. Collectively, our findings proposed the exosome-based gene signature for accurate estimation of clinical outcomes and assisting in individually tailoring therapies in TNBC as well as discovered FAM129B as a potential therapeutic target.
Clinical data • Journal • Gene Signature • IO biomarker
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CD276 (CD276 Molecule) • TNFRSF4 (TNF Receptor Superfamily Member 4) • SERPINE1 (Serpin Family E Member 1) • THY1 (Thy-1 membrane glycoprotein) • NRP1 (Neuropilin 1) • TNFSF4 (TNF Superfamily Member 4) • KRT6A (Keratin 6A) • PGK1 (Phosphoglycerate Kinase 1)
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docetaxel • MK-0752
2ms
A Varegacestat Hepatic Impairment Study (clinicaltrials.gov)
P1, N=44, Active, not recruiting, Immunome, Inc. | Recruiting --> Active, not recruiting
Enrollment closed
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varegacestat (AL102)
2ms
Advances in the molecular pathogenesis of lacrimal gland adenoid cystic carcinoma and associated targeted therapies (PubMed, Zhonghua Yan Ke Za Zhi)
Emerging breakthroughs in targeted therapies warrant attention, including antisense oligonucleotides targeting MYB-NFIB fusion genes, clinical trial data of NOTCH inhibitors (e.g., AL101), and PARP inhibitor-based combinatorial regimens leveraging DNA damage repair mechanisms. By integrating fundamental research and clinical translational evidence, this review provides a theoretical framework for optimizing LGACC diagnosis and treatment paradigms.
Review • Journal • BRCA Biomarker • PARP Biomarker
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BRCA (Breast cancer early onset) • NFIB (Nuclear Factor I B)
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AL101
2ms
Mito-Specific "Trojan Horse" Nanotherapy: Synergistic Antitumor Immunotherapy via Dual Modulation Mitochondrial Metabolism and Glycolysis. (PubMed, ACS Nano)
Herein, we developed a mito-specific "Trojan Horse" nanoplatform (2-pN@LNPs) coloaded with Niclosamide (Nic) and 2-deoxy-d-glucose (2-DG) to attack key metabolism pathways and synergistically ignite pyroptosis for restoring antitumor immunity. Moreover, the synergistic treatment regimen can promote cytotoxic and helper T cells (CD8+/CD4+ T cells) recruitment and M1-type macrophage polarization, facilitating the establishment of a boost in immunological memory to prevent recurrence and metastasis. Overall, this work provides a robust strategy targeting metabolism through mitochondrial uncoupling and glycolysis inhibition, which can effectively improve the antitumor effect, inhibit lung metastasis, and help modulate antitumor immunity.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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niclosamide
2ms
A Phase 1 Mass Balance Study of Varegacestat (clinicaltrials.gov)
P1, N=6, Completed, Immunome, Inc. | Active, not recruiting --> Completed | Trial completion date: Jul 2025 --> Mar 2025 | Trial primary completion date: Jul 2025 --> Mar 2025
Trial completion • Trial completion date • Trial primary completion date
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varegacestat (AL102)
2ms
A Cardiac Liability Study of Varegacestat in Healthy Participants (clinicaltrials.gov)
P1, N=32, Completed, Immunome, Inc. | Active, not recruiting --> Completed
Trial completion
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varegacestat (AL102)
3ms
Niclosamide modulates chronic Cryptosporidium-induced ileocecal adenocarcinoma in immunocompromised infected mice via targeting IL-6/IL-22-STAT3 axis. (PubMed, Res Vet Sci)
Therapeutic options are minimal, with nitazoxanide (NTZ) being the only drug available, despite its constrained effectiveness...Mice were immunosuppressed using dexamethasone, infected with C. parvum oocysts, and administered NTZ or NICLO...These findings highlight NICLO's dual therapeutic potential, which effectively targets C. parvum infection and mitigates its tumorigenic effects by disrupting key signaling pathways involved in ileocecal cancer progression. This study provides novel insights into NICLO's chemotherapeutic efficacy in managing cryptosporidiosis and its associated oncogenic potential.
Preclinical • Journal
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TP53 (Tumor protein P53) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • IL6 (Interleukin 6) • STAT3 (Signal Transducer And Activator Of Transcription 3) • BIRC5 (Baculoviral IAP repeat containing 5) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • IL22 (Interleukin 22)
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niclosamide
3ms
Lycorine Exerts Antitumor Effects on the Osimertinib-Resistant Non-Small Cell Lung Cancer by Inhibiting NOTCH3/HES1 Signaling. (PubMed, J Biochem Mol Toxicol)
Notably, lycorine enhanced the antitumor activity of osimertinib against its resistant cells both in vitro and in vivo. Overall, our data reveal that lycorine inhibits the proliferation and metastasis of osimertinib-resistant NSCLC cells via Notch3/Hes1 pathway.
Journal
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NOTCH3 (Notch Receptor 3) • MMP2 (Matrix metallopeptidase 2) • HES1 (Hes Family BHLH Transcription Factor 1) • MMP9 (Matrix metallopeptidase 9)
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Tagrisso (osimertinib)
3ms
LEF1 confers resistance to DNA-damaging chemotherapies through upregulation of PARP1 and NUMA1 in ovarian cancer. (PubMed, Oncogene)
In addition, the LEF1 inhibitor niclosamide increased ovarian cancer sensitivity to Cisplatin and PARPi in patient-derived organoids and Niraparib-resistant cell lines. These findings indicate that LEF1 is a potential therapeutic target for overcoming resistance to chemotherapy based on platinum and PARPi in EOC.
Journal • PARP Biomarker
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PARP1 (Poly(ADP-Ribose) Polymerase 1)
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cisplatin • Zejula (niraparib) • niclosamide