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DRUG CLASS:

SIRPA inhibitor

23d
BYON4228.001: First-in-human Dose Escalation and Expansion Study With the SIRPα-directed Monoclonal Antibody BYON4228 (clinicaltrials.gov)
P1, N=17, Active, not recruiting, Byondis B.V. | Recruiting --> Active, not recruiting | N=100 --> 17 | Trial completion date: Dec 2025 --> May 2026 | Trial primary completion date: Oct 2025 --> Feb 2026
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date • First-in-human
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CD20 (Membrane Spanning 4-Domains A1)
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Rituxan (rituximab) • Truxima (rituximab-abbs) • BYON4228
24d
A Dose Escalation and Expansion Trial With BYON4228 Alone and in Combination in Patients With Advanced or Metastatic Solid Tumors (clinicaltrials.gov)
P1, N=7, Active, not recruiting, Byondis B.V. | Recruiting --> Active, not recruiting | N=85 --> 7 | Trial completion date: Sep 2027 --> Dec 2026 | Trial primary completion date: May 2027 --> Apr 2026
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
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Keytruda (pembrolizumab) • BYON4228
2ms
Signal regulating proteins (SIRPs) participate in sarcoidosis granuloma formation by promoting immune cell aggregation. (PubMed, Respir Res)
SIRPα is robustly expressed in monocyte/macrophage lineages within human sarcoidosis tissues, and inhibition of SIRPs (ELA026) suppresses sarcoidosis granuloma formation by preventing macrophage adhesion/aggregation.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta) • SIRPA (Signal Regulatory Protein Alpha)
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prednisone
6ms
Enrollment open
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Keytruda (pembrolizumab) • BYON4228
8ms
ELA026 CP002: Open-label Study of ELA026 in Participants With Secondary Hemophagocytic Lymphohistiocytosis (sHLH) (clinicaltrials.gov)
P2/3, N=156, Recruiting, Electra Therapeutics Inc. | Active, not recruiting --> Recruiting
Enrollment open
10ms
New P1 trial
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Keytruda (pembrolizumab) • BYON4228
11ms
ELA026 CP002: Open-label Study of ELA026 in Participants with Secondary Hemophagocytic Lymphohistiocytosis (sHLH) (clinicaltrials.gov)
P2/3, N=156, Active, not recruiting, Electra Therapeutics Inc. | Recruiting --> Active, not recruiting | Phase classification: P1 --> P2/3 | N=24 --> 156 | Trial completion date: Mar 2025 --> Jun 2029 | Trial primary completion date: Dec 2024 --> Jun 2027
Enrollment closed • Phase classification • Enrollment change • Trial completion date • Trial primary completion date
1year
Trial primary completion date • Combination therapy
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CD20 (Membrane Spanning 4-Domains A1)
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CD20 expression
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Rituxan (rituximab) • Truxima (rituximab-abbs) • BYON4228
over1year
A pan-allelic human SIRPα-blocking antibody, ES004-B5, promotes tumor killing by enhancing macrophage phagocytosis and subsequently inducing an effective T-cell response. (PubMed, Antib Ther)
Unlike CD47-targeted agents, ES004-B5 exhibits an excellent safety profile in nonhuman primates. ES004-B5 has potential to be an important backbone for SIRPα-based combination therapy and/or bispecific antibodies, which will likely overcome the limitations of CD47-targeted agents encountered in clinical settings.
Journal • IO biomarker
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CD47 (CD47 Molecule) • SIRPA (Signal Regulatory Protein Alpha)
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CD47 expression
over1year
ELA026 CP002: Evaluation of the Safety and Efficacy of ELA026 in Participants With Secondary Hemophagocytic Lymphohistiocytosis (clinicaltrials.gov)
P1, N=24, Recruiting, Electra Therapeutics Inc. | Phase classification: P1b --> P1 | Trial completion date: Jun 2024 --> Mar 2025 | Trial primary completion date: Mar 2024 --> Dec 2024
Phase classification • Trial completion date • Trial primary completion date
over1year
Blockade of SIRPα-CD47 axis by anti-SIRPα antibody enhances anti-tumor activity of DXd antibody-drug conjugates. (PubMed, PLoS One)
To this end, DS-1103a, a newly developed anti-human SIRPα antibody (Ab), was assessed for the potential combination benefit with datopotamab deruxtecan (Dato-DXd) and trastuzumab deruxtecan (T-DXd), DXd-ADCs targeting human trophoblast cell-surface antigen 2 and human epidermal growth factor receptor 2, respectively. Furthermore, in syngeneic mouse models, both Dato-DXd and T-DXd combination with anti-mSIRPα Ab showed stronger anti-tumor activity over the monotherapies. Taken together, this study provides a preclinical rationale of novel therapies for solid tumors combining SIRPα-CD47 blockers with DXd-ADCs.
Journal
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HER-2 (Human epidermal growth factor receptor 2) • SIRPA (Signal Regulatory Protein Alpha)
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Enhertu (fam-trastuzumab deruxtecan-nxki) • Datroway (datopotamab deruxtecan-dlnk) • DS-1103
almost2years
Evaluation of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ELA026 in Single and Multiple Doses in Healthy Volunteers (clinicaltrials.gov)
P1, N=91, Completed, Electra Therapeutics Inc. | Recruiting --> Completed | Trial completion date: Apr 2024 --> Nov 2023 | Trial primary completion date: Apr 2024 --> Nov 2023
Trial completion • Trial completion date • Trial primary completion date