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DRUG CLASS:

WEE1 inhibitor

4d
Trial completion date
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carboplatin • etoposide IV • Debio 0123
18d
WEE1 inhibition delays resistance to CDK4/6 inhibitor and antiestrogen treatment in ER+ MCF7 cells. (PubMed, NPJ Syst Biol Appl)
We treated ER+ MCF7 breast cancer cells with palbociclib alternating with a combination of fulvestrant and WEE1 inhibitor AZD1775 for 12 months. We developed a mathematical model that can simulate cell proliferation under monotherapy and alternating drug treatments. Finally, we showed that the mathematical model can be used to minimize the number of fulvestrant plus AZD1775 treatment periods while maintaining its efficacy.
Journal
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ER (Estrogen receptor)
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ER positive
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Ibrance (palbociclib) • fulvestrant • adavosertib (AZD1775)
22d
Enrollment closed • Enrollment change
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carboplatin • etoposide IV • Debio 0123
1m
Efficacy of Wee1 G2 Checkpoint Kinase and Mouse Double Minute 2 Homolog Inhibitors in Gastrointestinal Stromal Tumors Determined by p53 Status. (PubMed, Oncol Res)
The efficacy of the mouse double minute 2 homolog (MDM2) inhibitor (HDM201) and the Wee1 G2 checkpoint kinase (Wee1) inhibitor (adavosertib) was confirmed in both p53 wild-type (p53 WT) and p53 mutant (p53 MT) GIST cells. Our results highlight the importance of p53 status in guiding GIST treatment. p53 WT tumors respond to MDM2 inhibitors, while p53 MT tumors show greater sensitivity to Wee1 inhibitors, supporting p53 pathway targeting as a promising strategy for GIST patients.
Preclinical • Journal
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TP53 (Tumor protein P53) • PDGFRA (Platelet Derived Growth Factor Receptor Alpha) • CDK1 (Cyclin-dependent kinase 1) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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TP53 mutation • TP53 wild-type
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adavosertib (AZD1775) • siremadlin (HDM201)
1m
Enrollment closed
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Debio 0123
1m
Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma. (PubMed, Front Immunol)
Risk model analysis predicted differential treatment responses: low-risk patients exhibited superior anti-PD-1 immunotherapy responses, whereas high-risk patients showed increased sensitivity to DNA-damaging agents (e.g., the Wee1 inhibitor MK-1775) and sorafenib. Plasma exosomal lncRNAs enable robust molecular subtyping, accurate prognostic stratification, and treatment response prediction in HCC. The ERG-centric classification system and validated 6-gene risk model provide clinically actionable tools for precision oncology.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden) • CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4) • TTN (Titin) • TGFB1 (Transforming Growth Factor Beta 1) • ADH1C (Alcohol Dehydrogenase 1C (Class I), Gamma Polypeptide) • MCM4 (Minichromosome Maintenance Complex Component 4) • NDRG1 (N-Myc Downstream Regulated 1) • RECQL4( RecQ Like Helicase 4) • KIF20A (Kinesin Family Member 20A)
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PD-L1 expression • TP53 mutation
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sorafenib • adavosertib (AZD1775)
2ms
Trial completion date
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • FANCA (FA Complementation Group A) • BRIP1 (BRCA1 Interacting Protein C-terminal Helicase 1) • CD4 (CD4 Molecule)
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BRIP1 mutation
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Lynparza (olaparib) • adavosertib (AZD1775)
2ms
WEE1 inhibitors synergise with mRNA translation defects via activation of the kinase GCN2. (PubMed, Nat Commun)
Using a pooled CRISPRi screen, we identify GSPT1 and ALKBH8 as factors whose depletion confer hypersensitivity to the WEE1 inhibitor, AZD1775...This dual mechanism highlights opportunities for combination therapies, such as pairing WEE1 inhibitors with agents targeting the mRNA translation machinery. This study also underscores the need for more precise WEE1 targeting strategies to mitigate off-target effects, with implications for optimising the therapeutic potential of WEE1 inhibitors.
Journal
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GSPT1 (G1 To S Phase Transition 1)
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adavosertib (AZD1775)
3ms
EAY131-Z1I: Testing AZD1775 as a Potential Targeted Treatment in Cancers With BRCA Genetic Changes (MATCH-Subprotocol Z1I) (clinicaltrials.gov)
P2, N=35, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Dec 2025 --> Dec 2026 | Trial primary completion date: Dec 2025 --> Dec 2026
Trial completion date • Trial primary completion date
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HER-2 (Human epidermal growth factor receptor 2) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • BRCA (Breast cancer early onset)
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HER-2 negative
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adavosertib (AZD1775)
3ms
Combination of WEE1 Inhibitor and Vitamin K2 Enhances Therapeutic Efficacy in Chronic Myeloid Leukemia. (PubMed, Cancer Innov)
A combined regimen of MK-1775 and VK2 markedly decreased colony growth, disrupted mitochondrial membrane potential, and increased death in CML cells, including those resistant to TKIs. The results suggest that a combination of MK-1775 and VK2 represents a potentially effective treatment strategy for CML, especially in drug-resistant cases.
Journal
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ABL1 (ABL proto-oncogene 1) • CASP3 (Caspase 3) • CASP7 (Caspase 7) • PKMYT1 (Protein Kinase Membrane Associated Tyrosine/Threonine 1)
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ABL1 fusion
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adavosertib (AZD1775)
3ms
Testing AZD1775 in Advanced Solid Tumors That Have a Mutation Called SETD2 (clinicaltrials.gov)
P2, N=60, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Aug 2025 --> Mar 2026 | Trial primary completion date: Aug 2025 --> Mar 2026
Trial completion date • Trial primary completion date
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SETD2 (SET Domain Containing 2, Histone Lysine Methyltransferase)
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adavosertib (AZD1775)
3ms
WEE1 inhibitor exerts synergistic effect with KRAS G12C inhibitor via MYBL2-RRM2 axis in KRASG12C-mutant lung cancer. (PubMed, Cell Death Dis)
Here, we demonstrate that the WEE1 kinase inhibitor (WEE1i), Adavosertib, can sensitize the effect of G12Ci through the MYBL2-RRM2 axis, which is associated with poor prognosis in lung cancer...We also observed marked effects of the combination therapy in tumor xenografts models. Collectively, these results uncover the WEE1 kinase inhibitors, some of which are available clinically, as effective enhancers for G12Ci therapy.
Journal
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KRAS (KRAS proto-oncogene GTPase) • RRM2 (Ribonucleotide Reductase Regulatory Subunit M2) • MYBL2 (MYB Proto-Oncogene Like 2)
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KRAS mutation
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adavosertib (AZD1775)