The purpose of this Phase 2 portion of the study is to use the dose and schedule of RX-5902 identified in the phase 1 to treat subjects with triple negative breast cancer.

开始日期2013-08-01

申办/合作机构

Rexahn Pharmaceuticals, Inc.

100 项与 RX-5902 相关的临床结果

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100 项与 RX-5902 相关的转化医学

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100 项与 RX-5902 相关的专利（医药）

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项与 RX-5902 相关的文献（医药）

2020-12-01·BMC Cancer2区 · 医学

RX-5902, a novel β-catenin modulator, potentiates the efficacy of immune checkpoint inhibitors in preclinical models of triple-negative breast Cancer

2区 · 医学

ArticleOA

作者: Lang, Julie ; Hartman, Sarah J ; Pelanda, Roberta ; Eckhardt, S Gail ; Eisen, Andrew ; Benaim, Ely ; Bagby, Stacey M ; Diamond, Jennifer R ; Capasso, Anna ; Tentler, John J ; Lee, Young B ; Pitts, Todd M ; Yacob, Betelehem W ; Kim, Deog Joong ; Gittleman, Brian

AbstractBackgroundTriple-negative breast cancer (TNBC) is an aggressive breast cancer subtype with limited systemic treatment options. RX-5902 is a novel anti-cancer agent that inhibits phosphorylated-p68 and thus attenuates nuclear β-catenin signaling. The purpose of this study was to evaluate the ability of β-catenin signaling blockade to enhance the efficacy of anti-CTLA-4 and anti-PD-1 immune checkpoint blockade in immunocompetent, preclinical models of TNBC.MethodsTreatment with RX-5902, anti-PD-1, anti-CTLA-4 or the combination was investigated in BALB/c mice injected with the 4 T1 TNBC cell line. Humanized BALB/c-Rag2nullIl2rγnullSIRPαNOD (hu-CB-BRGS) mice transplanted with a human immune system were implanted with MDA-MB-231 cells. Mice were randomized into treatment groups according to human hematopoietic chimerism and treated with RX-5902, anti-PD-1 or the combination. At sacrifice, bone marrow, lymph nodes, spleen and tumors were harvested for flow cytometry analysis of human immune cells.ResultsThe addition of RX-5902 to CTLA-4 or PD-1 inhibitors resulted in decreased tumor growth in the 4 T1 and human immune system and MDA-MB-231 xenograft models. Immunologic analyses demonstrated a significant increase in the number of activated T cells in tumor infiltrating lymphocytes (TILs) with RX-5902 treatment compared to vehicle (p < 0.05). In the RX-5902/nivolumab combination group, there was a significant increase in the percentage of CD4+ T cells in TILs and increased systemic granzyme B production (p < 0.01).ConclusionsConclusions: RX-5902 enhanced the efficacy of nivolumab in a humanized, preclinical model of TNBC. Several changes in immunologic profiles were noted in mice treated with RX-5902 and the combination, including an increase in activated TILs and a decrease in human myeloid populations, that are often associated with immunosuppression in a tumor microenvironment. RX-5902 also was shown to potentiate the effects of checkpoint inhibitors of CTLA4 and the PD-1 inhibitor in the 4 T-1 murine TNBC model. These findings indicate that RX-5902 may have important immunomodulatory, as well as anti-tumor activity, in TNBC when combined with a checkpoint inhibitor.

2019-11-01·Molecular Cancer Therapeutics2区 · 医学

First-in-Class Phosphorylated-p68 Inhibitor RX-5902 Inhibits β-Catenin Signaling and Demonstrates Antitumor Activity in Triple-Negative Breast Cancer

2区 · 医学

Article

作者: Hartman, Sarah J. ; Ionkina, Anastasia ; Benaim, Ely ; Yacob, Betelehem W. ; Gittleman, Brian ; Dailey, Kyrie L. ; Tan, Aik Choon ; Eckhardt, S. Gail ; George, Christina ; Lee, Young B. ; Capasso, Anna ; Kim, Deog Joong ; Bagby, Stacey M. ; Pitts, Todd M. ; Tentler, John J. ; Frank, Julie G. ; Kim, Jihye ; Currimjee, Naomi ; Diamond, Jennifer R.

AbstractRX-5902 is a first-in-class anticancer agent targeting phosphorylated-p68 and attenuating nuclear shuttling of β-catenin. The purpose of this study was to evaluate the efficacy of RX-5902 in preclinical models of triple-negative breast cancer (TNBC) and to explore effects on β-catenin expression. A panel of 18 TNBC cell lines was exposed to RX-5902, and changes in proliferation, apoptosis, cellular ploidy, and effector protein expression were assessed. Gene expression profiling was used in sensitive and resistant cell lines with pathway analysis to explore pathways associated with sensitivity to RX-5902. The activity of RX-5902 was confirmed in vivo in cell line and patient-derived tumor xenograft (PDX) models. RX-5902 demonstrated potent antiproliferative activity in vitro against TNBC cell lines with an average IC50 of 56 nmol/L in sensitive cell lines. RX-5902 treatment resulted in the induction of apoptosis, G2–M cell-cycle arrest, and aneuploidy in a subset of cell lines. RX-5902 was active in vivo against TNBC PDX models, and treatment resulted in a decrease in nuclear β-catenin. RX-5902 exhibited dose-proportional pharmacokinetics and plasma and tumor tissue in nude mice. Pathway analysis demonstrated an increase in the epithelial-to-mesenchymal transformation (EMT), TGFβ, and Wnt/β-catenin pathways associated with sensitivity to RX-5902. RX-5902 is active against in vitro and in vivo preclinical models of TNBC. Target engagement was confirmed with decreases in nuclear β-catenin and MCL-1 observed, confirming the proposed mechanism of action. This study supports the continued investigation of RX-5902 in TNBC and combinations with immunotherapy.

2018-12-01·Progress in Biophysics and Molecular Biology

Structural characterization of β-catenin and RX-5902 binding to phospho-p68 RNA helicase by molecular dynamics simulation

Article

作者: Ali, Waqar ; Rashid, Sajid ; Shafique, Shagufta

Emerging implications of probable ATP-dependent RNA helicase p68 in tumorigenesis and progression makes it a discerning target for cancer therapy. Recently it has been reported that tyrosyl-phosphorylation of p68 promotes β-catenin nuclear translocation and cancer metastasis through elevating the epithelial-mesenchymal transition. Despite recent advances, the structural characterization of this interaction, mode of action and induced conformational changes remain elusive. Here, through comparative structure analysis and molecular dynamics simulation assays, we explored comparative binding pattern of phospho-p68 against β-catenin. Conversely, due to the promising therapeutic potential of p68 in blocking the invasiveness and metastasis of cancer cells, we investigated the binding of heterocyclic N-substituted piperazine derivative-RX-5902 that inhibits the binding of phospho-p68 and β-catenin. Evidently, transactivation and C-terminal helicase domains of phospho-p68 exhibited dramatic conformational alterations to assist β-catenin and RX-5902 binding. As compared to unbound phospho-p68 (56.1 Å), the residual distances between transactivation domain-Ser79 and C-terminal helicase domain-Gln555 were reduced to 34.1 Å and 31 Å upon binding to β-catenin and RX-5902, respectively. In contrast, helicase ATP-binding domain remained conformationally stable throughout simulations. Clearly, the comparative docking-for-functional analysis of phospho-p68 against RX-5902 and β-catenin uncovered a spectrum of structural linkages associated with the molecular basis of β-catenin-dependent ATPase activity. Thus the outcomes of this study may provide a platform for the rational design of specific and potent inhibitors against phospho-p68 with a special emphasis on anticancer activity.

100 项与 RX-5902 相关的药物交易

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研发状态

10 条进展最快的记录,

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适应症	最高研发状态	国家/地区	公司	日期
乳腺癌	临床2期	-	Rexahn Pharmaceuticals, Inc.	-
晚期恶性实体瘤	临床1期	美国	Rexahn Pharmaceuticals, Inc.	2013-08-01
三阴性乳腺癌	临床1期	美国	Rexahn Pharmaceuticals, Inc.	2013-08-01
黑色素瘤	临床1期	美国	Rexahn Pharmaceuticals, Inc.	-
胰腺癌	临床1期	美国	Rexahn Pharmaceuticals, Inc.	-
肾细胞癌	临床1期	美国	Rexahn Pharmaceuticals, Inc.	-

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适应症

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


NCT02003092 (ASCO_GI2016)	临床1期	胰腺癌	18	Supinoxin (RX-5902)	鏇廠築築願餘製糧窪鹽(簾廠觸鏇觸壓艱鬱膚憲) = 獵觸壓憲顧鑰憲獵廠築鑰鏇製窪鬱鏇糧窪蓋鑰 (鏇夢製壓膚蓋淵襯淵糧 ) 更多	积极	2016-02-01
				Gemcitabine	憲醖廠築夢膚顧選餘衊(簾獵壓餘襯網艱窪鬱構) = 鹽積醖膚繭窪蓋鑰廠廠構鬱餘製網襯構憲憲壓 (憲壓繭餘衊鑰襯憲憲窪 ) 更多
NCT02003092 (ASCO_GU2016)	临床1/2期	肾细胞癌	18	Supinoxin (RX-5902)	鹽積顧淵窪蓋鹹廠膚醖(繭糧淵範蓋鬱遞遞獵糧) = 艱襯築窪憲糧蓋製衊鹽獵網膚鹹醖齋繭網壓選 (鑰繭繭顧觸願醖醖遞淵 ) 更多	积极	2016-01-10
				Sunitinib	選餘遞膚膚窪範壓膚淵(鏇廠觸壓鹹鏇餘糧窪鑰) = 衊蓋夢獵襯顧鏇繭遞衊餘願衊淵簾簾蓋糧艱糧 (窪築鹹鬱鏇鑰積構繭選 )