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DRUG:

balixafortide (POL 6326)

i
Other names: POL 6326, POL6326
Company:
Fosun Pharma, Spexis
Drug class:
CXCR4 antagonist
2ms
Targeting the CXCR4/CXCL12 Axis to Overcome Drug Resistance in Triple-Negative Breast Cancer. (PubMed, Cells)
Notably, CXCR4 antagonists like plerixafor, balixafortide, and POL5551 have shown encouraging preclinical and clinical results, particularly when combined with chemotherapy or immunotherapy. Despite persistent challenges such as tumour heterogeneity and potential toxicity, growing clinical evidence supports the translational relevance of this axis. This manuscript provides an in-depth analysis of CXCR4/CXCL12-mediated drug resistance in TNBC and evaluates current and emerging therapeutic interventions.
Review • Journal • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • CXCL12 (C-X-C Motif Chemokine Ligand 12)
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balixafortide (POL 6326) • plerixafor
10ms
Inhibiting CXCR4 reduces immunosuppressive effects of myeloid cells in breast cancer immunotherapy. (PubMed, Sci Rep)
MDSCs isolated from mice treated with anti-PD-1 plus balixafortide showed reduced inhibition of T cell proliferation following ex vivo stimulation. These studies demonstrate that combining inhibition of CXCR4 with anti-PD-1 to enhances responses to checkpoint inhibitor immunotherapy in TNBC, supporting future clinical trials.
Journal • PD(L)-1 Biomarker • IO biomarker
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CXCR4 (Chemokine (C-X-C motif) receptor 4)
|
balixafortide (POL 6326)
1year
New trial • Metastases
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CXCR4 (Chemokine (C-X-C motif) receptor 4)
|
balixafortide (POL 6326)
2years
FORTRESS: Pivotal Study in HER2 Negative, Locally Recurrent or Metastatic Breast Cancer (clinicaltrials.gov)
P3, N=432, Terminated, Spexis AG | Active, not recruiting --> Terminated; The study was halted early due to failure to meet the primary endpoint.
Trial termination • Combination therapy • Metastases
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Halaven (eribulin mesylate) • balixafortide (POL 6326)
2years
Development of a rare earth nanoprobe enables in vivo real-time detection of sentinel lymph node metastasis of breast cancer using NIR-IIb imaging. (PubMed, Cancer Res)
Of note, the probes accurately detected both macrometastases and micrometastases in SLNs. These results overall underscore the potential of ErNPs@POL6326 for real-time visualization of SLNs and in vivo screening for SLN metastasis.
Preclinical • Journal
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CXCR4 (Chemokine (C-X-C motif) receptor 4)
|
balixafortide (POL 6326)
over2years
A CXCR4 inhibitor (balixafortide) enhances docetaxel-mediated antitumor activity in a murine model of prostate cancer bone metastasis. (PubMed, Prostate)
Our data demonstrate that a combination of BAL and DOC has greater antitumor activity in a model of PCa bone metastases than either drug alone. These data support further evaluation of this combination in metastatic PCa.
Preclinical • Journal
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CXCR4 (Chemokine (C-X-C motif) receptor 4) • IFNG (Interferon, gamma) • CD34 (CD34 molecule) • CASP3 (Caspase 3)
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CD34 positive
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paclitaxel • docetaxel • balixafortide (POL 6326)
over2years
Balixafortide, a CXCR4 inhibitor, synergizes with docetaxel to diminish tumor growth in a prostate cancer model of bone metastasis. (AUA 2023)
Our data demonstrate that that a combination of BLX and DOC has greater anti-tumor activity in a model of PCa bone metastases than either drug alone. The anti-tumor activity was also associated with decreased tumor-induced bone lesions. The mechanism for the anti-tumor activity is not completely elucidated at this time but does not appear to be through impacting proliferation.
Preclinical
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CXCR4 (Chemokine (C-X-C motif) receptor 4) • IFNG (Interferon, gamma) • CD34 (CD34 molecule) • CASP3 (Caspase 3)
|
CD34 positive
|
docetaxel • balixafortide (POL 6326)
over2years
Enrollment change • Trial withdrawal • Combination therapy • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
|
HER-2 negative
|
albumin-bound paclitaxel • Halaven (eribulin mesylate) • balixafortide (POL 6326)
4years
Balixafortide (a CXCR4 antagonist)+eribulin versus eribulin alone in patients with HER2 negative, locally recurrent or metastatic breast cancer: An international, randomized, phase 3 trial (FORTRESS) (SABCS 2021)
In this Phase 3 randomized trial, no differences in ORR, CBR, mPFS, or mOS were observed for B + E compared to E alone in any population of HER2‑mBC patients. Efficacy parameters for E alone were similar to those reported previously. The combination was B + E was well-tolerated overall.
Clinical • P3 data
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HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 negative
|
Halaven (eribulin mesylate) • balixafortide (POL 6326)
over4years
Macrocycle Therapeutics to Treat Life-threatening Diseases. (PubMed, Chimia (Aarau))
Furthermore, POL6014, an inhibitor of neutrophile elastase and balixafortide, a CXCR4 inhibitor have been discovered and developed from the platform. Currently a combination of balixafortide and eribulin is in Phase III clinical trial for the treatment of patients with advanced metastatic HER2-negative breast cancer.
Journal
|
HER-2 (Human epidermal growth factor receptor 2) • CXCR4 (Chemokine (C-X-C motif) receptor 4)
|
HER-2 negative
|
Halaven (eribulin mesylate) • balixafortide (POL 6326)
over4years
New P1/2 trial
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 negative
|
albumin-bound paclitaxel • Halaven (eribulin mesylate) • balixafortide (POL 6326)