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DRUG:

birabresib (OTX015)

i
Other names: OTX105, OTX 015, MK8628, OTX-015, OTX015, Y-803, MK 8628, MK-8628
Company:
Merck (MSD)
Drug class:
BRD4 inhibitor, BRD2 inhibitor, BRD3 inhibitor
4ms
Preclinical efficacy of tasquinimod-based combinations in advanced myeloproliferative neoplasms (MPN) in blastic phase. (PubMed, Blood Adv)
The alarmins, S100A8 (A8) and S100A9 (A9), are low molecular weight proteins belonging to the S100 protein family. Notably, cotreatment with TQ and ruxolitinib or OTX015 induced significantly greater survival than treatment with single agents in the NSG mice engrafted with the PDX cells. These findings clearly demonstrate the preclinical efficacy of TQ in advanced MPN-BP cells and create the rationale to further interrogate the efficacy of TQ-based combinations with the current, front-line therapies or novel agents in advanced MPNs with excess blasts.
Preclinical • Journal • PARP Biomarker • IO biomarker
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IL6 (Interleukin 6) • CD33 (CD33 Molecule) • CD34 (CD34 molecule) • S100A8 (S100 Calcium Binding Protein A8) • S100A9 (S100 Calcium Binding Protein A9) • TLR4 (Toll Like Receptor 4) • GFI1 (Growth Factor Independent 1 Transcriptional Repressor) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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Jakafi (ruxolitinib) • birabresib (OTX015) • tasquinimod (ABR-215050)
5ms
Identification of biomarkers for Laryngeal squamous cell carcinoma through Mendelian randomization and integrated bioinformatics analysis. (PubMed, Discov Oncol)
This integrative approach comprehensively elucidated the role of pan-apoptosis-related genes in LSCC. The constructed risk model has significant clinical application value in prognostic prediction, immune landscape assessment, and drug sensitivity analysis, and has the potential to guide precision treatment strategies for LSCC patients. These findings may help advance personalized treatment plans and improve the prognosis of patients with LSCC.
Journal
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TIMP1 (Tissue inhibitor of metalloproteinases 1) • TIMP2 (TIMP Metallopeptidase Inhibitor 2) • PMAIP1 (Phorbol-12-Myristate-13-Acetate-Induced Protein 1) • GATA3 (GATA binding protein 3) • NLRP3 (NLR Family Pyrin Domain Containing 3) • TGFB2 (Transforming Growth Factor Beta 2) • TNFRSF1B (TNF Receptor Superfamily Member 1B)
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birabresib (OTX015) • Jingzhuda (entinostat)
5ms
A circular RNA overcomes acquired resistance to BET inhibitors by antagonizing IGF2BP2-mediated c-MYC translation in TNBC. (PubMed, Proc Natl Acad Sci U S A)
In vitro transcribed and circularized BISC, when combined with the BETi OTX-015, demonstrated impressive tumor regression in BETi-resistant TNBC models without detectable toxicity. These findings establish BISC as a potent IGF2BP2 repressor and highlight the feasibility of circRNA-based therapeutic strategies to overcome BETi resistance in TNBC.
Preclinical • Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • IGF2BP1 (Insulin Like Growth Factor 2 MRNA Binding Protein 1) • IGF2BP2 (Insulin Like Growth Factor 2 MRNA Binding Protein 2) • IGF2BP3 (Insulin Like Growth Factor 2 MRNA Binding Protein 3)
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birabresib (OTX015)
6ms
TMEM132A: a novel susceptibility gene for lung adenocarcinoma combined with venous thromboembolism identified through comprehensive bioinformatic analysis. (PubMed, Front Oncol)
Pharmacological sensitivity analysis indicated that TMEM132A may serve as a potential target for the therapeutic agents birabresib and abemaciclib. TMEM132A demonstrates diagnostic utility as a predictive biomarker for VTE occurrence in LUAD, suggesting its potential role as a susceptibility gene in this patient cohort.
Journal
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TIMP1 (Tissue inhibitor of metalloproteinases 1)
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Verzenio (abemaciclib) • birabresib (OTX015)
7ms
Bromodomain and Extra-Terminal Family Proteins BRD2, BRD3, and BRD4 Contribute to H19-Dependent Transcriptional Regulation of Cell Adhesion Molecules, Modulating Metastatic Dissemination Program in Prostate Cancer. (PubMed, Noncoding RNA)
Our study demonstrates that BRD4 epigenetically regulates the H19-mediated transcriptional control of adhesion molecules involved in collective migration and metastatic dissemination. Importantly, these effects are independent of AR status, suggesting that targeting the H19/BRD4 axis may represent a promising therapeutic avenue for advanced PCa.
Journal
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AR (Androgen receptor) • CDH1 (Cadherin 1) • BRD4 (Bromodomain Containing 4) • H19 (H19 Imprinted Maternally Expressed Transcript) • BRD2 (Bromodomain Containing 2) • BRD3 (Bromodomain Containing 3)
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AR positive
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JQ-1 • birabresib (OTX015)
11ms
High-risk neuroblastoma: ATRX and TERT as prognostic markers and therapeutic targets. Review and update on the topic. (PubMed, Rev Esp Patol)
We highlight the promising results of the clinical trial involving the combination of adavosertib and irinotecan, which encourages further clinical trials with adavosertib targeting NB with ATRX mutations. Preclinical results with BET inhibitors (OTX015 and AZD5153) and with 6-thio-2'-deoxyguanosine, targeting NB with TERT mutations, are promising. Both represent future therapeutic targets, emphasizing the need to prioritize research using these models.
Review • Journal
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TERT (Telomerase Reverse Transcriptase) • MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • ATRX (ATRX Chromatin Remodeler)
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MYCN amplification • ATRX mutation • TERT mutation
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adavosertib (AZD1775) • irinotecan • birabresib (OTX015) • SRA515
1year
BET inhibitor and CDK4/6 inhibitor synergistically inhibit breast cancer by suppressing BRD4 stability and DNA damage repair. (PubMed, Transl Oncol)
We provide the evidence that CDK4/6 inhibitor LY2835219 plus BRD4 inhibitor OTX-015 synergistically inhibits both ER positive and triple-negative breast cancer cells growth in vitro and in vivo. This instability of BRD4 protein in turn enhances the anti-tumor effect of CDK4/6 inhibitor by suppressing transcription of DNA damage repair gene RAD51, and synergistically promotes γ-H2AX accumulation and DNA double-strand breaks. Overall, we demonstrated the potential combined therapeutic value of CDK4/6 and BRD4 inhibitors and elucidated the mechanisms, which may provide a new rational approach for breast cancer patients.
Journal
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ER (Estrogen receptor) • RAD51 (RAD51 Homolog A) • BRD4 (Bromodomain Containing 4)
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ER positive • HR positive
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Verzenio (abemaciclib) • birabresib (OTX015)
1year
Preclinical efficacy of CDK7 inhibitor-based combinations against myeloproliferative neoplasms transformed to AML. (PubMed, Blood)
Co-treatment with SY-5609 and ruxolitinib was synergistically lethal in HEL, SET2 and PD post-MPN-sAML cells.  A CRISPR screen in SET2 and HEL cells revealed BRD4, CBP and p300 as co-dependencies with SY-5609 treatment. Accordingly, co-treatment with SY-5609 and the BETi OTX015 or pelabresib or with the CBP/p300 inhibitor GNE-049 was synergistically lethal in MPN-sAML cells (including those exhibiting TP53 loss). Finally, in the HEL-Luc/GFP xenograft model, compared to each agent alone, co-treatment with SY-5609 and OTX015 reduced post-MPN-sAML burden and improved survival without inducing host toxicity. These findings demonstrate promising preclinical activity of the CDK7i-based combinations with BETi or HATi against advanced-MPNs, including post-MPN-sAML.
Preclinical • Journal
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TP53 (Tumor protein P53) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • CCND1 (Cyclin D1) • CDK4 (Cyclin-dependent kinase 4) • BCL2L1 (BCL2-like 1) • CDK6 (Cyclin-dependent kinase 6) • CASP3 (Caspase 3) • PIM1 (Pim-1 Proto-Oncogene) • ITGAM (Integrin, alpha M) • BRD4 (Bromodomain Containing 4) • CASP9 (Caspase 9) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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MYC expression • CCND1 expression
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Jakafi (ruxolitinib) • birabresib (OTX015) • SY-5609 • pelabresib (DAK539)
1year
The KLF16/MYC feedback loop is a therapeutic target in bladder cancer. (PubMed, J Exp Clin Cancer Res)
Our study revealed the crucial role of the KLF16/MYC regulatory axis in modulating tumor growth and chemotherapy sensitivity in BLCA, suggesting that combining bromodomain inhibitors, such as OTX015 or ABBV-744, with DDP or gemcitabine could be a promising therapeutic intervention for BLCA patients.
Journal
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DUSP1 (Dual Specificity Phosphatase 1)
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gemcitabine • birabresib (OTX015) • ABBV-744
1year
Triple Combination of Entinostat, a Bromodomain Inhibitor, and Cisplatin Is a Promising Treatment Option for Bladder Cancer. (PubMed, Cancers (Basel))
The triple combination of entinostat, a BETi, and cisplatin is highly synergistic, reverses cisplatin resistance, and may thus serve as a novel therapeutic approach for bladder cancer.
Journal
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CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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cisplatin • JQ-1 • birabresib (OTX015) • Jingzhuda (entinostat)
over1year
Sequential Inhibition of PARP and BET as a Rational Therapeutic Strategy for Glioblastoma. (PubMed, Adv Sci (Weinh))
Through unbiased transcriptomic and proteomic sequencing, it is discovered that the BET inhibitor (BETi) Birabresib profoundly alters the processes of DNA replication and cell cycle progression in GBM cells, beyond the previously reported impact of BET inhibition on homologous recombination repair...In GBM cells with elevated baseline replication stress, the sequential regimen exhibits comparable efficacy to concurrent treatment, protecting normal glial cells with lower baseline replication stress from DNA toxicity and subsequent death. This study provides compelling preclinical evidence supporting the development of innovative drug administration strategies focusing on PARPi for GBM therapy.
Journal
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HRD (Homologous Recombination Deficiency)
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birabresib (OTX015)
over1year
Pharmacological targeting of histone H3K27 acetylation/BRD4-dependent induction of ALDH1A3 for early-phase drug tolerance of gastric cancer. (PubMed, Cancer Res Commun)
ChIP-PCR and ChIP-seq analyses revealed that histone H3 lysine 27 acetylation was enriched in the ALDH1A3 promoter in 5-Fluorouracil (5-FU)-tolerant persister PDCs. By chemical library screening, we found that the BET inhibitors OTX015/birabresib and I-BET-762/molibresib suppressed DTP-related ALDH1A3 expression and preferentially inhibited DTP cell growth...Combination therapy with 5-FU and OTX015 significantly suppressed in vivo tumor growth. These observations suggest that BET inhibitors are efficient DTP cell-targeting agents for gastric cancer treatment.
Journal
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BRD4 (Bromodomain Containing 4) • ALDH1A3 (Aldehyde Dehydrogenase 1 Family Member A3) • BRD2 (Bromodomain Containing 2)
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5-fluorouracil • birabresib (OTX015) • molibresib (GSK525762)