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DRUG CLASS:

Casein kinase 2 inhibitor

30d
HERPUD1 mediates palmitic acid-induced UPR sustaining TNBC aggressiveness and is destabilized by CK2 pharmacological inhibition. (PubMed, Cell Death Dis)
HERPUD1 silencing reduced TNBC cell proliferation, migration, and invasion while enhancing doxorubicin (DOX) cytotoxicity, in both 2D and 3D cell culture models. Strikingly, inhibition of CK2 with CX-4945 not only reduced HERPUD1 levels but also increased the sensitivity of BC cells to DOX. HERPUD1-S59D phosphomimetic mutants showed opposite effects.Our findings establish HERPUD1 as a key mediator of PA-driven aggressiveness, dependent on the lipid-handling capacity of TNBC cells and reveals a mechanistic to lipid stress and tumor progression.
Journal
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IL6 (Interleukin 6) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • ATF4 (Activating Transcription Factor 4)
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doxorubicin hydrochloride • silmitasertib (CX-4945)
1m
Testing the Safety and Tolerability of CX-4945 in Patients With Recurrent Medulloblastoma Who May or May Not Have Surgery (clinicaltrials.gov)
P1/2, N=21, Terminated, Pediatric Brain Tumor Consortium | N=66 --> 21 | Trial completion date: Feb 2030 --> Aug 2025 | Active, not recruiting --> Terminated | Trial primary completion date: Mar 2026 --> Aug 2025; The decision to permanently close PBTC-053 was made following communication from the NCI that the PBTC grant will not be extended beyond March 31, 2026.
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
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silmitasertib (CX-4945)
2ms
CK2 inhibitor CX-4945 targets EWS-FLI1 protein abundance and shows anti-tumor activity in metastatic mouse models of Ewing Sarcoma. (PubMed, bioRxiv)
CX-4945 showed synergistic cytotoxic activity with Temozolamide and Irinotecan. CX-4945 is currently being tested in a Phase 1 study to evaluate the safety and tolerability in combination with chemotherapy for the treatment of pediatric colloid tumors, including Ewing sarcoma. The preclinical studies reported here support the clinical studies evaluating the efficacy of CX-4945 for the treatment of Ewing sarcoma.
Preclinical • Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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irinotecan • silmitasertib (CX-4945)
3ms
CK2α Overexpression in Colorectal Cancer: Evidence for Sex- and Age-Linked Differences. (PubMed, Cancers (Basel))
CK2α is significantly overexpressed in the tumor tissue of female CRC patients and shows a strong age-related correlation. These findings suggest a sex- and age-specific regulatory mechanism potentially influenced by estrogen signaling or menopause. Such dimorphisms underscore the need for sex-specific strategies in CRC biomarker development and therapy.
Journal • Tumor mutational burden
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ER (Estrogen receptor) • TMB (Tumor Mutational Burden) • MLH1 (MutL homolog 1) • DDX5 (DEAD-Box Helicase 5) • HDAC1 (Histone Deacetylase 1) • PCNA (Proliferating cell nuclear antigen) • MAP2K3 (Mitogen-Activated Protein Kinase Kinase 3)
3ms
Testing the Safety and Tolerability of CX-4945 in Patients With Recurrent Medulloblastoma Who May or May Not Have Surgery (clinicaltrials.gov)
P1/2, N=66, Active, not recruiting, Pediatric Brain Tumor Consortium | Trial primary completion date: Dec 2029 --> Mar 2026
Trial primary completion date
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silmitasertib (CX-4945)
3ms
Testing the Safety and Tolerability of CX-4945 in Patients With Recurrent Medulloblastoma Who May or May Not Have Surgery (clinicaltrials.gov)
P1/2, N=66, Active, not recruiting, Pediatric Brain Tumor Consortium | Recruiting --> Active, not recruiting
Enrollment closed
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silmitasertib (CX-4945)
6ms
Neuroprotective Effects of Hesperidin and CK2 Inhibitor DRB on Aβ1-42-Induced Neurotoxicity in Differentiated SH-SY5Y Cells. (PubMed, Mol Neurobiol)
CK2 may be a potential therapeutic target and could contribute to the pathophysiology of AD. However, these findings should be validated by further studies.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BAX (BCL2-associated X protein) • ADAM10 (ADAM Metallopeptidase Domain 10) • BDNF (Brain Derived Neurotrophic Factor)
7ms
Trial completion
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silmitasertib (CX-4945)
7ms
CX-4945 in Viral Community Acquired Pneumonia (clinicaltrials.gov)
P2, N=45, Terminated, Senhwa Biosciences, Inc. | N=136 --> 45 | Recruiting --> Terminated; The trial ended early in March 2025 due to changes in disease epidemiology, affecting patient availability and recruitment feasibility.
Enrollment change • Trial termination
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silmitasertib (CX-4945)
7ms
TBB inhibits CK2/PD-L1/EGFR pathway-mediated tumor progression. (PubMed, Eur J Pharmacol)
Conversely, CK2 depletion or treatment with a CK2 inhibitor reversed these effects. Our findings reveal a novel mechanism by which the CK2/PD-L1/EGFR pathway promotes tumor progression.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-1 (Programmed cell death 1)
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PD-L1 expression
8ms
The dual targeting effects of KD025 on casein kinase 2 and ROCK2 in a mouse model of diet-induced obesity. (PubMed, Biochem Pharmacol)
KD025(belumosudil), a selective ROCK2 inhibitor, exhibits unique anti-adipogenic activity through inhibition of casein kinase 2 (CK2)...C57BL/6 mice on a high fat diet (HFD) were treated with KD025 for 4 weeks, while fasudil (a pan-ROCK inhibitor) and CX-4945 (a CK2-specific inhibitor) served as comparison treatments...Furthermore, KD025 and CX-4945 upregulated adipogenic and browning markers, such as Cebpa, Cidea, and Pparg, in the epiWAT, though without significant UCP1 expression. Overall, KD025 effectively reduced weight gain in HFD-fed mice through dual inhibition of CK2 and ROCK2, highlighting its potential as a therapeutic agent for obesity-related conditions.
Preclinical • Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CEBPA (CCAAT Enhancer Binding Protein Alpha) • PPARG (Peroxisome Proliferator Activated Receptor Gamma)
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silmitasertib (CX-4945)
10ms
Single-cell and spatial transcriptomics reveal pre-metastatic subsets and therapeutic targets in penile carcinoma. (PubMed, iScience)
Silmitasertib, a CK2α inhibitor, exhibited anti-tumor effects in penile carcinoma cells. Validated across 98 single-cell and 6 spatial datasets, our study advances the understanding of tumorigenesis and metastasis, highlighting Silmitasertib as a potential therapeutic agent.
Journal
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SPP1 (Secreted Phosphoprotein 1) • MMP3 (Matrix metallopeptidase 3)
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silmitasertib (CX-4945)