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DRUG CLASS:

FAP inhibitor

7d
Translational Theranostics in Glioblastoma: FAPI-46 as a Precision Medicine Tool. (PubMed, J Nucl Med)
[177Lu]Lu-FAPI-46 demonstrated lower therapeutic efficacy, as a monotherapy or in combination with temozolomide, than did [225Ac]Ac-FAPI-46. FAPI-46 demonstrates significant potential as a theranostic agent for glioblastoma in peripheral models. However, its inability to cross the blood-brain barrier in orthotopic models highlights the need for future studies to improve its clinical applicability.
Journal
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FAP (Fibroblast activation protein, alpha)
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temozolomide • [177Lu]FAPI-46
14d
New P1 trial
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Keytruda (pembrolizumab)
14d
New P2 trial
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PRO-C3 (Pyrroline-5-carboxylate reductase)
27d
Trial completion date
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Keytruda (pembrolizumab) • talabostat (BXCL701)
1m
Phase 2 study of talabostat, a small molecule inhibitor of dipeptidyl peptidases (DPP), administered in combination with pembrolizumab in patients with small cell neuroendocrine prostate cancer. (PubMed, J Immunother Cancer)
Talabostat plus pembrolizumab demonstrates preliminary anti-tumor activity in patients with relapsed SCNC. Further evaluation in a randomized study is warranted to assess the contribution of talabostat in this high-risk disease subset.
P2 data • Journal • Tumor mutational burden • PD(L)-1 Biomarker
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TMB (Tumor Mutational Burden) • DPP9 (Dipeptidyl Peptidase 9)
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TMB-L
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Keytruda (pembrolizumab) • talabostat (BXCL701)
1m
The evolving role of targeted radioligand therapy in small cell and non-small cell lung cancer: a systematic review. (PubMed, Explor Target Antitumor Ther)
In NSCLC, fibroblast activation protein (FAP)-targeted agents such as [177Lu]Lu-FAP-2286 demonstrated partial metabolic responses, including a 44.4% response rate and 78% disease control in a mixed cohort...Early efficacy signals exist for strong somatostatin receptor (SSTR)-targeted therapy in SCLC and FAP-targeted therapy in NSCLC, but evidence remains limited. Prospective trials with standardized protocols and dosimetry are needed to define TRT's role in lung cancer treatment.
Review • Journal
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SSTR (Somatostatin Receptor)
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lutetium Lu 177 rofapitide tetraxetan (AAA614)
1m
Safety and activity of RO7300490, a bispecific CD40 agonist targeted to fibroblast activation protein, in patients with advanced solid tumors: a single-arm, multicenter, first-in-human, phase 1 trial. (PubMed, Nat Cancer)
In summary, treatment with a tumor-targeted CD40 agonist antibody is feasible, clinically manageable and induces immunomodulation of the tumor microenvironment. ClinicalTrials.gov registration: NCT04857138 .
P1 data • Journal • First-in-human
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LAMP3 (Lysosomal Associated Membrane Protein 3) • CD40 (CD40 Molecule)
1m
Tumor-localized CD40 agonism with MP0317, a FAP x CD40 DARPin, reprograms the tumor microenvironment in patients with advanced solid tumors: an open-label, nonrandomized, dose-escalation phase 1 study. (PubMed, Nat Cancer)
Collectively, these data confirm a favorable safety profile for MP0317 and support further clinical evaluation in combination with complementary immunotherapies. ClinicalTrials.gov registration: NCT05098405 .
P1 data • Journal • IO biomarker
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IFNG (Interferon, gamma) • CD40 (CD40 Molecule)
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MP0317
1m
Novel Covalent FAP-Targeted [68Ga]Ga-DOTA-mFS-KERERG-FAP-2286 for Improved Pharmacokinetics and Enhanced Tumor Uptake. (PubMed, Mol Pharm)
The potential diagnostic value of [68Ga]Ga-DOTA-mFS-KERERG-FAP-2286 lies in its design as a derivative of the DOTA-FAP-2286 scaffold, incorporating a sulfur(VI) fluoride exchange (SuFEx)-based covalent warhead and a hydrophilic polypeptide. This modification is anticipated to alter the pharmacokinetic profile, leading to enhanced tumor uptake and retention, thereby improving clinical diagnostic accuracy.
PK/PD data • Journal
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FAP (Fibroblast activation protein, alpha)
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lutetium Lu 177 rofapitide tetraxetan (AAA614)
2ms
New P1 trial • Checkpoint inhibition
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FAP (Fibroblast activation protein, alpha)
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Opdivo (nivolumab) • Yervoy (ipilimumab) • lutetium Lu 177 rofapitide tetraxetan (AAA614)