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DRUG CLASS:

Farnesyl transferase inhibitor

16d
Farnesyltransferase inhibitors decrease matrix-vesicle-mediated mineralization in SaOS-2 cells. (PubMed, Mol Biol Rep)
Our findings demonstrate that FTIs Lonafarnib and Tipifarnib impair MVM, highlighting the essential role of farnesylation in biomineralization.
Journal
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COL1A1 (Collagen Type I Alpha 1 Chain) • RUNX2 (RUNX Family Transcription Factor 2)
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Zarnestra (tipifarnib)
1m
Journal
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CCND1 (Cyclin D1) • YBX1 (Y-Box Binding Protein 1) • LYVE1 (Lymphatic vessel endothelial hyaluronan receptor 1) • SOX4 (SRY-Box Transcription Factor 4) • TCF4 (Transcription Factor 4)
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Zarnestra (tipifarnib)
2ms
The Fall of the Armor: Lamin Dysregulation and a Wide Network of Laminopathies. (PubMed, Subcell Biochem)
Lamins have also been shown to be dysregulated in a multitude of cancers, and research has uncovered a diabolical role of lamins in oncogenesis. The understanding of laminopathies and dysregulation of lamins resulting in disorders is critical in developing novel therapeutic strategies through drug repurposing and epigenetic modulation to curb the burden of the diseases.
Review • Journal
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LMNA (Lamin A/C) • LMNB2 (Lamin B2)
3ms
Wild-type RAS signaling is an essential therapeutic target in RAS-mutated cancers. (PubMed, Sci Signal)
The farnesyltransferase inhibitor tipifarnib blocked mutant HRAS-PI3K signaling and synergized with MEK inhibitors in HRAS-mutated cells, whereas KRASG12C inhibitors blocked mutant KRAS-MEK signaling and synergized with PI3K inhibitors in KRASG12C-mutated cells. Synergy was abolished in MEFs lacking all RAS proteins and in cancer cell lines in which nonmutated RAS family members were deleted. Our data highlight the critical role of wild-type RAS family members in supporting mutant RAS signaling and its importance as a therapeutic cotarget in RAS-mutated cancers.
Journal
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KRAS (KRAS proto-oncogene GTPase) • NRAS (Neuroblastoma RAS viral oncogene homolog)
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KRAS mutation • KRAS wild-type • RAS mutation • RAS wild-type • HRAS mutation • NRAS wild-type • NRAS G12
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Zarnestra (tipifarnib)
4ms
KURRENT-HN: Combination Trial of Tipifarnib and Alpelisib in Adult Recurrent/ Metastatic Head and Neck Squamous Cell Carcinoma (R/M HNSCC) (clinicaltrials.gov)
P1/2, N=40, Active, not recruiting, Kura Oncology, Inc. | Trial completion date: Jul 2025 --> Dec 2025 | Trial primary completion date: Jul 2025 --> Dec 2025
Trial completion date • Trial primary completion date
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • HRAS (Harvey rat sarcoma viral oncogene homolog)
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Piqray (alpelisib) • Zarnestra (tipifarnib)
5ms
Hepatitis D Virus Infection: Pathophysiology, Epidemiology and Treatment. Report From the Third Delta Cure Meeting 2024. (PubMed, Liver Int)
The improved knowledge of the HDV life cycle has led to the development and approval of the first HDV-direct antiviral, Bulevirtide (BLV)...Despite recent advances in antiviral treatment, strategies to achieve HBsAg loss, which most closely resembles HDV cure, are not available and antiviral treatment for patients with advanced liver disease is limited. The third international Delta Cure meeting, held in Milan in October 2024, aimed to share the latest findings, and this review highlights key takeaways from the lectures and research on HDV.
Review • Journal
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KEAP1 (Kelch Like ECH Associated Protein 1) • IFNA1 (Interferon Alpha 1)
8ms
HRAS Mutations in Head and Neck Carcinomas in Japanese Patients: Clinical Significance, Prognosis, and Therapeutic Potential. (PubMed, Int J Mol Sci)
HRAS knockdown with siRNA suppressed the in vitro migration ability of HRAS mutation-positive cells but not that of HRAS mutation-negative cells. In conclusion, a positive HRAS mutation could be an indicator of distant metastasis and poor prognosis, as well as a potential therapeutic target.
Journal
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HRAS (Harvey rat sarcoma viral oncogene homolog) • RAS (Rat Sarcoma Virus)
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RAS mutation • HRAS mutation
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Zarnestra (tipifarnib)
8ms
Enrollment closed
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • HRAS (Harvey rat sarcoma viral oncogene homolog)
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Piqray (alpelisib) • Zarnestra (tipifarnib)
9ms
Anti-PD1 prolongs the response of PI3K and farnesyl transferase inhibition in HRAS- and PIK3CA-mutant head and neck cancers. (PubMed, Neoplasia)
These findings underscore the critical role of antitumor immunity, particularly CD8+T cell activity, in the efficacy of tipifarnib alone and in combination with alpelisib. The triple combination of tipifarnib, alpelisib, and anti-PD1 treatment showed superior antitumor activity and extended survival in preclinical models, suggesting its potential as a therapeutic strategy for HNSCC patients with HRAS- and PIK3CA-mutation.
Journal • PD(L)-1 Biomarker • IO biomarker
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • HRAS (Harvey rat sarcoma viral oncogene homolog) • CD8 (cluster of differentiation 8)
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PD-L1 expression • PIK3CA mutation • HRAS mutation
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Piqray (alpelisib) • Zarnestra (tipifarnib)
9ms
Impaired MC3T3-E1 osteoblast differentiation triggered by oncogenic HRAS is rescued by the farnesyltransferase inhibitor Tipifarnib. (PubMed, Sci Rep)
In this study, we created stable doxycycline inducible cell lines overexpressing HRAS G12 mutants in MC3T3-E1 preosteoblast cell line and analyzed their impact on osteoblast differentiation. At the molecular level, Tipifarnib was not able to block HRAS activation, but impaired HRAS localization to the plasma membrane, and inhibited MAPK activation and Opn expression. Thus, HRAS abundance/activation and its potential crosstalk with OPN may be more critical for osteogenic differentiation than previously assumed.
Journal
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HRAS (Harvey rat sarcoma viral oncogene homolog) • TNFSF11 (TNF Superfamily Member 11)
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HRAS mutation • NRAS G12
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Zarnestra (tipifarnib)
9ms
Functional-proteomics-based investigation of the cellular response to farnesyltransferase inhibition in lung cancer. (PubMed, iScience)
Additionally, we identified a synergistic drug combination involving tipifarnib and a ferroptosis inducer and discovered PTP4A1 as a regulator of interferon signaling. Our data, covering 15,080 proteins, offer valuable insights for future studies of farnesylation and FTIs.
Journal
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NRAS (Neuroblastoma RAS viral oncogene homolog) • GNAQ (G Protein Subunit Alpha Q) • GNA11 (G Protein Subunit Alpha 11)
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NRAS mutation
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Zarnestra (tipifarnib)
11ms
KURRENT-HN: Combination Trial of Tipifarnib and Alpelisib in Adult Recurrent/ Metastatic Head and Neck Squamous Cell Carcinoma (R/M HNSCC) (clinicaltrials.gov)
P1/2, N=40, Recruiting, Kura Oncology, Inc. | Trial completion date: Sep 2024 --> Jul 2025 | Trial primary completion date: Sep 2024 --> Jul 2025
Trial completion date • Trial primary completion date
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • HRAS (Harvey rat sarcoma viral oncogene homolog)
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Piqray (alpelisib) • Zarnestra (tipifarnib)