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DRUG CLASS:

IAP inhibitor

9d
BIRC3/CAV1 co-expression drives GBM aggressiveness as a prognostic signature and therapeutic vulnerability. (PubMed, Cell Death Discov)
Glioblastoma (GBM) is an incurable tumor where temozolomide (TMZ) resistance limits survival, even in MGMT-methylated patients. Importantly, BIRC3/cIAP2-driven resistance proved targetable; the IAP antagonist AZD5582 restored TMZ sensitivity by unlocking the apoptotic execution phase, thereby inducing cell death in resistant GBM models in vitro and ex vivo. Our findings establish the BIRC3/CAV1 axis as a key prognostic signature and therapeutic vulnerability in GBM, offering a new path for precision oncology strategies.
Journal
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MGMT (6-O-methylguanine-DNA methyltransferase) • BIRC3 (Baculoviral IAP repeat containing 3) • CAV1 (Caveolin 1)
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temozolomide • AZD5582
1m
Development and validation of a ferroptosis-related gene signature for prognostic prediction and therapeutic target identification in invasive lobular carcinoma. (PubMed, Transl Cancer Res)
Sensitivity analysis and molecular docking revealed that KLRB1 and SERPINB5 are hypothesis-generating targets and that rapamycin and AZD5582 are hypothesis-generating drug candidates for the treatment of ILC. By integrating multi-omics analysis, machine learning and molecular docking, we established a robust prognostic model for ILC, revealed two distinct ferroptosis-related molecular subtypes, and identified potential therapeutic targets and candidate drugs. These findings may help advance the development of personalized medicine and targeted therapies for ILC.
Journal • Gene Signature
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KLRB1 (Killer Cell Lectin Like Receptor B1)
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sirolimus • AZD5582
3ms
IAP Antagonists Selectively Eliminate Therapy-Induced Senescent Cancer Cells via TNFα-Independent Apoptosis. (PubMed, Cancer Sci)
Here, we show that AZD5582 and AT406, potent antagonists of cellular inhibitor of apoptosis proteins 1 and 2 (cIAP1 and cIAP2) and X-linked inhibitor of apoptosis protein (XIAP), selectively eliminated HCT116 and RKO cells that had undergone senescence following treatment with a chemotherapeutic agent such as trifluridine, camptothecin, or doxorubicin. At physiological concentrations, TNFα sensitized non-senescent, proliferating cancer cells, but not TIS and nutlin-3a-induced senescent cancer cells, to apoptosis in the presence of IAP antagonists. Collectively, these findings suggest that IAP antagonists could serve as effective concomitant agents to TIS-inducing chemotherapy that promotes TNFα secretion within tumors, functioning not only as TNFα-independent senolytics but also as potentiators of TNFα-mediated apoptosis in adjacent non-senescent, proliferating cancer cells.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • BIRC3 (Baculoviral IAP repeat containing 3) • CASP8 (Caspase 8) • XIAP (X-Linked Inhibitor Of Apoptosis)
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doxorubicin hydrochloride • AZD5582 • xevinapant (Debio 1143)
3ms
KIF5B-driven unfolded protein response reprograms breast cancer immunosuppressive microenvironment for single-cell guided therapeutic targeting. (PubMed, Discov Oncol)
Our multimodal analysis establishes KIF5B as a prognostic biomarker and potential therapeutic target in BRCA, with implications for understanding immune evasion and guiding precision treatment strategies.
Journal • BRCA Biomarker
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KIF5B (Kinesin Family Member 5B) • BRCA (Breast cancer early onset)
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LCL161 • sapitinib (AZD8931)
3ms
APG-1387 Plus Chemotherapy in Advanced Pancreatic Adenocarcinoma (clinicaltrials.gov)
P1/2, N=21, Terminated, Ascentage Pharma Group Inc. | N=44 --> 21 | Recruiting --> Terminated; Company Strategy
Enrollment change • Trial termination
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gemcitabine • albumin-bound paclitaxel • dasminapant (APG-1387)
3ms
Dose-escalation Study of APG-1387 and Toripalimab in Solid Tumors (clinicaltrials.gov)
P1/2, N=40, Terminated, Ascentage Pharma Group Inc. | N=104 --> 40 | Recruiting --> Terminated; Company Strategy
Enrollment change • Trial termination
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EGFR (Epidermal growth factor receptor) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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EGFR wild-type
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Loqtorzi (toripalimab-tpzi) • dasminapant (APG-1387)
4ms
SMAC mimetics sensitize HIV-infected cells to oncolytic virus-mediated death. (PubMed, Front Immunol)
As small-molecule second mitochondria-derived activator of caspases (SMAC) mimetics have been shown to increase OV-mediated death in cancer models, we used the SMAC mimetics LCL-161 and birinapant alongside MG1 to enhance the killing of HIV-infected cell lines and monocyte-derived macrophages (MDMs). This cell death occurs via both caspase-dependent and caspase-independent mechanisms and is not completely dependent on tumor necrosis factor alpha (TNFα). Together, these results show that the use of SMAC mimetics alongside OVs may be a viable strategy to eradicate latently/persistently HIV-infected cells.
Journal
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TNFA (Tumor Necrosis Factor-Alpha)
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birinapant (IGM-9427) • LCL161
4ms
Discovery based on SPR drug chip that corilagin alleviates acute lung injury in mice by inhibiting necroptosis through targeting RIPK1/RIPK3/MLKL pathway. (PubMed, Chin J Nat Med)
In vitro, corilagin inhibits necroptosis induced by either tuberculosis, tumor necrosis factor-α (TNF-α), LCL-161, and inhibitor (IDN-6556) (TSI) (tumor necrosis TNF-α combined with LCL-161 (a Smac mimic) and pan-caspase inhibitor IDN-6556), or lipopolysaccharide (LPS) with IDN-6556. In a mouse model of sepsis associated with necroptosis, corilagin administration reduces the severity of LPS-induced acute lung injury, correlating with decreased MLKL phosphorylation in lung tissues. These results indicate that corilagin attenuates RIPK1/RIPK3/MLKL signaling, potentially through reducing mtROS production, thereby inhibiting necroptosis and offering protection against LPS-induced acute lung injury.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • RIPK1 (Receptor Interacting Serine/Threonine Kinase 1)
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LCL161
4ms
BET inhibitor-based combinations targeting novel dependencies in MECOM-rearranged (r) AML. (PubMed, Leukemia)
In a MECOM-r AML PDX model, mivebresib with dactolisib or LCL161, was superior to monotherapy or vehicle in reducing AML burden and increasing mouse survival. These findings highlight that cotreatment with BETi and PI3K/mTOR or IAP inhibitor exerts superior in vitro and in vivo efficacy in MECOM-r AML cells and support further evaluation of these BETi-based combinations.
Journal
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PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2L1 (BCL2-like 1) • MECOM (MDS1 And EVI1 Complex Locus) • GATA2 (GATA Binding Protein 2) • BRD4 (Bromodomain Containing 4) • XIAP (X-Linked Inhibitor Of Apoptosis)
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dactolisib (RTB101) • mivebresib (ABBV 075) • LCL161
4ms
Study on Smac promoting mitochondrial pathway apoptosis and muscle tenderization during postmortem aging of Tibetan sheep meat. (PubMed, Food Chem)
Furthermore, more nuclear chromatin condensation and cell shrinkage were observed in the GDC-0152 treatment group. In conclusion, Smac could promote the degradation of IAPs, accelerate mitochondrial damage, induce Cyt-c oxidation and Apaf-1 recruitment during postmortem aging of Tibetan sheep meat, thus activating caspase-9/3, facilitating mitochondrial pathway apoptosis and effectively improving Tibetan sheep meat tenderness.
Journal
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CASP9 (Caspase 9) • APAF1 (Apoptotic peptidase activating factor 1)
5ms
RB loss sensitizes triple-negative breast cancer to apoptosis induced by cellular stress. (PubMed, Cell Death Discov)
Birinapant in combination with CHK1 or AURKA inhibitors results in selective cell killing in RB-deficient TNBC models and yields durable disease control via apoptosis in vivo. In conclusion, RB loss in TNBC displays an enhanced vulnerability to pro-apoptotic signaling that can enable the effective implementation of new targeted therapeutic strategies.
Journal
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RB1 (RB Transcriptional Corepressor 1) • XIAP (X-Linked Inhibitor Of Apoptosis)
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birinapant (IGM-9427)
6ms
USP13 depletion sensitizes colorectal cancer cells to necroptosis by destabilizing cIAP2 proteins. (PubMed, Cell Death Differ)
The loss of USP13 significantly potentiates TNF-α/SMAC mimetic birinapant/pan-caspase inhibitor Z-VAD-FMK (TBZ)-induced necroptosis in CRC cells and diminishes tumor growth in a xenograft model. Thereby, USP13 may serve as a potential therapeutic target for anticancer treatment of CRC.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • BIRC3 (Baculoviral IAP repeat containing 3) • USP13 (Ubiquitin Specific Peptidase 13)
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birinapant (IGM-9427)