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DRUG CLASS:

Nicotinamide phosphoribosyltransferase inhibitor

26d
MTFP1 drives pancreatic cancer liver metastatic colonisation by regulating mitochondrial metabolism reprogramming. (PubMed, Gut)
Our data demonstrate that the enhanced MTFP1 expression leads to an upregulated glutamine-OXPHOS axis in PDAC liver colonisation. This metabolic shift is triggered by the ROS/PI3K/AKT/c-MYC/SLC1A5 pathway. Targeting MTFP1 may be a potential therapeutic strategy for PDAC patients with liver metastasis.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • CD8 (cluster of differentiation 8) • SLC1A5 (Solute Carrier Family 1 Member 5)
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padnarsertib (KPT-9274)
1m
The NAMPT Inhibitor FK866 Attenuates DEN-Induced Liver Fibrosis in Mice. (PubMed, Biol Pharm Bull)
Further studies revealed that this therapeutic effect was achieved by inhibiting the NAD+ level, as well as the protein expression of NAMPT, PARP1, and inflammatory factors, including interleukin-1β (IL-1β), IL-6, tumor necrosis factor-α, and P65. In conclusion, FK866 exhibits therapeutic potential for the treatment of liver fibrosis.
Preclinical • Journal • PARP Biomarker
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • FN1 (Fibronectin 1) • IL1B (Interleukin 1, beta) • NAMPT (Nicotinamide Phosphoribosyltransferase)
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daporinad (APO866)
1m
Nicotinamide N-Methyl Transferase (NNMT) Sustains Innate Sensitivity to NAMPT Inhibition in YAP-dependent Stem-like/Mesenchymal Prostate Cancer. (PubMed, Int J Biol Sci)
Resistance to NAMPT inhibitors, such as FK866, remains a key limitation to their clinical translation...These findings support the use of NNMT as a predictive biomarker for NAD+-targeting therapies and provide mechanistic insight into a metabolic vulnerability of the CRPC-SCL subtype. Targeting the YAP/NNMT/NAMPT axis may represent a novel strategy for treating stem-like/mesenchymal, therapy-resistant prostate cancers.
Journal
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NAMPT (Nicotinamide Phosphoribosyltransferase) • NNMT (Nicotinamide N-Methyltransferase)
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daporinad (APO866)
1m
KPT-9274 in Patients With Relapsed and Refractory Acute Myeloid Leukemia (clinicaltrials.gov)
P1, N=16, Completed, University of Colorado, Denver | Active, not recruiting --> Completed | N=40 --> 16 | Trial completion date: Feb 2027 --> Oct 2025
Trial completion • Enrollment change • Trial completion date
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padnarsertib (KPT-9274)
2ms
Targeting Metabolic and pH Regulatory Pathways in Cancer via Dual Inhibition of Nicotinamide Phosphoribosyltransferase and Carbonic Anhydrases IX and XII. (PubMed, J Med Chem)
In three-dimensional (3D) spheroids, compound 45 reduced the cumulative spheroid area approximately 10-fold more than the single-target inhibitors FK866 or SLC-0111 and induced apoptosis through NAD depletion, mitochondrial dysfunction, and suppression of ERK/mTOR signaling. These results support dual hCA IX/XII-NAMPT inhibition as an effective strategy to impair tumor growth and survival under hypoxic stress.
Journal
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NAMPT (Nicotinamide Phosphoribosyltransferase)
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daporinad (APO866) • SLC-0111
2ms
Exploring the role of CCT7 in prognosis, cell cycle regulation, and immune microenvironment remodeling of lung adenocarcinoma based on multi-omics datasets and functional experiments. (PubMed, Biochim Biophys Acta Gen Subj)
CCT7 acts as an independent prognostic biomarker in LUAD, driving progression through cell cycle regulation, microenvironment remodeling, and immune modulation. It holds promise as a therapeutic target and guide for personalized LUAD treatment.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • CD8 (cluster of differentiation 8) • FOXM1 (Forkhead Box M1) • MIR145 (MicroRNA 145)
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erlotinib • Zolinza (vorinostat) • daporinad (APO866)
3ms
Inhibition of NAMPT targets DNA damage response to sensitize alkylating chemotherapy in TP53 mutant mantle cell lymphoma. (PubMed, Blood Adv)
The NAMPT inhibitor KPT-9274 reduced viability and induced apoptosis in MCL cells irrespective of TP53 status...Our findings establish NAMPT as a dual-context therapeutic node, providing a precision medicine framework to circumvent chemoresistance in high-risk MCL. These results advocate for the clinical evaluation of TP53 status-guided NAMPT inhibitor combinations to address this unmet oncologic challenge.
Journal
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TP53 (Tumor protein P53) • NAMPT (Nicotinamide Phosphoribosyltransferase)
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TP53 mutation • TP53 wild-type
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padnarsertib (KPT-9274)
3ms
RAS/PI3K pathway mutations sensitise epithelial ovarian cancer cells to a PARP/NAMPT inhibitor combination. (PubMed, Commun Biol)
Combined exposure to olaparib and FK866 is associated with a reduction in nicotinamide mononucleotide (NMN) and the PARP substrate nicotinamide adenine dinucleotide (NAD+), with coincident increases in ROS production, DNA damage and apoptosis induction. Finally, the combination significantly reduces omental tumour weight and increases overall survival in mice injected with ID8 Trp53-/-;Pten-/- cells. This study highlights the potential of the PARPi/NAMPTi combination in RAS/PI3K pathway mutant EOC.
Journal • PARP Biomarker
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TP53 (Tumor protein P53) • PTEN (Phosphatase and tensin homolog) • CASP3 (Caspase 3) • CASP7 (Caspase 7) • NAMPT (Nicotinamide Phosphoribosyltransferase)
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RAS mutation
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Lynparza (olaparib) • daporinad (APO866)
3ms
NAMPT inhibition uncovers therapeutic vulnerabilities to venetoclax and chemotherapy in acute myelogenous leukemia. (PubMed, Leuk Lymphoma)
Proteomic profiling showed that NAMPT inhibition with KPT-9274 induced adaptive upregulation of BCL2, an anti-apoptotic protein, highlighting a survival mechanism...Additionally, NAMPT inhibition reduced PARP activity and impaired DNA repair pathways, sensitizing AML cells to cytarabine and hypomethylating agents. Together, these results demonstrate that NAMPT inhibition both potentiates venetoclax activity and enhances the cytotoxic effects of standard chemotherapies by targeting metabolic and DNA repair vulnerabilities. These findings provide strong preclinical support for evaluating NAMPT and BCL2 dual inhibition strategies in future AML clinical trials.
Journal • PARP Biomarker • IO biomarker
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MCL1 (Myeloid cell leukemia 1) • BCL2L1 (BCL2-like 1) • NAMPT (Nicotinamide Phosphoribosyltransferase)
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Venclexta (venetoclax) • cytarabine • padnarsertib (KPT-9274)
3ms
Common Biomarkers and Pathogenesis of Inflammatory Bowel Disease and Breast Cancer: Mendelian Randomization and Multi-Omics Studies. (PubMed, Breast Cancer (Dove Med Press))
THBS3-high breast cancer patients exhibited resistance to Dinaciclib, Daporinad, and Rapamycin. THBS3 may promote breast cancer progression through immune regulation, ECM remodeling, and drug resistance mechanisms, suggesting its potential as a therapeutic target. These findings support enhanced breast cancer screening in IBD patients.
Journal
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MIR423 (MicroRNA 423)
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sirolimus • dinaciclib (MK-7965) • daporinad (APO866)
3ms
Combined inhibition of NAD synthesis and C-terminal binding protein cooperatively induces cell death and inhibits growth of high grade serous ovarian carcinoma. (PubMed, Sci Rep)
Highlighting translational potential in late-stage HGSOC, combined JW-98/GMX1778 treatment of platinum-resistant OVCAR3 HGSOC mouse xenografts abrogated tumor growth without observable toxicity. Combined inhibition of CtBP and NAD synthesis represents a novel therapeutic strategy that could improve outcomes in chemoresistant HGSOC.
Journal
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CASP8 (Caspase 8) • CTBP1 (C-Terminal Binding Protein 1)
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GMX1778
3ms
Decoding colorectal cancer chemotherapy and immunotherapy resistance: revealing the role of NOL3 using single-cell RNA sequencing and machine learning. (PubMed, Clin Exp Med)
Drug sensitivity analysis confirmed its involvement in chemotherapy resistance, and the impact of NOL3 on the efficacy of Daporinad was evaluated using MTT assays...CellChat analysis suggested that High_NOL3_Epithelial may interact with various immune cells through signaling pathways such as EGF, SAA, and TWEAK, contributing to immune therapy resistance. We established a composite prognostic model by combining features from hypoxia and PCD gene sets and validated NOL3 as a dual biomarker, offering significant clinical implications for prognostication and the tailoring of immunotherapy and chemotherapy in CRC patients.
Journal • IO biomarker
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EGF (Epidermal growth factor)
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daporinad (APO866)