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DRUG CLASS:

PRC2 inhibitor

9ms
ORIC-944-01: Study of ORIC-944 in Patients with Metastatic Prostate Cancer (clinicaltrials.gov)
P1, N=250, Recruiting, ORIC Pharmaceuticals | Trial primary completion date: Dec 2024 --> Dec 2025
Trial primary completion date
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abiraterone acetate • Nubeqa (darolutamide) • apalutamide • ORIC-944
1year
Hypermethylation of CDKN2A CpG island drives resistance to PRC2 inhibitors in SWI/SNF loss-of-function tumors. (PubMed, Cell Death Dis)
Further experiments revealed that the expression of p16 was suppressed in the BR0063-resistant cells via DNA hypermethylation in the CpG island (CGI) promoter region, rather than via PRC2 occupancy. The expression of TET1, which is required for DNA demethylation, was found to be inversely correlated with p16 CGI methylation, and this may serve as a biomarker for the prediction of resistance to PRC2 inhibitors in SWI/SNF LOF tumors.
Journal
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CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • ARID1A (AT-rich interaction domain 1A) • SMARCA4 (SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily A, member 4) • TET1 (Tet Methylcytosine Dioxygenase 1)
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ARID1A mutation
1year
ORIC-944-01: Study of ORIC-944 in Patients with Metastatic Prostate Cancer (clinicaltrials.gov)
P1, N=250, Recruiting, ORIC Pharmaceuticals | N=42 --> 250 | Trial completion date: Jun 2024 --> Sep 2026 | Trial primary completion date: May 2023 --> Dec 2024
Enrollment change • Trial completion date • Trial primary completion date • Combination therapy • Metastases
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abiraterone acetate • Nubeqa (darolutamide) • apalutamide • ORIC-944
over1year
EZH2 mutations in follicular lymphoma distort H3K27me3 profiles and alter transcriptional responses to PRC2 inhibition. (PubMed, Nat Commun)
We also uncover unexpected variability in the mutational landscape of successive biopsies, pointing to frequent co-existence of different clones and cautioning against stratifying patients based on single sampling. Our results clarify how oncogenic PRC2 mutations disrupt chromatin and transcription, and the therapeutic vulnerabilities this creates.
Journal
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EZH2 (Enhancer of zeste 2 polycomb repressive complex 2 subunit)
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EZH2 mutation • EZH2 Y641F • EZH2 Y641 • PRC2 mutation • EZH2 wild-type
almost2years
BMP-ACVR1 Axis is Critical for Efficacy of PRC2 Inhibitors in B-Cell Lymphoma. (PubMed, Adv Sci (Weinh))
Although PRC2 inhibitors, such as tazemetostat, have demonstrated anti-lymphoma activity in patients, the clinical efficacy is not limited to EZH2-mutant lymphoma...Furthermore, high levels of BMP6 and BMP7, along with ACVR1, are associated with longer survival in lymphoma patients, underscoring the clinical relevance of this study. Altogether, BMP-ACVR1 exhibits anti-lymphoma function and represents a critical PRC2-repressed pathway contributing to the efficacy of PRC2 inhibitors.
Journal
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ACVR1 (Activin A Receptor Type 1) • BMP6 (Bone Morphogenetic Protein 6)
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EZH2 mutation
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Tazverik (tazemetostat)
over2years
THERAPY-INDUCED SENESCENCE TRIGGERS UPREGULATION OF ANTIGEN PRESENTATION VIA PRC2 INHIBITION AND PROMOTES ANTI-TUMOUR IMMUNITY IN ACUTE MYELOID LEUKAEMIA (EHA 2023)
To evaluate the contribution of DNA damage and senescence program activation, we used Palbociclib (CDK4/6 inhibitor) to promote senescence without inducing physical DNA damage. Overall, our results highlight senescence as a potent immune-related anti-leukemic mechanism that may rapidly translate into innovative senescence-based strategies to cure or prevent AML post-therapy relapse.
IO biomarker
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CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma) • CD4 (CD4 Molecule) • IFNA1 (Interferon Alpha 1) • SUZ12 (SUZ12 Polycomb Repressive Complex 2 Subunit)
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Ibrance (palbociclib) • Tazverik (tazemetostat)
almost3years
Genetic screens reveal new targetable vulnerabilities in BAP1-deficient mesothelioma. (PubMed, Cell Rep Med)
Pharmacological inhibition of PRC2 elevates the expression of cholesterol biosynthesis genes only in BAP1-deficient mesothelioma, thereby sensitizing these cells to the combined targeting of PRC2 and the mevalonate pathway. Finally, by subjecting autochthonous Bap1-deficient mesothelioma mice or xenografts to mevalonate pathway inhibition (zoledronic acid) and PRC2 inhibition (tazemetostat), we demonstrate a potent anti-tumor effect, suggesting a targeted combination therapy for Bap1-deficient mesothelioma.
Journal
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BAP1 (BRCA1 Associated Protein 1)
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Tazverik (tazemetostat) • zoledronic acid
almost3years
EZH2: An Accomplice of Gastric Cancer. (PubMed, Cancers (Basel))
Secondly, we summarize the role of EZH2 in gastric cancer, which includes the association of the EZH2 gene with genetic susceptibility to GC, the correlation of the EZH2 gene with gastric carcinogenesis and invasive metastasis, the resistance to chemotherapeutic drugs of gastric cancer mediated by EZH2 and the high expression of EZH2 leading to poor prognosis of gastric cancer patients. Finally, we also clarify some of the current statuses of drug development regarding targeted inhibition of EZH2/PRC2 activity.
Review • Journal
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EZH2 (Enhancer of zeste 2 polycomb repressive complex 2 subunit)
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EZH2 overexpression
3years
Dual Acting Peptides Target EZH2 and AR: a New Paradigm for Effective Treatment of Castration-Resistant Prostate Cancer. (PubMed, Endocrinology)
Despite the development of the antiandrogens enzalutamide and abiraterone for CRPC, which target the androgen receptor (AR), drug resistance usually develops within 6 months and metastatic CRPC (mCRPC) leads to lethality. These peptides are also more cytotoxic to prostate cancer cells than the combination of Enzalutamide and an EZH2 inhibitory drug, which was recently suggested to be an effective treatment of mCRPC disease. Our data show that such a dual-acting therapeutic approach can be more effective than the existing front-line drug therapies for treating deadly mCRPC.
Journal
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SUZ12 (SUZ12 Polycomb Repressive Complex 2 Subunit)
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AR splice variant 7
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Xtandi (enzalutamide) • abiraterone acetate
3years
The Role of Histone H3-K27M Mutation in Preleukemic HSC Expansion (ASH 2022)
Overall, our data indicate that H3-K27M mutation drives preleukemic HSC expansion by activating self-renewal and quiescence programs. This will enable the deciphering of new molecular mechanisms driving the transformation of preleukemic HSCs into leukemic stem cells and provide new insights to improve therapeutic options.
IO biomarker
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CD38 (CD38 Molecule) • CD34 (CD34 molecule)
3years
Oncohistone interactome profiling uncovers contrasting oncogenic mechanisms and identifies potential therapeutic targets in high grade glioma. (PubMed, Acta Neuropathol)
H3K9me3 was reduced in H3K27M-containing nucleosomes, and cis-H3K9 methylation was required for H3K27M to exert its effect on global H3K27me3. H3K9 methyltransferase inhibition was lethal to H3.1K27M, H3.3K27M and H3.3G34R pHGG cells, underscoring the importance of H3K9 methylation for oncohistone-mutant gliomas and suggesting it as an attractive therapeutic target.
Journal
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SETD2 (SET Domain Containing 2, Histone Lysine Methyltransferase)
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H3.3K27M
over3years
TBX2 acts as a potent transcriptional silencer of tumour suppressor genes through interaction with the CoREST complex to sustain the proliferation of breast cancers. (PubMed, Nucleic Acids Res)
Through ChIP-seq we reveal that 30% of TBX2-bound promoters are shared with ZNF217 and identify novel targets repressed by TBX2/CoREST; of these targets a lncRNA, LINC00111, behaves as a negative regulator of cell proliferation. Overall, these data indicate that inhibition of CoREST proteins represents a promising therapeutic intervention for TBX2-addicted breast tumours.
Journal
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ZNF217 (Zinc Finger Protein 217) • NDRG1 (N-Myc Downstream Regulated 1)