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DRUG CLASS:

CXCR1 antagonist

14d
NR4A2 induces perineural invasion in head and neck squamous cell carcinoma and pancreatic ductal adenocarcinoma via CXCL5/CXCR2 signaling axis. (PubMed, Cancer Lett)
Further treatment with CXCL5 ligand significantly induced neuritogenesis, while the neurite outgrowth was abrogated when cotreated with CXCR2 (receptor for CXCL5) inhibitor SCH527123...NR4A2 knockdown in UMSCC1 cells impaired tumor formation in vivo, and the xenograft tissues exhibited significant downregulation of CXCL5, providing direct in vivo evidence for the NR4A2-CXCL5 axis in tumor progression. NR4A2 is a key driver of CXCL5-mediated PNI and the NR4A2/CXCL5/CXCR2 signaling axis is a potential therapeutic target in HNSCC and PDAC.
Journal
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RAC1 (Rac Family Small GTPase 1) • CCL2 (Chemokine (C-C motif) ligand 2) • TIMP2 (TIMP Metallopeptidase Inhibitor 2) • CXCL5 (Chemokine (C-X-C motif) ligand 5) • CXCR2 (Chemokine (C-X-C motif) receptor 2) • NR4A2 (Nuclear Receptor Subfamily 4 Group A Member 2)
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navarixin (MK-7123)
15d
SX-682 and Nivolumab for the Treatment of RAS-Mutated, MSS Unresectable or Metastatic Colorectal Cancer, the STOPTRAFFIC-1 Trial (clinicaltrials.gov)
P1/2, N=51, Active, not recruiting, M.D. Anderson Cancer Center | Trial completion date: Jan 2026 --> Jul 2026 | Trial primary completion date: Jan 2026 --> Jul 2026
Trial completion date • Trial primary completion date
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BRAF (B-raf proto-oncogene)
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Opdivo (nivolumab) • SX-682
24d
Unlocking the Power of CXCR2 Inhibition to Overcome Gemcitabine Resistance in Pancreatic Cancer. (PubMed, FASEB Bioadv)
We treated parental and GemR cell lines with gemcitabine in combination with a CXCR2 antagonist, Navarixin. In conclusion, these findings highlight the critical role of the CXCR2 axis in PDAC therapy resistance. Targeting CXCR2 enhances gemcitabine efficacy, offering a potential therapeutic strategy to overcome resistance in PDAC.
Journal
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CXCL8 (Chemokine (C-X-C motif) ligand 8) • CXCL5 (Chemokine (C-X-C motif) ligand 5) • CXCR2 (Chemokine (C-X-C motif) receptor 2) • ITGB2 (Integrin Subunit Beta 2) • CXCL1 (Chemokine (C-X-C motif) ligand 1)
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gemcitabine • navarixin (MK-7123)
1m
New P2 trial • Checkpoint inhibition
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ALK (Anaplastic lymphoma kinase) • RET (Ret Proto-Oncogene) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • CXCL8 (Chemokine (C-X-C motif) ligand 8)
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RET fusion • ALK fusion • ROS1 fusion
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SX-682 • Tecentriq Hybreza (atezolizumab and hyaluronidase-tqjs)
2ms
Syntrix-SX682-Melanoma-101: SX-682 Treatment in Subjects With Metastatic Melanoma Concurrently Treated With Pembrolizumab (clinicaltrials.gov)
P1, N=77, Active, not recruiting, Syntrix Biosystems, Inc. | Recruiting --> Active, not recruiting | Trial completion date: Jun 2026 --> Jun 2027 | Trial primary completion date: Jun 2025 --> Aug 2026
Enrollment closed • Trial completion date • Trial primary completion date
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Keytruda (pembrolizumab) • SX-682
2ms
IL-8-Induced Tumor Self-Rampart Spatially Confines Oncolytic Virotherapy in Glioblastoma. (PubMed, Neuro Oncol)
Glioblastoma mounts a spatial self-protective defense through IL-8-driven TSR formation that restricts oncolytic virus spread. IL-8 functions as both a pharmacodynamic biomarker and a therapeutic target, and its inhibition provides a rational strategy to overcome resistance and optimize GBM virotherapy.
Journal • IO biomarker
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CXCL8 (Chemokine (C-X-C motif) ligand 8)
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YSCH-01 • reparixin (DF 1681Y)
2ms
Fusobacterium nucleatum drives gastric cancer metastasis via Gbp-CypA-NF-κB-mediated CXCL8 crosstalk between tumor cells and mast cells. (PubMed, Cell Commun Signal)
In summary, this study suggests that Fn contributes to GC progression by promoting tumor cell migration, MCs recruitment and activation. Simultaneously, the enhanced CXCL8-mediated crosstalk between GC cells and MCs plays a vital role in the pro-cancer effect of Fn.
Journal
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CXCL8 (Chemokine (C-X-C motif) ligand 8)
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reparixin (DF 1681Y)
3ms
Phase I/II Study of the Combination Immunotherapy Regimen: SX-682, TriAdeno Vaccine, Retifanlimab and IL-15 Agonist N-803 (STAR15) for Metastatic Colorectal Cancer (mCRC) (clinicaltrials.gov)
P1/2, N=60, Recruiting, National Cancer Institute (NCI) | Trial completion date: Oct 2028 --> Oct 2030 | Trial primary completion date: Oct 2025 --> Oct 2027
Trial completion date • Trial primary completion date
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Zynyz (retifanlimab-dlwr) • SX-682 • Anktiva (nogapendekin alfa inbakicept-pmln)
3ms
The CXCR1 as a putative marker for cancer stem cell-like phenotypes in chemotherapy-resistant pancreatic ductal adenocarcinoma. (PubMed, Am J Cancer Res)
Combination treatment with gemcitabine and Navarixin, a CXCR1 inhibitor, significantly reduced expression of CXCR1, CXCL6, and CSC/EMT markers in vitro. In vivo, tumors treated with the combination therapy showed markedly lower CXCR1 and CXCL6 expression than other treatment groups. These findings indicate that the CXCR1 axis supports CSC maintenance in PDAC, and that co-targeting CSC and non-CSC populations may improve therapeutic outcomes.
Journal
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CXCL6 (C-X-C Motif Chemokine Ligand 6) • CXCR1 (Chemokine (C-X-C motif) receptor 1)
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gemcitabine • navarixin (MK-7123)
3ms
Repurposing of Chemokine Antagonists for Combined Phase-Resolved Spinal Cord Injury Treatment. (PubMed, Adv Sci (Weinh))
The effects of mogamulizumab and chemical antagonists of C-C/C-X-C chemokine receptors TAK-799, SB225002, and MK-7123 on SCI recovery in rodents are further estimated. Here blockade of CCR5 and CXCR1/2 chemokine receptors is shown beneficial for amelioration of acute SCI, whereas anti-CCR4 antibody mogamulizumab readily prevents secondary inflammation in the injured area. Summarizing, the current report claims for a novel combined time-resolved therapeutic modality in SCI treatment, which supports feasibility and motivates off-label clinical evaluation in appropriate cohorts.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CCR4 (C-C Motif Chemokine Receptor 4) • IL2 (Interleukin 2) • CCL2 (Chemokine (C-C motif) ligand 2) • CCL22 (C-C Motif Chemokine Ligand 22) • CX3CL1 (C-X3-C Motif Chemokine Ligand 1) • CXCR1 (Chemokine (C-X-C motif) receptor 1) • IL7 (Interleukin 7) • CXCL1 (Chemokine (C-X-C motif) ligand 1)
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Poteligeo (mogamulizumab-kpkc) • SB225002 • navarixin (MK-7123)
4ms
Integrated multi-omics identifies a CD54+ iCAF-ITGAL+ macrophage niche driving immunosuppression via CXCL8-PDL1 axis in cervical cancer. (PubMed, Mol Cancer)
Therapeutic intervention using the CXCL8-CXCR1/2 inhibitor reparixin disrupted the CXCL8-PD-L1 axis, reduced PD-L1+ macrophage abundance and enhanced CD8+ T cell cytotoxicity. Notably, combination therapy with PD-L1 blockade demonstrated synergistic efficacy. Collectively, our findings reveal a stromal-immune checkpoint axis orchestrated by CD54⁺ iCAFs and ITGAL⁺ macrophages that underpins immunosuppression in CC, thereby providing a translational rationale for stroma-directed combination therapies that may overcome resistance to current immunotherapies.
Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • ICAM1 (Intercellular adhesion molecule 1) • CCL2 (Chemokine (C-C motif) ligand 2) • CXCR1 (Chemokine (C-X-C motif) receptor 1)
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reparixin (DF 1681Y)
4ms
Potential of CXCR1/2 as a target for the treatment of inflammation and cancer (Review). (PubMed, Exp Ther Med)
Therefore, SCH527123 represents a new drug candidate with potential in the fields of inflammation and cancer. Although challenges remain in translating preclinical findings into clinical benefits, ongoing research and development efforts on using SCH527123 hold promise for improving the survival and quality of life of patients with these devastating diseases.
Review • Journal
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CXCL8 (Chemokine (C-X-C motif) ligand 8) • CXCR1 (Chemokine (C-X-C motif) receptor 1) • CXCR2 (Chemokine (C-X-C motif) receptor 2)
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navarixin (MK-7123)