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DRUG:

galunisertib (LY2157299)

i
Other names: LY2157299, LY 2157299
Company:
Eli Lilly
Drug class:
Phosphotransferase inhibitor, TGF-β1 inhibitor
7d
The TGF-βR1 inhibitor galunisertib re-shapes the PDAC-TME by limiting decidual-like natural killer cells polarization. (PubMed, Cell Death Dis)
In vivo in orthotopic tumors formed by FC1199 cells GAL decreased CD9+-NK frequency, promoted M1-macrophage polarization, and activated NK and CD8+T-cells, together with a significant reduction of tumor weight, fibrosis and inhibition of angiogenesis. Our study identifies CD9+NKs as a novel cell subset expanded in PDAC and underscores the role of TGF-β1/TGF-βR1 signalling in promoting a pro-tumoral NKs GAL-treatment emerges as immunomodulator able in re-educating pro-tumor NKs cells in PDAC.
Journal
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EGFR (Epidermal growth factor receptor) • CD8 (cluster of differentiation 8) • FGF2 (Fibroblast Growth Factor 2) • CD9 (CD9 Molecule) • TGFB1 (Transforming Growth Factor Beta 1)
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galunisertib (LY2157299)
27d
PMEPA1 promotes mTOR inhibitor resistance in triple-negative breast cancer: Targeting the TGF-β/PMEPA1 axis as a therapeutic strategy to overcome resistance. (PubMed, Biochem Pharmacol)
To model acquired resistance, we established two mTORi-resistant TNBC cell lines, MDA-MB-231/DREVE and MDA-MB-231/DRRIDA through chronic exposure to everolimus and ridaforolimus, respectively...Pharmacological inhibition of upstream TGF-β signaling with galunisertib suppressed PMEPA1 and synergistically restored sensitivity to mTORi in both invitro and xenograft models, resulting insignificant tumor regression...Collectively, these findings establish PMEPA1 as a dual modulator of canonical and non-canonical TGF-β signaling and a critical mediator of mTORi resistance in TNBC. Targeting the TGF-β/PMEPA1 axis represents a promising strategy to overcome resistance and improve clinical outcomes in mTORi-refractory TNBC.
Journal
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KRAS (KRAS proto-oncogene GTPase) • PTEN (Phosphatase and tensin homolog) • TGFB1 (Transforming Growth Factor Beta 1)
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everolimus • galunisertib (LY2157299) • Taltorvic (ridaforolimus)
2ms
CMS subtypes correlate with complete response in trial of neoadjuvant Galunisertib plus chemoradiation in rectal cancer. (PubMed, Transl Oncol)
Differences in correlations between RNA based measures of cell composition and immunohistologic quantification of infiltrates and extracted MRI parameters were observed for CIBERSORT, MCPcounter, and xCell methodologies. Based on these data, we hypothesize that the stromal radioresistant phenotype driven by TGFβ can be overcome by the addition of galunisertib to chemoradiation in rectal cancer.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • TGFB1 (Transforming Growth Factor Beta 1)
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galunisertib (LY2157299)
2ms
Treatment resistance to platinum-based chemotherapy in lung and ovarian cancer is driven by a targetable TGFβ senescent secretome. (PubMed, Nat Aging)
TGFBR1 inhibition with galunisertib or senolytic treatment reduces tumor progression driven by cisplatin-induced senescence, and concomitant use of TGFBR1 inhibitors with platinum-based chemotherapy reduces tumor burden and improves survival. Finally, we validate the translational relevance of tumor-promoting TGFβ-enriched SASP using clinical NSCLC and HGSOC samples from patients who received neoadjuvant platinum-based chemotherapy. Together, our findings identify a potential cancer therapy resistance mechanism and provide preclinical proof of concept for future trials.
Journal
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KRAS (KRAS proto-oncogene GTPase) • TGFB1 (Transforming Growth Factor Beta 1) • TGFBR1 (Transforming Growth Factor Beta Receptor 1)
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KRAS G12
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cisplatin • galunisertib (LY2157299)
3ms
PSMD14 drives lung adenocarcinoma progression through HMMR stabilization and dual activation of TGF-β/Smad and PI3K/AKT/mTOR signaling. (PubMed, Front Immunol)
The PSMD14 inhibitor Capzimin exhibited potent anti-tumor effects in vitro and in vivo, and combination therapy with the TGF-β inhibitor galunisertib demonstrated enhanced efficacy...Consequently, the PSMD14-HMMR axis emerges as a promising therapeutic target. Inhibition of PSMD14 exhibited significant anti-tumor efficacy, underscoring its potential for clinical translation in LUAD treatment.
Journal
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TGFB1 (Transforming Growth Factor Beta 1) • HMMR (Hyaluronan Mediated Motility Receptor) • PSMD14 (Proteasome 26S Subunit, Non-ATPase 14)
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galunisertib (LY2157299)
3ms
Modeling hepatocellular carcinoma and its microenvironment on a chip. (PubMed, Cell Death Discov)
Sorafenib, lenvatinib and atorvastatin also affected chemokine and cytokine release. Tocilizumab, galunisertib, and vactosertib decreased the level of IL6, a relevant prognostic marker for HCC, while IL6 was increased by halofuginone. In conclusion, HCC PDChip models enabled a detailed evaluation of drug-induced responses in the tumor and associated microenvironment, highlighting their importance in preclinical research for understanding diseases and developing new drugs.
Journal
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IL6 (Interleukin 6)
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sorafenib • Lenvima (lenvatinib) • Actemra IV (tocilizumab) • galunisertib (LY2157299) • atorvastatin • vactosertib (TEW-7197)
4ms
Study of TGF-β Receptor Inhibitor Galunisertib (LY2157299) and Enzalutamide in Metastatic Castration-resistant Prostate Cancer (clinicaltrials.gov)
P2, N=60, Active, not recruiting, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Trial completion date: May 2026 --> Dec 2026
Trial completion date
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Xtandi (enzalutamide) • galunisertib (LY2157299)
4ms
Targeting hepatocytic TβRI ameliorates liver metastatic outcomes by revitalizing stem-like CD8+ Tex subsets. (PubMed, Nat Commun)
Furthermore, therapeutic delivery of Galunisertib using choline-modified lipid nanoparticles synergizes with αPD-1, fostering the conversion of exhausted CD8⁺ T cells into responsive Ly108⁺CX3CR1⁺ subsets and suppressing liver metastases. Collectively, our results identify hepatocyte TGFβ signaling as a targetable checkpoint against liver metastases.
Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • CX3CR1 (C-X3-C Motif Chemokine Receptor 1) • LGALS9 (Galectin 9)
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galunisertib (LY2157299)
6ms
Targeted Therapies Modulating Mesenchymal-Epithelial Transition-Linked Oncogenic Signaling in the Tumor Microenvironment: Comparative Profiling of Capmatinib, Bemcentinib, and Galunisertib. (PubMed, J Clin Med)
Although these targeted therapies show potential to overcome resistance and improve patient outcomes, challenges remain due to the complex regulation of EMP. Future directions focus on refining combination strategies and advancing personalized approaches to enhance efficacy across multiple cancer types.
Review • Journal
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MET (MET proto-oncogene, receptor tyrosine kinase) • AXL (AXL Receptor Tyrosine Kinase) • GAS6 (Growth arrest specific 6) • TGFB1 (Transforming Growth Factor Beta 1)
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MET exon 14 mutation
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bemcentinib (BGB324) • Tabrecta (capmatinib) • galunisertib (LY2157299)
7ms
TME-responsive nanoparticles co-targeting VCP, NETs, and dual immune checkpoints for immune revitalization in EGFR/PD-L1/CTLA-4-driven colorectal cancer. (PubMed, Biomed Pharmacother)
The formulation co-delivered NMS-873 (NM), a VCP/p97 inhibitor, to induce endoplasmic reticulum stress (ERS) and proteostasis collapse, together with bispecific PD-L1/CTLA-4 aptamers (P1C4) for dual checkpoint blockade. A complementary SLN formulation encapsulating galunisertib (G) and DNase (DN) degraded neutrophil extracellular traps (NETs) and suppressed tumor-associated neutrophils (TANs), thereby reshaping the immunosuppressive TME...In vivo PET/MRI imaging and immunohistopathological analyses confirmed selective tumor accumulation and effective tumor regression. This peptide-guided, TME-tailored SLN strategy achieves coordinated immune reprogramming, ERS induction, EMT/CSC reversal, NET disruption, and dual checkpoint blockade, offering a clinically translatable platform to overcome chemoimmunotherapy resistance in EGFR/PD-L1/CTLA-4-driven CRC.
Journal
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EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • CDH1 (Cadherin 1) • IL2 (Interleukin 2) • IL10 (Interleukin 10) • CCL4 (Chemokine (C-C motif) ligand 4) • POU5F1 (POU Class 5 Homeobox 1) • TGFB1 (Transforming Growth Factor Beta 1) • CDH2 (Cadherin 2) • MMP9 (Matrix metallopeptidase 9) • CXCR2 (Chemokine (C-X-C motif) receptor 2) • IL4 (Interleukin 4) • IL5 (Interleukin 5) • NANOG (Nanog Homeobox) • SNAI2 (Snail Family Transcriptional Repressor 2)
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galunisertib (LY2157299) • NMS-873
7ms
BCAR3 confers resistance to cisplatin in head and neck squamous cell carcinoma by sustaining TGF-β/SMAD signaling. (PubMed, Cell Signal)
Moreover, inhibition of TGF-β/SMAD signaling through treatment with galunisertib achieved synergistic efficacy with cisplatin. The above findings demonstrate that BCAR3 is a positive regulator of TGF-β/SMAD signaling-mediated intrinsic cisplatin resistance. Targeting the BCAR3/TGF-β/SMAD axis might be a promising therapeutic strategy for overcoming cisplatin resistance in HNSCC.
Journal
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SMAD4 (SMAD family member 4) • TGFB1 (Transforming Growth Factor Beta 1)
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cisplatin • galunisertib (LY2157299)
7ms
Structure-based design of alicyclic fused pyrazole derivatives for targeting TGF-β receptor I kinase: molecular docking and dynamics insights. (PubMed, J Comput Aided Mol Des)
TGF-β receptor I kinase plays a significant role in cancer biology and is a well-established target for cancer drug development, as evidenced by active molecules like Galunisertib (LY2157229)...Molecular Dynamics simulation study indicated that specific aminoacid residue interaction with TGF-β receptor I kinase. Additionally, DFT calculations were conducted on the active molecules to gain deeper insights into their electronic properties, supporting their potential as effective anticancer agents.
Journal
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TGFB1 (Transforming Growth Factor Beta 1)
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galunisertib (LY2157299)