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DRUG CLASS:

IDO inhibitor

5d
Carrier-free nanoreshapers disrupt cancer-associated fibroblast barriers and alleviate immunosuppression for synergistically potentiated immunotherapy. (PubMed, J Control Release)
Herein, by using a one-pot approach, we developed a carrier-free nanoreshaper (QN NP) through coordinating manganese ions (Mn2+) with quercetin (Qc) and the indoleamine 2,3-dioxygenase 1 inhibitor NLG919 to lift these restrictions...Furthermore, combining QN NPs with an anti-PD-L1 antibody generated robust synergistic activity, leading to cooperative suppression of both primary tumor growth and pulmonary metastases. This carrier-free nanoreshaping strategy overcomes the dual challenges of stromal fibrosis and immune evasion, providing a promising paradigm for developing combined immunotherapies based on physical barrier disruption and microenvironment reprogramming.
Journal
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IDO1 (Indoleamine 2,3-dioxygenase 1) • STING (stimulator of interferon response cGAMP interactor 1)
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navoximod (NLG919)
15d
Mechanism of Trichinella spiralis-mediated CD4+ T cell functional imbalance via IDO-dependent tryptophan metabolism. (PubMed, Int Immunopharmacol)
This effect was suppressed after 1-methyltryptophan (1-MT) treatment, indicating that it is IDO-dependent...Experimental evidence has revealed that mouse CD4+ T cells undergo apoptosis via IDO following T. spiralis infection, and that weakened proliferation leads to an imbalance in mouse immune function, facilitating the smooth survival of T. spiralis and evasion of host immune attack. These findings provide new directions and insights for studying the immune escape mechanism of T. spiralis and for the prevention and treatment of T. spiralis infection.
Journal • IO biomarker
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IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • IL2RA (Interleukin 2 receptor, alpha) • CD4 (CD4 Molecule) • IL10 (Interleukin 10) • FOXP3 (Forkhead Box P3) • EIF2S1 (Eukaryotic Translation Initiation Factor 2 Subunit Alpha) • ISG20 (Interferon Stimulated Exonuclease Gene 20)
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indoximod (NLG8189)
1m
KIEO: Neoadjuvant Pembrolizumab and IO102-103 for Squamous Cell Carcinoma of the Head and Neck (SCCHN). (clinicaltrials.gov)
P2, N=30, Recruiting, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | N=15 --> 30
Enrollment change
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Keytruda (pembrolizumab) • Cylembio (imsapepimut and etimupepimut, adjuvanted) • IO102
2ms
HIFU postoperative hypoxia-activated metal-organic frameworks modulate the tumor microenvironment to augment immunotherapy. (PubMed, J Nanobiotechnology)
In addition, the immunosuppressive microenvironment exacerbated by postoperative hypoxia is degraded via the cooperation of NLG919, which blocks the IDO-1 signaling pathway and CaCO3, which consumes lactic acid. Based on these improvements, well-designed MOFs effectively inhibit bilateral tumor growth/metastasis and offer a successful paradigm for improving the overall prognosis of HIFU.
Journal
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IDO1 (Indoleamine 2,3-dioxygenase 1)
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navoximod (NLG919)
2ms
Immunostimulatory and Immunodynamic Modeling Analysis to Determine a Plausible Starting Dose of mRNA-4359 for Use in First-In-Human Trials. (PubMed, CPT Pharmacometrics Syst Pharmacol)
An ongoing first-in-human (FIH) phase 1/2 clinical trial (NCT05533697) will evaluate the safety and antitumor activity of mRNA-4359 when administered alone and in combination with the anti-programmed death-1 agent pembrolizumab in participants with advanced solid tumors. Finally, the IS/ID modeling analysis determined that a 100 μg dose of mRNA-4359 would be the most appropriate starting dose for FIH trials. The described approach represents a unique application of IS/ID modeling to determine a therapeutically relevant FIH starting dose in the absence of supporting preclinical animal data.
P1 data • Journal • First-in-human
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IFNG (Interferon, gamma)
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Keytruda (pembrolizumab) • mRNA-4359
3ms
Biomimetic Iridium-Based Photothermal Nanozyme to Trigger Ferroptosis and Pyroptosis and Activate the cGAS-STING Pathway for Improved Tumor Immunotherapy. (PubMed, Adv Sci (Weinh))
Here, an iridium (Ir)-based nanozyme (IIN) was constructed through coordination-driven co-assembly using photosensitizer indocyanine green (ICG), Ir, and indoleamine 2,3-dioxygenase (IDO) inhibitor NLG8189...Furthermore, it could suppress distant tumor progression by triggering the immune response, especially under photothermal irradiation, which was accompanied by increased DC maturation, M1 macrophage polarization, and T cell infiltration in tumor tissue. This study proposed a promising strategy for effective Ir-based nanozyme in tumor immunotherapy.
Journal
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STING (stimulator of interferon response cGAMP interactor 1) • CGAS (Cyclic GMP-AMP Synthase)
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indoximod (NLG8189)
3ms
Enhanced Upconversion Luminescent Nanocarrier for Effective Tumor-Targeted Photodynamic Therapy Combined with Immunotherapy. (PubMed, Adv Healthc Mater)
In this study, we produced near-infrared (NIR)-induced multi-shell upconversion nanoparticle (MUN)-based therapeutic nanocarriers co-loaded with chlorin e6 (Ce6) and indoximod (IND) (FMUN3-Ce6/IND) to combine tumor-targeted photodynamic therapy (PDT) with immunotherapy...Furthermore, the synergistic antitumor efficacy of FMUN3-Ce6/IND combining PDT and immunotherapy under in vivo conditions is demonstrated. These results suggest that multi-shell FMUN-based nanocarriers offer a promising platform for synergistic combination therapy, addressing the limitations of monotherapy with IDO inhibitors and overcoming the restricted tissue penetration and low ROS generation associated with conventional PDT.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • FOXP3 (Forkhead Box P3)
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indoximod (NLG8189)
3ms
Iridium(III) and rhenium(I) complexes containing an IDO inhibitor induce apoptosis and pyroptosis. (PubMed, J Inorg Biochem)
Four novel Ir(III)/Re(I)-1-methyl-D-tryptophan conjugates (Ir-MT-1-2 and Re-MT-1-2) were designed and synthesized for the first time, among which 1-methyl-D-tryptophan (1-MT) is an indoleamine 2,3-dioxygenase (IDO) inhibitor...Mechanistic investigations revealed that these complexes selectively localized to mitochondria, inducing mitochondrial membrane potential (MMP) depolarization, elevating intracellular reactive oxygen species (ROS) levels, activating mitochondrial apoptotic pathways, and simultaneously inducing the cleavage of pyroptosis marker (GSDME) to cause pyroptosis. These results demonstrate the potential of combing transition metals with IDO inhibitors for cancer treatment.
Journal • IO biomarker
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GSDME (Gasdermin E)
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indoximod (NLG8189)
3ms
Modification-Driven Nanocarriers: Ovarian Cancer Cell Membrane- Camouflaged Indoximod/Doxorubicin Co-Delivery Systems for Synergistic Immunochemotherapy. (PubMed, Adv Healthc Mater)
In this study, a formulation of DOX/IND-loaded liposomes camouflaged with ovarian cancer cell membranes is successfully developed, and their stable physicochemical properties are confirmed. As an effective nanodrug delivery system, DOX/IND@cmLPs exhibited enhanced tumor-targeting and immune-mediated anticancer activity both in vitro and in vivo, indicating their potential as a platform for future combined chemotherapy and immunotherapy.
Journal • IO biomarker
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CD8 (cluster of differentiation 8)
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doxorubicin hydrochloride • indoximod (NLG8189)
4ms
Activity and Safety of Peptide-based Immunotherapy in Patients With Squamous Cell Carcinoma of the Head and Neck. (clinicaltrials.gov)
P2, N=17, Terminated, Cliniques universitaires Saint-Luc- Université Catholique de Louvain | Trial completion date: Jun 2024 --> Mar 2025 | Recruiting --> Terminated; unmet primary endpoint
Trial completion date • Trial termination
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Cylembio (imsapepimut and etimupepimut, adjuvanted)
5ms
Adverse pro-tumorigenic effects of IDO1 catalytic inhibitors mediated by the non-enzymatic function of IDO1 in tumor cells. (PubMed, Front Immunol)
By studying the turnover of IDO1 protein in human tumor cells exposed to various IDO1 catalytic inhibitors, such as epacadostat, linrodostat, and navoximod, we show here that these molecules stabilize a non-enzymatic protein conformation of IDO1, independently of their mechanism of inhibition. In the thyroid carcinoma cell line FTC-133, the stabilized and non-enzymatic IDO1 protein promotes the proliferation and migration of the tumor, resulting in an adverse pro-tumorigenic effect. These results uncover an unexpected adverse effect of IDO1 inhibitors in the tumor microenvironment that overcomes the enzymatic inhibition of IDO1, and suggest protein degradation, rather than enzymatic inhibition, as a more effective approach to target IDO1 in the tumor microenvironment.
Journal
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IDO1 (Indoleamine 2,3-dioxygenase 1)
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linrodostat (BMS-986205) • epacadostat (INCB024360) • navoximod (NLG919)