Synonyms: BGC 945 | BGC-945 | N-[4-[2-Propyn-1-yl[(6S)-4,6,7,8-tetrahydro-2-(hydroxymethyl)-4-oxo-3H-cyclopenta[g]quinazolin-6-yl]amino]benzoyl]-l-γ-glutamyl-d-glutamic acid 1 [3] | ONX 0801
Compound class:
Synthetic organic
Comment: ONX-0801 (originally named BGC 945) is a first-in-class small molecule inhibitor of thymidylate synthase (TS), that has been designed to accumulate differentially in cancer cells overexpressing the α-folate receptor [3] (FOLR1; P15328). Functionally, it resembles the TS inhibitors plevitrexed and raltitrexed. ONX-0801 is an oncology drug lead for epithelial tumours such as ovarian [1], lung and endometrial cancers, and mesothelioma tumours.
Ligand Activity Visualisation ChartsThese are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts. ✖ |
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No information available. |
Summary of Clinical Use |
ONX-0801 has reached Phase 1 trial in ovarian cancer patients with advanced disease and no other treatment options (see NCT02360345). Positive results were reported in a meeting abstract (2017 ASCO Annual Meeting, abstract no 2503), which reports partial responses in an expansion cohort for all four patients whos' cancers were determined to be α-folate receptor positive (no PRs in α-folate receptor -ve tumours). These results should be onsidered preliminary pending peer-reviewed publication, and further randomized biomarker prespecified Phase 2 trials need to be conducted to confirm these findings. |
Mechanism Of Action and Pharmacodynamic Effects |
ONX-0801 combines enzymatic inhibition of thymidylate synthase with α-folate receptor-mediated targeting of tumour cells. |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT02360345 | Phase I Trial of ONX-0801 Once Weekly or Alternate Weekly | Phase 1 Interventional | Royal Marsden NHS Foundation Trust |