Napabucasi (Not yet branded)

Targeted Therapy

US Experimental Oral 2 Clinical Trials
STAT3 pathway

Description

Napabucasin (BBI-608) is a small molecule STAT3 pathway inhibitor that has been evaluated for treatment of metastatic colorectal cancer. This oral agent targets cancer stem cell pathways and has been studied in combination with standard chemotherapy regimens like FOLFIRI for patients with previously treated metastatic disease. The compound also shows potential for combination with immunotherapy agents like pembrolizumab.

Mechanism of Action

Napabucasin inhibits the STAT3 (Signal Transducer and Activator of Transcription 3) signaling pathway, which is frequently activated in cancer stem cells and promotes tumor growth, metastasis, and treatment resistance. By blocking STAT3 activity, the drug aims to target the cancer stem cell population that can drive tumor recurrence and progression.

Molecular Targets

Side Effects

Diarrhea Nausea Vomiting Fatigue Decreased appetite Abdominal pain Dehydration Electrolyte imbalances

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT02851004 Phase 1
Archived
Special Combination of BBI608 and Pembrolizumab
Japan
NCT02753127 Phase 3
Archived
A Study of Napabucasin (BBI-608) in Combination With FOLFIRI in Adult Patients With Previously Treated Metastatic Colorectal Cancer
United States, Australia, Belgium, Canada, China, Czechia, France, Germany, Hong