Prexasertib (Not yet branded)

Other Medications

US Experimental IV 2 Clinical Trials
CHK1

Description

Prexasertib (LY2606368) is a selective checkpoint kinase 1 (CHK1) inhibitor that disrupts DNA damage response pathways in cancer cells. In colorectal cancer, it is being evaluated in combination with other targeted agents like ralimetinib (a p38 MAPK inhibitor) and various chemotherapy regimens. The drug targets tumors with defective DNA repair mechanisms, particularly those with PIK3CA mutations that may render cells more vulnerable to checkpoint inhibition.

Mechanism of Action

Prexasertib selectively inhibits checkpoint kinase 1 (CHK1), a critical enzyme in the DNA damage response pathway that normally prevents cells from progressing through the cell cycle when DNA is damaged. By blocking CHK1 function, the drug forces cancer cells with existing DNA repair defects to proceed through cell division despite having damaged DNA, ultimately leading to cell death through replication catastrophe.

Molecular Targets

Side Effects

Neutropenia Thrombocytopenia Fatigue Nausea Diarrhea Decreased appetite Anemia Infusion-related reactions

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

Clinical Trials

NCT02860780 Phase 1
Archived
A Study of Prexasertib (LY2606368) in Combination With Ralimetinib in Participants With Advanced or Metastatic Cancer
United States, Germany
NCT02124148 Phase 1
Archived
A Study of Prexasertib (LY2606368) With Chemotherapy or Targeted Agents in Participants With Advanced Cancer
United States