Edgar Banuelos1, Jaeger Moore1, Mohana Velagapudi2, Ashok Saluja2, Daniel D. Von Hoff1, Haiyong Han1
1Translational Genomics Research Institute, Phoenix, AZ,2Minneamrita Therapeutics LLC, Tampa, FL
摘要 Abstract
Triptolide, a natural compound from Thunder God Vine , and its water-soluble prodrug Minnelide have shown potent antitumor activity, including promising single-agent efficacy in patients with pancreatic cancer. We previously demonstrated that triptolide suppresses super-enhancer activity in pancreatic cancer and stromal cells by inhibiting the XPB subunit of TFIIH, leading to downregulation of c-Myc and transcriptional effectors of mutant KRAS signaling. In this study, we assessed whether triptolide/Minnelide can enhance the antitumor activity of RMC-6236, a pan-KRAS inhibitor in clinical development for KRAS mutant cancers. We first evaluated the synergistic effects of triptolide and RMC-6236 on pancreatic cancer cell growth across multiple KRAS-mutant lines, including HPAC (KRAS G12D ), Capan-1 (KRAS G12V ), Hs766T (KRAS Q61H ), and BxPC3 (KRAS wt ). The combination demonstrated strong synergy across a range of concentrations in HPAC and Capan-1 cells and additive effects in BxPC3 and Hs766T. To validate these findings in vivo , we assessed Minnelide in combination with RMC-6236 using an HPAC xenograft model (3 × 10 6 cells, subcutaneous implantation). Mice received oral Minnelide (0.10 or 0.15 mg/kg, QDx21) with or without a low dose of oral RMC-6236 (15 mg/kg, QDx21; n = 10/group). While Minnelide alone showed modest tumor inhibition, both doses of Minnelide significantly enhanced the antitumor efficacy of low dose RMC-6236 after 21 days (p < 0.01, two-way ANOVA). No weight loss or other toxicities were observed in the single agent or combination groups. Taken together, these results demonstrate that triptolide/Minnelide augments the activity of RMC-6236 in vitro and in vivo , supporting further preclinical and potentially clinical evaluation. (This work was supported by Minneamrita Therapeutics, Purple Pansies, and the Pancreas National Advisory Council)
利益披露 Disclosure
E. Banuelos, None..
J. Moore, None..
M. Velagapudi, None..
A. Saluja, None..
H. Han, None.