Evidence map›Paper›PMID 38588399›Full record

ArticleCancer discovery2024

The Pan-RAF-MEK Nondegrading Molecular Glue NST-628 Is a Potent and Brain-Penetrant Inhibitor of the RAS-MAPK Pathway with Activity across Diverse RAS- and RAF-Driven Cancers.

Meagan B Ryan, Bradley Quade, Natasha Schenk, Zhong Fang, Marshall Zingg, Steven E Cohen, Brooke M Swalm, Chun Li, Ayşegül Özen, Chaoyang Ye and 7 more

Abstract read
In one paragraph

Article in Cancer discovery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Meagan B Ryan *Nested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0002-1699-3986
Bradley Quade *Nested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0002-5330-1355
Natasha SchenkNested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0009-4782-3219
Zhong FangNested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0005-8028-051X
Marshall ZinggNested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0002-3858-8578
Steven E CohenNested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0002-3193-0740
Brooke M SwalmNested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0002-3825-0710
Chun LiNested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0007-9492-3496
Ayşegül ÖzenNested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0002-6240-1948
Chaoyang YeNested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0003-1932-3865
Maria Stella RitortoNested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0001-9861-6863
Xin HuangNested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0001-9350-4176
Arvin C DarProgram in Chemical Biology, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0318-4848
Yongxin HanNested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0002-3014-035X
Klaus P HoeflichNested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0008-8801-2765
Michael HaleNested Therapeutics, Cambridge, Massachusetts.ORCID 0000-0002-8698-3882
Margit HagelNested Therapeutics, Cambridge, Massachusetts.ORCID 0009-0002-6156-1082

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Targeting Oncogenic Ras-MAPK Signaling Complexes via the Scaffold KSRR01CA227636 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Arvin Dar · 2018 to 2026
$4.0M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA227636
6 · The paper itself

Abstract

Alterations in the RAS-MAPK signaling cascade are common across multiple solid tumor types and are a driver for many cancers. NST-628 is a potent pan-RAF-MEK molecular glue that prevents the phosphorylation and activation of MEK by RAF, overcoming the limitations of traditional RAS-MAPK inhibitors and leading to deep durable inhibition of the pathway. Cellular, biochemical, and structural analyses of RAF-MEK complexes show that NST-628 engages all isoforms of RAF and prevents the formation of BRAF-CRAF heterodimers, a differentiated mechanism from all current RAF inhibitors. With a potent and durable inhibition of the RAF-MEK signaling complex as well as high intrinsic permeability into the brain, NST-628 demonstrates broad efficacy in cellular and patient-derived tumor models harboring diverse MAPK pathway alterations, including orthotopic intracranial models. Given its functional and pharmacokinetic mechanisms that are differentiated from previous therapies, NST-628 is positioned to make an impact clinically in areas of unmet patient need. Significance: This study introduces NST-628, a molecular glue having differentiated mechanism and drug-like properties. NST-628 treatment leads to broad efficacy with high tolerability and central nervous system activity across multiple RAS- and RAF-driven tumor models. NST-628 has the potential to provide transformative clinical benefits as both monotherapy and vertical combination anchor.

Indexed as

MAP Kinase Signaling SystemNeoplasmsProtein Kinase InhibitorsAnimalsBrainCell Line, TumorHumansMiceMitogen-Activated Protein Kinase Kinasesraf Kinasesras ProteinsXenograft Model Antitumor AssaysMitogen-Activated Protein Kinase KinasesProtein Kinase Inhibitorsraf Kinasesras Proteins

Identifiers

PMID38588399
PMCPMC11215411

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.