Evidence map›Paper›PMID 41417010›Full record

ArticleCancer discovery2026

A Covalent Allosteric Molecular Glue Suppresses NRF2-Dependent Cancer Growth.

Nilotpal Roy, Tine Wyseure, I-Chung Lo, Justine Lu, Christie L Eissler, Steffen M Bernard, Ilah Bok, Aaron N Snead, Albert Parker, U-Ging Lo and 31 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancer discovery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05954312 (A Phase 1, Open-label, Multicenter, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Anti-tumor Activity of VVD-130037, a Kelch-like ECH Associated Protein 1), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

NCT05954312 phase1recruitingnot on this map

A Phase 1, Open-label, Multicenter, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Anti-tumor Activity of VVD-130037, a Kelch-like ECH Associated Protein 1 (KEAP1) Activator, in Participants With Advanced Solid Tumors

TypeinterventionalSponsorVividion Therapeutics, Inc.Ran2023 to 2031Enrolled290ConditionsAdvanced Solid TumorsArmsVVD-130037, Docetaxel, Paclitaxel, Pembrolizumab
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. AbioRxiv : the preprint server for biology · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Turning KEAP1 against NRF2.Nature chemical biology · 2026
    Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors.

Nilotpal RoyVividion Therapeutics, San Diego, California.ORCID 0009-0009-9899-0092
Tine WyseureVividion Therapeutics, San Diego, California.ORCID 0000-0003-2337-3443
I-Chung LoDegron Therapeutics, San Diego, California.ORCID 0000-0002-2632-3436
Justine LuVividion Therapeutics, San Diego, California.ORCID 0009-0005-6669-920X
Christie L EisslerVividion Therapeutics, San Diego, California.ORCID 0009-0008-9632-0645
Steffen M BernardVividion Therapeutics, San Diego, California.ORCID 0000-0001-8061-6136
Ilah BokDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-8958-5161
Aaron N SneadVividion Therapeutics, San Diego, California.ORCID 0009-0005-5251-0226
Albert ParkerVividion Therapeutics, San Diego, California.ORCID 0009-0008-1837-5878
U-Ging LoVividion Therapeutics, San Diego, California.ORCID 0009-0007-7055-2416
Jason C GreenVividion Therapeutics, San Diego, California.ORCID 0009-0002-2975-1652
Jordon InloesVividion Therapeutics, San Diego, California.ORCID 0009-0000-1615-0423
Sarah R JacintoVividion Therapeutics, San Diego, California.ORCID 0009-0004-4017-2058
Brent KuenziVividion Therapeutics, San Diego, California.ORCID 0000-0002-6771-0432
Marie PariollaudVividion Therapeutics, San Diego, California.ORCID 0000-0003-2325-6394
Kathleen NegriVividion Therapeutics, San Diego, California.ORCID 0000-0001-6997-213X
Khoi LeVividion Therapeutics, San Diego, California.ORCID 0009-0002-0824-0730
Benjamin D HorningVividion Therapeutics, San Diego, California.ORCID 0000-0003-1772-4489
Noah IbrahimVividion Therapeutics, San Diego, California.ORCID 0009-0003-4681-4333
Stephanie GrabowVividion Therapeutics, San Diego, California.ORCID 0000-0003-0467-7871
Harit PandaDepartment of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-8209-5212
Dhaval P BhattDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-2037-9332
Emily M WilkersonDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-9360-7340
Soma SaeidiDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0009-0001-5314-736X
Paul ZolkindDepartment of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-9475-1686
Zoe RushVividion Therapeutics, San Diego, California.ORCID 0009-0008-0041-5464
Heather N WilliamsVividion Therapeutics, San Diego, California.ORCID 0009-0001-6437-770X
Eric WaltonVividion Therapeutics, San Diego, California.ORCID 0009-0009-8297-6261
Martha K PastuszkaVividion Therapeutics, San Diego, California.ORCID 0009-0009-4139-3350
John J SiglerVividion Therapeutics, San Diego, California.ORCID 0009-0006-4994-9497
Eileen TranVividion Therapeutics, San Diego, California.ORCID 0009-0002-3460-098X
Kenneth HeeSciex, Carlsbad, California.ORCID 0009-0008-9337-2845
Joseph McLaughlinVividion Therapeutics, San Diego, California.ORCID 0009-0003-8277-7330
Géza Ambrus-AikelinGenesis Therapeutics, San Diego, California.ORCID 0000-0003-4504-7569
Jonathan PollockVividion Therapeutics, San Diego, California.ORCID 0000-0002-5656-2753
Robert T AbrahamEngine Biosciences, Redwood City, California.ORCID 0000-0002-1258-0028
Todd M KinsellaExpedition Medicines, Cambridge, Massachusetts.ORCID 0009-0004-3156-3452
Gabriel M SimonVividion Therapeutics, San Diego, California.ORCID 0000-0002-5960-5536
Michael B MajorDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-6753-8513
David S WeinsteinVividion Therapeutics, San Diego, California.ORCID 0000-0002-9799-2661
Matthew P PatricelliVividion Therapeutics, San Diego, California.ORCID 0000-0002-7829-7065

Funding

User Training and OutreachP30GM124169 · NIGMS · UNIVERSITY OF CALIF-LAWRENC BERKELEY LAB · PI Gregory L Hura · 2017 to 2026
$28.6M
Drugging NRF2 to improve radiation therapy in head and neck squamous cell carcinomaR01CA290809 · NCI · WASHINGTON UNIVERSITY · PI Michael Benjamin Major, Bernard E. Weissman · 2025 to 2026
$1.3M
National Cancer Institute (NCI) CA216051National Cancer Institute (NCI) T32-CA113275NCI NIH HHS R01 CA290809NIGMS NIH HHS P30 GM124169
6 · The paper itself

Abstract

The NRF2 transcription factor is constitutively active in cancer, in which it functions to maintain oxidative homeostasis and reprogram cellular metabolism. NRF2-active tumors exhibit NRF2 dependency and resistance to chemotherapy/radiotherapy (RT). In this study, we characterize VVD-065, a first-in-class NRF2 inhibitor that acts via an unprecedented allosteric molecular glue mechanism. In the absence of stress or mutation, NRF2 is rapidly degraded by the Kelch-like ECH-associated protein 1 (KEAP1)-cullin3 (CUL3) ubiquitin-ligase complex. VVD-065 specifically and covalently engages Cys151 on KEAP1, which in turn promotes KEAP1-CUL3 complex formation, leading to enhancement of NRF2 degradation. Previously reported Cys151-directed compounds decrease KEAP1-CUL3 interactions and stabilize NRF2, thus establishing KEAP1C151 as a tunable regulator of the KEAP1-CUL3 complex and NRF2 stability. VVD-065 inhibited NRF2-dependent tumor growth and sensitized cancers to chemotherapy/RT, supporting an open phase I clinical trial (NCT05954312). SIGNIFICANCE: NRF2 hyperactivation is frequently observed in various solid tumors, including lung, esophageal, and head and neck cancers, highlighting NRF2 as a potential therapeutic target. We report a first-in-class KEAP1-dependent allosteric molecular glue degrader of NRF2, which demonstrated robust monotherapy responses in NRF2-activated cancers and effectively sensitized chemo-refractory tumors to chemotherapy. See related commentary by Hintzen and Burslem, p. 829.

Indexed as

Antineoplastic AgentsNeoplasmsNF-E2-Related Factor 2Allosteric RegulationAnimalsCell Line, TumorCell ProliferationFemaleHumansKelch-Like ECH-Associated Protein 1MiceXenograft Model Antitumor AssaysAntineoplastic AgentsKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2

Identifiers

PMID41417010
PMCPMC13133613

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Registered trials

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.