Tpst-1120

TPST-1120 is an experimental drug currently being studied in clinical trials for the treatment of various advanced cancers, including hepatocellular carcinoma (liver cancer). This article explores the ongoing research on TPST-1120, its potential benefits, and its role in combination therapies for cancer treatment.

Table of Contents

What is TPST-1120?

TPST-1120 is a new drug being studied for the treatment of various types of cancer. It is described as a small molecule selective antagonist of a protein called PPAR-alpha (peroxisome proliferator-activated receptor alpha)[1]. In simpler terms, TPST-1120 is a medication that works by blocking a specific protein in cancer cells, which may help to slow down or stop cancer growth.

How does TPST-1120 work?

TPST-1120 works by targeting the PPAR-alpha protein, which is involved in various processes in the body, including the metabolism of fats. By blocking this protein, TPST-1120 may interfere with the cancer cells’ ability to use fats as an energy source, potentially slowing down their growth and spread[1].

What cancers can TPST-1120 treat?

TPST-1120 is being studied for the treatment of several types of advanced solid tumors. These include:

  • Hepatocellular Carcinoma (HCC): A type of liver cancer
  • Metastatic Castration Resistant Prostate Cancer: Advanced prostate cancer that has spread to other parts of the body and no longer responds to hormone therapy
  • Renal Cell Carcinoma: A type of kidney cancer
  • Non-small Cell Lung Cancer: The most common type of lung cancer
  • Colorectal Cancer: Cancer of the colon or rectum
  • Squamous Cell Carcinoma of Head and Neck: Cancer that begins in the flat cells lining the inside of the mouth, nose, and throat
  • Triple-Negative Breast Cancer: A type of breast cancer that doesn’t have the three most common receptors known to fuel breast cancer growth
  • Urothelial Carcinoma: Cancer that typically occurs in the urinary system
  • Cholangiocarcinoma: Cancer of the bile ducts
  • GastroEsophageal Cancer: Cancer of the stomach and esophagus
  • Pancreatic Cancer: Cancer of the pancreas

These cancers are being studied in clinical trials to determine how effective TPST-1120 is in treating them[1].

Clinical trials involving TPST-1120

TPST-1120 is currently being tested in several clinical trials:

  1. A Phase 1/1b study is evaluating TPST-1120 both as a single agent and in combination with other cancer treatments in patients with advanced solid tumors[1].
  2. A Phase 3 study is comparing TPST-1120 in combination with atezolizumab and bevacizumab to placebo plus atezolizumab and bevacizumab in patients with unresectable or metastatic hepatocellular carcinoma (HCC) who have not received prior systemic therapy[2].
  3. TPST-1120 is also being studied as part of a larger umbrella study (Morpheus-Liver) that is evaluating multiple immunotherapy-based treatment combinations in patients with advanced liver cancers[3].

Combination therapies

TPST-1120 is being studied both as a standalone treatment and in combination with other cancer drugs. Some of the combinations being tested include:

  • TPST-1120 with nivolumab (an immunotherapy drug)[1]
  • TPST-1120 with atezolizumab and bevacizumab[2]

These combinations are being studied to see if they can improve the effectiveness of cancer treatment compared to using single drugs alone.

Potential benefits

The potential benefits of TPST-1120 that researchers are investigating include:

  • Improved overall survival (helping patients live longer)[2]
  • Increased progression-free survival (the time patients live without their cancer getting worse)[2]
  • Higher overall response rate (the number of patients whose tumors shrink or disappear)[2]

Side effects and safety

As TPST-1120 is still in clinical trials, its full safety profile is not yet known. The ongoing studies are closely monitoring patients for any side effects or adverse reactions. Some of the key safety measures being evaluated include:

  • Incidence of dose-limiting toxicities (side effects severe enough to prevent increasing the dose)[1]
  • Treatment-emergent adverse events (side effects that appear or worsen during treatment)[1]
  • Determination of the maximum tolerated dose (the highest dose that can be given safely)[1]

It’s important to note that as TPST-1120 is still in the experimental stage, it is only available to patients participating in clinical trials. If you’re interested in learning more about TPST-1120 or potentially participating in a clinical trial, it’s best to discuss this with your oncologist or healthcare provider.

Aspect Details
Drug Name TPST-1120
Drug Type Selective antagonist of PPAR-alpha
Administration Oral, twice daily
Cancer Types Studied Hepatocellular Carcinoma, Metastatic Castration Resistant Prostate Cancer, Renal Cell Carcinoma, Non-small Cell Lung Cancer, Colorectal Cancer, and others
Study Phases Phase 1, 1b, 2, and 3
Combination Therapies Atezolizumab, Bevacizumab, Nivolumab
Primary Outcomes Safety, tolerability, maximum tolerated dose, overall survival
Secondary Outcomes Progression-free survival, objective response rate, pharmacokinetics
Notable Trial Phase 3 study comparing TPST-1120 + Atezolizumab + Bevacizumab vs. Placebo + Atezolizumab + Bevacizumab in HCC patients

Ongoing Clinical Trials on Tpst-1120

  • Study on the Effectiveness and Safety of TPST-1120 and Drug Combination for Patients with Advanced Liver Cancer

    Recruiting

    1 1 1
    France

Glossary

  • PPAR-alpha: Peroxisome proliferator-activated receptor alpha, a protein involved in the regulation of metabolism and energy homeostasis in cells. TPST-1120 targets this protein.
  • Hepatocellular Carcinoma (HCC): The most common type of primary liver cancer, originating in the main cell type of the liver (hepatocytes).
  • Metastatic: Cancer that has spread from its original site to other parts of the body.
  • Monotherapy: Treatment using a single drug or method.
  • Immunotherapy: A type of cancer treatment that helps the body's immune system fight cancer cells.
  • Atezolizumab: An immunotherapy drug that helps the immune system fight cancer cells by targeting a protein called PD-L1.
  • Bevacizumab: A targeted therapy drug that works by blocking the growth of new blood vessels that feed tumors.
  • Dose-limiting toxicity (DLT): Side effects of a drug that are severe enough to prevent an increase in dosage or require a decrease in dosage.
  • Maximum tolerated dose (MTD): The highest dose of a drug that does not cause unacceptable side effects.
  • Progression-free survival (PFS): The length of time during and after treatment that a patient lives with cancer without it getting worse.
  • Overall survival (OS): The length of time from the start of treatment or diagnosis that patients are still alive.
  • Objective response rate (ORR): The proportion of patients whose cancer shrinks or disappears after treatment.
  • RECIST: Response Evaluation Criteria in Solid Tumors, a standard way to measure how well a cancer patient responds to treatment.

References

  1. https://clinicaltrials.gov/study/NCT03829436
  2. https://clinicaltrials.gov/study/NCT06680258
  3. https://clinicaltrials.gov/study/NCT04524871