Inobrodib [ino-bro-dib
]
A first in class oral anti-cancer drug
Inobrodib is a small molecule inhibitor, taken orally as a capsule. It inhibits p300 and CBP through binding into the conserved bromodomain of the twin proteins. This impacts the expression of key cancer drivers including MYC, IRF4 and the androgen receptor (AR) and its variants. Different cancer indications can be targeted by inobrodib as monotherapy or in combination with existing standard of care drugs.
The science behind inobrodib
Inobrodib is a small molecule inhibitor drug, developed by CellCentric from initial chemical hits, through to an optimised compound and onto a clinical candidate.
Inhibiting p300/CBP impacts the expression of key cancers
Inobrodib inhibits p300/CBP, and as a result, impacts the expression of key cancer driving genes. MYC and IRF4 are significantly affected by p300/CBP inhibition, and are important in progression of haematological malignancies. p300/CBP inhibition also impacts the androgen receptor expression, which is critical in late stage prostate cancer. The drug has now completed Phase I evaluation as monotherapy.
An oral treatment for real world settings
Inobrodib is a new type of treatment for people with cancer. Delivered as an oral capsule, it is easy for patients to take and can be used at home without the need for intensive monitoring. As it has a good safety profile for a drug in this setting, it can also be used by those who are unable to tolerate other treatments, including the elderly and frail.
Targeting the bromodomain of p300 and CBP
A differentiated and highly selective inhibitor
There are over 60 different bromodomains on cellular proteins, many of which constitute potential drug targets.
Inobrodib is highly selective for the specific conserved bromodomain of p300 and CBP and shows excellent selectivity against other bromodomains such as BRD1, BRD2, BRD3 and BRD4. Cancer cells that have become resistant to BET inhibitors (for instance JQ1, OTX-015, iBET-151) remain highly sensitive to inobrodib.
Further underscoring its exquisite selectivity, inobrodib affects the expression of far fewer genes than BET inhibitors whilst maintaining a profound anti-tumour effect.
Inobrodib’s action can be synergistic with BET inhibitors, whilst impacting the expression of 7x fewer genes (compared to JQ1). In breadth-of-efficacy cell panel testing, inobrodib has a very specific effect on clusters of cancer types, rather than being generally cytotoxic.
Scientific publications, posters and presentations
View and download posters from recent key conferences
An open-label phase I/IIa study to evaluate the safety and efficacy of inobrodib
(CCS1477) as monotherapy in patients with relapsed/refractory multiple myeloma
An open-label Phase I/IIa study to evaluate the safety and efficacy of CCS1477, a first in clinic inhibitor of the p300/CBP bromodomains, as monotherapy and in combination, in patients with advanced haematological malignancies
Views from key opinion leaders and a clinical trial patient on recent positive inobrodib results in relapsed refractory multiple myeloma
Potent pre-clinical and early phase clinical activity of EP300/CBP bromodomain inhibitor CCS1477 in multiple myeloma