Overview

NCI Definition [1]:
A broad acting glutamine antagonist, with potential immunomodulatory and antineoplastic activities. Upon administration, DON (6-Diazo-5-oxo-L-norleucine), the active moiety of DRP-104, irreversibly inhibits multiple enzymes involved in glutamine metabolism. Blocking glutamine metabolism inhibits proliferation in rapidly growing tumor cells and leads to an induction of cell death. Unlike normal healthy cells, glutamine-dependent tumors rely heavily on the intracellular conversion of exogenous glutamine into glutamate and glutamate metabolites to both provide energy and generate building blocks for the production of macromolecules, which are needed for cellular growth and survival. In addition, blocking glutamine metabolism leads to the accumulation of glutamine in tumor cells and increases glutamine concentration in the tumor microenvironment (TME) upon tumor cell death. As glutamine is essential for T-cell generation, DON may also enhance T-cell proliferation and activation in the TME, which may lead to further killing of tumor cells. The conversion of DRP-104 to the active moiety DON occurs primarily in tumor cells, allowing glutamine metabolism in healthy cells which may lessen adverse effects.

Drp-104 has been investigated in 1 clinical trial, of which 1 is open and 0 are closed. Of the trial investigating drp-104, 1 is phase 1/phase 2 (1 open).

KEAP1 Loss, KEAP1 Mutation, and NFE2L2 Loss are the most frequent biomarker inclusion criteria for drp-104 clinical trials.

Malignant solid tumor and non-small cell lung carcinoma are the most common diseases being investigated in drp-104 clinical trials [2].

Top Biomarker Inclusion Criteria for Open Clinical Trials Investigating Drp-104
This graph displays the 20 most frequently occurring biomarkers curated on clinical trials investigating drp-104 and the cancer types associated with these biomarkers. These numbers are derived from a set of 5,956 clinical trials for which biomarker status defines treatment.

Drug Details

Synonyms [2]:
drp104, drp 104
NCIT ID [1]:
C174038

References

1. National Cancer Institute. NCI Thesaurus Version 18.11d. https://ncit.nci.nih.gov/ncitbrowser/. [2018-07-30] [2018-08-02].

2. All assertions and clinical trial landscape data are curated from primary sources. You can read more about the curation process here.