- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
Journal, IO biomarker: Epigenetically silenced KAT2B suppresses de novo lipogenesis through destroying HDAC5/LSD1 complex assembly in renal cell carcinoma. (Pubmed Central) - Apr 24, 2026 Discontinuation due to newly emergent or recurring toxicity was at low rates, supporting ASC as an effective and safe option in patients requiring therapy change due to standard TKI intolerance or resistance. Our findings reveal that KAT2B suppresses de novo lipogenesis by interfering with HDAC5-LSD1 complex assembly, and highlight the potential of FASN inhibitors as a therapeutic strategy for RCC patients with low KAT2B expression.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
A phase 2 multi-center pharmacodynamic study of the fatty acid synthase (FASN) inhibitor TVB-2640 in advanced KRAS-mutant non (Hall A - Posters and Exhibits; Poster Bd #: 216) - Apr 21, 2026 - Abstract #ASCO2026ASCO_1185; P2 Our findings reveal that KAT2B suppresses de novo lipogenesis by interfering with HDAC5-LSD1 complex assembly, and highlight the potential of FASN inhibitors as a therapeutic strategy for RCC patients with low KAT2B expression. Funded by Gateway Foundation for funding the clinical trial Sagimet for provision of product/material Clinical Trial Registration Number: NCT03808558 The full, final text of this abstract will be available on May 21 at 05:00 PM EST.
- |||||||||| telaglenastat (CB-839) / Synhale Therapeutics, denifanstat (TVB-2640) / Sagimet Biosci
Review, Journal: Metabolic reprogramming in cancer: dysregulation of glucose, lipid, and amino acid pathways and therapeutic opportunities. (Pubmed Central) - Mar 10, 2026 We recognize that adverse effects on normal tissues and drug resistance driven by metabolic plasticity represent major challenges for metabolism-targeted therapies. Accordingly, we systematically summarize innovative strategies that offer new therapeutic possibilities, including targeting multiple metabolic pathways through combination therapy to enhance efficacy, combining metabolic inhibitors to overcome resistance to conventional anticancer agents, leveraging metabolic reprogramming for early cancer detection, and exploring emerging approaches such as immunometabolism and metabolomics.
- |||||||||| ASC30 / Ascletis, denifanstat (TVB-2640) / Sagimet Biosci
Journal: Investigating the Shelf-Life Extension of Shrimp Surimi Using a Polysaccharide-Based Film from Alpinia oxyphylla. (Pubmed Central) - Feb 13, 2026 It is superior to single/individual chemical preservatives in terms of film-forming ability, functionality, and safety, providing a natural, effective, and environmentally friendly preservation approach for shrimp surimi and other aquatic products. It also offers a theoretical foundation and practical reference for the development of natural preservation technologies in the food industry.
- |||||||||| Review, Journal: Genomic alterations and their correlation with metabolic-related genes in lung cancer. (Pubmed Central) - Feb 11, 2026
Rational combination strategies that pair genomic-targeted agents (sotorasib and adagrasib) with metabolic inhibitors (CB-839 and TVB-2640) show promise in overcoming adaptive resistance. Integrating genomic and metabolic profiling may enhance precision oncology approaches and improve clinical outcomes.
- |||||||||| Lynparza (olaparib) / Merck (MSD), AstraZeneca, denifanstat (TVB-2640) / Sagimet Biosci, irinotecan / Generic mfg.
Journal, BRCA Biomarker, PARP Biomarker: FASN Inhibition Enhances the Efficacy of Chemotherapy in Colorectal Cancer by Inhibiting the DNA Damage Response. (Pubmed Central) - Feb 9, 2026 Importantly, combining FASN inhibition with the chemotherapeutic drug irinotecan synergistically decreased xenograft tumor growth and delayed tumor relapse, which was potentiated by the PARP inhibitor olaparib as maintenance treatment. Taken together, this study describes a therapeutic strategy in which FASN inhibitors can be utilized to delay tumor recurrence after chemotherapy, which is a major challenge in patients with CRC.
- |||||||||| omeprazole / Generic mfg., denifanstat (TVB-2640) / Sagimet Biosci
Retrospective data, Review, Journal: Targeting fatty acid synthase for cancer drug discovery: Retrospective analyses and outlook. (Pubmed Central) - Jan 28, 2026 Despite progress with novel and repurposed inhibitors, none have gained approval. This review critically examines past efforts, current challenges, and offers insights to guide future development of effective fatty acid synthase-targeting cancer therapeutics.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
Journal: Neutrophil Extracellular Trap Reprograms Cancer Metabolism to Form a Metastatic Niche Promoting Non-Small Cell Lung Cancer Brain Metastasis. (Pubmed Central) - Jan 27, 2026 Using an AI-driven prediction model and in vitro/in vivo assays, fatty acid synthase inhibitor TVB-2640 is identified as a potential therapeutic agent for disrupting metabolic vulnerability and suppressing NSCLC BMs. These findings provide novel insights into NET-dependent cellular interactions that sustain the pro-metastatic microenvironment underlying NSCLC BMs, offering robust development of novel metabolism-based therapeutic strategies to combat this lethal complication.
- |||||||||| Cotellic (cobimetinib) / Exelixis, Roche, denifanstat (TVB-2640) / Sagimet Biosci
MAPK pathway-driven metabolic-inflammatory axis in AL amyloidosis (OCCC - West Halls B3-B4) - Nov 4, 2025 - Abstract #ASH2025ASH_7729; This axissustains a pro-inflammatory environment that may contribute to disease pathogenesis. Thus, FASN andMAPK may represent promising metabolic-immunologic targets for therapeutic intervention in ALamyloidosis.
- |||||||||| Scemblix (asciminib) / Novartis
Asciminib and pregnancy in CML: Preliminary human data and clinical implications from 47 reported outcomes (OCCC - West Halls B3-B4) - Nov 4, 2025 - Abstract #ASH2025ASH_7648; In the paternal exposure group, 8 men were receiving ASC asmonotherapy at the time of conception, while 5 were treated with ASC in combination with nilotinib orimatinib...In most cases, ASC hadbeen discontinued during the first trimester, often between 4 and 9W, with daily doses ranging from 20to 120 mg, and one ASC 40 QD+imatinib 400 mg...However, contraception is advised for women on ASC, especially if previouslyfailing other treatments; no contraception is needed for men. The presentation will provide updatedclinical details, including CML management during gestation and reproductive outcomes, offeringinsights to improve patient counseling, support informed reproductive choices, and guide personalizedtreatment.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
Spatial Computational Histology Stratified Denifanstat Fibrosis Responders in the Phase 2b FASCINATE-2 MASH Study (Convention Center: Hall DE 2001-2158 Posters) - Oct 7, 2025 - Abstract #AASLD2025AASLD_1765; These findings support further clinical evaluation of denifanstat in MASH patients with advanced fibrosis, including compensated liver cirrhosis. Quantitative single-fiber traits and clustering revealed fibrosis phenotypes that predict denifanstat response, supporting that computational pathology could be leveraged for response stratification.
- |||||||||| omeprazole / Generic mfg., denifanstat (TVB-2640) / Sagimet Biosci
Review, Journal: Fatty acid synthase in chemoresistance: mechanisms and therapeutic opportunities. (Pubmed Central) - Sep 29, 2025 While by far, several FAS inhibitors, including denifanstat and omeprazole, have demonstrated beneficial effects in clinical trials, no candidate has been approved by the FDA. We concluded here that targeting FAS is a feasible strategy to overcome chemoresistance, although more interdisciplinary efforts are needed to identify a potent, specific, and bioavailable FAS inhibitor for clinical applications.
- |||||||||| Review, Journal, IO biomarker: Present and Future Perspectives in the Treatment of Liver Fibrosis. (Pubmed Central) - Sep 27, 2025
Novel modalities such as immunotherapy, gene editing, and multi-targeted therapies hold additional potential for fibrosis reversal. Continued translational efforts are critical to establish safe, effective, and accessible treatments for patients with liver fibrosis.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
Review, Journal: Targeting Cancer Metabolism: Therapeutic Potential of the Fatty Acid Synthase (FASN) inhibitors. (Pubmed Central) - Sep 20, 2025 Clinical evidence suggests that FASN blockade not only impairs tumor growth but also potentiates the efficacy of existing treatments, including chemotherapy and targeted agents, thereby supporting its integration into combination regimens. Future clinical optimization will require the identification of predictive biomarkers to guide patient selection and treatment stratification.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci, etomoxir (MIQ-001) / Numiera Therapeutics
Hypoxia-Driven Fatty Acid Metabolism Regulates Angiogenesis in Gastrointestinal Cancers (Poster and Exhibition Hall; Poster Board No EACR25-2085) - Jun 29, 2025 - Abstract #EACR2025EACR_1596; The inverse correlation between secreted FA levels and vessel formation highlights a potential mechanism for aberrant tumor vascularization. Interestingly, gastric cancer cells appear to follow a distinct metabolic pattern, warranting further investigation.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
Structure, dynamics and therapeutic potential of fatty acid synthase (Section 26; Poster Board No: 5) - Mar 25, 2025 - Abstract #AACR2025AACR_6378; The modifying region of hFASN was determined at near-atomic resolution using a recombinant expression system bound to the first-in-class inhibitor Denifanstat, enabling structure-based small molecule discovery...These modifications may play a role in protein stabilization or regulation under stress conditions, highlighting a potential mechanism for hFASN activity modulation. Together, these findings provide critical structural and regulatory insights, paving the way for targeted therapeutic development.
- |||||||||| Journal: Fatty acid synthase (FASN) inhibition cooperates with BH3 mimetic drugs to overcome resistance to mitochondrial apoptosis in pancreatic cancer. (Pubmed Central) - Mar 16, 2025
Computational studies with TVB-3166 and TVB-3664, two analogues of the clinical-grade FASNi TVB-2640 (denifanstat), confirmed their uncompetitive behavior towards NADPH when bound to the FASN ketoacyl reductase domain...Experiments in PDAC PDXs in vivo confirmed the synergistic antitumor activity of TVB-3664 with navitoclax and venetoclax, independent of the nature of the replication stress signature of patient-derived PDAC cells. The discovery that targeted inhibition of FASN is a metabolic perturbation that sensitizes PDAC cells to BH3 mimetics warrants further investigation to overcome resistance to mitochondrial apoptosis in PDAC patients.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
Enrollment closed: A Study to Evaluate Safety of ASC40 Tablets in Patients with Moderate to Severe Acne Vulgaris (clinicaltrials.gov) - Mar 12, 2025 P3, N=240, Active, not recruiting, The discovery that targeted inhibition of FASN is a metabolic perturbation that sensitizes PDAC cells to BH3 mimetics warrants further investigation to overcome resistance to mitochondrial apoptosis in PDAC patients. Recruiting --> Active, not recruiting
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci, Truqap (capivasertib) / Otsuka, AstraZeneca
Targeting the PI3K/AKT Pathway and Fatty Acid Synthase in AL Amyloidosis: Mechanistic Insights and Therapeutic Implications (Halls G-H (San Diego Convention Center)) - Nov 6, 2024 - Abstract #ASH2024ASH_5392; Conclusions : Our findings highlight the significant upregulation of FASN in AL amyloidosis and its regulation by the PI3K/AKT pathway. The observed effects of Capivasertib on FASN expression and cell proliferation, along with the upregulation of inflammatory cytokines, underscore the potential for targeting the PI3K/AKT signaling pathway and FASN in developing more specific therapeutic strategies for AL amyloidosis.
- |||||||||| denifanstat (TVB-2640) / Sagimet Biosci
Enrollment open: A Study to Evaluate Safety of ASC40 Tablets in Patients with Moderate to Severe Acne Vulgaris (clinicaltrials.gov) - Nov 4, 2024 P3, N=240, Recruiting, The observed effects of Capivasertib on FASN expression and cell proliferation, along with the upregulation of inflammatory cytokines, underscore the potential for targeting the PI3K/AKT signaling pathway and FASN in developing more specific therapeutic strategies for AL amyloidosis. Not yet recruiting --> Recruiting
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