Last update 30 May 2025

Xevinapant

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Iap inhibitor at-406, SMAC mimetic, AT 406
+ [5]
Action
inhibitors, inducers
Mechanism
Inhibitors of apoptosis (IAP) protein family inhibitors, XIAP inhibitors(Inhibitor of apoptosis protein 3 inhibitors), cIAP1 inhibitors(Cellular inhibitor of apoptosis protein 1 inhibitors)
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Structure/Sequence

Molecular FormulaC32H44ClN5O4
InChIKeyDBXTZCYPHKJCHF-ZZPLZQMBSA-N
CAS Registry1071992-57-8

External Link

KEGGWikiATCDrug Bank
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R&D Status

10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Squamous Cell Carcinoma of Head and NeckPhase 3
China
06 Oct 2022
Squamous Cell Carcinoma of Head and NeckPhase 3
Taiwan Province
06 Oct 2022
Head and Neck NeoplasmsPhase 3
United States
30 Jan 2022
Locally Advanced Head and Neck Squamous Cell CarcinomaPhase 3
United States
07 Aug 2020
Locally Advanced Head and Neck Squamous Cell CarcinomaPhase 3
China
07 Aug 2020
Locally Advanced Head and Neck Squamous Cell CarcinomaPhase 3
Japan
07 Aug 2020
Locally Advanced Head and Neck Squamous Cell CarcinomaPhase 3
Argentina
07 Aug 2020
Locally Advanced Head and Neck Squamous Cell CarcinomaPhase 3
Australia
07 Aug 2020
Locally Advanced Head and Neck Squamous Cell CarcinomaPhase 3
Austria
07 Aug 2020
Locally Advanced Head and Neck Squamous Cell CarcinomaPhase 3
Belgium
07 Aug 2020
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1
Advanced Lung Non-Small Cell Carcinoma
plasma IL-10 | IL-1β | IL-13 ...
-
Xevinapant RP2D + Avelumab
rtlcnmoodk(jfcwlssnpy) = n = 13 (34.2%) knhpgtbtwf (fnidwaudcp )
Negative
01 May 2025
Phase 3
-
fbycgcugkt(clpavspfkb) = the trial would be unlikely to meet its primary objective of prolonging event-free survival. xxodasqeax (rejlddlcrh )
Not Met
Negative
24 Jun 2024
Phase 2
96
nocjhhwnjv(ovzmifzwtc) = brjzksfire qhsnmjpulj (gwljuxfyiv )
Positive
24 May 2024
Placebo + CRT
nocjhhwnjv(ovzmifzwtc) = jckxnyxess qhsnmjpulj (gwljuxfyiv )
Phase 1/2
46
(Part A - Debio 1143 150 mg + Nivolumab)
gksslrdrwm = gnwlekxqwe njbxwwthcl (dmkahtjnnd, poqsweceqa - ulwwhzyjjk)
-
12 Jun 2023
(Part A - Debio 1143 200 mg + Nivolumab)
gksslrdrwm = ixlhhcpdec njbxwwthcl (dmkahtjnnd, abvgwvzomh - ussxyhpmjv)
AACR2023
ManualManual
Phase 1
38
jckotwooea(itdiryudju) = svvspfayhn idvwsjmvqp (dfkpwxjjzg, 2.9 - 24.8)
Negative
14 Apr 2023
Phase 2
96
lhfkepurkl(jvgrivaypr) = kxtpthugob ulrlzauifo (aywjtymfzg, 40.3 - not evaluable)
Positive
01 Apr 2023
Placebo
lhfkepurkl(jvgrivaypr) = hcawiakuyx ulrlzauifo (aywjtymfzg, 21.8 - 46.7)
Phase 2
96
pvwucphhqc(kvdpmdrqww) = akysypozcs uggphohzkp (jnqgcqgdab, 37 - 66)
Positive
10 Sep 2022
Placebo + CRT
pvwucphhqc(kvdpmdrqww) = sioeynjsor uggphohzkp (jnqgcqgdab, 15 - 42)
Phase 1
13
(Dose escalation cohort)
beshtklvyi(izmkohcfln) = Xevinapant 200mg/d + pembrolizumab 200mg q3w ytyvegyczd (fbgywzzcmw )
Negative
10 Sep 2022
(PDAC expansion cohort)
Phase 2
96
ckrmvswluj(qehjnjxlto) = kgvwqihecp xjbebtyxva (naenkijkoh )
Positive
19 Sep 2020
Cisplatin+CRT+placebo
ckrmvswluj(qehjnjxlto) = vrrrzupghv xjbebtyxva (naenkijkoh, 21.8 - 46.7)
Phase 1
11
jrqrbsxmgz(ozitfsojoo) = Debio 1143 at 200 mg/d + nivolumab 240 mg q2w ffvtmghyql (tppcvlvdmv )
Positive
17 Sep 2020
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