Inhibition of PERK by HC-5404 results in significant antitumor efficacy as combination with varied standard of care anti-angiogenic agents in multiple solid tumor models, including renal cell carcinoma and gastric cancer.
HC-5404 recently completed investigation in a Phase 1a trial as a monotherapy for the treatment of advanced solid tumors enriched for patients with renal cell carcinoma (RCC) and gastric cancer. A Ph1b/2 study will be initiated for the combination HC-5404 in combination with a VEGFR TKI.
PERK and the Unfolded Protein Response
The Unfolded Protein Response (UPR) is an adaptive cellular program used by cancer cells to survive by facilitating:
Adaptation to harsh tumor microenvironment characterized by hypoxia, nutrient deprivation, oxidative stress
Hypoxia drives accumulation of misfolded proteins in the endoplasmic reticulum (ER), leading to ER stress and activation of PERK (protein kinase R–like endoplasmic reticulum kinase) in the UPR pathway
PERK is an ER-resident transmembrane kinase that signals through eIF2a to block ER-dependent protein synthesis and maintain homeostasis
Various SOC cancer therapies (i.e. VEGFR TKIs) further amplify ‘stress’ in tumors and activate PERK as a survival mechanism
HC-5404, a First-in-Human PERK inhibitor, has completed a Phase I clinical trial focused on solid tumors
Inhibition of the adaptive UPR via PERK inhibition results in monotherapy and combinatorial anti-tumor activity with anti-angiogenics in multiple tumor types