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BAY 1217389 is an orally bioavailable, potent, and highly selective small molecule inhibitor of the serine/threonine kinase monopolar spindle 1 (Mps1), also known as TTK. Mps1 is a core component of the spindle assembly checkpoint (SAC), which ensures proper chromosome alignment during mitosis. Inhibition of Mps1 by BAY 1217389 abrogates this checkpoint, driving tumor cells into mitotic catastrophe and cell death due to chromosomal missegregation and aneuploidy. This mechanism offers a novel approach for cancer therapy by targeting proliferating tumor cells with high mitotic activity. Developed by Bayer, BAY 1217389 has been evaluated in phase I clinical trials primarily for advanced solid tumors in combination with paclitaxel[1][5][6][8].
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