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BI 891065 is a small-molecule SMAC (second mitochondria-derived activator of caspases) mimetic developed by Boehringer Ingelheim. It functions as an inhibitor of apoptosis protein (IAP) antagonist, designed to promote tumor cell death and enhance anti-tumor immune responses. By mimicking SMAC, it stimulates caspase activity and disrupts IAP-mediated inhibition of apoptosis in cancer cells. Preclinical data suggest that it may synergize with immune checkpoint inhibitors, making it a potential combination partner in cancer therapy, particularly for solid tumors such as colorectal cancer[1][2][7].
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