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CPI203 is a **potent, selective, and competitive small molecule inhibitor of BET (bromodomain and extra-terminal) proteins**, in particular targeting BRD4[3][5]. It acts by blocking the recruitment of BET proteins, especially BRD4, to chromatin, suppressing transcriptional programs driven by oncogenic factors such as MYC[1][3]. CPI203 has demonstrated **antitumor effects in vitro and in vivo** across multiple cancer models, including multiple myeloma, mantle cell lymphoma, pancreatic neuroendocrine tumors, and glioma[1][2][3][4][6]. Notably, it can synergize with other agents (e.g., lenalidomide, dexamethasone, bortezomib, rapamycin) to enhance antitumor activity—even in drug-resistant cancer cell lines[1][2][3][7]. Oral and intraperitoneal dosing have shown favorable bioavailability and efficacy in preclinical animal models[1]. The development and provision of CPI203 is attributed to Constellation Pharmaceuticals[1].
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