Drug intelligence / Profile preview

FOXO4-DRI

Development stage
Preclinical
Lead developer
Erasmus MC
Modality
Peptides
Administration
Intraperitoneal, Intratumoral, Subcutaneous
01

Overview

FOXO4-DRI (also known as Proxofim) is a synthetic, cell-permeable D-retro-inverso peptide designed as a selective senolytic agent to target and eliminate senescent cells. Developed by Cleara Biotech, a spinout from the University Medical Center Utrecht and Erasmus Medical Center, the peptide specifically disrupts the protein-protein interaction between the transcription factor FOXO4 and the tumor suppressor p53 (TP53). In senescent cells, FOXO4 sequesters p53 to prevent apoptosis; by competing for p53 binding, FOXO4-DRI releases p53, triggering selective apoptosis of these dysfunctional cells while sparing healthy tissue. Preclinical studies have shown that FOXO4-DRI can restore tissue homeostasis, improve renal function, and reverse chemotoxicity and age-related phenotypes in mice. It is also under investigation for its potential to target therapy-resistant, mutant p53-driven malignancies, such as triple-negative breast cancer and melanoma, as well as chronic conditions like pulmonary fibrosis.

Brand names
Proxofim
Other names
FOXO4 D-Retro-Inverso peptideFOXO-4 D-Retro-Inverso peptideFOXO 4 D-Retro-Inverso peptideFOXO4 DRIFOXO-4 DRIFOXO 4 DRIFOXO4 peptideFOXO-4 peptideFOXO 4 peptideFOXO4-D-retro-inversoFOXO-4-D-retro-inversoFOXO 4-D-retro-inversoFOXO4-DRI peptideFOXO-4-DRI peptideFOXO 4-DRI peptideFOXO4a-DRIFOXO-4a-DRIFOXO 4a-DRI
02

Targets

p53 transactivation domain 2FOXO4 (Forkhead box protein O4)FOXO4–p53 (Forkhead box protein O4–cellular tumor antigen p53 complex)

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