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IM-156 (lixumistat) is a novel, orally bioavailable biguanide small molecule that acts as a potent inhibitor of mitochondrial protein complex I (PC1) within the oxidative phosphorylation (OXPHOS) pathway. By inhibiting OXPHOS, IM-156 induces metabolic stress and energy depletion in cancer cells that are highly dependent on mitochondrial respiration, particularly those that have developed resistance to standard treatments such as chemotherapy or PARP inhibitors. It also functions as an activator of AMP-activated protein kinase (AMPK). Developed by ImmunoMet Therapeutics, a spin-off from HanAll Biopharma, IM-156 is being evaluated in clinical trials for advanced solid tumors, including pancreatic cancer and glioblastoma, and is also being explored for non-oncology indications such as idiopathic pulmonary fibrosis (IPF).
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