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M1069 is an orally available, selective small molecule antagonist of the adenosine A2A and A2B receptors. It was jointly discovered by Domain Therapeutics and Merck KGaA for use in immuno-oncology. M1069 counteracts the immune-suppressive mechanisms mediated by adenosine in the tumor microenvironment, thereby exhibiting anti-tumor activity. The drug entered phase 1 clinical trials to evaluate its safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and early efficacy in patients with metastatic or locally advanced unresectable solid tumors. Development was discontinued after a portfolio review[1][2][3][4].
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