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MOS103 is a small molecule MDM2 inhibitor being developed by Mosaic Therapeutics for the treatment of p53 wild-type (WT) myelofibrosis. As an MDM2-targeting agent, MOS103 acts by disrupting the interaction between the MDM2 E3 ubiquitin ligase and the p53 tumor suppressor protein. This inhibition prevents the proteasomal degradation of p53, thereby restoring its activity and promoting cell cycle arrest and apoptosis in malignant cells that retain wild-type p53. The program is currently in the IND-enabling phase and is being positioned for first-line use, potentially in combination with other therapeutic agents.
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