Drug intelligence / Profile preview

Nerofe + doxorubicin

Development stage
Phase 1
Lead developer
Immune System Key
Modality
Small Molecules, Peptides
Administration
Intravenous
01

Overview

Nerofe + doxorubicin is a combination therapy consisting of Nerofe (a derivative of the hormone peptide Tumor Cell Apoptosis Factor, abbreviated dTCApFs) and doxorubicin, a well-established anthracycline chemotherapy agent. This combination is studied primarily for KRAS-mutated and ST2-positive advanced solid tumors, such as metastatic colorectal cancer. Nerofe acts by targeting the T1/ST2 receptor, which is overexpressed in various cancers, and induces endoplasmic reticulum (ER) stress leading to apoptosis. Doxorubicin inhibits the unfolded protein response and increases reactive oxygen species, facilitating cell death. Together, they synergistically downregulate KRAS and MAPK1/2 pathways via miR217 upregulation, resulting in enhanced tumor cell apoptosis and activation of both innate (NK cells, M1 macrophages) and adaptive (IL-2, IFN-γ) immune responses. This dual approach leverages direct cytotoxicity and immunostimulation for improved antitumor efficacy[1][3][6].

Other names
dTCApFs + doxorubicin
02

Targets

ERN1 (Inositol-requiring enzyme 1 alpha)KRAS (Kirsten rat sarcoma viral oncogene homolog)MAPK12 (Mitogen-activated protein kinase 12)Interleukin 1 receptor-like 1–c-Jun complex (ST2–c-Jun complex)IL1RL1 (Interleukin 1 receptor-like 1 protein)MAPK3 (Mitogen-activated protein kinase 1)MEK2 (Dual specificity mitogen-activated protein kinase kinase 2)

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