Drug intelligence / Profile preview

rxc004 + nivolumab

Development stage
Phase 2
Lead developer
Redx Pharma
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

**RXC004 + nivolumab** is a combination regimen under clinical investigation for genetically selected metastatic colorectal cancer. RXC004 (Zamaporvint) is a potent, selective, orally active small molecule inhibitor of *Porcupine*, a key enzyme in the Wnt signaling pathway. Porcupine inhibition blocks release of Wnt ligands, preventing both tumor growth and immune evasion. Nivolumab is a monoclonal antibody that inhibits *Programmed cell death protein 1 (PD-1)*, restoring anti-tumor immune response. The combination aims to target both Wnt-dependent oncogenic signaling and tumor immune suppression, potentially overcoming resistance to immunotherapy in microsatellite stable colorectal cancers with RNF43 mutation or RSPO gene fusion[4][5][1][3].

Brand names
Zamaporvint + nivolumab
Other names
Porcupine inhibitor + nivolumabRXC004 in combination with nivolumabRXC-004 in combination with nivolumabRXC 004 in combination with nivolumab
02

Targets

PORCN (Porcupine protein)PDCD1 (Programmed cell death protein 1 receptor)

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