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S243249 is a small molecule menin inhibitor being developed by Servier and its subsidiary Symphogen for the treatment of hematological malignancies, specifically Acute Myeloid Leukemia (AML) and Acute Lymphoblastic Leukemia (ALL). The drug works by disrupting the interaction between menin and its binding partners, such as MLL (KMT2A), which is a critical driver in leukemias characterized by MLL rearrangements or NPM1 mutations. By blocking these oncogenic complexes, S243249 aims to inhibit the expression of leukemogenic genes and promote differentiation of malignant cells. As of early 2026, the compound is in preclinical development.
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