Drug intelligence / Profile preview

silmitasertib

Development stage
Phase 2
Lead developer
Senhwa Biosciences
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Allosteric Modulators → Classical Binding Small Molecules → Small Molecules, Irreversible Covalent Inhibitors → Covalent Small Molecules → Small Molecules, Reversible Covalent Inhibitors → Covalent Small Molecules → Small Molecules
Administration
Oral
01

Overview

Silmitasertib (CX-4945) is an orally bioavailable, small-molecule inhibitor of casein kinase 2 (CK2), a serine/threonine-specific protein kinase that is constitutively active and overexpressed in several types of tumors. It acts as an ATP-competitive inhibitor targeting both CK2α and CK2α′ catalytic subunits. Silmitasertib also inhibits other kinases, including DYRK1A and GSK3β, with demonstrated activity in limiting their downstream signaling pathways[1][2][3][7]. The drug has shown anti-proliferative effects in various cancer cell lines by suppressing the PI3K/Akt/mTOR pathway, inducing apoptosis, causing cell cycle arrest, and repressing BCL-XL expression[1][6]. Silmitasertib is being developed primarily for oncology indications such as cholangiocarcinoma (bile duct cancer), recurrent Sonic Hedgehog medulloblastoma, acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), and other hematological malignancies[1][6][7]. It was granted orphan drug status by the FDA for advanced cholangiocarcinoma. The developer is Senhwa Biosciences.

Other names
silmitasertib
02

Targets

CK2 (Casein kinase II subunit alpha)CSNK2A2 (Casein kinase II subunit alpha prime)DYRK1A (Dual-specificity tyrosine-phosphorylation-regulated kinase 1A)GSK3 (Glycogen synthase kinase 3 beta)

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