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**Sontigidomide** is a small molecule antineoplastic agent in early development, characterized as a PROTAC degrader targeting GSPT1 and IKZF1/3. It demonstrates potent antiproliferative activity, inhibiting over 80% proliferation of MOLM-13 acute myeloid leukemia cells at 1 μM after 3 days, and shows efficacy against AML and solid tumor cells. Its structure features a racemic N-substituted glutarimide moiety akin to thalidomide derivatives, with proposed INN status by WHO, indicating preclinical to early clinical evaluation for oncology.
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