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STX-1 is a first-in-class antibody-drug conjugate (ADC) developed by StarkAge Therapeutics that targets Dipeptidyl peptidase 4 (DPP4), also known as CD26. DPP4 is a transmembrane protein highly overexpressed on senescent cells and certain cancer cells, serving as both a marker of cellular senescence and a tumor-associated antigen. STX-1 is designed to selectively eliminate these cells by delivering a cytotoxic payload, thereby addressing the role of senescent cells in promoting tumor progression and resistance. The program is currently in preclinical development with an initial focus on liver cancer and prostate cancer, progressing toward IND-enabling studies.
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