Pharma Update
DNA Damage Response (DDR)
Building a diversified and differentiated portfolio in DDR
Camonsertib (ATR inhibitor)
REPARE KSQ
THERAPEUTICS
KSQ-4279 (first-in-class USP1 inhibitor)
.
ATRi
Stalled DNA
replication fork
ATR
DNA double-
strand breaks
ATR is a key mediator of cellular DDR and is activated in response to DNA
replication stress
•
Preclinical studies suggest camonsertib to be more selective and potent vs.
other ATRi in development with best-in-class potential
.
•
•
Ongoing Phl/II (TRESR) demonstrated monotherapy responses in multiple
tumors (ovarian, breast, prostate) including patients who received prior
PARPI and prior platinum chemotherapy
.
•
Currently investigated as monotherapy and in combo with various agents
Ub
RAD18
PCNA
PCNA
FANCD2
FANCI
Fanconi Anemia (FA) complex detects
and recruits ICL repair proteins
FA
Complex
Ub
FANCD2 (Ub
FANCI
XXXXX
XXXXX
USP1
USP1
Translesion synthesis
Intra-strand Crosslink Repair
USP1 is involved in DNA damage repair processes through mechanisms
distinct from both PARPI and other targeted therapies
KSQ-4279 is a first-in-class small molecule inhibitor of USP1
Combination with PARPi demonstrated strong activity in PARP naïve and
PARP resistant mouse models
Ph I trial in patients with advanced solid tumors ongoing
Camonsertib in partnership with Repare Therapeutics; KSQ-4279 in partnership with KSQ Therapeutics; DDR-DNA Damage Response
Roche
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