Kymera Investor Presentation Deck
DNA
Damage
MDM2 Degradation, Not Inhibition, Efficiently Restores p53
• MDM2 SMI's show activity, but can induce feedback loop,
limiting impact on pathway
p53
KYMERA
Stressors
Hypoxia
#
Inhibitor
1
MDM2
T
Degrader
p53
Oncogenes
p53
ub
ub
ub
MDM2
Da
Tumor Suppression
p53 Targets
Ⓒ2023 KYMERA THERAPEUTICS, INC.
Other
p53 Degradation
Feedback
Loop
Cell Cycle
Arrest
(p21, Ptprv)
Apoptosis
(Noxa, Bax,
Puma)
MDM2 degraders remove the protein, can overcome the
p53-dependent feedback loop that upregulates MDM2
• By inducing an acute apoptotic response in tumor cells,
degraders can increase efficacy and therapeutic index vs a
small molecule inhibitor
MDM2 levels are kept at undetectable levels with MDM2
degrader KT-253, leading to p53 stabilization
KT-253, IC90
Oh
DMSO
2h
24h
4h 24h DMSO
Oh
DMSO 2h
MDM2 levels are increased by the small molecule inhibitor
(feedback loop), impairing p53 stabilization
DS-3032, IC90
4h 24h
MDM2
ACTB
24h
DMSO
MDM2
ACTB
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