Gamma secretase cleaves multiple transmembrane protein complexes, including Notch, which may contribute to desmoid tumor growth. Monoisotopic mass 489.327911 Da. Primary ovarian insufficiency (POI), also known as premature ovarian failure, happens when a woman's ovaries stop working normally before she is 40. The final analysis of the Phase III LEAP-002 trial investigating Lenvima (lenvatinib), discovered by Japan's Eisai plus US pharma giant Merck & Co's mega blockbuster Keytruda (pembrolizumab) versus Lenvima monotherapy, was inconclusive for the combination as first-line treatment for patients with . Primary ovarian insufficiency may be caused by: Chromosome changes. Nirogacestat (PF-3084014) is a tetralin imidazole gamma-secretase inhibitor. Ovarian granulosa cell tumors (OvGCTs) represent 5-7% of all ovarian cancers (~1.5 to 2k newly diagnosed patients/year in the United States) and are the most common subtype of ovarian sex cord tumors (70%). The POI condition is characterized by decline in ovarian function due to premature depletion of follicles that result in an earlier than average menopause affecting approximately 1%-2% of women under 40 years of age (Monniaux et al., 2014). Toxins. A pregnancy test is done, and serum FSH and estradiol levels are measured weekly for 2 to 4 weeks; if FSH levels are high ( > 20 mIU/mL, but usually > 30 mIU/mL) and estradiol levels are low . The Phase 2 trial (NCT05348356) is a multi-center, single-arm, open-label study evaluating the efficacy, tolerability, safety, and pharmacokinetics of nirogacestat in patients with recurrent . The study will enroll approximately 40 patients who will receive 150mg of nirogacestat twice daily. Nirogacestat, a selective gamma-secretase inhibitor, has been investigated in 24 patients with desmoid tumors across Phase 1 and Phase 2 studies; the Company is planning a Phase 3 study (DeFi . Notably, most individuals capable of bearing children experienced an adverse effect that was consistent with ovarian dysfunction, although most toxicities were consistent with previously reported findings. SpringWorks Therapeutics, Inc. (Nasdaq: SWTX), a clinical-stage biopharmaceutical company focused on developing life-changing medicines for patients with severe . View Full Description Full Description A pregnancy test is done, and serum FSH and estradiol levels are measured weekly for 2 to 4 weeks; if FSH levels are high ( > 20 mIU/mL, but usually > 30 mIU/mL) and estradiol levels are low . Premature ovarian insufficiency (POI) is an ovarian insufficiency syndrome before the age of 40 years affecting approximately 1-2% women [26, 12].It is characterized by a continuous decline in ovarian function, and resulting in an earlier cessation of menstruation than normal [].Women with POI are faced with increased risk of low chance of natural conception [4, 38], urogenital atrophy . The majority of women with childbearing potential had adverse events (AEs) consistent with ovarian dysfunction and other AEs were generally consistent with previously reported data. ICH GCP. Premature ovarian insufficiency is a common disorder affecting young women and represents the worst-case ovarian scenario due to the substantial impact on the reproductive lifespan of these patients. Metabolic dysregulation in patients with premature ovarian insufficiency revealed by integrated transcriptomic, methylomic and metabolomic analyses Clin Transl Med . Gamma-secretase, a proteolytic enzyme complex, mediates processing of several integral membrane proteins including amyloid precursor protein and Notch. In women aged 40 years or older, the expected physiologic decline of ovarian function that takes place with aging is termed perimenopause or the menopausal transition. In the double-blind phase, half of the .. . Background. To determine the effectiveness of nirogacestat at 150mg twice a day in patients with ovarian granulosa cell tumors, the agent has been administered to the first patient in a phase 2 trial. Ovarian granulosa cell tumors (OvGCTs) represent 5-7% of all ovarian cancers (~1.5 to 2k newly diagnosed patients/year in the United States) and are the most common subtype of ovarian sex cord tumors (70%). The study will enroll approximately 40 patients who will receive 150mg of nirogacestat twice daily. Primary ovarian insufficiency is suspected in women < 40 with unexplained infertility, menstrual abnormalities, or symptoms of estrogen deficiency. Primary ovarian insufficiency is a disorder that occurs when a woman's ovaries stop functioning prematurely (earlier than normal). nirogacestat. Different experimental approaches are being explored . Nirogacestat | C27H41F2N5O | CID 46224413 - structure, chemical names, physical and chemical properties, classification, patents, literature, biological activities . This disease spectrum has previously been referred to as premature ovarian failure. Treatment of granulosa cell tumors with nirogacestat is expected to inhibit Notch-induced granulosa cell proliferation. It has been suggested that POI may affect 1% of women under 40 [1,3,4]. Supporting Site. Heart disease: When estrogen levels are low, cholesterol is more likely to build up in the . Many women naturally experience reduced fertility when they are about 40 years old. The Phase 2 trial ( NCT05348356) is a multi-center, single-arm, open-label study evaluating the efficacy, tolerability, safety, and pharmacokinetics of nirogacestat in patients with recurrent. Nirogacestat is an investigational, oral, selective, small molecule gamma secretase inhibitor in Phase 3 clinical development for desmoid tumors and in Phase 2 clinical development for ovarian granulosa cell tumors. The disease can be either asymptomatic or be associated with severe loss of . This study evaluates nirogacestat (PF-03084014) in the treatment of desmoid tumor/aggressive fibromatosis (DT/AF). The usual age for egg production to stop, known as menopause, is around 50. Reduce drug development failure rates. In women with this condition, the ovaries (organs that produce a woman's eggs) stop producing eggs before age 40. A pregnancy test is done, and serum FSH and estradiol levels are measured weekly for 2 to 4 weeks; if FSH levels are high ( > 20 mIU/mL, but usually > 30 mIU/mL) and estradiol levels are low . Women with POI present in primary care with menstrual . Primary ovarian insufficiency is reported in the clinical practice of reproductive endocrinology can be determined by conducting sex hormone tests to evaluate the hypothalamic-pituitary-ovarian axis. 1 The breakthrough designation was granted as a result of positive findings seen in phase I and II trials of nirogacestat monotherapy . Email: [email protected]. Find out more about your treatment options, how . Nirogacestat was generally well tolerated with a manageable safety profile. These include conditions in which you have one typical X chromosome and one altered X chromosome (mosaic Turner syndrome) and in which X chromosomes are fragile and break (fragile X syndrome). [2] This study evaluates nirogacestat (PF-03084014) in the treatment of desmoid tumor/aggressive fibromatosis (DT/AF). Molecular Formula CHFNO. Ovarian insufficiency is a failure of the ovary to function adequately in a woman younger than 40 years, in its role either as an endocrine organ or as a reproductive organ. Primary ovarian insufficiency is suspected in women < 40 with unexplained infertility, menstrual abnormalities, or symptoms of estrogen deficiency. Kineta, a privately-held immuno-oncology company, has announced that it has entered into a clinical trial collaboration and supply agreement with Merck & Co. doi: 10.1002/ctm2.1006. Build, train, & validate machine-learning models with evidence-based and structured datasets. PF-03084014 binds to GS, blocking proteolytic activation of Notch receptors. A common cause of primary ovarian insufficiency in adolescents is gonadal dysgenesis, with or without Turner syndrome 3. Premature ovarian insufficiency (POI) or premature ovarian failure (POF) is known as a state of hypergonadotropic hypogonadism. This can lead to infertility and a higher risk for other conditions. Full Title A Safety, Pharmacokinetic and Efficacy Study of a y-Secretase Inhibitor, Nirogacestat (PF-03084014, IND 146375), in Children and Adolescents with Progressive, Surgically Unresectable Desmoid Tumors (ARST1921) (CIRB) Purpose The purpose of this study is to assess the safety and effectiveness of the investigational drug nirogacestat in children and adolescents with desmoid tumors that . Primary (or premature) ovarian insufficiency * is a clinical syndrome defined by the loss of ovarian function before the age of 40 years. ; Osteoporosis: Estrogen is a hormone that keeps bones dense and strong.Without an adequate supply, the bones weaken and are more likely to break. CAS#: 1290543-63-3 (free base) Description: Nirogacestat, also known as PF-03084014, is a potent and selective gamma secretase (GS) inhibitor with potential antitumor activity. Patient management. In the double-blind phase, half of the participants will receive nirogacestat while the other half will receive placebo. Nirogacestat (PF-3084014) is a reversible, orally bioavailable, noncompetitive, and selective -secretase inhibitor with an IC50 of 6.2 nM. We do not sell or distribute actual drugs. Nirogacestat ( PF-03084014) is a selective gamma secretase inhibitor [1] developed by SpringWorks Therapeutics that has potential anti-tumor activity. POI is associated with cardiovascular morbidity, osteoporosis and premature mortality. Cancer-related trials contact form. Women with primary ovarian insufficiency-related estrogen deficiency are at risk of osteopenia, osteoporosis, and fracture, especially if hypoestrogenism occurs early in life and before accrual of peak bone mass 3 12 13 14.In studies that have evaluated the role of HT in women at elevated risk of fracture based on menopausal age, significant reductions in fracture . Ovary Insufficiency. Nirogacestat (PF-03084014) Investigational Device(s) None . It was granted FDA breakthrough drug designation in September 2019 for adult patients with progressive, unresectable, recurrent or refractory desmoid tumors or deep fibromatosis. MedKoo CAT#: 525757. Lisa Astor. Among younger women (aged 30 years or younger) with secondary amenorrhea, 13% also have been noted . Primary ovarian insufficiency is suspected in women < 40 with unexplained infertility, menstrual abnormalities, or symptoms of estrogen deficiency. Final gross price and currency may vary according to local VAT and billing address. Primary ovarian insufficiency (POI) is a condition resulting from the depletion or dysfunction of the ovarian follicles, leading to cessation of ovulation and menses before age 40. Nirogacestat is a gamma secretase inhibitor (GSI) which is hypothesized to decrease the growth and activity of ovarian granulosa tumors.. Clinical Trials Registry. SpringWorks Therapeutics Announces Dosing of First Patient in Phase 2 Trial Evaluating Nirogacestat in Patients with Ovarian. - 2 of 2 defined stereocentres. The FDA has granted a breakthrough therapy designation to the investigational gamma-secretase inhibitor nirogacestat (PF-03084014) for the treatment of adult . September 29, 2022, 10:30 AM UTC. Primary ovarian insufficiency is when the ovaries lose function before age 40. The Phase 2 trial (NCT05348356) is a multi-center, single-arm, open-label study evaluating the efficacy, tolerability, safety, and pharmacokinetics of nirogacestat in patients with recurrent ovarian granulosa cell tumors. symptomatic congestive heart failure, cerebrovascular accident, transient ischemic attack, or symptomatic . Phone: 507-284-8884. Protocol Number Title Protocol Status Min-Max Age Institute Keywords: 000760-H: Extension Study (extended access) of Syk-inhibition Using Fostamatinib to Treat Post-Transplant Immune-mediated Cytopenias Nirogacestat - SpringWorks Therapeutics Alternative Names: Nirogacestat hydrobromide; PF 3084014; PF-03084014; PF-03084014-04 Latest Information Update: 04 Oct 2022 Price : $50 * Buy Profile Adis is an information provider. - Participant has an abnormal QT interval at screening. This phase 2 clinical trial will study the effectiveness of nirogacestat in ovarian granulosa cell tumors (OvGCTs). Share this article. Nirogacestat (PF-03084014, PF), a novel gamma-secretase inhibitor, has been used in phase II clinical trial for treatment of desmoid tumor. STAMFORD, Conn., Sept. 29, 2022 (GLOBE NEWSWIRE) -- SpringWorks Therapeutics, Inc. (NASDAQ:SWTX), a clinical-stage biopharmaceutical company focused on developing life-changing medicines for . . 2022 Oct;12(10):e1006. Premature ovarian insufficiency (POI) is the loss of normal ovarian function before the age of 40 years, a condition that affects approximately 1% of women under 40 years old and 0.1% of women under 30 years old. 1 Approximately one in 100 women aged < 40 years and one in . The aim of the present study was to explore the feasibility and effectiveness of umbilical cord mesenchymal stem cell (UCMSC) transplantation for the treatment of POI in a rat model of POI induced by . Nirogacestat, also known as PF-03084014, is a potent and selective gamma secretase (GS) inhibitor with potential antitumor activity. POI is not an early menopause. Ovarian insufficiency occurs in approximately 1% of women. However, this terminology has fallen out of favor as the degree . Intervention(s) Drug: PF-03084014. About the Phase 2 Trial of Nirogacestat Trial Name: Nirogacestat in Ovarian Granulosa Cell Tumors ClinicalTrials.gov Indentifier: NCT05348356 Infertility: The majority of individuals with primary ovarian insufficiency experience infertility and require medical intervention to become pregnant. 4 Nirogacestat elicited an ORR of 29.4%, with no progressive. The abnormalities of bone resorption may induce a series of diseases, including osteoarthritis, osteoporosis and aseptic peri-implant loosening. 1 It is characterised by menstrual irregularities (infrequent menstrual cycles or amenorrhoea) with elevated FSH and LH levels and low oestradiol levels. Nirogacestat enhances the Antitumor Effect of Docetaxel in Prostate Cancer. Gynecologic anomalies, including uterine agenesis and ovarian dysgenesis, are some of the several differential diagnoses in adolescent females with primary amenorrhea and delayed puberty. Premature ovarian insufficiency (POI), defined as amenorrhoea due to the loss of ovarian function before 40 years of age, can occur spontaneously or be secondary to medical therapies. - Mechanism of Action & Protocol. Nirogacestat has been used in trials studying the treatment of Breast Cancer, HIV Infection, . Bone Loss and Fracture Risk. Failure as a monotherapy has spurred combinatorial regimens. Treatment of granulosa cell tumors with nirogacestat is expected to inhibit Notch-induced granulosa cell proliferation. When adolescents present with primary amenorrhea and no associated comorbidities, 50% are found to have abnormal karyotypes. Stem cell therapy is expected to be used in the treatment of POI. Nirogacestat is an investigational oral, selective, small molecule gamma secretase inhibitor (GSI) in Phase 3 clinical development for adult patients with progressing desmoid tumors and in Phase 2 clinical development for patients with ovarian granulosa cell tumors. Nirogacestat (PF-03084014) is a potent, small molecule, selective, reversible, noncompetitive inhibitor of -secretase (GS) with a potential antitumor activity. Nirogacestat enhances the Antitumor Effect of Docetaxel in Prostate Cancer. Nirogacestat is being investigated for the treatment of desmoid tumors due to its ability to bind to GS, blocking proteolytic activation of Notch receptors. . Average mass 489.644 Da. Multiple myeloma (MM) is a plasma cell disease characterized by the growth of clonal plasma cells in the bone marrow. The estimated incidence is: by age 20: 1:10,000. by age 30: 1:1000. by age 35: 1:250. by age 40: 1:100. Primary ovarian insufficiency: an overview. Premature ovarian insufficiency (POI) is a disease char-acterized by oligomenorrhea, hypoestrogenism and a folli-cle-stimulating hormone (FSH) level higher than 25 IU/L that occurs in women younger than 40 years of age [1,2]. 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