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Pipeline
iOnctura is developing a pipeline of next generation, precision molecules for oncology indications with high unmet need.
Target Product Candidate Indication Development Phase ABCDEFPreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPivotal Phase II/IIIPI3Kδ IOA-244 Solid Tumors Phase Ib/IIHematological malignancies Phase Ib/IIAutotaxin IOA-289 Pancreatic Cancer Phase Ib/IIOther CAF-driven tumors Phase ITGF-β IOA-359 Selected Solid Tumors PreclinicalCD73 IOA-237 Selected Solid Tumors PreclinicalIOA-244
Target Indication Development Phase PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPivotal Phase II/IIIPI3Kδ Solid Tumors Phase Ib/IIHematological malignancies Phase Ib/IIIOA-289
Target Indication Development Phase PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPivotal Phase II/IIIAutotaxin Pancreatic Cancer Phase Ib/IIOther CAF-driven tumors Phase IIOA-359
Target Indication Development Phase PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPivotal Phase II/IIITGF-β Selected Solid Tumors PreclinicalIOA-237
Target Indication Development Phase PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPivotal Phase II/IIICD73 Selected Solid Tumors PreclinicalIOA-244 (PI3Kδ Inhibitor)
Indication Combination Agent Development Phase PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPivotal Phase II/IIICombination Partners Cutaneous Melanoma N Preclinical— Y Phase Ib/II— Uveal Melanoma N IND Enabling Studies - Fast Track— Mesothelioma Y Phase Ib/II— Y CTA/IND Submission— Myelofibrosis N Phase II/III— NSCLC Y Phase Ib/II— Y Phase Ib/II— Non-Hodgkin's Lymphoma N Phase Ib/II - Fast Track— Y Phase Ib/II— Y Phase Ib/II— IOA-289 (Autotaxin Inhibitor)
Indication Combination Agent Development Phase 6 ABCDEFPreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPhase II/IIICombination Partners Pancreatic Cancer N Phase Ib/II— Y Phase Ib/II— Myelofibrosis Y Phase Ib/II— IOA-359 (CD73 Inhibitor)
Indication Combination Agent Development Phase 7 PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPhase II/IIICombination Partners Solid Tumors N Phase Ib/II— IOA-237 (CD73 Inhibitor)
Indication Combination Agent Development Phase 7 PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPhase II/IIICombination Partners Solid Tumors N Phase Ib/II— IOA-359 (Undisclosed Target)
Indication Combination Agent Development Phase 8 PreclinicalIND Enabling StudiesCTA/IND SubmissionPhase IPhase Ib/IIPhase II/IIICombination Partners Solid Tumors N Phase Ib/II— Each of iOnctura’s programs simultaneously target multiple core mechanisms involved in cancer resistance and survival.
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IOA-244 Proposed name: Roginolisib
The only semi-allosteric PI3Kδ inhibitor, with a unique chemical structure and binding mode
The phosphatidylinositol 3-kinase (PI3K) signalling pathway is one of the most commonly dysregulated pathways in cancer. PI3Kδ is one of four isoforms of the catalytic subunit of PI3K kinase. Whilst its expression is normally restricted to immunosuppressive cells such as regulatory T cells and myeloid-derived suppressive cells, some cancers intrinsically express high levels of PI3Kδ which acts to promote tumor cell survival.
We are developing a novel PI3Kδ inhibitor (IOA-244) with exquisite selectivity over other isoforms. IOA-244 is currently in Phase I/II clinical development in indications burdened by immune mediated resistance and a high intrinsic expression of PI3Kδ in cancer cells and tumor-infiltrating immune cells.
Clinical data generated to-date has shown the drug to have an exceptional safety profile and promising clinical activity in solid tumors and hematological malignancies.
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IOA-289
The only Autotaxin inhibitor being developed in oncology
Autotaxin (ATX) is an extracellular enzyme that generates lysophosphatidic acid (LPA). LPA is a bioactive phospholipid that stimulates the proliferation, migration and survival of many cell types and has been implicated in a wide range of diseases, including cancer. We are developing a novel ATX inhibitor (IOA-289) that has superior potency compared to clinical-stage ATX inhibitors. We are the first company to bring an ATX inhibitor to the clinic to treat cancer.
IOA-289 is an orally dosed molecule that has shown preclinically to inhibit the growth and proliferation of cancer cells, stimulate immune cell infiltration into tumors and inhibit the development of fibrosis.
IOA-289 is being developed as a first-in-class therapy for highly fibrotic cancer indications that overexpress ATX including pancreatic, liver, colorectal, ovarian and breast cancers.
A Phase 1b study of IOA-289 in combination with chemotherapy in metastatic pancreatic cancer started in Q4 2022.
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IOA-359
A safe TGF-β pathway inhibitor
Activation of the transforming growth factor beta (TGF-β) signaling pathway in tumors correlates with tumor aggressiveness, immune escape and resistance to therapy.
We are developing IOA-359, a novel small molecule TGF-β pathway inhibitor, in solid tumors. By characterising the resistance mechanisms that typically arise when targeting the TGF-β pathway alone, our data-driven precision oncology methods are being used to design novel combination treatments that promise to override tumor survival pathways.
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IOA-237
The immune modifying mAb with combination potential
CD73 is an enzyme that generates adenosine. Adenosine is a potent immunosuppressive factor that contributes to tumor growth and survival. We are developing a selective CD73 monoclonal antibody (IOA-237) that has superior potency on cell surface bound and soluble CD73 compared to clinical stage competitors.
IOA-237 is a fully human mAb that disrupts CD73-mediated adenosine production. It is cross-reactive to mouse and human CD73, enabling a rapid development pathway.
IOA-237 is in preclinical studies and is being developed as a monotherapy or in combination therapy with IOA-244 and IOA-289 in indications burdened by stroma and immune mediated resistance.
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Clinical trials
IOA-244-101 STUDY NCT04328844 (DIONE-01)
IOA-244-101 is a Phase 1a/1b, open label, dose escalation and expansion multicentre study of IOA-244, an orally bioavailable, selective PI3Kδ inhibitor in patients with metastatic malignancies. This is a two-part first-in-human study in approximately 60 participants, where Part A is a dose-escalation study with IOA-244 and Part B is a dose-expansion in parallel cohorts, including malignancies of Uveal Melanoma, Cutaneous Melanoma, Mesothelioma, Myelofibrosis, Non-Hodgkin Lymphoma and NSCLC.
The completed dose-escalation phase (Part A) evaluated the safety and tolerability of IOA-244 as monotherapy and documented preliminary signs of clinical efficacy benefit of IOA-244 as single agent in solid tumors.
The ongoing dose-expansion phase (Part B) evaluates the safety and tolerability of IOA-244 as monotherapy at the biological effective dose and in combination with standard of care therapies, such as pemetrexed/cisplatin and immune checkpoint inhibitors. Preliminary signs of clinical efficacy including overall response rate [ORR], progression-free survival [PFS], duration of response [DOR] and overall survival [OS] will be evaluated.
Additional study information can be found on clinicaltrials.gov
IOA-289-101 STUDY NCT05027568 (AION-01)IOA-289-101 was a randomized, double-blind, placebo-controlled, dose escalation study for the assessment of safety, tolerability, pharmacokinetics, and pharmacodynamics of single ascending doses (SAD) of IOA-289, an orally bioavailable, selective ATX inhibitor in healthy volunteers. The trial successfully completed in December 2021 with no negative safety or tolerability signals.
Additional study information can be found on clinicaltrials.gov
IOA-289-102 STUDY NCT05586516 (AION-02)The IOA-289-102 Phase 1 study is investigating the safety, tolerability and activity of IOA-289 in combination with standard chemotherapy at escalating doses in approximately 24 patients with metastatic pancreatic cancer. It started in Q4 2022.
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Publications
- "Non-Clinical Toxicology Evaluation of the Novel Non-ATP Competitive Oral PI3 Kinase Delta Inhibitor Roginolisib" Int. J. Tox. 2023 Vol 0(0) 1-20. View
- "Autotaxin inhibitor IOA-289 reduces gastrointestinal cancer progression in preclinical models" . J Exp Clin Cancer Res, 42:197, Aug 2023. View
- "Autotaxin inhibition with IOA-289 decreases breast tumor growth in mice whereas knockout of autotaxin in adipocytes does not" Cancers 2023, 15, 2937. View
- Poster presentation at EASL 2023 (21-24 June 2023) entitled "IOA-289, an orally available type IV autotaxin inhibitor, ameliorates steatosis and fibrosis in a progressive preclinical murine NASH model". View
- Poster presentation at EASL 2023 (21-24 June 2023) entitled "TLR-X (IOA-359) attenuates steatosis and fibrosis in a preclinical NASH model". View
- Poster presentation at EACR 2023 (12-15 June 2023) entitled "Patient derived tumor cells identify mechanistically rational combinations for the PI3Kδ inhibitor roginolisib in solid and hematologic malignancies". View
- Poster presentation at EHA 2023 (8-16 June 2023) entitled "Highly selective allosteric modulator of the phosphoinositide 3-kinase data (PI3Kδ) roginolisib (IOA-244) in a dose escalation study of patients with refractory/relapsed follicular lymphoma (FL)". View
- Poster presentation at ASCO 2023 (2-6 June 2023) entitled "First-in-human (FIH) phase I dose escalation study (Part A) of the first oral allosteric modulator of phosphoinositide 3-kinase inhibitor delta (PI3Kδ) roginolisib in patients with advanced cancer and dose confirmation in Uveal Melanoma (Part B)". View
- "Characterization and translational development of IOA-289, a novel autotaxin inhibitor for the treatment of solid tumors" IOTECH Volume 18, 100384, June 2023. View
- "IOA-244 is a Non–ATP-competitive, Highly Selective, Tolerable PI3K Delta Inhibitor That Targets Solid Tumors and Breaks Immune Tolerance" AACR Volume 3, Issue 4, April 2023. View
- Poster presentation at ESMO rare diseases (20-22 Mar 2023) entitled "Long-term safety evaluation of roginolisib (formerly IOA-244), a highly selective phosphoinositide 3-kinase inhibitor delta (PI3Kδ), in a Phase I First in Human (FIH) study". View
- Poster presentation at ESMO TAT 2023 (6-9 Mar 2023) entitled "Characterization of the non-ATP competitive PI3Kδ inhibitor IOA-244 in lymphoma models: from single agent to combination screen and clinical investigation". View
- Poster presentation at ESMO IO 2022 (7-9 Dec 2022) entitled "Safety and Clinical Activity of IOA-244, a Highly Selective Phosphoinositide 3-kinase Inhibitor delta (PI3Kδ), in a Phase I First in Human (FIH) Study (Study Part A)". View
- Poster presentation at SITC 2022 (8-12 Nov 2022) entitled "IOA-244 is a non-ATP-competitive, highly-selective, tolerable phosphoinositide-3-linase delta inhibitor that directly targets solid tumors and breaks immune tolerance.”. View
- Poster presentation at ENA 2022 (26-28 Oct 2022) entitled "Non-ATP competitive inhibition of PI3δ with IOA-244 shows anti-lymphoma activity". View
- Poster presentation at EHA 2022 (9-12 Jun 2022) entitled "SAFETY, PHARMACOKINETIC (PK), PHARMACODYNAMIC (PD) AND ACTIVITY OF THE HIGHLY SELECTIVE PHOSPHOINOSITIDE 3-KINASE INHIBITOR DELTA (PI3Kd) INHIBITOR IOA-244 IN PATIENTS WITH FOLLICULAR LYMPHOMA (FL)". View
- Poster presentation at ASCO 2022 (3-7 June 2022) entitled "First-in-human (FIH) phase I study of the highly selective phosphoinositide 3-kinase inhibitor delta (PI3Kδ) inhibitor IOA-244 in patients with advanced cancer: Safety, activity, pharmacokinetic (PK), pharmacodynamic (PD) resultsFirst-in-human (FIH) phase I study of the highly selective phosphoinositide 3-kinase inhibitor delta (PI3Kδ) inhibitor IOA-244 in patients with advanced cancer: Safety, activity, pharmacokinetic (PK), pharmacodynamic (PD) results". View
- Press coverage: BioWorld 26 May 2022; "iOnctura's IOA-244 to revive PI3K delta inhibitors?". View
- Poster presentation at the Cambridge Pancreatic Cancer Symposium (9-10 May 2022) entitled "The Role of CAF in Promoting Cancer Cell Proliferation". View
- Poster presentation at AACR 2022 (8-13 April 2022) entitled "iOnctura data at AACR demonstrates unique mechanism of action for clinical stage autotaxin inhibitor IOA-289". View
- Poster presentation at ESMO-IO 2021 (8-11 December 2021) entitled “Translating a novel autotaxin inhibitor from preclinical proof of concept in pancreatic cancer to a biomarker response in human subjects”. View
- Poster presentation at ESMO-IO 2021 (8-11 December 2021) entitled “First-in-human (FIH), pharmacokinetic (PK) and pharmacodynamic (PD) study of IOA-244, a phosphoinositide 3-kinase delta (PI3Kδ) inhibitor, in patients with advanced metastatic mesothelioma, uveal and cutaneous melanoma”. View
- "Autotaxin impedes anti-tumor immunity by suppressing chemotaxis and tumor infiltration of CD8+ T cells". Cell Reports 37, 110013, November 16, 2021. View
- Poster presentation at SITC 2021 (10-14 November 2021) entitled “A novel autotaxin inhibitor, IOA-289, modulates tumor, immune and stromal cell function and has monotherapy activity in fibrotic cancer models”. View
- Poster presentation at ATS 2021 (14-19 May 2021) entitled “IOA-289 - a Novel, Clinical Stage Autotaxin Inhibitor for the Treatment of Fibrotic Lung Disease”. View
- Poster presentation at AACR 2021 (10-15 April 2021) entitled “IOA-237 - A potent anti-CD73 mAb demonstrates monotherapeutic and combination efficacy in solid tumour models”. View
- Poster presentation at ICCS 2020 (27-31 July 2020) entitled “The modulatory effects of a PI3Kδ specific small molecule inhibitor (IOA-244) on basophil degranulation measured by flow cytometry”. View
- Poster presentation at AACR 2020 Virtual Meeting II (22-24 June 2020) entitled “Characterisation of novel CD73 antibodies as a therapeutic method of adenosine regulation”. View
- Poster presentation at AACR 2020 Virtual Meeting II (22-24 June 2020) entitled “A novel, highly selective PI3Kδ inhibitor for the treatment of solid malignancies that express high levels of target protein as assessed by immunohistochemistry”. View
- Poster Presentation at MAP 2019 (7-9 November 2019, London, UK) entitled “Preclinical development of a novel, highly selective PI3Kδ inhibitor, IOA-244 for the treatment of solid malignancies”. View
- Poster Presentation at FASEB 2019 (July 7-12, 2019, Lisbon, Portugal) entitled “Autotaxin as an emerging target in immunotherapy”. View
- Poster presentation at ECI 2018 (2-5 September 2018, Amsterdam NL) entitled “Characterisation of novel CD73 antibodies as a therapeutic method of adenosine regulation”. View