Synonyms: BBI-608 | BBI608
Compound class:
Synthetic organic
Comment: Napabucasin (BBI608) is a small molecule naphthoquinone that blocks cancer stemness properties [3,6], It does this by targeting the signal transducer and activator of transcription 3 (STAT3) pathway [4]. Napabucasin is orally administered, and is bioactivated by the intracellular antioxidant NAD(P)H:quinone oxidoreductase 1 (NQO1), to produce reactive oxygen species (ROS), principally NO. The high level of NO generation causes cell death, and positively correlates with the compound's anti-proliferative activity in cancer cells [1].
COVID-19: Napabucasin has been proposed as a potential repurposing candidate for the treatment of COVID-19, based on a virtual screening analysis of the interaction of existing approved and experimental compounds with the SARS-CoV-2 main protease (Mpro) [2]. Extensive in vitro and in vivo studies would be required to validate napabucasin's antiviral activity. |
|
No information available. |
Summary of Clinical Use ![]() |
Napabucasin has been advanced to clinical trials to determine its anti-tumour activity, as monotherapy and in combination with conventional therapeutics, |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT01830621 | BBI608 and Best Supportive Care vs Placebo and Best Supportive Care in Pretreated Advanced Colorectal Carcinoma | Phase 3 Interventional | Canadian Cancer Trials Group | This study was terminated for futility in 2014. It was determined that overall survival did not differ significantly between the napabucasin and placebo groups. | 5 |
NCT02851004 | Special Combination of BBI608 and Pembrolizumab | Phase 1/Phase 2 Interventional | National Cancer Center Hospital East | 5 | |
NCT01325441 | A Study of BBI608 Administered With Paclitaxel in Adult Patients With Advanced Malignancies | Phase 1/Phase 2 Interventional | Sumitomo Dainippon Pharma Oncology, Inc | 5 |