NCT04826393
- Objective
- Not yet disclosed
- Design
- Not yet disclosed
- Participants
- Not yet disclosed
- Primary endpoint
- Not yet disclosed
- Results
- Results not yet reported; Phase 1 trial completed October 22, 2025
pharma · Diabetic Macular Edema · Hypercholesterolemia · REGN
Regeneron UK Limited
Regeneron UK is a pharma organization headquartered in Tarrytown, USA. It trades on NYSE under ticker REGN. Primary therapeutic focus areas include Diabetic Macular Edema, Hypercholesterolemia, Asthma, Macular Degenerati
Phase 1 · small molecule · Glioblastoma
ASP8374 is a small-molecule therapeutic candidate developed by Regeneron UK Limited for the treatment of glioblastoma, a highly aggressive primary brain malignancy. The program, internally designated 21-054, completed Phase 1 clinical evaluation as of October 22, 2025. Glioblastoma remains one of oncology's most challe
Internal code 21-054
ASP8374 is a small-molecule therapeutic candidate developed by Regeneron UK Limited for the treatment of glioblastoma, a highly aggressive primary brain malignancy. The program, internally designated 21-054, completed Phase 1 clinical evaluation as of October 22, 2025. Glioblastoma remains one of oncology's most challenging indications, characterized by poor prognosis and limited treatment options despite standard-of-care multimodal therapy. The Phase 1 completion represents a key developmental milestone, though the specific mechanism of action, molecular target, and detailed safety/efficacy data from the trial remain not yet disclosed. Regeneron's strategy appears focused on advancing a novel small-molecule approach to address unmet medical need in this indication. The competitive landscape for glioblastoma includes multiple Phase 3 programs (cediranib, edotecarin, enzastaurin, and immunotherapeutic approaches) as well as approved supportive care modalities. ASP8374's progression to subsequent development phases will depend on Phase 1 data readout and regulatory guidance. The program's clinical significance lies in the urgent need for improved therapeutic options in glioblastoma, where median overall survival remains poor despite aggressive standard treatment.
Glioblastoma (WHO Grade IV) represents one of oncology's most intractable challenges, with median overall survival of approximately 12-15 months even with aggressive multimodal therapy (surgery, radiation, temozolomide). The disease affects approximately 10,000-15,000 patients annually in the United States, with similar incidence in Europe. Current standard-of-care has remained largely unchanged for over a decade, creating substantial unmet medical need for novel therapeutic approaches with improved efficacy and tolerability profiles. The blood-brain barrier presents a significant pharmacological challenge, limiting the penetration of many systemically administered therapeutics to the central nervous system.
ASP8374's development in this indication reflects the pharmaceutical industry's recognition of glioblastoma as a high-priority therapeutic area. A successful small-molecule approach could offer advantages over immunotherapeutic and cell-based approaches in terms of manufacturing scalability, patient accessibility, and potentially improved CNS penetration. The competitive landscape includes multiple Phase 3 programs (cediranib from AstraZeneca, edotecarin from Pfizer, enzastaurin from Eli Lilly, and dendritic cell immunotherapy from Northwest Biotherapeutics), indicating substantial industry investment in this indication. However, the Phase 1 completion of ASP8374 positions Regeneron to potentially differentiate through a novel mechanism or improved safety/efficacy profile. Commercial significance is substantial given the high unmet need, limited treatment options, and willingness of patients and providers to adopt new therapies with demonstrated clinical benefit in this devastating disease.
ASP8374 is a small-molecule therapeutic candidate in development for glioblastoma. The specific mechanism of action, molecular target, and route of administration have not yet been disclosed. As a small-molecule modality, the program likely targets an intracellular or cell-surface pathway relevant to glioblastoma pathobiology, though the precise target remains proprietary. Small-molecule approaches in glioblastoma have historically focused on kinase inhibition (including receptor tyrosine kinases, serine/threonine kinases, and checkpoint kinases), DNA damage response pathways, or metabolic vulnerabilities.
Also known as: GBM, GBM (glioblastoma), WHO grade IV glioma, glioblastoma (disease), glioblastoma multiforme, glioblastoma multiforme (disease)
Prevalence: Point prevalence: 1-9 / 100 000 (Worldwide) — source: Orphanet, validated.
The most malignant astrocytic tumor (WHO grade IV). It is composed of poorly differentiated neoplastic astrocytes and it is characterized by the presence of cellular polymorphism, nuclear atypia, brisk mitotic activity, vascular thrombosis, microvascular proliferation and necrosis. It typically affects adults and is preferentially located in the cerebral hemispheres. It may develop from diffuse astrocytoma WHO grade II or anaplastic astrocytoma (secondary glioblastoma, IDH-mutant), but more frequently, it manifests after a short clinical history de novo, without evidence of a less malignant precursor lesion (primary glioblastoma, IDH- wildtype). (Adapted from WHO)
ClinicalTrials.gov lists 877 registered studies for Glioblastoma (AACT aggregate).
Phase breakdown: NA (252), PHASE2 (223), PHASE1 (206), PHASE1/PHASE2 (86), EARLY_PHASE1 (49), PHASE3 (45), PHASE2/PHASE3 (11), PHASE4 (5)
Common investigational therapies:
Disease data sourced from MONDO Disease Ontology (MONDO:0018177), Orphanet — glioblastoma, NCT00001148, NCT00001171, NCT00009035, NCT00028158, NCT00029783, AACT (ClinicalTrials.gov aggregate), ClinicalTrials.gov, Open Targets Platform (CC BY 4.0).
Phase 1 Completion
ASP8374 Phase 1 trial completed in glioblastoma; detailed results and next development steps not yet disclosed.
The glioblastoma therapeutic landscape includes multiple competing approaches across different development stages. Approved modalities include stereotactic radiation therapy (GT Biopharma) and GTM-103 (GT Biopharma), representing established standard-of-care or supportive care options. The Phase 3 pipeline is notably robust, with several small-molecule kinase inhibitors and immunotherapeutic approaches in advanced development: cediranib (AstraZeneca; VEGFR inhibitor), edotecarin (Pfizer; topoisomerase I inhibitor), enzastaurin (Eli Lilly; PKC inhibitor), and multiple programs from other sponsors including dendritic cell immunotherapy (Northwest Biotherapeutics), 131I-TLX-101-003 (Lacuna Pharma), MIN-003-1806 (Lacuna Pharma), temozolomide combination studies (Adaptive Biotechnologies), EF-41/KEYNOTE D58 (Novo Nordisk), and lomustine (Ningbo Cancer Hospital). The competitive environment reflects the high unmet need and multiple attempted mechanistic approaches to overcome glioblastoma's inherent resistance to therapy. ASP8374's Phase 1 completion positions Regeneron to potentially advance to Phase 2 evaluation, though differentiation will depend on emerging efficacy and safety data relative to these competing programs. The presence of multiple Phase 3 programs suggests that regulatory pathways and clinical trial designs for glioblastoma are increasingly well-defined, potentially accelerating ASP8374's development timeline if Phase 1 data support advancement.
| Therapy | Company | Mechanism | Status |
|---|---|---|---|
| IRON OXIDE (E172) | Disc Medicine | small_molecule | approved |
| Stereotactic Radiation Therapy | GT Biopharma | other | approved |
| GTM-103 | GT Biopharma | other | approved |
| Dendritic cell immunotherapy | NORTHWEST BIOTHERAPEUTICS INC | small_molecule | phase_3 |
| 131I-TLX-101-003 | Lacuna Pharma Pty Ltd | small_molecule | phase_3 |
| Temozolomide | Adaptive Biotechnologies Corp | small_molecule | phase_3 |
| enzastaurin | Eli Lilly and Company | small_molecule | phase_3 |
| EF-41/KEYNOTE D58 | Novo Nordisk A/S | small_molecule | phase_3 |
| MIN-003-1806 | Lacuna Pharma Pty Ltd | small_molecule | phase_3 |
| Cediranib | AstraZeneca | small_molecule | phase_3 |
| Edotecarin | Pfizer | small_molecule | phase_3 |
| LOMUSTINE | Ningbo Cancer Hospital | small_molecule | phase_3 |
| CARMUSTINE | — | Glutathione reductase inhibitor | Approved |
| BEVACIZUMAB | — | Vascular endothelial growth factor A inhibitor | Approved |
| TRABEDERSEN | — | Transforming growth factor beta-2 mRNA antisense inhibitor | Phase 3 |
| TOFACITINIB | — | Janus Kinase (JAK) inhibitor | Phase 3 |
| RINDOPEPIMUT | — | Epidermal growth factor receptor erbB1 vaccine antigen | Phase 3 |
| OMBIPEPIMUT-S | — | Wilms tumor protein vaccine antigen | Phase 3 |
| NIVOLUMAB | — | Programmed cell death protein 1 inhibitor | Phase 3 |
| NIMOTUZUMAB | — | Epidermal growth factor receptor erbB1 inhibitor | Phase 3 |
Additional associated therapies sourced from Open Targets Platform (CC0), linked to NovaPharmaNews drug profiles where matched.
Regulatory status for ASP8374 across major jurisdictions is not yet disclosed. The program completed Phase 1 as of October 22, 2025, but FDA, EMA, PMDA (Japan), and NMPA (China) approval status, breakthrough designation, orphan drug status, or other regulatory designations have not been publicly announced. Glioblastoma is recognized as an area of high unmet medical need by regulatory agencies globally, and novel therapeutics demonstrating clinical benefit may be eligible for expedited development pathways (FDA Breakthrough Therapy Designation, Fast Track, or Priority Review). The specific regulatory strategy for ASP8374 remains not yet disclosed.
ASP8374 is a small-molecule therapeutic candidate in development for the treatment of glioblastoma, a highly aggressive primary brain tumor. The program completed Phase 1 clinical evaluation as of October 22, 2025.
No, ASP8374 is not approved. The program is in early-stage development, having completed Phase 1 evaluation. Regulatory approval status across FDA, EMA, PMDA, and NMPA has not been disclosed.
The specific mechanism of action for ASP8374 has not yet been disclosed by Regeneron. As a small-molecule therapeutic, it likely targets a molecular pathway relevant to glioblastoma biology, but the precise target and mechanism remain proprietary.
ASP8374 is developed by Regeneron UK Limited, a subsidiary of Regeneron Pharmaceuticals. No manufacturing partners or licensing arrangements have been disclosed.
ASP8374 was evaluated in Phase 1 trial NCT04826393, which completed as of October 22, 2025. Detailed trial results, design, participant numbers, and endpoints have not yet been publicly disclosed.
ASP8374 has completed Phase 1 clinical evaluation as of October 22, 2025. The next development phase and timeline for advancement have not been disclosed.
Glioblastoma is a WHO Grade IV primary brain tumor characterized by rapid growth, aggressive behavior, and poor prognosis. It is difficult to treat due to the blood-brain barrier limiting drug penetration, tumor heterogeneity, and inherent resistance to standard therapies including surgery, radiation, and chemotherapy.
Despite aggressive multimodal therapy, median overall survival in glioblastoma remains approximately 12-15 months. Current standard-of-care has remained largely unchanged for over a decade, creating substantial need for novel therapeutic approaches with improved efficacy and tolerability.
Competing approaches include Phase 3 programs such as cediranib (AstraZeneca), edotecarin (Pfizer), enzastaurin (Eli Lilly), dendritic cell immunotherapy (Northwest Biotherapeutics), and multiple other small-molecule and immunotherapeutic approaches. Approved supportive care modalities include stereotactic radiation therapy and GTM-103.
The molecular target of ASP8374 has not been disclosed. Regeneron has not publicly revealed which cellular pathway or protein ASP8374 is designed to inhibit or modulate.
The route of administration (oral, intravenous, intrathecal, etc.) for ASP8374 has not been disclosed. This information will likely be revealed when Phase 1 data are published or presented.
Orphan drug designation status for ASP8374 has not been disclosed. Glioblastoma qualifies as an orphan indication in some jurisdictions, and ASP8374 may be eligible for such designation, but this has not been publicly announced.
Patent information for ASP8374 has not been disclosed. Regeneron typically protects its therapeutic candidates through patent filings, but specific patent numbers, expiration dates, and composition-of-matter or method-of-use claims are not yet public.
No approval timeline has been disclosed. Based on typical development timelines, Phase 2 initiation might occur within 12-24 months of Phase 1 completion, with potential Phase 3 initiation 2-3 years thereafter, but this is speculative.
No development partner or licensing arrangement for ASP8374 has been disclosed. Regeneron appears to be developing the program independently.
Projected peak sales figures for ASP8374 have not been disclosed by Regeneron or analyst consensus. Peak sales potential will depend on efficacy, safety, market adoption, and competitive positioning relative to other glioblastoma therapies.
ASP8374 → Drug → Target → Indication → Company → Trials → Competitors
Strategic Implications: Regeneron's advancement of ASP8374 into Phase 1 for glioblastoma reflects the company's commitment to CNS oncology and small-molecule therapeutic development. The Phase 1 completion milestone suggests that preliminary safety and tolerability data have supported continued development, though the absence of disclosed efficacy signals or mechanism details limits assessment of competitive positioning. Regeneron's UK-based subsidiary structure for this program may reflect geographic development strategy or regulatory considerations.
Competitive Positioning: ASP8374 enters a competitive Phase 3 landscape with multiple mechanistically distinct approaches. The program's differentiation will hinge on emerging Phase 2 efficacy data, CNS penetration characteristics, and tolerability profile relative to cediranib, edotecarin, and enzastaurin. The robust Phase 3 pipeline suggests that regulatory approval for at least one glioblastoma therapeutic is likely within 2-4 years, potentially establishing new standard-of-care combinations or monotherapy options. ASP8374's timeline to Phase 2 initiation and subsequent advancement will be critical to competitive positioning.
Future Catalysts: Key near-term catalysts include Phase 1 data disclosure (mechanism, target, safety, preliminary efficacy), Phase 2 initiation announcement, regulatory designation decisions (Breakthrough Therapy, Orphan Drug), and interim Phase 2 efficacy readouts. The program's advancement will likely be guided by emerging Phase 3 data from competing programs, which may inform optimal patient selection, dosing strategies, or combination approaches for ASP8374.
Expected Milestones: Typical development timeline would anticipate Phase 2 initiation within 12-24 months of Phase 1 completion, with interim efficacy data readouts 18-36 months thereafter. Regulatory interactions regarding Phase 2 trial design and endpoints are not yet disclosed. The competitive landscape suggests that Phase 3 initiation decisions will be informed by Phase 2 efficacy signals and the emerging clinical benefit demonstrated by competing programs.
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Intelligence compiled from public regulatory and clinical sources (FDA, EMA, ClinicalTrials.gov and company disclosures). Figures may be editorial or analyst estimates; verify against primary sources before relying on them.