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NCI Experimental Therapeutics (NExT) Program Pipeline

The NExT Program supports oncology projects for novel therapeutic agents from target validation through Phase II clinical trials. The most common supported agent types are small molecules and biologics. However, NExT does support a number of imaging, radiotherapeutic, and nanotechnology therapeutic-based projects.

The different stages of drug discovery and development from left to right: target validation, exploratory screen development, screen hit to lead, lead development, candidate selection preclinical development and phase 1 / 2 clinical trials

NExT Discovery and Development Stages

Small Molecule Discovery

At this time, there are no projects in the Target Validation or Lead Development stages.

The current NExT Discovery portfolio spans three stage gates, from early stage with Exploratory Screening projects, three mid-stage Screening/Hit-to-Lead projects, and one project at the Candidate Selection stage. 

**The portfolio is routinely updated as more projects are accepted/resource-allocated or closed within the program.**

Exploratory Screen Development

ApplicantInstituteProposal Title
Pattenden, SamanthaUniversity of North CarolinaDevelopment of a High Throughput Assay Based on Chromatin Accessibility
Campbell, JudithCalifornia Institute of TechnologyScreening for inhibitors of DNA2 protein, a novel cancer treatment target.

Screening/Hit-to-Lead

ApplicantInstituteProposal Title
Fesik, StephenVanderbilt UniversityDiscovery of Small Molecule, Direct inhibitors of Oncogenic Wnt Signaling
Fesik, Stephen Vanderbilt UniversityDirect Inhibitors of MYC and its Binding Partners
Stauffer, ShaunCleveland Clinic FoundationDiscovery of Small Molecule Inhibitors of Oncogenic Hippo Signaling Pathway

Candidate Selection

ApplicantInstituteProposal Title
Fesik, StephenVanderbilt UniversityDiscovery of small molecule inhibitors of WDR5

Small Molecule Pre-Clinical Development

ApplicantInstituteTitleSector
Patrick GroharChildren's Hospital of PhiladelphiaDevelopment of AIT-102 (EC-8042) as a Targeted therapy for Ewing Sarcoma and Rhabdoid TumorAcademic
Ernesto GuccioneMt. SinaiIND-enabling studies for WNTinib, a novel selective therapeutic for CTNNB1 mutant hepatocellular carcinomaAcademic
Linda VahdatDartmouth UniversityPhase 2 randomized, placebo-controlled study of ammonium tetrathiomolybdate in TNBCAcademic
Tin Tin SuSuviCaDeveloping a small molecule inhibitor of eEF2Biotech
Judith LeopoldMekanistic TherapeuticsMTX-531, a first-in-class dual inhibitor of PI3K and EGFR for targeting solid tumorsBiotech
Brian LeighTracon PharmaceuticalsDevelopment of TRC102 as a Novel Inhibitor of Base Excision RepairBiotech
Jing WuNCI Center for Cancer Research[1-13C]-a-ketoglutarate as an Imaging Probe in IDH-mutant GliomasGovernment
Mark SutoSouthern Research InstituteDNA Methyltransferase Inhibitors Td-Cyd and Aza-TdCNon-Profit
Alan D'AndreaDana Farber Cancer InstitutePolymerase Theta Inhibitor Overcomes PARP Inhibitor ResistanceNon-Profit
Douglas FallerTakeda PharmaceuticalsTAK-243, a small molecule UAE inhibitorPharma

Biologics Pre-Clinical Development

ApplicantInstituteTitleSector
Yuesheng ZhangVirginia Commonwealth University/Roswell ParkPEPDG278D for Treatment of HER2-positive Breast CancerAcademic
Crystal MackallStanford UniversityCAR T Cells targeting Glypican-2 (GPC2) for children and young adults with recurrent and refractory neuroblastoma and medulloblastomaAcademic
Sidi ChenYale UniversityTranslating a metabolic enhancer for CAR-T towards IND-enabling stageAcademic
Tony GiordanoAbcon Therapeutics, Inc.ATX101 for Treating T-cell LymphomaBiotech
Kazusa IshiiNCI Center for Cancer ResearchClinical-Grade Vector Manufacturing for CD22 TCR-T Cell TherapyGovernment
Donald KufeDana Farber Cancer InstituteTargeting MUC1-C with an ADC for Treatment of Aggressive Recalcitrant CancersNon-Profit
Jan SchnitzerProteogenomics Research Institute for Systems MedicineDeveloping hAnnA1-based immunoconjugates for cancer detection and treatmentNon-Profit
Kate RittenhouseFor-RobinhJAA-F11, a Humanized Anti-Thomsen Friedenreich Antibody for Cancer TherapyNon-Profit
John LeeFred Hutchinson Cancer Research CenterSTEAP1 chimeric antigen receptor T cell therapy for prostate cancerNon-Profit

Phase I/II Clinical Trials

All NExT Clinical stage projects that enter the program are operated and managed through NCI's Cancer Therapy Evaluation Program (CTEP) Investigational Drug Branch (IDB) through a few different mechanisms.  Negotiation of a Collaborative Research and Development Agreement (CRADA) is the first step in the onboarding of any NExT Clinical stage project.  CTEP maintains a list of agents for use in combination and other studies that can be utilized.  Please click each link for a list of active CTEP CRADAs and Agents.

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