Blocking cancer exosomes to help immunotherapy work better

Evaluating and Optimizing Novel nSMase2 Inhibitors in the Treatment of Cancers

['FUNDING_R01'] · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · NIH-11115683

New oral drugs that block an enzyme called nSMase2 aim to help adults whose cancers don't respond to immune checkpoint therapy.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorUNIVERSITY OF CALIFORNIA, SAN FRANCISCO (nih funded)
Locations1 site (SAN FRANCISCO, UNITED STATES)
Trial IDNIH-11115683 on ClinicalTrials.gov

What this research studies

Researchers are improving a first-in-class compound (PDDC) that blocks nSMase2, a protein cancer cells use to produce exosomes that blunt anti-tumor immunity. They will use medicinal chemistry to make compounds more potent, soluble, and selective, then measure drug levels and protein binding in laboratory tests. Promising leads will be tested in multiple animal tumor models together with immune checkpoint inhibitors to see if they restore immune responses and stop tumor growth. The goal is to select a candidate with good safety and exposure to advance toward early human trials.

Who could benefit from this research

Good fit: Adults with solid tumors that have not responded to immune checkpoint inhibitors would be the most likely future candidates for this approach.

Not a fit: Children, patients whose cancers are driven by different resistance mechanisms, or those whose disease is already controlled by other effective therapies are unlikely to benefit from this specific approach.

Why it matters

Potential benefit: If successful, these drugs could help more patients' tumors respond to immunotherapy and shrink cancers that previously did not respond.

How similar studies have performed: Genetic nSMase2 loss and the early compound PDDC showed encouraging results in mouse models, but no nSMase2 inhibitor has yet reached human trials.

Where this research is happening

SAN FRANCISCO, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.