Development of treatment
for patients

Vactosertib

MOA of Vactosertib

Vactosertib can be combined with all existing cancer treatment

TGF-β1 acts on stromal cells around cancerous tissues to produce large quantities of extracellular matrix, creating a barrier surrounding the tumor

- prevent anticancer drugs and immune cells from attacking cancer tissue

Vactosertib, a TGF-β1 signaling inhibitor, prevents the formation of matrix walls around cancerous tissues

- Various cancer therapies help attack cancer cells

Without Vactosertib
ICI, Chemo mono

Impossible to penetrate tumor stroma, Low responses to anticancer drugs,
Development of drug resistance

With Vactosertib
Anticancer drug in combination

Inhibit Cancer Growth

Ongoing Trials with Leading Combination Agents

Clinical trials will demonstrate the combination potential
with existing anticancer therapies to maximize Vactosertib’s commercial value

‘Clinicaltrial.gov’ Status – SIT for Vactosertib

‘Clinicaltrial.gov’ Status – SIT for Vactosertib
No. Protocol No. Indication Phase Combination NCT No. Study title Actual Status
1 MP-001
(MP-VAC-101)
Solid cancer 1 NA NCT02160106 First-in-Human Dose-Escalation Study of TEW-7197 Monotherapy in Subjects with Advanced-Stage Solid Tumors Completed
2 MP-GC-01
(MP-VAC-102)
GC 1b/2a Paclitaxel NCT03698825 An Open-label, Multi center Phase ib/2a study of TEW-7197 (Vactosertib) plus Weekly Paclitaxel as Second-line Treatment for Metastatic Gastric Adenocarcinoma Completed
3 MP-VAC-105 Food effect 1 NA NCT03704675 A randomized, open, cross-over design clinical trial to investigate the safety, tolerability, and pharmacokinetics of TEW-7197 after a single oral administration of TEW-7197 200mg under fed or fasting conditions in healthy male subjects Completed
4 MP-MDS-01 MDS 1/2 NA NCT03074006 Phase1/2 Study of TEW-7197 Monotherapy in Patients with Low or Intermediate Myelodysplastic Syndromes (MDS) Completed
5 MP-VAC-202 Urothelial 2 Durvalumab NCT04064190 A Phase 2 Study of TGF-b inhibitions (Vactosertin) with Anti-PD-L1 (Durvalumab) in Patients with Advanced or Recurrent Urothelial Carcinoma Failing to Achieve Response with Checkpoint Inhibition Withdrawn
6 MP-VAC-203 NSCLC 1b/2a Durvalumab NCT03732274 Phase 1b/2a, Open Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Vactosertib in Combination With Durvalumab in Patients With Advanced Non Small Cell Lung Cancer Who Progressed Following Platinum-based Chemotherapy Active, not recruiting
7 MP-VAC-204 mCRC 1b/2a Pembrolizumab NCT03724851 A Phase 1b/2a Study to Assess the Safety, Tolerability, PK, and Antitumor Activity of Vactosertib in Combination With Pembrolizumab in Patients With Metastatic Colorectal or Gastric Gastroesophageal Junction Adenocarcinoma Active, not recruiting
8 MP-VAC-205 NSCLC 2 Pembrolizumab NCT04515979 A Phase 2, Open-label, Multicenter Study to Assess the Efficacy and Safety of Vactosertib in Combination With Pembrolizumab as a First-line Treatment for Subjects With PD-L1 Positive Advanced Non-Small Cell Lung Cancer Active, not recruiting
9 MP-VAC-206 Desmoid 2 Imatinib NCT06219733 A Phase II, Open-Label, Randomized, Controlled Study to Evaluate Efficacy and Safety of Vactosertib and Imatinib Combination in Patients With Advanced Desmoid Tumor (Aggressive Fibromatosis) Compared With Imatinib Monotherapy Withdrawn
10 MP-VAC-209 Osteosarcoma 1b/2a NA NCT05588648 A Phase I/II, Open-label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Vactosertib as a Single Agent in Adolescents and Adults With Recurrent, Refractory or Progressive Osteosarcoma Recruiting

‘Clinicaltrial.gov’ Status – IIT for Vactosertib

‘Clinicaltrial.gov’ Status – IIT for Vactosertib
No. Protocol No. Indication Phase Combination NCT No. Study title Actual Status
1 IN-VAC-101 Multiple Myeloma 1 Pomalidomide NCT03143985 A Phase 1b Trial of Vactosertib in Combination With Pomalidomide (POM) in Relapsed or Relapsed and Refractory Multiple Myeloma (RRMM) Completed
2 IN-VAC-103 PDAC 1 Nal-IRI/​FL NCT04258072 Phase 1b Study of Vactosertib (TEW-7197) in Combination With Nal-IRI/FL in Patients With Metastatic Pancreatic Ductal Adenocarcinoma Who Have Failed First-Line Gemcitabine/Nab-Paclitaxel Recruiting
3 IN-VAC-104 CRC & AML 1 NK Cell + IL-2 NCT05400122 A Phase Ib Study to Evaluate Safety and Persistence of ex Vivo Expanded Universal Donor NK Cells in Combination With IL-2 and TGFbeta Receptor I Inhibitor Vactosertib in Patients With Locally Advanced/Metastatic Colorectal Cancer and Relapsed/Refractory Hematologic Malignancies Recruiting
4 IN-VAC-201 Desmoid 1/2 Imatinib NCT03802084 A Phase 1b/2a, Open-label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Vactosertib in Combination With Imatinib in Patients With Advanced Desmoid Tumor (Aggressive Fibromatosis) Completed
5 IN-VAC-202 MPNs 2 NA NCT04103645 A 2-tiered, Phase 2, Rule-based, Intra-patient Dose Escalation Study to Investigate Safety and Feasibility of Vactosertib (TEW-7197) in the Treatment of Anemic Patients With Philadelphia Chromosome-negative MPNs (Ph-neg MPNs) Terminated
6 IN-VAC-203 Gastric 2 Paclitaxel+
Ramucirumab
NCT04656002 As a Second-line Treatment for Metastatic Gastric Adenocarcinoma Patients, the Safety and Effective of Vactosertib Administration in Combination With Paclitaxel+Ramucirumab is Evaluated, and a Phase 2a Clinical Trial to Biomarkers Recruiting
7 IN-VAC-205 CRC,
resectable Hepatic Metastases
2 NA NCT03844750 A Phase II Study of Preoperative Immunotherapy in Patients With Colorectal Cancer and Resectable Hepatic Metastases Recruiting
8 IN-VAC-207 Gastric 2 Durvalumab NCT04893252 Vactosertib in Combination With Durvalumab (MEDI4736) in Patients With Gastric Cancer Recruiting
9 IN-VAC-208 Mucosal melanoma 2 Pembrolizumab NCT05436990 A Phase II Multicenter Study to Assess the Antitumor Activity of Vactosertib in Combination With Pembrolizumab in Acral and Mucosal Melanoma Patients Progressed From Prior Immune Check Point Inhibitor Terminated
10 IN-VAC-209 Esophageal Adenocarcinoma 2 NA NCT06044311 A Window of Opportunity Trial Evaluating the Oral TGF-beta Receptor I Inhibitor Vactosertib in Patients Undergoing Standard of Care Chemoradiotherapy for Locally Advanced Esophageal Adenocarcinoma Recruiting

    ‘Clinicaltrial.gov’ Status – SIT for Vactosertib

  • MP-001 (MP-VAC-101)

    IndicationSolid cancer

    Phase1

    CombinationNA

    NCT No.NCT02160106

    Study titleFirst-in-Human Dose-Escalation Study of TEW-7197 Monotherapy in Subjects with Advanced-Stage Solid Tumors

    Actual StatusCompleted

  • MP-GC-01 (MP-VAC-102)

    IndicationGC

    Phase1b/2a

    CombinationPaclitaxel

    NCT No.NCT03698825

    Study titleAn Open-label, Multi center Phase ib/2a study of TEW-7197 (Vactosertib) plus Weekly Paclitaxel as Second-line Treatment for Metastatic Gastric Adenocarcinoma

    Actual StatusCompleted

  • MP-VAC-105

    IndicationFood effect

    Phase1

    CombinationNA

    NCT No.NCT03704675

    Study titleA randomized, open, cross-over design clinical trial to investigate the safety, tolerability, and pharmacokinetics of TEW-7197 after a single oral administration of TEW-7197 200mg under fed or fasting conditions in healthy male subjects

    Actual StatusCompleted

  • MP-MDS-01

    IndicationMDS

    Phase1/2

    CombinationNA

    NCT No.NCT03074006

    Study titlePhase1/2 Study of TEW-7197 Monotherapy in Patients with Low or Intermediate Myelodysplastic Syndromes (MDS)

    Actual StatusCompleted

  • MP-VAC-202

    IndicationUrothelial

    Phase2

    CombinationDurvalumab

    NCT No.NCT04064190

    Study titleA Phase 2 Study of TGF-b inhibitions (Vactosertin) with Anti-PD-L1 (Durvalumab) in Patients with Advanced or Recurrent Urothelial Carcinoma Failing to Achieve Response with Checkpoint Inhibition

    Actual StatusWithdrawn

  • MP-VAC-203

    IndicationNSCLC

    Phase1b/2a

    CombinationDurvalumab

    NCT No.NCT03732274

    Study titlePhase 1b/2a, Open Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Vactosertib in Combination With Durvalumab in Patients With Advanced Non Small Cell Lung Cancer Who Progressed Following Platinum-based Chemotherapy

    Actual StatusActive, not recruiting

  • MP-VAC-204

    IndicationmCRC

    Phase1b/2a

    CombinationPembrolizumab

    NCT No.NCT03724851

    Study titleA Phase 2, Open-label, Multicenter Study to Assess the Efficacy and Safety of Vactosertib in Combination With Pembrolizumab as a First-line Treatment for Subjects With PD-L1 Positive Advanced Non-Small Cell Lung Cancer

    Actual StatusActive, not recruiting

  • MP-VAC-205

    IndicationNSCLC

    Phase2

    CombinationPembrolizumab

    NCT No.NCT04515979

    Study titleA Phase 2, Open-label, Multicenter Study to Assess the Efficacy and Safety of Vactosertib in Combination With Pembrolizumab as a First-line Treatment for Subjects With PD-L1 Positive Advanced Non-Small Cell Lung Cancer

    Actual StatusTerminated

  • MP-VAC-206

    IndicationDesmoid

    Phase2

    CombinationImatinib

    NCT No.NCT06219733

    Study titleA Phase II, Open-Label, Randomized, Controlled Study to Evaluate Efficacy and Safety of Vactosertib and Imatinib Combination in Patients With Advanced Desmoid Tumor (Aggressive Fibromatosis) Compared With Imatinib Monotherapy

    Actual StatusWithdrawn

  • MP-VAC-209

    IndicationOsteosarcoma

    Phase1b/2a

    CombinationNA

    NCT No.NCT05588648

    Study titleA Phase I/II, Open-label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Vactosertib as a Single Agent in Adolescents and Adults With Recurrent, Refractory or Progressive Osteosarcoma

    Actual StatusRecruiting


    ‘Clinicaltrial.gov’ Status – IIT for Vactosertib

  • IN-VAC-101

    IndicationMultiple Myeloma

    Phase1

    CombinationPomalidomide

    NCT No.NCT03143985

    Study titleA Phase 1b Trial of Vactosertib in Combination With Pomalidomide (POM) in Relapsed or Relapsed and Refractory Multiple Myeloma (RRMM)

    Actual StatusCompleted

  • IN-VAC-103

    IndicationPDAC

    Phase1

    CombinationNal-IRI/​FL

    NCT No.NCT04258072

    Study titlePhase 1b Study of Vactosertib (TEW-7197) in Combination With Nal-IRI/FL in Patients With Metastatic Pancreatic Ductal Adenocarcinoma Who Have Failed First-Line Gemcitabine/Nab-Paclitaxel

    Actual StatusRecruiting

  • IN-VAC-104

    IndicationCRC & AML

    Phase1

    CombinationNK Cell + IL-2

    NCT No.NCT05400122

    Study titleA Phase Ib Study to Evaluate Safety and Persistence of ex Vivo Expanded Universal Donor NK Cells in Combination With IL-2 and TGFbeta Receptor I Inhibitor Vactosertib in Patients With Locally Advanced/Metastatic Colorectal Cancer and Relapsed/Refractory Hematologic Malignancies

    Actual StatusRecruiting

  • IN-VAC-201

    IndicationDesmoid

    Phase1/2

    CombinationImatinib

    NCT No.NCT03802084

    Study titleA Phase 1b/2a, Open-label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Vactosertib in Combination With Imatinib in Patients With Advanced Desmoid Tumor (Aggressive Fibromatosis)

    Actual StatusCompleted

  • IN-VAC-202

    IndicationMPNs

    Phase2

    CombinationNA

    NCT No.NCT04103645

    Study titleA 2-tiered, Phase 2, Rule-based, Intra-patient Dose Escalation Study to Investigate Safety and Feasibility of Vactosertib (TEW-7197) in the Treatment of Anemic Patients With Philadelphia Chromosome-negative MPNs (Ph-neg MPNs)

    Actual StatusTerminated

  • IN-VAC-203

    IndicationGastric

    Phase2

    CombinationPaclitaxel+Ramucirumab

    NCT No.NCT04656002

    Study titleAs a Second-line Treatment for Metastatic Gastric Adenocarcinoma Patients, the Safety and Effective of Vactosertib Administration in Combination With Paclitaxel+Ramucirumab is Evaluated, and a Phase 2a Clinical Trial to Biomarkers

    Actual StatusRecruiting

  • IN-VAC-205

    IndicationCRC,resectable Hepatic Metastases

    Phase2

    CombinationNA

    NCT No.NCT03844750

    Study titleA Phase II Study of Preoperative Immunotherapy in Patients With Colorectal Cancer and Resectable Hepatic Metastases

    Actual StatusRecruiting

  • IN-VAC-207

    IndicationGastric

    Phase2

    CombinationDurvalumab

    NCT No.NCT04893252

    Study titleVactosertib in Combination With Durvalumab (MEDI4736) in Patients With Gastric Cancer

    Actual StatusRecruiting

  • IN-VAC-208

    IndicationMucosal melanoma

    Phase2

    CombinationPembrolizumab

    NCT No.NCT05436990

    Study titleA Phase II Multicenter Study to Assess the Antitumor Activity of Vactosertib in Combination With Pembrolizumab in Acral and Mucosal Melanoma Patients Progressed From Prior Immune Check Point Inhibitor

    Actual StatusTerminated

  • IN-VAC-209

    IndicationEsophageal Adenocarcinoma

    Phase2

    CombinationNA

    NCT No.NCT06044311

    Study titleA Window of Opportunity Trial Evaluating the Oral TGF-beta Receptor I Inhibitor Vactosertib in Patients Undergoing Standard of Care Chemoradiotherapy for Locally Advanced Esophageal Adenocarcinoma

    Actual StatusRecruiting

Presentations & Publications

Total 0

  • Mar, 2025

    Tm4sf19 inhibition ameliorates inflammation and bone destruction in collagen-induced arthritis by suppressing TLR4-mediated inflammatory signaling and abnormal osteoclast activation

    Bone Research
  • Nov, 2024

    MIMERET, a Novel Mitochondrial-Targeted Drug, Improves Hepatic Steatosis by Stimulating Mitochondrial Fatty Acid Beta-Oxidation to Prevent Lipid Accumulation

    AASLD 2024
  • Nov, 2024

    Vactosertib, a TGF-β signaling inhibitor, in combination with Durvalumab increased mOS in ≥2L treatment of patients with PD-L1-positive advanced NSCLC

    SITC 2024
  • Aug, 2024

    The TGFβ type I receptor kinase inhibitor vactosertib in combination with pomalidomide in relapsed/refractory multiple myeloma: a phase 1b trial

    Nature Communications
  • Jul, 2024

    Oral transforming growth factor-beta receptor 1 inhibitor vactosertib promotes osteosarcoma regression by targeting tumor proliferation and enhancing anti-tumor immunity

    Cancer Communications
  • Nov, 2023

    Tm4sf19 deficiency inhibits osteoclast multinucleation and prevents bone loss

    Metabolism 151
  • Apr, 2023

    Vactosertib combined treatment with T1-44, a PRMT5 activity inhibitor, improves the survival and inhibits tumor invasion of murine pancreatic cancer model

    American Association for Cancer Research 2023(AACR 2023)
  • Feb, 2023

    Combination treatment of T1-44, a PRMT5 inhibitor with Vactosertib, an inhibitor of TGF-β signaling, inhibits invasion and prolongs survival in a mouse model of pancreatic tumors

    Cell Death and Disease (2023)
  • Jan, 2023

    Discovery of TRD-93 as a novel DRAK2 inhibitor

    BULLETIN OF THE KOREAN CHEMICAL SOCIETY
  • Dec, 2022

    MAST4 controls cell cycle in spermatogonial stem cells

    Cell proliferation(IF : 8.755)
  • Dec, 2022

    Therapeutic Implications of TGF-β Pathway in Desmoid Tumor Based on Comprehensive Molecular Profiling and Clinicopathological Properties

    Cancers
  • Oct, 2022

    ESRP1-regulated isoform switching of LRRFIP2 determines metastasis of gastric cancer

    Nature communication
  • Sep, 2022

    Phase 1b Study of Vactosertib in Combination with FOLFOX in Patients with Metastatic Pancreatic Ductal Adenocarcinoma who have Failed First-Line Gemcitabine/nab-Paclitaxel

    AACR Special Conference on Pancreatic Cancer 2022
  • Jan, 2022

    Phase 1b Study of Vactosertib in Combination with nal-IRI plus 5FU/LV in Patients with Metastatic Pancreatic Ductal Adenocarcinoma who Failed First-Line Gemcitabine/nab-Paclitaxel

    ASCO GI 2022
  • Nov, 2021

    Tumor Microenvironment based on PD-L1 and CD8 T-cell infiltration correlated with the survival of MSS mCRC patients treated vactosertib in combination with pembrolizumab

    SITC 2021
  • Nov, 2021

    Spatial analysis of tumor-infiltrating lymphocytes correlates with the response of metastatic colorectal cancer patients treated with vactosertib in combination with pembrolizumab

    SITC 2021
  • Jun, 2021

    Efficacy and Safety of Vactosertib and Pembrolizumab Combination in Patients with Previously Treated Microsatellite Stable Metastatic Colorectal Cancer

    ASCO 2021
  • Jun, 2021

    Phase 1b trial of Vactosertib in Combination with Pomalidomide in Relapsed Multiple Myeloma: A Corticosteroid-Free Approach by Targeting TGF-β Signaling Pathway

    ASCO 2021
  • Apr, 2021

    BAG2 Promotes Tumorigenesis and Metastasis by Regulating the Cathepsin B Cleavage in Triple Negative Breast Cancer Cells

    AACR 2021
  • Apr, 2021

    DRAK1 suppresses inflammation induced cervical cancer progression by targeting TRAF6 protein

    AACR 2021
  • Apr, 2021

    Beneficial effect of vactosertib combined with nal IRI5 FULV in pancreatic cancer treatment

    AACR 2021
  • Apr, 2021

    Genomic and transcriptomic analyses of desmoid tumor reveals enrichment of transforming growth factor beta responsive signature

    AACR 2021
  • Nov, 2020

    Vactosertib and Durvalumab as Second or Later Line Treatment for PD-L1 Positive Non-small Cell Lung Cancer: Interim Result

    SITC 2020
  • Sep, 2020

    Safety and Efficacy of Vactosertib, a TGFBR1 Kinase Inhibitor, in Combination with Paclitaxel in Patients with Metastatic Gastric Adenocarcinoma

    ESMO Congress 2020
  • May, 2020

    A Phase 1 study of TGF-β inhibitor, Vactosertib, in combination with Imatinib in patients with advanced desmoid tumor (aggressive fibromatosis)

    ASCO 2020
  • Nov, 2019

    Safety and Preliminary clinical activity of Vactosertib, a selective TGF-β receptor I kinase inhibitor, in combination with Durvalumab in advanced Non-small cell lung cancer patients with low PD-L1 expression

    SITC 2019
  • Nov, 2019

    Safety and preliminary clinical activity of Vactosertib, a selective TGF-β receptor I kinase inhibitor, in combination with Pembrolizumab in patients with metastatic colorectal or gastric cancer

    SITC 2019
  • Nov, 2019

    TGF-β as a promising therapeutic target for treating Osteosarcoma

    Innovation in AYA cancer
  • Jun, 2018

    TGF-β Responsive signature is associated with anti-tumor effect of Vactosertib, a potent oral TGF-β receptor type1(TGFBRI) inhibitor in patients with advanced solid tumors

    ASCO 2018