2023
DOI: 10.1007/s40265-023-01962-w
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Motixafortide: First Approval

Sheridan M. Hoy

Abstract: A selective CXCR4 inhibitor being developed by BioLineRx under licence from Biokine Therapeutics for HSC mobilization and the treatment of various cancers • Received its first approval on 11 September 2023 in the USA • Approved for use in combination with filgrastim (G-CSF) to mobilize HSCs to the peripheral blood for collection and subsequent autologous transplantation in patients with multiple myeloma This summary represents the opinions of the author. For a full list of declarations, including funding and a… Show more

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Cited by 18 publications
(7 citation statements)
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“…Motixafortide is a 14-mer cyclic peptide amide that acts as a selective chemokine receptor 4 (CXCR4) inhibitor. It comprises a disulfide bridge between Cys 4 and Cys 13 (blue) ( Figure 7 ) [ 34 ]. Motixafortide is used with filgrastim (G-CSF) to mobilize hematopoietic stem cells (HSCs) in patients with multiple myeloma [ 35 ].…”
Section: Peptidesmentioning
confidence: 99%
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“…Motixafortide is a 14-mer cyclic peptide amide that acts as a selective chemokine receptor 4 (CXCR4) inhibitor. It comprises a disulfide bridge between Cys 4 and Cys 13 (blue) ( Figure 7 ) [ 34 ]. Motixafortide is used with filgrastim (G-CSF) to mobilize hematopoietic stem cells (HSCs) in patients with multiple myeloma [ 35 ].…”
Section: Peptidesmentioning
confidence: 99%
“…Motixafortide is used with filgrastim (G-CSF) to mobilize hematopoietic stem cells (HSCs) in patients with multiple myeloma [ 35 ]. However, the FDA previously approved two small molecules (maraviroc and plerixafor) and one monoclonal antibody (mogamulizumab); motixafortide is the first peptide-based drug to be approved as a chemokine antagonist [ 36 ] and was granted an orphan drug designation [ 34 ]. It’s noteworthy that a cyclic peptide, balixafortide, functions similarly to motixafortide, but it fell short of meeting the co-primary endpoint related to the objective response rate (ORR) [ 36 ].…”
Section: Peptidesmentioning
confidence: 99%
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“…Motixafortide is a selective CXCR4 inhibitor that acts as a hematopoietic stem cell mobilizer (Crees et al 2023a ). Motixafortide was approved for use in combination with filgrastim to mobilize hematopoietic stem cells to the peripheral blood in patients with multiple myeloma (Hoy 2023d ). Motixafortide was found to be well tolerated, with the most frequent AE being transient injection-site reactions (pain, erythema, and pruritis) and systemic reactions (flushing, pruritis, urticaria, and erythema) (Crees et al 2023b ).…”
Section: Hematologymentioning
confidence: 99%