Outsmarting Resistance with Rhythm
Episode
38 min
Read time
2 min
Topics
Health & Wellness, Relationships, Fundraising & VC
AI-Generated Summary
Key Takeaways
- ✓Deep Cyclic Inhibition Timing: Continuous MEK inhibitors lose efficacy because by 24 hours they worsen disease-associated signals. Immuneering's transcriptomic platform identified the precise window to shut down the MAP kinase pathway for several hours, then release it — restoring normal healthy cell signaling cadence while repeatedly ambushing tumor cells before resistance pathways can consolidate.
- ✓MEK as Resistance Chokepoint: Targeting MEK rather than upstream KRAS blocks a broader range of downstream resistance mutations. When KRAS is inhibited continuously, tumors amplify mutant copies or acquire RAF mutations to bypass treatment. MEK sits further downstream, narrowing the escape routes available to the tumor and making durable suppression more achievable across the roughly 50% of all cancers driven by the MAP kinase pathway.
- ✓Tolerability Enables Combination Therapy: Atabimetinib adds no grade-3 adverse events beyond those attributable to the chemotherapy partner in Phase 2a data. This tolerability profile — a direct result of restoring intermittent signaling to healthy cells — allows combinations that continuous MEK inhibitors cannot support, including a planned anti-PD-1 study with Regeneron's Libtayo in non-small cell lung cancer, with first patient dosing targeted for second-half 2025.
- ✓Pancreatic Cancer as Platform Proof Point: Because approximately 97% of pancreatic cancers are MAP kinase-driven, no genetic pre-screening is required for trial enrollment, accelerating patient access. Twelve-month overall survival of 64% versus a 35% standard-of-care benchmark — sustained consistently at 6, 9, and 12 months — provides a high-signal validation environment for the deep cyclic inhibition platform before expanding to colorectal, melanoma, AML, and breast cancer indications.
- ✓Informatics-Driven Molecule Design: Immuneering's platform analyzes gene expression and transcriptomic data to engineer the pharmacokinetic profile of the molecule itself, not just select existing compounds. Atabimetinib is novel composition-of-matter, with a US patent granted in summer 2024, and lessons from its development are now being applied to a preclinical pipeline of deep cyclic inhibitors targeting additional oncology pathways.
What It Covers
Immuneering CEO Ben Zeskind explains how the company's informatics-driven "deep cyclic inhibition" approach to MEK inhibition delivers intense daily pulses rather than continuous suppression, producing 64% twelve-month overall survival in first-line pancreatic cancer patients versus 35% on standard-of-care gemcitabine/nab-paclitaxel chemotherapy.
Key Questions Answered
- •Deep Cyclic Inhibition Timing: Continuous MEK inhibitors lose efficacy because by 24 hours they worsen disease-associated signals. Immuneering's transcriptomic platform identified the precise window to shut down the MAP kinase pathway for several hours, then release it — restoring normal healthy cell signaling cadence while repeatedly ambushing tumor cells before resistance pathways can consolidate.
- •MEK as Resistance Chokepoint: Targeting MEK rather than upstream KRAS blocks a broader range of downstream resistance mutations. When KRAS is inhibited continuously, tumors amplify mutant copies or acquire RAF mutations to bypass treatment. MEK sits further downstream, narrowing the escape routes available to the tumor and making durable suppression more achievable across the roughly 50% of all cancers driven by the MAP kinase pathway.
- •Tolerability Enables Combination Therapy: Atabimetinib adds no grade-3 adverse events beyond those attributable to the chemotherapy partner in Phase 2a data. This tolerability profile — a direct result of restoring intermittent signaling to healthy cells — allows combinations that continuous MEK inhibitors cannot support, including a planned anti-PD-1 study with Regeneron's Libtayo in non-small cell lung cancer, with first patient dosing targeted for second-half 2025.
- •Pancreatic Cancer as Platform Proof Point: Because approximately 97% of pancreatic cancers are MAP kinase-driven, no genetic pre-screening is required for trial enrollment, accelerating patient access. Twelve-month overall survival of 64% versus a 35% standard-of-care benchmark — sustained consistently at 6, 9, and 12 months — provides a high-signal validation environment for the deep cyclic inhibition platform before expanding to colorectal, melanoma, AML, and breast cancer indications.
- •Informatics-Driven Molecule Design: Immuneering's platform analyzes gene expression and transcriptomic data to engineer the pharmacokinetic profile of the molecule itself, not just select existing compounds. Atabimetinib is novel composition-of-matter, with a US patent granted in summer 2024, and lessons from its development are now being applied to a preclinical pipeline of deep cyclic inhibitors targeting additional oncology pathways.
Notable Moment
A first-line pancreatic cancer patient entered the atabimetinib trial so debilitated she required family assistance to attend appointments. After treatment, both liver lesions became undetectable, she resumed driving independently, rejoined a neighborhood walking group, and gained substantial weight — illustrating quality-of-life recovery beyond tumor response metrics.
Episode Transcript
I'm Daniel Levine, and this is the Bio Report. Pancreatic cancer remains one of oncology's deadliest diagnoses with standard treatments often offering only transient tumor shrinkage at the cost of grueling side effects and rapid resistance. Amineering is using transcriptomatic and informatics tools to design a MEK inhibitor dosed in intense daily pulses rather than continuously. This approach aims to restore more normal signaling rhythm in healthy cells while repeatedly ambushing tumors. Ben Zeskin, CEO of immuneeering, discusses how the company is using its informatics driven dosing regimen to reengineer targeted cancer therapy so it extends survival, delays resistance, and is better tolerated. Ben, thanks for joining us. Thanks for having me, Daniel. It's a pleasure. We're gonna talk about pancreatic cancer, Immuniering's novel dosing design, and its efforts to develop a treatment for this and other cancers using this approach. Let's start with the challenges of resistance and toxicity with targeted therapies today. Can you explain the problem? Yeah. Absolutely. So our goal is to keep patients alive and to enhance their quality of life. And the two things that you that you mentioned really, get in the way of that with traditional targeted therapies. And if if you look at how, cancer therapies have have traditionally been developed, they're developed to shrink tumors quickly, but it's not necessarily a durable effect. And that's why you see patients, you know, why are patients still dying of cancer in 2026? You know, there's a lot of treatments that can shrink tumors but the effects aren't durable, resistance develops, and the treatments are not generally well tolerated, there's generally a lot of fairly harsh side effects, I think we've all been conditioned to just kind of expect that cancer therapy is gonna be grueling, and it doesn't have to be that way. When it's a design goal from the start, you can make a drug that helps keep cancer patients alive and is really well tolerated and in fact can enhance the patient's quality of life. And so those are really the, you know those those were our goals from the start. From the time we started this company you know we focused on overall survival, understanding the patients who were having long overall survival on existing cancer therapies so we could figure out how to make that happen in in more people. And that that led us to focus on these you know fairly unusual priorities, how do you counteract resistance, right? How do you prevent the tumor from adapting and getting around your therapy? How do you improve the tolerability? And then other priorities, how do you prevent kind of the muscle wasting that causes causes patients to to lose weight? So we we just kinda have this different set of priorities from the start that we're all focused around this goal of of keeping patients alive and really helping them thrive. Those goals led you to what's known as deep cyclic inhibition. In in lay terms, what is …
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- AtabimetinibBy guest
by Immuneering
“Immuneering CEO Ben Zeskind explains how the company's informatics-driven "deep cyclic inhibition" approach to MEK inhibition delivers intense daily pulses... Atabimetinib is novel composition-of-matter, with a US patent granted in summer 2024”
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