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CURE-PDAC · Project

First-in-class oral drug to break through pancreatic cancer barriers for better treatment

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Imagine a tumor wrapped in a thick, protective scar that blocks medicine from getting inside. This project created a pill that dissolves that protective wall, making the cancer vulnerable again. By clearing the path, it allows standard chemotherapy and immune treatments to actually reach the tumor.

By the numbers
13%
5-year survival rate of pancreatic cancer
16
patients dosed in clinical trial
100-800 mg
safe and tolerable dose levels
The business problem

What needed solving

Pancreatic cancer has a very low survival rate because thick scar tissue blocks chemotherapy and immune drugs from reaching the tumor.

The solution

What was built

An oral autotaxin inhibitor (IOA-289/cambritaxestat) and a completed Phase 1b clinical safety study.

Audience

Who needs this

Pharmaceutical companies specializing in oncologyBiotech firms focusing on the tumor microenvironmentClinical research organizations (CROs) in oncologyFDA-approved orphan drug developers
Business applications

Who can put this to work

Pharmaceuticals
enterprise
Target: Oncology drug developers

If you are a drug developer dealing with low chemotherapy penetration in solid tumors — this project developed IOA-289 that removes the fibrotic barrier. This allows existing drugs to work better, potentially increasing the 13% 5-year survival rate.

Biotechnology
mid-size
Target: Immunotherapy specialists

If you are a biotech firm dealing with immune responses being dampened by tumor stroma — this project developed an autotaxin inhibitor that unlocks the tumor-stroma-immune interface. This enables immune cells to penetrate the tumor more effectively.

Healthcare Providers
any
Target: Specialized cancer clinics

If you are a clinic dealing with aggressive pancreatic cancer and poor patient compliance — this project developed an oral therapy that can be taken at home. This improves patient convenience and treatment adherence compared to hospital-only infusions.

Frequently asked

Quick answers

What is the cost or pricing of the therapy?

Based on available project data, the specific cost or market price for IOA-289 is not disclosed.

Is the production ready for industrial scale?

The project successfully manufactured the drug substance and produced oral drug product capsules for a Phase 1b clinical study involving 16 patients.

What is the IP and licensing status?

The drug has received an Orphan Drug Designation from the FDA in March 2024 and an International Nonproprietary Name (cambritaxestat) from the WHO.

What are the regulatory milestones achieved?

The project obtained regulatory approval in Italy for clinical trials and FDA Orphan Drug Designation in March 2024.

What is the clinical timeline for the drug?

The first patient was dosed in November 2022, and dose escalation was completed in February 2025.

Consortium

Who built it

The project is led by a single SME, iOnctura BV from the Netherlands, representing a 100% industry ratio. This lean structure indicates a focused, company-driven development path aimed at reaching a value inflection point to attract further investment.

How to reach the team

Contact iOnctura BV regarding IOA-289 clinical data

Next steps

Talk to the team behind this work.

Request detailed clinical trial results for IOA-289

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