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December 8, 2025Blood

Efficacy and mechanism of BTK degrader nx-5948 in secondary hemophagocytic lymphohistiocytosis

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Authors

HPHongwei Peng

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Overview

In vitro and in vivo studies reveal NX-5948 reduces cytokine storm and promotes macrophage polarization in HLH, indicating a novel therapeutic approach.

Key Points

  • This analysis examines the efficacy and mechanisms of BTK degrader NX-5948 in treating HLH.
  • In vitro experiments using murine macrophage cell line RAW264.7 to model HLH-like inflammation
  • Comparison of NX-5948 with other BTK inhibitors and a JAK inhibitor
  • In vivo evaluation in C57/BL6 mice with secondary HLH induced by CpG injections
  • Measurement of drug effects on macrophage function, cytokine release, and BTK/NF-κB pathway activity
  • Histopathological analysis via H&E staining
  • NX-5948 reduced macrophage proliferation and exhibited a lower IC50 than comparator drugs
  • Induced macrophage apoptosis and shifted macrophage polarization from M1 to M2
  • In vivo, NX-5948 improved hepatosplenomegaly and increased platelet counts
  • Decreased serum cytokine levels of TNF-α, IL-6, and ferritin
  • No significant pathological changes in major organs observed after treatment with NX-5948.

Cite This Study

Hongwei Peng (2025) studied this question.

synapsesocial.com/papers/69362f604fa91c937236dd2fhttps://doi.org/10.1182/blood-2025-187
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Selective degradation of platelet BTK by PROTAC NX-5948 provides antithrombotic benefits without affecting hemostasis2026
  2. 2Abstract 6069: Discovery and preclinical development of orally bioavailable potent BTK degrader, and its early clinical development for the treatment of relapsed and refractory B-cell malignancies2024
  3. 3Selective degradation of platelet BTK by PROTAC NX-5948 provides antithrombotic benefits without affecting haemostasis2026
  4. 4Abstract 7114: Therapeutic potential of BTK targeted degrader in B-cell malignancies harboring ibrutinib-resistant mutation2026
  5. 5Bruton Tyrosine Kinase Degraders in B-Cell Malignancies2024 · 2 citations