Israeli Drug Candidate SIL204 Shows Promise in Targeting KRAS-Driven Cancers
An experimental treatment developed by Israeli biotechnology company Silexion Therapeutics Corp. is moving into clinical trials, with new preclinical findings suggesting it may also help the immune system attack cancers driven by KRAS mutations. The drug, called SIL204, uses small interfering RNA (siRNA) molecules to suppress the expression of mutated KRAS genes inside tumor cells, according to the company.
KRAS mutations are found in approximately 90% of pancreatic cancer patients and in 30–35% of lung adenocarcinomas. These mutations are considered one of the main mechanisms driving tumor growth and the spread of the disease. Developing therapies capable of targeting KRAS has historically proved difficult, and pancreatic cancer remains among the most lethal forms of cancer, often diagnosed only after reaching an advanced stage.
Clinical Trial Initiated
Tel Aviv Sourasky Medical Center will become the first medical center worldwide to recruit patients for a clinical trial evaluating SIL204, the hospital and Silexion announced. The initial phase will enroll approximately 18 patients and focus primarily on the treatment’s safety. Under the trial protocol, SIL204 will be administered directly into the tumor and combined with standard systemic treatment. Researchers will examine whether silencing mutated KRAS can inhibit tumor growth in patients with locally advanced pancreatic cancer that cannot be surgically removed.
The study is later expected to expand to additional medical centers in Israel, Germany, and other countries, with total enrollment potentially reaching approximately 166 patients.
Prof. Ravit Geva, director of the Oncology Institute and Gastrointestinal Oncology Center at Tel Aviv Sourasky Medical Center, will serve as the study’s lead investigator.
Preclinical Findings on Immune Effects
In preclinical studies released on Wednesday, Silexion reported that SIL204 may help the immune system identify and attack KRAS-driven cancers. Combined with the company's previous data, the findings support SIL204's potential to combat three different ways cancerous tumors evade the immune system: by making cancer cells more visible to the system, restoring susceptibility to cell death from the system, and reducing a checkpoint molecule that allows cells to evade the system's surveillance.
In studies on human cancer cell lines representing three different KRAS mutations in human pancreatic and non-small cell lung cancer, SIL204 treatment led to statistically significant increases in expression of FAS, an immune "death receptor" that allows the immune system to trigger programmed cell death. It also led to a significant reduction in expression of HLA-G, an immune checkpoint.
Company Statement
"These new findings meaningfully extend and reinforce the immuno-oncology profile of SIL204 that we first reported in May," said Ilan Hadar, Chairman and CEO of Silexion. "We believe this profile supports the rationale for further evaluation of SIL204 in combination with anti-PD-(L)1 checkpoint inhibitor therapies, particularly in indications like pancreatic cancer where these agents have historically shown limited single-agent efficacy."
Silexion advanced SIL204 into this new phase as the oncology research field explores combining KRAS-directed treatments with checkpoint inhibitors.