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=== VT3989 TEAD Inhibitor — Advancing to Phase III === VT3989 represents a breakthrough in targeting the previously "undruggable" Hippo/YAP/TEAD pathway, which is dysregulated in the majority of mesotheliomas.<ref>[https://mesotheliomaattorney.com/mesothelioma/treatment/new/ New Mesothelioma Treatments], MesotheliomaAttorney.com</ref> '''ESMO 2025 Results (Published Nature Medicine December 2025):''' * '''Objective response rate:''' 32% in 22 mesothelioma patients at optimized dose * '''Disease control rate:''' 86% when incorporating optimal dose and UACR threshold * '''Median progression-free survival:''' 10 months * '''Duration of response:''' 8 patients on treatment more than 1 year; one approaching 2 years * '''Selected dose:''' 100 mg two-weeks-on/two-weeks-off for Phase III * '''Safety:''' Favorable profile with mostly grade 1-2 toxicities; proteinuria reversible with dose adjustment * '''Tumor types:''' Activity demonstrated in both NF2-mutant and wild-type tumors '''Regulatory Designations:''' * FDA Orphan Drug Designation * FDA Fast Track Designation {| style="width:100%; background:#cce5ff; border:1px solid #007bff; border-left:5px solid #007bff; border-radius:4px; margin:1em 0;" |- | style="padding:15px; color:#004085;" | '''ℹ️ Historic Milestone:''' VT3989 will become the '''first TEAD inhibitor to reach a registrational Phase III trial''' in mesothelioma when it opens in the first half of 2026, representing a major advance for targeted therapy in this disease. |}
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