The Combination Oncology People™

Targeting the ‘Holy Grail’ of Cancer Therapy

TP53 is the master tumour suppressor gene, dysregulated in around half of all cancers, and once considered an ‘undruggable’ protein target. Inhibition of p53’s key negative regulator, MDM2, has unlocked the therapeutic potential of p53 re-activation and is a clinically-validated mechanism.

Mosaic is developing ASTX295, a highly potent, next-generation, MDM2 antagonist that is designed to be best-in-class, for use in combination across a range of haematological and solid cancers.

ASTX295, A Highly Differentiated MDM2 Antagonist

AST295 exhibits a short human half-life of approximately 4 hours, overcoming the limitations of earlier-generation MDM2 inhibitors due to its unique bone marrow-sparing safety profile. The short half-life enables pulsatile p53 pathway modulation, preventing sustained myelosuppression whilst maintaining efficacy against tumours.

Re-activating the ‘guardian of the genome’

The p53 protein is a cell’s primary tumour suppressor and a critical regulator of cell cycle arrest and apoptosis. Cancer cells frequently suppress p53 through a variety of mechanisms, making the p53 pathway one of the most commonly disrupted pathways in cancer. Restoring p53 function has emerged as a compelling therapeutic strategy across haematology and oncology.

MDM2 is the primary negative regulator of p53, suppressing its activity by targeting it for degradation. As a result, MDM2 has emerged as a high-potential therapeutic target. By blocking the p53–MDM2 interaction, an MDM2 inhibitor is intended to release this brake on p53 and restore its tumour suppressor function.

This therapeutic strategy is applicable to all tumours that retain functional (wild-type) TP53. Wild-type TP53 is retained in approximately 90% of haematological malignancies and about half of solid tumours, representing a substantial addressable patient population for MDM2-targeted therapies.

Mosaic Therapeutics is a unique combination of...

PEOPLE

PIPELINE

PARTNERSHIP

OUR PEOPLE 

A world-class team of 
leading scientists, clinicians, and commercial entrepreneurs – across discovery, development, and delivery.

  • ThomasFuchs

    CEO

  • VinceO'Neill

    Head of R&D

  • MathewGarnett

    CO-FOUNDER

  • EmileVoest

    Co-Founder

  • AllisonJeynes

    BOARD CHAIR

  • EdHodgkin

    NON-EXECUTIVE DIRECTOR

  • LaurenceReid

    Non-Executive Director

  • RichardWooster

    NON-EXECUTIVE DIRECTOR

  • MathewGarnett

    CO-FOUNDER

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ASTX295: Prospectively Designed to Enable Combination Use

Despite the compelling therapeutic rationale, first-generation MDM2 inhibitors have been constrained by dose-limiting, on-target haematologic toxicities, particularly thrombocytopenia and neutropenia, resulting in a narrow therapeutic window and limiting their potential for combination therapy.

ASTX295 was intentionally designed with high potency and a short 4-6 hour half-life to produce transient, pulsatile activation of the p53 pathway while minimizing sustained p53 activation in normal bone marrow. This differentiated pharmacokinetic profile is intended to enhance the therapeutic index by maintaining antitumour activity while reducing haematologic toxicity.

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Scientific and Clinical Rationale

PRECLINICAL DATA

In human tumor xenograft mouse models, ASTX295 produced transient induction of p21, a downstream target of p53, peaking approximately 6 hours after dosing and returning to baseline by 24 hours, demonstrating the intended pulsatile activation of the p53 pathway. Once-daily dosing achieved significant tumour growth inhibition, while equivalent drug exposures in non-tumor-bearing mice did not induce thrombocytopenia or neutropenia, demonstrating that robust antitumor activity can be achieved while minimizing haematologic toxicity.

CLINICAL EXPERIENCE

Consistent with the preclinical findings, the completed first-in-human study demonstrated that ASTX295 achieved the anticipated 4-6 hour pharmacokinetic half-life in humans whilst maintaining a favourable haematologic safety profile. At the recommended Phase 2 dose (RP2D), no Grade 3 or higher haematologic toxicities were observed as a single agent, supporting translation of the differentiated preclinical profile into the clinic. This uniquely enables combination use and has potential to enhance impact of DNA damaging agents.

OUR PIPELINE 

ASTX295 Development Plan

OUR PARTNERSHIPS 

An industry leading alliance of investors and partners that are working with us on our goal of developing novel combination therapies.

The Wellcome Sanger Institute

Mosaic is founded upon 15 years of world-leading research at the pioneering Wellcome Sanger Institute, the single largest contributor to the mapping of the human genome, with whom we retain a unique, bespoke relationship. This partnership empowers us to combine our expertise with their unrivalled knowledge, materials, and data.

The Sanger Institute is proud to have nurtured and spun out Mosaic Therapeutics from our world leading translational cancer genomics research. We have every expectation that 
Mosaic will successfully leverage their exceptional capabilities to improve outcomes for cancer patients worldwide.”

Matthew Hurles

DIRECTOR
THE WELLCOME
SANGER INSTITUTE

Our Investors

Working with Syncona supercharges everything we do through their investment, commercial expertise, and industry connections.

Mosaic at Work

We are continually searching for talented individuals. If you are passionate about having an impact on patients’ lives and are driven to continuously learn and challenge the status quo, then please submit your CV.

Our Values

Together, we deliver better outcomes. We respect and value each others’ contributions.

We are resolute in our endeavours. We believe we can overcome any challenge or obstacle.

We strive to find breakthrough solutions. We act with a sense of urgency and pace.

We pride ourselves at being at the forefront of scientific discovery. We embody a spirit of continuous improvement.

Latest News & Events

Note on the In-licensing of ASTX029 and ASTX295 oncology programs

Mosaic Therapeutics will continue treatment for all patients who were actively participating in the Taiho EAP programmes at the time of the IND transfer.

MOSAIC THERAPEUTICS
B960, BABRAHAM RESEARCH CAMPUS
CB22 3FH
UNITED KINGDOM