Selective inhibition of ALDH1A3 impedes breast cancer growth and metastasis by blocking ALDH1A3-driven

Maya R MacLean1, Bianca Laura Bernardoni1,2, Wasundara Fernando1,3,4

  • 1Department of Pathology, Dalhousie University, Halifax, NS, Canada.

Iscience
|March 9, 2026
PubMed

Insights

A new drug, CLM296, effectively inhibits Aldehyde dehydrogenase 1A3 (ALDH1A3) in triple-negative breast cancer (TNBC) models. This novel inhibitor reduces tumor growth and metastasis without toxicity, offering a potential new therapy for ALDH1A3-positive cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Aldehyde dehydrogenase 1A3 (ALDH1A3) is implicated in tumor progression and chemoresistance in various cancers, notably triple-negative breast cancer (TNBC).
  • Currently, there are no clinically approved inhibitors that selectively target ALDH1A3, representing a significant unmet need.

Purpose of the Study:

  • To develop and characterize a novel, potent, and isoform-selective inhibitor of ALDH1A3.
  • To evaluate the efficacy and safety of the ALDH1A3 inhibitor CLM296 in preclinical models of TNBC.

Main Methods:

  • Development of CLM296, a rationally designed ALDH1A3 inhibitor.
  • In vitro assays to determine ALDH1A3 inhibition and off-target effects.
  • Transcriptomic analysis to confirm on-target activity.
  • In vitro invasion assays and in vivo xenograft studies in TNBC models.
  • Pharmacokinetic and toxicity assessments in preclinical models.

Main Results:

  • CLM296 demonstrated nanomolar inhibition of ALDH1A3 in TNBC cells with high selectivity over ALDH1A1.
  • Transcriptomic analysis confirmed CLM296 selectively suppressed ALDH1A3-driven gene expression.
  • CLM296 significantly reduced ALDH1A3-dependent tumor growth and lung metastasis in vivo without observable toxicity.
  • Pharmacokinetic studies showed favorable oral bioavailability and sustained target engagement in tissues.

Conclusions:

  • CLM296 is a potent and selective ALDH1A3 inhibitor with promising preclinical efficacy against TNBC.
  • The drug effectively targets ALDH1A3-driven tumor growth and metastasis.
  • CLM296 exhibits favorable pharmacokinetic properties and a good safety profile, supporting its potential as a first-in-class therapeutic for ALDH1A3-positive cancers.