Combination intelligence

Engineering cancer drug combinations.

Cancer evolves resistance quickly.
The most effective treatments are often combinations of drugs.
But choosing the right drugs, doses, and schedules is hard.
Our name, Oncko, reflects our mission to solve this search problem in oncology — the combinatorial challenge known as nCk.

Problem

Combos work

Lung
2-drug

Platinum doublet

Testicular
3-drug

BEP

Colorectal
4-drug

FOLFOXIRI

Myeloma
4-drug

D-VRd

Lymphoma
5-drug

R-CHOP

Pediatric ALL
8-drug

Various regimens

(105-1015) search

The table below illustrates the challenge of discovering multi-drug combinations from 100 candidate drugs—selecting the right drugs, doses, and schedules.

Drugs / combo Drug combinations + dose & schedule
2-drug ~5k ~160k
4-drug ~3.9M ~4B
8-drug ~186B ~6Q
How we solve it

Discovery & optimization.

01

Screen against SuperTumor™

Combos are tested in SuperTumor™, an experimental model that represents 1 million cancer resistance mechanisms.

02

Quantify efficacy and toxicity

Combos are tested in vivo and in silico leveraging real-world patient data.

03

Optimize therapeutic index

Search toward combinations with improved activity and lower expected toxicity.

Discover combo partners → optimize regimen
Search initialized
Selecting an initial multi-drug regimen
Efficacy
0
Toxicity
0
Pipeline

Our novel multi-drug combos.

Program Indication Focus In vivo efficacy Stage
Combo #1 2L NSCLC 4-drug, orthogonal mechanisms Preclinical
Discovery campaign #2 2L NSCLC Resistance-targeting regimens Discovery
Discovery campaign #3 2L CRC Resistance-targeting regimens Discovery
Contact

Let’s talk.

Address
500 Lincoln Centre Dr, Foster City, CA