Lead Asset

MDL-4102

A Next-Generation Potent and Selective BRD4 Inhibitor
  • Abstract visualization of the Model Medicines pill representing MDL-4102, a selective BRD4 inhibitor
  • Scientific visualization of BRD4, the transcriptional choke point targeted by MDL-4102
  • Scientific visualization of fibrosis as a therapeutic area for MDL-4102 BRD4 inhibition
  • Scientific visualization of oncology applications for MDL-4102, a selective BRD4 inhibitor
  • Person holding a Model Medicines pill representing oral small molecule therapeutic development
  • Scientific visualization of oncology and immunology indications associated with MDL-4102 BRD4 inhibition
  • Scientific visualization of cardiovascular disease as a therapeutic area for MDL-4102
  • Abstract visualization of MDL-4102, Model Medicines’ AI-discovered selective BRD4 inhibitor
  • Person holding a Model Medicines pill representing MDL-4102 oral therapeutic development

BRD4 is a master regulator of transcriptional control across oncology, fibrosis, inflammation, and cardiovascular disease. MDL-4102 is a first-in-class, selective BRD4 inhibitor designed to overcome the dose-limiting hematologic toxicity that hindered all prior pan-BET programs, positioning it as a next-generation transcriptional therapy.

RECORD-SCALE AI SCREENING

GALILEO™ Delivers MDL-4102 at Hundred-Billion Scale

GALILEO™ achieved 325-billion molecule throughput on Google Cloud, powering the discovery of MDL-4102, a first-in-class selective BRD4 inhibitor with no observable BRD2 or BRD3 activity.

breakthrough milestone

The BRD4 outcome highlights GALILEO™ as an engine for moving from large-scale screening to targeted discovery.

“MDL-4102 combines potency, selectivity, and novelty in a way that meaningfully differentiates it from everything in the literature.”

“MDL-4102 combines potency, selectivity, and novelty in a way that meaningfully differentiates it from everything in the literature.”

Illustrated portrait of Daniel Haders II, Ph.D., Founder and CEO of Model Medicines

Daniel Haders II, Ph.D

Founder, CEO

Overview of BRD4

MDL-4102 is a first-in-class, oral, highly potent, and selective BRD4 BD1/BD2 inhibitor. It was identified through the GALILEO™ platform after a record-setting 325-billion-compound ultra-large virtual screen, executed in a single 24-hour period in 2025 in partnership with Google Cloud.

MDL-4102 is being developed across multi-indication disease areas where BRD4 is a master regulator:

Oncology

Including NUT midline carcinoma (NMC), AML, multiple myeloma, HGSOC, and TNBC.

Fibrosis

Including idiopathic pulmonary fibrosis (IPF), liver fibrosis, renal fibrosis, and systemic sclerosis (scleroderma).

Immunology & Inflammation (I&I)

Including steroid-refractory acute GVHD and related autoimmune indications.

Cardiovascular Disease (CVD)

Including pulmonary arterial hypertension (PAH) and cardiac hypertrophy.

vs Standard of Care

The biological rationale for targeting BRD4 is well established, but all clinical-stage BET inhibitors to date exhibit pan-BET activity (inhibiting BRD2 and BRD3 alongside BRD4). This lack of selectivity causes dose-limiting thrombocytopenia (platelet reduction) and other toxicities that prevent achieving sustained BRD4 occupancy at therapeutic doses.

MDL-4102 overcomes this difficulty with AI-discovered chemical novelty, occupying an entirely distinct chemical series from the pan-BET scaffold class (based on ECFP4 Tanimoto). This structural divergence is the molecular basis for its selective profile.

MDL-4102 demonstrates a strong BRD4/BRD3 selectivity index; in contrast with first-generation pan-BET inhibitors, which show poor selectivity windows against BRD2 and BRD3.

Preclinical Proof of Concept: Selective Inhibition & Safety Window

MDL-4102's selectivity for BRD4 over BRD2/BRD3 is designed to decouple anti-tumor efficacy from dose-limiting thrombocytopenia.

Selectivity

MDL-4102 has no measurable activity against BRD2 or BRD3 in cell-free assays.

Mitigating Thrombocytopenia

The compound mitigates dose-limiting thrombocytopenia.

Therapeutic Index

It demonstrates a favorable Thrombocytopenia Therapeutic Index in the disease model, showing the widest Therapeutic Index among BET comparators.

Preclinical Proof of Concept: Therapeutic Efficacy

MDL-4102 has established in vitro proof of concept across major therapeutic areas:

Oncology

The long-term goal is to develop MDL-4102 as the first selective BRD4 inhibitor for super-enhancer-driven cancers. It will be evaluated in cellular and in vivo models of NMC, AML, and multiple myeloma, with in vivo endpoints including xenograft tumor growth inhibition.

Fibrosis

Demonstrated potent, BRD4-mediated anti-fibrotic activity in a human primary fibrosis disease model, reducing αSMA fiber area with an IC50 = 0.116 µM.

Pharmacokinetics

The program was optimized for transcriptional impact and drug-like properties simultaneously. MDL-4102 exhibits exceptional chemical novelty from a structurally novel series. IND-enabling studies are underway.

Mechanism of Action

MDL-4102 is a direct-acting small molecule inhibitor targeting the two tandem bromodomains (BD1 and BD2) of BRD4.

Targeting BRD4

BRD4 is recruited to super-enhancers by binding acetylated histone H3 and H4 tails.

The Choke Point

BRD4 scaffolds the positive transcription elongation factor b complex (P-TEFb / CDK9) which, in turn, releases paused RNA polymerase II into productive elongation. This drives the expression of critical oncogenes (like MYC and BCL2) and transcription factors.

Inhibition

MDL-4102 engages BRD4's BD1 and BD2, displacing it from these enhancers and dismantling the disease-driving transcriptional programs.

Safety Data

The program's design is specifically focused on safety to allow for chronic dosing. MDL-4102's host-sparing selectivity profile is intended to preserve platelet homeostasis and circumvent the dose-limiting toxicity of prior pan-BET inhibitors.

Timeline for IND and Clinical Trials

The program is currently in IND-enabling studies.

IND Submission Target

2027.

Lead Indication

The lead indication for IND submission has not yet been announced.