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. 2023 Sep;75(5):815–853. doi: 10.1124/pharmrev.120.000025

TABLE 1.

Examples of FDA-approved drugs that could downregulate ABCB1/ABCG2 and provide a window-in-time for brain drug delivery

Target Drug Name Drug Action Predicted Outcome
COX-2 Fenoprofen Inhibitor ABCB1 ↓
COX-2 Acetic salicylic acid Inhibitor ABCB1 ↓
COX-2 Diclofenac Inhibitor ABCB1 ↓
COX-2 Celecoxib Inhibitor ABCB1 ↓
COX-2 Bromfenac Inhibitor ABCB1 ↓
COX-2 Etoricoxib Inhibitor ABCB1 ↓
COX-2 Firocoxib Inhibitor ABCB1 ↓
COX-2 Flurbiprofen Inhibitor ABCB1 ↓
COX-2 Ibuprofen Inhibitor ABCB1 ↓
COX-2 Indomethacin Inhibitor ABCB1 ↓
COX-2 Ketorolac Inhibitor ABCB1 ↓
COX-2 Meloxicam Inhibitor ABCB1 ↓
COX-2 Nabumetone Inhibitor ABCB1 ↓
COX-2 Naproxen Inhibitor ABCB1 ↓
COX-2 Oxaprozin Inhibitor ABCB1 ↓
COX-2 Parecoxib Inhibitor ABCB1 ↓
COX-2 Piroxicam Inhibitor ABCB1 ↓
COX-2 Tenoxicam Inhibitor ABCB1 ↓
EGFR Cetuximab EGFR neutralizing antibody ABCB1 ↓; ABCG2 ↓
EGFR Erlotinib Inhibitor ABCB1 ↓; ABCG2 ↓
EGFR Lapatinib Inhibitor ABCB1 ↓; ABCG2 ↓
EGFR Mobocertinib Inhibitor ABCB1 ↓; ABCG2 ↓
EGFR Necitumumab EGFR neutralizing antibody ABCB1 ↓; ABCG2 ↓
EGFR Osimertinib Inhibitor ABCB1 ↓; ABCG2 ↓
EGFR Panitumumab EGFR neutralizing antibody ABCB1 ↓; ABCG2 ↓
EGFR Gefitinib Inhibitor ABCB1 ↓; ABCG2 ↓
ER Estradiol Agonist ABCB1 ↓; ABCG2 ↓
ER Estramustine Agonist ABCB1 ↓; ABCG2 ↓
ER Ethinyl estradiol Agonist ABCB1 ↓; ABCG2 ↓
ER Norethisterone Agonist ABCB1 ↓; ABCG2 ↓
ER Norethynodrel Agonist ABCB1 ↓; ABCG2 ↓
GR Mifepristone Antagonist ABCB1 ↓; ABCG2 ↓
GR Ulipristal Antagonist ABCB1 ↓; ABCG2 ↓
MR Fineronone Antagonist ABCB1 ↓; ABCG2 ↓
NMDAR Esketamine Antagonist ABCB1 ↓
NMDAR Memantine Antagonist ABCB1 ↓
mTOR Everolimus Inhibitor ABCB1 ↓; ABCG2 ↓
mTOR Sirolimus Inhibitor ABCB1 ↓; ABCG2 ↓
mTOR Temsirolimus Inhibitor ABCB1 ↓; ABCG2 ↓
PI3K Alpelisib Inhibitor ABCB1 ↓; ABCG2 ↓
PI3K Copanlisib Inhibitor ABCB1 ↓; ABCG2 ↓
PI3K Duvelisib Inhibitor ABCB1 ↓; ABCG2 ↓
TNFα Adalimumab TNFα neutralizing antibody ABCB1 ↓
TNFα Certolizumab TNFα neutralizing antibody ABCB1 ↓
TNFα Etanercept TNFα inhibitor ABCB1 ↓
TNFα Golimumab TNFα neutralizing antibody ABCB1 ↓
TNFα Infliximab TNFα neutralizing antibody ABCB1 ↓

Materials and FDA-approval status were determined based on the FDALabel database in September 2021 (https://www.fda.gov/science-research/bioinformatics-tools/fdalabel-full-text-search-drug-product-labeling), specifically Section 12.1, “Mechanism of Action.”