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. 2024 Jun 12;86:101966. doi: 10.1016/j.molmet.2024.101966

Table 1.

Mitochondrial targets of anticancer agents.

Biological process Mitochondrial Target Drug name Level of evidence
TCA cycle enzymes PDH and KGDHC inhibitor CPI-613 (Devimistat)
  • Failed phase III clinical trial in pancreatic cancer

  • Failed acute clinical trial in myeloid leukemia in combination with chemotherapy

  • Current clinical trial in pancreatic cancer in combination with chemoradiation

IDH inhibitor AG-221and AG-881
  • Current clinical trial in acute myelogenous leukemia carrying IDH mutations

IDH inhibitor AGI-5198
  • Preclinical anti-cancer effects in vivo

Metabolite transporters MPC inhibitor UK-5099
  • Current clinical trial

HSP90 inhibitor Gamitrinib
  • Preclinical safety and anti-cancer effects in vivo

  • Current phase I clinical trial

OXPHOS/ET Complex II inhibitor
Uncoupler
Sorafenib
  • FDA-approved anti-cancer therapy

Complex I and ATP synthase Tamoxifen
  • FDA-approved anti-cancer therapy

Complex I inhibitor Metformin
  • Failed phase III clinical trial in breast cancer

  • Current clinical trials for colorectal, breast and prostate ccancer

Complex I inhibitor IACS-010759
  • Failed phase I clinical trials in acute myeloid leukemia and solid tumors

Complex II inhibitor α-tocopherol succinate
  • Anti-cancer effects in vitro

Iron chelator that inhibits complexes I, II, and IV VLX600
  • Successful phase I trial in advanced solid tumors

Methylation-controlled J protein that negatively regulates complex I MCJ mimetics (MITOx20, MITOx30)
  • Anti-cancer effects in vitro

Uncoupler NEN
  • Failed clinical trial in prostate cancer

  • Terminated clinical trial in colon cancer due to low accrual

  • Current clinical trial in prostate cancer

  • Reformulated compound, successful phase 1b trial

Uncoupler Nitazoxanide
  • Preclinical safety and anti-cancer effects in vivo

Uncoupler
DNA topoisomerase II inhibitor
Ellipticine and derivatives
  • Failed phase II clinical trial

Uncoupler CRMP
  • Preclinical anti-cancer effects in vivo

Uncoupler BAM15
  • Preclinical anti-cancer effects in vivo

Uncoupler SR4
  • Preclinical anti-cancer effects in vivo

Uncoupler FR58P1a
  • Anti-cancer effects in vitro

Uncoupler
Tyrosine kinase inhibitor
Tyrphositn A9
  • Anti-cancer effects in vitro

Uncoupler
EAPC inhibitor
ESI-09
  • Anti-cancer effects in vitro

Antioxidants Blocks GSH synthesis Buthionine sulfoximine
  • Successful phase I clinical trial in neuroblastoma

Trx inhibitor PX-12
  • Terminated phase II clinical trial in pancreatic cancer

GPD2-dependent ROS formation inhibitor KM04416
  • Anti-cancer effects in vitro