Table VI.
Migration inhibitors in clinical development
| Drug | Target | Company | Clinical Phase | Reference |
|---|---|---|---|---|
|
| ||||
| Cell autonomous | ||||
|
| ||||
| Saracatinib (AZD0530) | Src | AstraZeneca | II | [126] |
| Bosutinib (SKI-606) | Src | Wyeth | II, III | [127] |
| Dasatinib (BMS-354825) | Src | Bristol-Myers Squibb | I, II | [128] |
| Fasudil | Rho kinase | Asahi Kasei | I, II, III | [129] |
| Emodin | Cdc42/Rac1 | I | [130] | |
|
| ||||
| Soluble interactions | ||||
|
| ||||
| CTCE-9908 | SDF-1 | Chemokine Therapeutics | I, II | [131] |
| MetMAB (PRO143966) | Met | Roche/Genentech | II | [132] |
| AMG 208 | Met | Amgen | I | Clinical Trial NCT00813384 |
| GC1008 | TGF-β family | Genzyme | I, II | J Clin Oncol 26:2008 (ASCO Abstr. 9028) |
| Trabedersen (AP 12009) | TGF-β2 | Antisense Pharma | I, II | [133] |
| Infliximab | TNF-α | Centocor | I, II | [134] |
| EGFR | Herceptin^ (trastuzumab) | Genentech/Roche | I, II, III | Trial NCT00807859 |
| VEGF | Avastin^ | Genentech/Roche | I, II, III | Clinical Trial NCT00391092 Clinical Trial NCT00333775 |
| CXCR-4 | CTCE-9908 | Chemokine Therapeutics | I, II | [146, 147] |
|
| ||||
| Cell-cell interactions | ||||
|
| ||||
| IGN-101 | EpCAM | Aphton | I, II | J Clin Oncol 26: 2008 (ASCO Abstr. 15) |
| Exherin (ADH-1) | N-cadherin | Adherex | I, II | [135] |
|
| ||||
| Cell-matrix interactions | ||||
|
| ||||
| Cilengitide (EMD121974) | αvβ and αvβ5 integrins | EMD/Merck KGaA | II, III | [136] |
| Volociximab (M200) | α5β1 integrin | PDL/Biogen Idec | II | [137] |
| Etaracizumab (Abegrin) | αvβ3 integrin | MedImmune | I, II | [138] |
| ATN-161 | Integrins | Tactic Pharmaceuticals | I, II | [139] |
| BMS-275291# | MMPs | Bristol-Myers Squibb | I, II, III | [140] |
| Endostatin | MMPs | Alchemgen Therapeutics | III | [141] |
| Curcumin | MMPs | Sabinsa Corporation | I, II | [125] |
| Tigapotide (PCK3145) | MMP9 | Ambrilia Biopharma | II | [142] |
| A6 | CD44 | Angstrom Pharmaceuticals | II | Clinical Trial NCT00083928 |
| Mesupron (WX-671) | uPA | Wilex | I, II | [143] |
| ATN-658 | uPA | Tactic Pharmaceuticals | I | http://www.tacticpharma.com/ATN-658.html |
| Tempostatin (Halofuginone hydrobromide) | Stroma | Collgard Pharmaceuticals | II | [144] |
| PI-88 | Heparanase | Progen | I, II, III | [145] |
| Vitaxin | αvβ3 | MedImmune | II | Trial NCT00072930 |
|
| ||||
| Molecular integration | ||||
|
| ||||
| CFAK-C4 | FAK | CureFAKtor Pharmaceuticals | I | www.curefaktor.com |
| PF-562271 | FAK | Pfizer | I | J Clin Oncol 28: 2010 (ASCO abstr. 2553) |
Small molecule inhibitors capable of blocking EGFR and VEGFR kinase activity (compound A and B respectively) have also been developed and are currently being evaluated in advanced and metastatic disease. Resistance to both Herceptin and Avastin occurs frequently.
Broad MMP inhibitors failed in the clinic due to their negative impact on normal tissue remodeling. Enzyme-specific MMP inhibitors are currently pursued for a more directed approach. For instance ADAM17 inhibitors may inhibit TNFα activation and shedding of IgSF members.