Table 1. JAK inhibitors, their targets, and their applications to pathologies.
Inhibitors | Selectivity | Off-
target |
Diseases | Clinical phases |
---|---|---|---|---|
Type I | ||||
Ruxolitinib | JAK2>JAK1>JAK3 | MF and hydroxyurea resistant or intolerant PV
Refractory leukemia (post-MPN leukemia) Pancreatic cancers Corticosteroid refractory-GVHD Psoriasis Alopecia Vitiligo |
FDA-approved
77–
79
Phase 2 80 Phase 2 in combination with capecitabine (after gemcitabine failure) 81 In evaluation 82 Phase 2 83 Open-label clinical trial 84 Case report 85 |
|
Momelotinib
(CYT-387) |
JAK2>JAK1>JAK3 | ALK-2
TBK1 IKKε |
PMF
Post PV/ET MF PV/ET |
Phase 3 - SIMPLIFY-1/2
(Stopped) 86 Phase 2 (terminated) 87 |
AZD1480 | JAK2>JAK1 | Aurora A
FGFR1 FLT4 |
PMF
Post PV/ET MF B-ALL Solid tumors |
Phase 1
(completed) 88 In evaluation (preclinic) 89 Phase 1 (terminated) 90 |
Baricitinib
(INCB-028050) |
JAK2>JAK1 | Rheumatoid arthritis
Psoriasis |
Phase 3 (FDA approval in
process, EMA-approved) 91 Phase 2 92 |
|
Tofacitinib | JAK1>JAK3 | Methothrexate-resistant rheumatoid arthritis
Crohn’s Psoriasis Alopecia areata Dermatomyositis, vitiligo |
FDA-approved
93
Phase 2 94 Phase 3 95 Phase 2 96 Case report 96 |
|
Gandotinib
(LY2784544) |
Pan-JAK
JAK2V617F>JAK2 |
JAK2V617F-positive MF, ET and PV patients | Phase 1
97
Phase 2 (in progress) |
|
XL019 | Pan-JAK | PV, MF | Phase 1
(terminated) 98 |
|
NVP-BSK805 | JAK2 | JAK2V617F | Cellular models 99 | |
NS-018 | JAK2V617F>JAK2 | Src | PMF, post PV/ET MF patients
JAK2V617F selective |
Phase 2
12
In vitro 100 |
Pacritinib
(SB11518) |
JAK2 | FLT3 | MF | Phase 3
PERSIST-1 101, PERSIST-2 102 PAC203 study evaluating the effect of lower doses |
CEP-33779 | JAK2 | Rheumatoid arthritis, colorectal cancer, lupus nephritis | Preclinical mouse models 103 | |
NVP-BVB808 | JAK2 | FLT3 | MPN | Cell lines 104 |
TG101209 | JAK2 | FLT3 | MPN, systemic sclerosis | Cellular models 105 |
Fedratinib
(TG101348) |
JAK2 | FLT3
BRD4 |
MF | Phase 3
JAKARTA 106 FDA removed the clinical hold in August 2017 |
AZ960 | JAK2 | ATL, other leukemia | Cell lines | |
Filgotinib
(GLPG0634) |
JAK1>JAK2 | Rheumatoid arthritis
Bowel and Crohn’s diseases Lupus and psoriasis |
Phase 3
107
Phase 2 108 Phase 2 109 |
|
Itacitinib
(INCB-039110) |
JAK1 | MF
Psoriasis Non-small cell lung cancer GVHD B-cell lymphoma BRAF-mutant melanoma and other solid tumors |
Phase 2
(alone or in combination with low-dose of ruxolitinib) 110 Phase 2 111 Phase 2 (combination with EGFR inhibitor, osimertinib) (in progress) Phase 3 (combination with corticosteroids) (in progress) Phase 1/2 (combination with BTK inhibitor, ibrutinib) (in progress) Phase 1 (in combination with MAPK inhibitors, dabrafenib or trametinib) (in progress) |
|
INCB52793 | JAK1 | Advanced malignancies | Phase 1 (in progress) | |
PF-04965842 | JAK1 | Moderate to severe psoriasis | Phase 2 112 | |
Upadacitinib
(ABT-494) |
JAK1 | Rheumatoid arthritis | Phase 2
113
Phase 3 (in progress) |
|
Decernotinib
(VX-509) |
JAK3 | Rheumatoid arthritis | Phase 2/3 114 | |
WHI-P131/
JANEX-1 |
JAK3 | GVHD | Preclinical mouse model 115 | |
JAK3-IN-1 | JAK3 | N/A | N/A | |
Peficitinib
(ASP015K) |
JAK3 | Psoriasis
Rheumatoid arthritis |
Phase 2
116
Phase 2 117 |
|
Type II | ||||
NVP-BBT594 | JAK2 | BCR-ABL KDR FLT3
RET |
Cellular models 14 | |
NVP-CHZ868 | JAK2 | KIT,
PDGFR VEGFR |
MPN
B-ALL |
Preclinical mouse models 75 |
Allosteric
inhibitors |
||||
LS104 | JAK2 | BCR-
ABL |
MPN | JAK2V617F
cell lines 118 |
ON044580 | JAK2 | BCR-
ABL |
MPN | BCR-ABL
cell lines 119 |
ATL, adult T-cell leukemia; B-ALL, B-cell acute lymphoblastic leukemia; BTK, Bruton’s tyrosine kinase; EGFR, epidermal growth factor receptor; EMA, European Medicines Agency; ET, essential thrombocythemia; FDA, US Food and Drug Administration; GVHD, graft-versus-host disease; JAK, Janus kinase; MAPK, mitogen-activated protein kinase; MF, myelofibrosis; MPN, myeloproliferative neoplasm; N/A, not applicable; PMF, primary myelofibrosis; PV, polycythemia vera.