Table 2.
Clinical trials of drugs that target other metabolic pathways than glycolysis, involved in the upregulated synthesis, proliferation, and survival of cells that have undergone metabolic rewiring.
Drug | Pathway | Disease | Trial Status | Identifier |
---|---|---|---|---|
CB-839 | glutaminase | advanced solid tumor | phase I | NCT02071862 |
renal cell carcinoma | phase II | NCT03428217 | ||
ADI-PEG20 | arginine availability | breast cancer | phase I | NCT01948843 |
hepatocellular cancer | phase II | NCT00056992 | ||
hepatocellular cancer | phase III | NCT01287585 | ||
TVB-2640 | fatty acid synthase | advanced solid tumor | phase I | NCT02223247 |
NSCLC | phase II | NCT03808558 | ||
NDI-010976 | acetyl-CoA carboxylase | healthy obese adults | phase I | NCT02876796 |
TCD-717 | choline kinase | advanced solid tumor | phase I | NCT01215864 |
epacadostat | indoleamine-2,3-dioxygenase | solid tumor | phase I | NCT03471286 |
MDS | phase II | NCT01822691 | ||
indoximod | indoleamine-2,3-dioxygenase | prostate cancer | phase II | NCT01560923 |
rapamycin | mTOR | thyroid cancer | phase II | NCT00936858 |
everolimus | mTOR | prostate cancer | phase II | NCT00976755 |
kidney cancer | phase III | NCT01120249 | ||
temsirolimus | mTOR | RA | phase II | NCT00076206 |
leflunomide | Pyrimidine synthetase | approved | ||
methotrexate | dihydrofolate reductase | approved | ||
pemetrexed | dihydrofolate reductase | approved | ||
pralatrexate | dihydrofolate reductase | approved | ||
5-fluorouracil | thymidylate synthase | approved | ||
S-1 | thymidylate synthase | approved | ||
pentostatin | adenosine deaminase | approved | ||
6-mercaptopurine | adenine deaminase | approved | ||
azathioprine | purine synthesis | approved | ||
cladribine | adenosine deaminase | approved | ||
gemcitabine | ribonucleotide reductase | approved | ||
cytarabine | DNA polymerase/ribonucleotide reductase | approved | ||
fludarabine | DNA polymerase/ribonucleotide reductase | approved | ||
hydroxyurea | ribonucleotide reductase | approved |
mTOR, mammalian target of rapamycin; NSCLC, non-small cell lung cancer; MDS, myelodysplasic syndrome.