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. Author manuscript; available in PMC: 2024 Dec 5.
Published in final edited form as: Curr Opin Chem Biol. 2021 Mar 31;62:90–100. doi: 10.1016/j.cbpa.2021.02.009

Table 1. Small molecule inhibitors of disordered states of proteins with proven in vivo efficacy.

Target Disease family Compound Identification In vivo efficacy Clinical trials (Phase) Structure Ref.
ɑ-synuclein Parkinson’s disease Fasudil Drug repurposing Improved motor and cognitive functions at 10 and 30 mg/kg Approved for use in humans but not assayed for Parkinson’s disease graphic file with name EMS145310-i001.jpg [37]
Alzheimer’s disease SEN1576 Rational design Reduced deficits in in vivo long-term potentiation and memory at 0.3 and 1 mg/kg - graphic file with name EMS145310-i002.jpg [38]
AR Castration resistant prostate cancer EPI-7170 Second generation lead compound from a phenotypic screen Tumor growth inhibition at 25 mg/kg NCT044212221 (1) graphic file with name EMS145310-i003.jpg [39]
c-Myc Cancer MYCMI-6 Cell-based protein interaction screen Apoptosis induction and reduction of tumor cell proliferation and microvascularity at 20 mg/kg - graphic file with name EMS145310-i004.jpg [40]
EN4 Covalent ligand screen Tumor growth inhibition at 50 mg/kg - graphic file with name EMS145310-i005.jpg [41]
EWS-FLI1 Ewing’s sarcoma TK216 Rational design Tumor growth inhibition at 100 mg/kg NCT02657005
(1)
graphic file with name EMS145310-i006.jpg [42]
NUPR1 Pancreatic adenocarcinoma ZZW-115 Ligand-based design Tumor growth arrested at a 5 mg/kg - graphic file with name EMS145310-i007.jpg [43]
PTP1B Diabetes, obesity MSI-1436 Serendipity Suppresses appetite, reduces body weight and improves plasma insulin at 5-10 mg/kg Completed:
NCT00806338
NCT00606112
NCT00509132
Discontinued:
NCT02524951
(1)
graphic file with name EMS145310-i008.jpg [44, 45]
Tau Alzheimer’s disease TRx0237 In vitro aggregation assay Reduces the brain atrophy rate at 4 mg/kg twice a day. NCT03446001
(1)
graphic file with name EMS145310-i009.jpg [46, 47]
1

Clinical trial of EPI-7386 (structure not available).