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. 2021 Jun 4;13(11):2813. doi: 10.3390/cancers13112813

Table 2.

Potential HIF-1 inhibitors under development.

HIF-1 Inhibitors Animal Models Clinical Trials References
Transcriptional initiation
Flavopiridol No animal model looking at effect on hypoxia/HIF-1 Not in clinical use [35,36,37,38,39]
Aminoflavone (AF) MCF-7 xenografts Phase 1 (Completed) [40,41,42,43]
mRNA stabilization
EZN-2968 DU145 xenograft Phase 1 (Completed) [44,45]
Translational initiation
Rapamycin LKB1 ± mice (Peutz-Jeghers syndrome model), ACHN xenograft, SN12C xenograft FDA-approved for treatment for renal cell carcinoma (RCC) [46,47,48]
Cetuximab Tgfb1/Pten deletion 2cKO mice, CAL27 xenograft FDA-approved for head and neck squamous cell carcinoma (HNSCC), colorectal cancer (CRC) [49,50]
Buparlisib No animal model looking at effect on hypoxia/HIF-1 Phase 3 (Completed, Terminated) [51]
KC7F2 No animal model looking at effect on hypoxia/HIF-1 Not in clinical use [52]
2-MEs LLC xenograft/MDA-MB-231 xenograft Phase 2 (Completed) [53,54,55,56,57]
Digoxin P493 xenograft/PC3 xenograft Phase 2 (Completed, Terminated) [58,59]
AZD6738, VX-970 OE21 xenograft (VX-970) AZD6738: Phase 2 (In progress) [60]
VX-970: Phase 2 (In progress)
Protein stabilization
Melatonin, NB-5-MT Tumor xenograft models with breast, kidney, prostate, and colon cancer cells in mouse and zebrafish Not in clinical use [61,62,63,64,65,66]
LW6 HCT116 xenograft Not in clinical use [67]
GYY4137 No animal model looking at effect on hypoxia/HIF-1 Not in clinical use [68,69]
Ganetespib Orthotopic implantation of MDA-MB-231, MDA-MB-435 Phase 2 (Completed)
Phase 3 (Terminated)
[70,71,72,73]
Apigenin PC-3 and OVCAR3 Matrigel plug assay Phase 2 (Terminated) [74,75,76,77,78]
Lonafarnib Orthotopic implantation of UMSCC38 Phase 2 (Completed)
Phase 3 (Terminated)
[79,80,81,82,83]
Vorinostat Hep3B xenograft FDA-approved for cutaneous T-cell lymphoma
Phase 2 with results for other cancer types
[84,85,86]
Romidepsin (FK228) Orthotopic implantation of LLC FDA-approved for cutaneous T-cell lymphoma
Phase 2 with results for other cancer types
[87]
Trichostatin No animal model looking at effect on hypoxia/HIF-1 Phase 1 (In progress) [88,89,90]
Heterodimerization
Acriflavine PC-3 xenografts Not in clinical use [91,92,93]
DNA binding
Echinomycin MDA-MB-231 and SUM-159 xenografts Phase 2 (Completed) [94,95,96,97,98]
Anthracycline HeLa xenografts Phase 2 (Completed) [99]
Radicicol No animal model looking at effect on hypoxia/HIF-1 Not in clinical use [100,101]
Transactivation
Bortezomib SiHa xenografts Phase 1 (Completed) [102,103,104,105,106]
Other steps
PX-478 HT-29 xenografts Phase 1 (Completed) [107,108]
Camptothecin analogues (TPT, EZN-2208) U251 glioma xenografts TPT: Phase 1 (Completed) [109,110,111,112,113]
EZN-2208 combination with other drugs: Phase 1 (Completed)
CRLX101 orthotopic primary triple-negative breast cancer xenografts Phase 2 (Completed) [114,115,116,117]
Metformin Various types of tumors, e.g., CRC and HCC Phase 3 (Completed) [118,119,120,121]

CTCL, cutaneous T-cell lymphoma.