Table 1.
Candidate targeted therapeutics for the dysfunctional p53 pathway in pancreatic cancers discussed in this section
Drug | Combination with | Comments |
---|---|---|
RITA | Gemcitabine, FOLFOX | Sensitizes resistant to gemcitabine and to FOLFOX cells |
CP-31398 | Gemcitabine | Sensitizes resistant to gemcitabine cells |
PXN822 | – | Restores p53 transcriptional activity |
Nutlin 3a | Etoposide | Synergism in increasing DNA damage |
Nutlin 3a | – | Effect on tumor micro-environment |
Proteasome inhibitors | – | Theoretical interest in c-Myc amplified cancers |
Chloroquine, hydroxychloroquine | +/– chemotherapy | No benefit in clinical trials but biomarkers of sensitivity such as p14 loss may be worth exploring |
Rucaparib | Nutlin 3a, RG7388 | Potential synergism in cancers with mutated p53 |
Olaparib | Pimasertib | Synergism in BRCA2 wildtype pancreatic cancer cells |