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. 2022 Jan 14;40(4):989–1033. doi: 10.1007/s10555-021-10006-2

Fig. 5.

Fig. 5

A simplified summary of the main targetable metabolic pathways and related compounds. The schematic figure shows the main metabolic pathways and inhibitor therapy reported in different phase trials (marketed and tested drugs are labeled with green or red color, respectively). OXPHOS inhibitors, metformin (marketed in type 2 diabetes), fenofibrate (marketed in different cardiovascular diseases), atovaquone (marketed in malaria), arsenic trioxide (marketed in acute promyelocytic leukemia), mIBG (marketed in paraganglioma and pheochromocytoma), enasidenib mesylate (marketed in relapsed acute myeloid leukemia), leflunomide (marketed in psoriatic and rheumatoid arthritis), miltefosine (marketed in leishmaniasis), tetracycline, doxycycline, minocycline, tigecycline, azithromycin (marketed in bacterial infections), pyrvinium pamoate (FDA-approved anthelmintic drug) and drugs in clinical trials are vorasidenib (NCT04603001 — phase III in advanced hematologic malignancies), emvododstat (NCT03761069 — phase I in relapsed acute leukemias), FN-1501 (NCT03690154 — phase I in advanced solid tumors and leukemias), HMPL-306 (NCT04764474 — phase I in IDH gene mutated cancers), and SH-1573 — phase I in acute myelogenous leukemia); glycolysis inhibitors, nedosiran (NCT04042402 — phase III in primary hyperoxaluria), GP-2250 (NCT03854110 — phase II in pancreatic cancer), tuvatexib (NCT03538951 — phase II in actinic keratosis), PS101/3BP (NCT04021277 — phase I in hepatic metastases); lipid metabolism inhibitors, icosapent ethyl (marketed in different cardiovascular diseases), TVB-2640 (NCT03179904 — phase II in advanced breast cancers); glutaminolysis inhibitors, DRP-104 (NCT04471415 — phase II in advanced solid tumors), CB-839 (NCT03047993 — phase II in advanced myelodysplastic syndrome); transporter inhibitors, AZD-3965 (progressing to phase II trials), SLC-0111 (NCT03450018 — phase II in pancreatic ductal cancers), JPH-203 (pre-registration in bile-duct cancer)