Table 1. . Protease-targeted chimera molecules under clinical development.
PROTAC/structure | E3 ligase & target | Condition | Company | Administration route | Phase | Status/NCT no. | Ref. |
---|---|---|---|---|---|---|---|
E3 ligase: CRBN Target: AR |
Prostate cancer, metastatic | Arvinas | Oral | Phase II | Recruiting/ NCT03888612 | [18] | |
E3 ligase: CRBN Target: ER |
Breast cancer | Arvinas/Pfizer | Oral | Phase II | Recruiting/ NCT04072952 | [19] | |
E3 ligase: VHL Target: AR |
Prostate cancer, metastatic | Arvinas Androgen Receptor, Inc. | Oral | Phase I | Recruiting/ NCT05067140 | [20] | |
E3 ligase: VHL Target: BCL-XL |
Solid tumor and hematologic malignancy | Dialectic Therapeutics, Inc | Intravenous | Phase I | Recruiting/ NCT04886622 | [21] | |
E3 ligase: CRBN Target: IRAK4 |
Atopic dermatitis and hidradenitis suppurativa | Kymera Therapeutics, Inc. | Oral | Phase I | Recruiting/ NCT04772885 | [22] | |
KT-413 | E3 ligase: CRBN Target: IRAK4 |
Non-Hodgkin lymphoma and diffuse large B-cell lymphoma | Kymera Therapeutics, Inc. | Intravenous | Phase I | Recruiting/ NCT05233033 | [23] |
KT-333 | E3 ligase: Not disclosed Target: STAT3 |
Non-Hodgkin lymphoma, peripheral T-cell lymphoma, cutaneous T-cell lymphoma, large granular lymphocytic leukemia and solid tumors | Kymera Therapeutics, Inc. | Intravenous | Phase I | Recruiting/ NCT05225584 | [24] |
NX-2127 | E3 ligase: CRBN Target: BTK |
Chronic lymphocytic leukemia, small lymphocytic lymphoma, Waldenstrom macroglobulinemia, mantle cell lymphoma and follicular lymphoma | Nurix Therapeutics, Inc. | Oral | Phase I | Recruiting/ NCT04830137 | [25] |
NX-5948 | E3 ligase: CRBN Target: BTK |
Chronic lymphocytic leukemia, small lymphocytic lymphoma, Waldenstrom macroglobulinemia, mantle cell lymphoma and follicular lymphoma | Nurix Therapeutics, Inc. | Oral | Phase I | Recruiting/ NCT05131022 | [26] |
CFT8634 | E3 ligase: CRBN Target: BRD9 |
Synovial sarcoma and soft tissue sarcoma | C4 Therapeutics, Inc. | Oral | Phase II | Recruiting/ NCT05355753 | [27] |
CC-94676 | E3 ligase: CRBN Target: AR |
Prostate cancer, metastatic | Celgene | Oral | Phase I | Recruiting/ NCT04428788 | [28] |
AC682 | E3 ligase: CRBN Target: ER |
Breast cancer | Accutar Biotechnology Inc. | Oral | Phase I | Recruiting/ NCT05080842 | [29] |
AR: Androgen receptor; BCL-XL: B-cell lymphoma, extra large; BRD9: Bromodomain-containing protein 9; BTK: Bruton's tyrosine kinase; CRBN: Cereblon protein, ER: Endoplasmic reticulum protein; IRAK: IL-1 receptor-associated kinase; NCT: National clinical trial; PROTAC: Protease-targeted chimera; STAT3: Signal transducer and activator of transcription 3; VHL: von Hippel–Lindau tumor suppressor protein.