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Table 5 Metabolism-targeted drugs

From: TGF-β signaling in the tumor metabolic microenvironment and targeted therapies

Strategy

Agent

Experiment status

Application

Cancer biological behavior

Clinical trial/Ref.

GLUTs inhibitor

Silybin

Phase II; In vivo mouse model

Prostate cancer

Suppressed cancer growth

NCT00487721 [271]

Rapaglutin A

In vivo mouse model; in vitro human cell culture

Breast cancer

Suppressed cancer growth

[272]

HK II inhibitor

Metformin

Phase II

Breast cancer

Inhibited cancer cell proliferation

NCT01266486 [273]

2-deoxyglucose

Phase I/II

Prostate cancer

Inhibited cancer growth

NCT00633087 [274]

3-Bromopyruvate

In vitro human cell culture

Liver cancer

Inhibited cancer growth

[275]

CAV-1 inhibitor

Methyl-β-cyclodextrin

 In vitro human cell culture

  Colorectal cancer

 Increased the BITC-induced anti-cancer effect

276

MCT-1 inhibitor

AZD3965

Phase I

Lymphoma

Inhibited cancer growth

NCT01791595 [277]

PDK inhibitor

Dichloroacetate

Phase I; In vitro human cell culture

Advanced solid tumor

Reduced tumor growth and enhanced Adriamycin cytotoxicity

NCT00566410 [278, 279]

Hordenine

In vitro human cell culture

Lung cancer

Decreased cancer cell proliferation

[280]

IDH inhibitor

Ivosidenib (AG-120)

Phase I

Brain cancer

Inhibited tumorigenesis

NCT02073994 [281]

Ivosidenib (AG-120)

Phase III

Cholangiocarcinoma

Reduced tumor growth

NCT02989857 [282]

Enasidenib

Phase I/II

Leukemia

Inhibited cancer growth

NCT01915498 [283, 284]

Olutasidenib (FT-2102)

Phase I/II

AML

Suppressed tumor growth

NCT02719574 [285, 286]

Vorasidenib (AG-881)

Phase I

Glioma

Acquired complete remission

NCT02481154 [287]

HIF-1α inhibition

Apigenin

Phase I

Ovarian, prostate and breast cancer

Downregulated tumor angiogenesis

NCT03526081 NCT03139227 [288,289,290,291,292]

Semaxanib  (SU5416)

Phase II

Metastatic melanoma

Reduced tumor metastasis

NCT00017316 [293]

2-Methoxyestradiol

Phase I; Phase II

Prostate, breast, brain, head and neck cancer and liver cancer

Inhibited tumor growth and angiogenesis

NCT00030095; NCT00592579 [294,295,296]

PX-478

Phase I

Solid tumors and Lymphoma

Enhanced radiosensitivity and suppressed tumor growth

NCT00522652 [297,298,299]

BAY 87-2243

Phase I

 Neoplasms

Impaired OXPHOS and reduced cancers growth

NCT01297530 [300,301,302]

OXPHOS inhibition

Lonidamine

Phase II; In vivo mouse model

Glioma

Limited tumor growth

[303, 304]

G6PD inhibitor

 Dehydroepiandrosterone

Phase I

Breast cancer

Increased the number of monocytes  and NK cells

NCT00972023 [305]

Polydatin

In vitro human cell culture

Breast cancer

Increased cancer cell autophagy and lapatinib effect on breast cancer cells 

[306]

GSK-3 inhibitor

Lithium chloride

In vivo mouse model; in vitro human cell culture

Pancreatic and breast cancers

 Enhanced autophagy and apoptosis in cancer cells and reduced cancer growth

[307]

PGAM1 inhibitor

 HKB99

In vivo mouse model

 NSCLC

 Suppressed tumor growth and metastasis

[308]

 PGMI-004A

  In vivo mouse model

 NSCLC

 Attenuated cell proliferation and tumor growth

[309]

ACSLs inhibition

Triacsin C

In vitro human cell culture

Colon and breast cancers

Decreased cell proliferation and chemotherapy resistance

[310, 311]

ACAT-1

Avasimibe

In vitro human cell culture

Ovarian cancer

 Enhanced chemosensitivity to cisplatin treatment

[312]

FASN inhibitor

C75

FDA approved

 NSCLC

Reduced tumor growth

[313, 314]

TVB-2640

Phase II

NSCLC, ovarian, and breast cancer

Inhibited cancer growth

NCT02223247 [315]

Cerulenin

In vitro human cell culture

 Lung cancers

Blocked cancer cell proliferation

[316]

HMGCR inhibitor

Fluvastatin

In vivo mouse model

 NSCLC

Inhibited cancer growth

[317]

GLS inhibitor

Telaglenastat (CB-839)

In vivo mouse model 

 Melanoma

  Improvement in tumor growth inhibition with anti-PD1 and anti-CTLA4 antibodies

[318]

Withangulatin A derivative 7

In vivo mouse model 

Breast cancer

Inhibited cancer growth

[319]

  1. GLUT glucose transporter; HK II hexokinase II; CAV-1 caveolin-1; BITC benzyl isothiocyanate; MCT-1 monocarboxylate transporter 1; PDK1 pyruvate dehydrogenase kinase 1; IDH isocitrate dehydrogenase; HIF-1 hypoxia-inducible factor-1; OXPHOS oxidative phosphorylation; G6PD glucose-6-phosphate dehydrogenase; GSK-3 glycogen synthase kinase; PGAM phosphoglycerate mutase; NSCLC non-small cell lung cancer; ACSL acyl CoA synthetase; FASN fatty acid synthase; HMGCR 3-hydroxy-3-methylglutaryl-CoA reductase; and GLS1 glutaminase 1