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Table 2 Representative small molecules targeting protein degradation under clinical evaluation

From: Protein degradation: expanding the toolbox to restrain cancer drug resistance

Small molecules

Target

Application

Stage of development

Refs.

KSQ-4279

USP1

Patients with advanced solid tumors alone or in combination with an oral PARPi

Phase I

NCT05240898

Perifosine

UCHL3

Refractory tumors

Phase I or II

NCT00873457, NCT01049841, NCT00391560, NCT01097018, NCT00054145

VLX1570

UCHL and USP14

Multiple myeloma

Phase II

NCT02372240

AMG-232

MDM2

Treating patients with acute myeloid leukemia that has come back (recurrent), does not respond to treatment (refractory), or is newly diagnosed in combination with decitabine

Phase I

NCT03041688

ALRN-6924

MDM2/MDMX

Treatment for resistant (refractory) pediatric cancer

Phase I

NCT03654716

DS-3032b

MDM2

Treatment of relapsed and/or refractory multiple myeloma

Phase I

NCT02579824

RO6839921

MDM2

Patients with advanced cancers

Phase I

NCT02098967, NCT01462175

BI 907828

MDM2

Different types of advanced cancer

Phase I

NCT03449381, NCT05376800, NCT03964233

NX-1607

Cbl-b

Advanced malignancies

Phase I

NCT05107674

KPG-818

CRL4

Hematological malignancies

Phase I

NCT04283097