4.6 Review

Drug repurposing for cancer therapy, easier said than done

Journal

SEMINARS IN CANCER BIOLOGY
Volume 68, Issue -, Pages 123-131

Publisher

ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
DOI: 10.1016/j.semcancer.2019.12.012

Keywords

Drug repurposing; Cancer; Pharmacology; Cancer drug prices; Cancer biology

Categories

Ask authors/readers for more resources

Drug repurposing for cancer therapy is a hot topic of research with potential advantages of being faster, safer, easier, and cheaper. However, economic barriers are the main challenge in clinical development, hindering the acceptance of repositioned drugs as standard therapy at low cost.
Drug repurposing for cancer therapy is currently a hot topic of research. Theoretically, in contrast to the known hurdles of developing new molecular entities, the approach of repurposing has several advantages. Mostly, it is said that it is faster, safer, easier, and cheaper. In the real world, however, there are only three repurposed drugs so far, that are listed in widely recognized cancer guidelines, but a large number of them are being studied. Among the many barriers to repurposing cancer drugs, economical-driven are the most important that difficult the clinical development of them. In this review, we provide an overview of the current status of drug repurposing for cancer therapy and the barriers that need to be overcome to realize the benefit of this approach. It means to have repositioned drugs for cancer therapy accepted as standard therapy for cancer indications at low cost.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Medical Informatics

Barriers for Pharmaceutical Innovation With Focus in Cancer Drugs, the Case of Mexico

Alfonso Duenas-Gonzalez, Aurora Gonzalez-Fierro

THERAPEUTIC INNOVATION & REGULATORY SCIENCE (2020)

Article Oncology

Antitumor effects of ivermectin at clinically feasible concentrations support its clinical development as a repositioned cancer drug

Mandy Juarez, Alejandro Schcolnik-Cabrera, Guadalupe Dominguez-Gomez, Alma Chavez-Blanco, Jose Diaz-Chavez, Alfonso Duenas-Gonzalez

CANCER CHEMOTHERAPY AND PHARMACOLOGY (2020)

Review Biochemistry & Molecular Biology

Perspectives on Drug Repurposing

Alejandro Schcolnik-Cabrera, Daniel Juarez-Lopez, Alfonso Duenas-Gonzalez

Summary: Drug repurposing offers a faster and more cost-effective approach to developing treatments for common diseases compared to traditional methods. Collaboration between government, society, and private investors is crucial to ensure the development of repurposed drugs that are affordable, effective, and safe.

CURRENT MEDICINAL CHEMISTRY (2021)

Review Biochemistry & Molecular Biology

BAPST. A Combo of Common Use Drugs as Metabolic Therapy for Cancer: A Theoretical Proposal

Adriana Romo-Perez, Guadalupe Dominguez-Gomez, Alma Chavez-Blanco, Lucia Taja-Chayeb, Aurora Gonzalez-Fierro, Elisa Garcia-Martinez, Jose Correa-Basurto, Alfonso Duenas-Gonzalez

Summary: The high cost of cancer drugs is a limiting factor in reducing global cancer mortality. Repurposing existing, commercially available, and inexpensive drugs may help lower costs. This study reviews the concept of the malignant metabolic phenotype and proposes a combination therapy that simultaneously targets key metabolic processes altered in cancer.

CURRENT MOLECULAR PHARMACOLOGY (2022)

Review Oncology

Progress in Metabolic Studies of Gastric Cancer and Therapeutic Implications

Adriana Romo-Perez, Guadalupe Dominguez-Gomez, Alma Chavez-Blanco, Lucia Taja-Chayeb, Aurora Gonzalez-Fierro, Consuelo Diaz-Romero, Horacio Noe Lopez-Basave, Alfonso Duenas-Gonzalez

Summary: Gastric cancer causes significant metabolic alterations including high rates of glycolysis, glutaminolysis, de novo fatty acid synthesis, and cholesterol synthesis. Blocking these pathways simultaneously may reduce metabolic flexibility and enhance treatment efficacy.

CURRENT CANCER DRUG TARGETS (2022)

Review Gastroenterology & Hepatology

Hereditary diffuse gastric cancer (HDGC). An overview

L. Taja-Chayeb, S. Vidal-Millan, C. Trejo-Becerril, E. Perez-Cardenas, A. Chavez-Blanco, G. Dominguez-Gomez, A. Gonzalez-Fierro, A. Romo-Perez, A. Duenas-Gonzalez

Summary: It is estimated that up to 10% of gastric carcinomas show familial aggregation, while around 1-3% are genuinely hereditary. Hereditary diffuse gastric cancer (HDGC) is a rare malignancy characterized by the inheritance of pathological variants of the CDH1 and CTNNA1 genes. The disease is difficult to diagnose and manage, highlighting the importance of correctly identifying and offering adequate management to patients and their families. A critical point is identifying mutations in HDGC families to assess the risk for unaffected relatives. Evaluation: 8 points.

CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY (2022)

Review Pharmacology & Pharmacy

Does Therapeutic Repurposing in Cancer Meet the Expectations of Having Drugs at a Lower Price?

Aurora Gonzalez-Fierro, Adriana Romo-Perez, Alma Chavez-Blanco, Guadalupe Dominguez-Gomez, Alfonso Duenas-Gonzalez

Summary: Therapeutic repurposing is an alternative to traditional drug discovery and development model, aiming to develop lower-cost drugs faster, safer, and cheaper. Only three drugs have been repurposed for cancer treatment, with different histories regarding price and affordability. Economic constraints and prescription biases are barriers to be overcome. The affordability of cancer drugs varies from country to country, and current measures to reduce prices have failed. Critical analysis of the current drug development model and implementation of new models are needed to genuinely benefit society.

CLINICAL DRUG INVESTIGATION (2023)

Review Oncology

Selection of clinically relevant drug concentrations for in vitro studies of candidates drugs for cancer repurposing: a proposal

Benjamin Robles-Banuelos, Adriana Romo-Perez, Guadalupe Dominguez-Gomez, Alma Chavez-Blanco, Aurora Gonzalez-Fierro, Alfonso Duenas-Gonzalez

Summary: This study examined the correlation between drug concentrations and clinical relevance in widely used cancer drugs, and found that AUC is more closely related to IC50 than C-max. The suggestion is made to use AUC as the translated drug concentration for in vitro testing in drug repurposing.

CLINICAL & TRANSLATIONAL ONCOLOGY (2023)

No Data Available