2022
DOI: 10.1021/acs.jmedchem.1c02064
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From Structure Modification to Drug Launch: A Systematic Review of the Ongoing Development of Cyclin-Dependent Kinase Inhibitors for Multiple Cancer Therapy

Abstract: Herein, we discuss more than 50 cyclin-dependent kinase (CDK) inhibitors that have been approved or have undergone clinical trials and their therapeutic application in multiple cancers. This review discusses the design strategies, structure–activity relationships, and efficacy performances of these selective or nonselective CDK inhibitors. The theoretical basis of early broad-spectrum CDK inhibitors is similar to the scope of chemotherapy, but because their toxicity is greater than the benefit, there is no cli… Show more

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Cited by 35 publications
(20 citation statements)
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“…Increasing the number of animals and assessing the overall survival upon treatment will be important, specifically if this pipeline is utilized for understanding the mechanism of resistance to bacterial therapeutics. Nevertheless, our approach addresses an impediment to the development of new combination therapies for solid tumors -namely, the narrow therapeutic window before significant systemic toxicity is observed [20][21][22] . As the toxins by themselves are not selectively detrimental to the cancer cells, selective delivery of the toxin by the live bacteria in the tumor is crucial to avoid systemic toxicity.…”
Section: Discussionmentioning
confidence: 99%
“…Increasing the number of animals and assessing the overall survival upon treatment will be important, specifically if this pipeline is utilized for understanding the mechanism of resistance to bacterial therapeutics. Nevertheless, our approach addresses an impediment to the development of new combination therapies for solid tumors -namely, the narrow therapeutic window before significant systemic toxicity is observed [20][21][22] . As the toxins by themselves are not selectively detrimental to the cancer cells, selective delivery of the toxin by the live bacteria in the tumor is crucial to avoid systemic toxicity.…”
Section: Discussionmentioning
confidence: 99%
“…The combination with RNA-seq based identi cation of small molecule inhibitors enabled rapid and parallel assays for selection of effective therapies, which were then validated for safety and e cacy in a mouse model. This approach addresses an impediment to the development of new combination therapies for solid tumors -namely, the narrow therapeutic window before signi cant systemic toxicity is observed [20][21][22] . Several species of bacteria can selectively colonize solid tumors, primarily due to reduced immune surveillance in tumor cores, and can be controlled to deliver therapeutic payloads after colonizing tumors 23-25 .…”
Section: Discussionmentioning
confidence: 99%
“…In 2010, Novartis, in collaboration with Astex, reported 3j ( Ribociclib , LEE011 ), an orally active, highly specific CDK4/6 inhibitor with IC 50 values of 10 and 39 nM, respectively [ 60 , 61 ]. To the best of our knowledge, the development course of 3j has not been disclosed [ 55 , 62 ]. Given the structural similarity and the chronological order of launch, we assume that 3j was designed with 3i as the lead compound.…”
Section: Indole/azaindole/oxindole-based Approved Atp-competitive Kin...mentioning
confidence: 99%