“…Several PAK inhibitors have been studied for their anti-cancer efficacies in vitro and in vivo ( 10 , 14 , 15 , 44 , 45 ). Several PAK1 inhibitors, such as G-5555 ( 46 ), FL172 ( 47 ), PF-3758309 ( 48 ), and AZ13705339 ( 49 ) have demonstrated PAK1 activity suppression in vitro ; however, these compounds also exhibited off-target effects on several other kinases, such as the Src family of kinases, Akt1, AMP Kinases, Cyclin-dependent kinase-7 and serum glucocorticoid kinase, due to their competition for the ATP-binding site, that is conserved in several kinases ( 44 , 45 ). Among these, PF-3758309 and PF-03758309 are specific inhibitors of PAK4, a group II PAK isoform ( 50 ), and a clinical trial on PF-03758309 for advanced solid tumors (NCT00932126) was terminated, due to the undesirable pharmacokinetic characteristics, such as unfavorable levels of the drug in the plasma and the lack of a dose-response association.…”