From: Reactive oxygen species in haematopoiesis: leukaemic cells take a walk on the wild side
Compound | Status | ROS modulation | Clinical Trials |
---|---|---|---|
Arsenic trioxide (As2O3, trisenox) | FDA-approved for the treatment of relapsing AML. | ↑ ROS: Inhibits MRC, TrxR and SOD; induces the expression of Nox2 complex genes and depletes Prx III | Phase II study of As2O3 plus decitabine and cytarabine AML with p53 mutations (NCT03381781, not yet recruiting). Phase I studies of As2O3 plus decitabine (NCT00671697, completed in 2011), plus cytarabine and idarubicin (NCT00093483, completed in 2009) for AML treatment. Phase II/III study of As2O3 plus altezumab and other chemoteraputic agents for AML or MDS treatment (NCT00454480, completed). |
Metformin | FDA-approved for the treatment of type 2 diabetes. | ↑ ROS: Inhibits mitochondrial ATP production | Phase II study for CLL treatment (NCT01750567, recruiting). Phase I study of metformin plus ritonavir for relapsed/refractory MM or CLL treatment (NCT02948283, active). Phase I study for relapsed childhood ALL (NCT01324180; completed). Phase I study of metformin plus cytarabine for relapsed/refractory AML treatment (NCT01849276, active). |
Tigecycline | FDA-approved for complicated skin and intra-abdominal infections. | ↑ ROS: Inhibits mitochondrial biogenesis | Phase I study for AML treatment (NCT01332786, completed in 2015). In vitro study of tigecycline in cells from CML patients (NCT02883036, not yet recruiting). |
NOV-002 | Under clinical trial. | ↑ ROS: GSSG mimetic | Phase III study of NOV-002 plus cis-platinum and placlitaxel for NSCLC treatment (NCT00347412, completed in 2010). |
2-methoxyestradiol (2-ME, panzem) | FDA-approved for ovarian cancer, metastatic malignant melanoma, MM and pancreatic adenocarcinoma. | ↑ ROS: SOD inhibitor | Phase II study for the treatment of relapse or plateau phase myeloma (NCT00592579, completed in 2008). |
Imexon | FDA-approved for pulmonary arterial hypertension, ovarian cancer, multiforme glioblastoma and MM treatment. | ↑ ROS: GSH pool depletion | Phase I/II study in MM (NCT00327249, completed in 2008). Phase II study for the treatment of aggressive lymphomas (NCT01314014, completed in 2014). |
ATN-224 | Under clinical trial. | ↑ ROS: SOD inhibitor | Phase I/II study of ATN-224 plus bortezomib in MM patients (NCT00352742, completed in 2008). |
PX-12 | Under clinical trial. | ↑ ROS: Thioredoxin system inhibitor | Phase I (NCT00736372, completed in 2009) and phase II studies (NCT00417287, completed in 2009) against solid tumours. |
Phenethyl isothiocyanate (PEITC) | Under clinical trial. | ↑ ROS: Export GSH outside of the cell and inhibits GPx | Phase I study for preventing lung cancer (NCT00005883, completed). PEITC as support care in head and neck cancer patients (NCT03034603, recruiting). |
GKT137831 | Under clinical trial. | ↓ROS: NOX1 and NOX4 inhibitor | Phase II study for the treatment of patient with type 2 diabetes (NCT02010242, completed in 2015). |
Allopurinol | FDA-approved for gout treatment and as prophylaxis treatment to prevent chemotherapy-induced uric acid elevation. | ↓ ROS: XOD inhibitor | Phase II study of allopurinol in pediatric ALL treatment to improve 6-mercaptopurine treatment (NCT03022747, recruiting). |