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Current clinical trials with polo-like kinase 1 inhibitors in solid tumors
1Department of Pharmacy, College of Pharmacy, Institute of Pharmaceutical Science and Technology, Hanyang University, Gyeonggi-do, Republic of Korea.
Abstract:
Significant advances in cancer treatment have resulted from the targeted cancer therapy by understanding the process of malignant transformation. Polo-like kinase 1 (PLK1) has been investigated as a target for cancer therapy for several years. Recently, anticancer drug candidates targeting PLK1 have been developed. To investigate the significance of PLK1 inhibitors in cancer patients, the current clinical statuses of PLK1 inhibitors including BI 2536, volasertib, and GSK461364A were analyzed. Monotherapy with BI 2536, the first human study of PLK1 inhibitors, has been terminated now, but its combinational study is still available in several solid tumors. The second-generation PLK1 inhibitor volasertib has an improved pharmacokinetic profile, safety, and efficacy, which is currently being developed under phase I/II. GSK461364 has shown a greater sensitive antitumor effect in p53-mutated cancer compared with that of p53-wild type cancer cells in a preclinical study. However, it has to be coadministered with an anticoagulator because of the high incidence of venous thrombotic emboli in clinical studies. PLK1 inhibitors showed a favorable pharmacokinetic profile, safety, and efficacy in patients with solid tumors. Further investigation with the use of PLK1 inhibitors in cancer patients who have mutated p53 or Ras and a high level of PLK1 as biomarkers is needed to consider the context and evaluation criteria of therapy.
Insights
Polo-like kinase 1 (PLK1) inhibitors show promise in cancer therapy, with ongoing clinical trials evaluating their safety and efficacy. Further research is needed to identify optimal patient populations and biomarkers for these targeted cancer drugs.
Area of Science:
- Oncology
- Pharmacology
Background:
- Targeted cancer therapies have advanced significantly due to a better understanding of malignant transformation.
- Polo-like kinase 1 (PLK1) is a validated target for cancer therapy, with several inhibitors developed.
Purpose of the Study:
- To analyze the clinical status of PLK1 inhibitors, including BI 2536, volasertib, and GSK461364A.
- To evaluate the significance of PLK1 inhibitors in cancer patients.
Main Methods:
- Review of clinical trial data for BI 2536, volasertib, and GSK461364A.
- Analysis of preclinical and clinical study outcomes for PLK1 inhibitors.
Main Results:
- BI 2536 monotherapy is terminated, but combination studies continue. Volasertib shows improved profiles and is in Phase I/II trials.
- GSK461364A demonstrated enhanced antitumor effects in p53-mutated cancers but requires anticoagulation due to thrombotic risks.
- PLK1 inhibitors generally exhibit favorable pharmacokinetics, safety, and efficacy in solid tumors.
Conclusions:
- PLK1 inhibitors represent a promising class of targeted cancer therapies.
- Further investigation is warranted in specific patient populations, such as those with mutated p53 or Ras and high PLK1 levels, to optimize treatment strategies and evaluation criteria.
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