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Aurora kinase inhibitor patents and agents in clinical testing: an update (2011 - 2013)
Chun Hei Antonio Cheung1, Sailu Sarvagalla, Jane Ying-Chieh Lee
1National Cheng Kung University, College of Medicine, Department of Pharmacology , Tainan, Taiwan , Republic of China.
Introduction:
Aurora kinase A, B and C, members of serine/threonine kinase family, are key regulators of mitosis. As Aurora kinases are overexpressed in many of the human cancers, small-molecule inhibitors of Aurora kinase have emerged as a possible treatment option for cancer.
Areas Covered:
In 2009 and 2011, the literature pertaining to Aurora kinase inhibitors and their patents was reviewed. Here, the aim is to update the information for Aurora kinase inhibitors in clinical trials and the patents filed between the years 2011 and 2013. Pubmed, Scopus®, Scifinder®, USPTO, EPO and www.clinicaltrials.gov databases were used for searching the literature and patents for Aurora kinase inhibitors.
Expert Opinion:
Even though both Aurora sub-type selective as well as pan-selective inhibitors show preclinical and clinical efficacy, so far no Aurora kinase inhibitor has been approved for clinical use. Particularly, dose-limiting toxicity (neutropenia) is a key issue that needs to be addressed. Preliminary evidence suggests that the use of selective Aurora A inhibitors could avoid Aurora B-mediated neutropenia in clinical settings. Also, use of adjunctive agents such as granulocyte stimulating factor to overcome neutropenia associated with Aurora B inhibition could be an answer to overcome the toxicity and bring Aurora inhibitors to market in the future.
Insights
Small-molecule inhibitors targeting Aurora kinases (A, B, and C) show promise for cancer treatment but face toxicity challenges. Selective Aurora A inhibitors or supportive therapies may overcome neutropenia, potentially leading to market approval.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Aurora kinases (A, B, C) are serine/threonine kinases crucial for cell division.
- Overexpression of Aurora kinases is linked to various human cancers.
- Small-molecule inhibitors of Aurora kinases are investigated as potential cancer therapeutics.
Purpose of the Study:
- To update the literature and patent information on Aurora kinase inhibitors in clinical trials.
- To review inhibitors and patents filed between 2011 and 2013.
Main Methods:
- Literature and patent searches were conducted using databases like Pubmed, Scopus, Scifinder, USPTO, EPO, and clinicaltrials.gov.
- Focus on clinical trials and patents for Aurora kinase inhibitors from 2011-2013.
Main Results:
- Both selective and pan-selective Aurora kinase inhibitors demonstrate preclinical and clinical effectiveness.
- No Aurora kinase inhibitor has received FDA approval for clinical use to date.
- Neutropenia is a significant dose-limiting toxicity observed with these inhibitors.
Conclusions:
- Selective Aurora A inhibitors may mitigate Aurora B-mediated neutropenia.
- Adjunctive therapies, such as granulocyte stimulating factor, could address neutropenia.
- Overcoming toxicity is crucial for the market approval of Aurora kinase inhibitors.
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