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Updated: Jan 30, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
The RANK-RANKL axis: an opportunity for drug repurposing in cancer?
S Peters1, P Clézardin2, I Márquez-Rodas3
1Department of Oncology, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland.
Drug repurposing accelerates cancer treatment development. Denosumab, a receptor activator of nuclear factor kappa B ligand (RANKL) inhibitor, shows promise beyond bone cancer, impacting tumor growth, metastasis, and immune response.
Area of Science:
- Oncology
- Pharmacology
- Immunology
Background:
- Drug repurposing offers a cost-effective and faster alternative to traditional drug development.
- Denosumab, a RANKL inhibitor, is approved for skeletal-related events in advanced cancers.
- The role of RANK/RANKL signaling in cancer biology is increasingly understood.
Purpose of the Study:
- To review the role of RANK/RANKL signaling in tumor initiation, progression, and metastasis.
- To explore the impact of RANK/RANKL on tumor immunology and immune evasion.
- To consider future therapeutic strategies involving denosumab.
Main Methods:
- Literature review of studies on RANK/RANKL in cancer.
- Analysis of denosumab's mechanism of action and clinical applications.
- Examination of ongoing clinical trials and potential drug combinations.
Main Results:
- RANK/RANKL signaling influences multiple stages of tumorigenesis.
- RANK/RANKL plays a significant role in tumor immunology and immune evasion.
- Denosumab has demonstrated efficacy in repurposing for giant cell tumor of bone.
Conclusions:
- Denosumab's repurposing potential extends beyond bone-related events.
- Targeting RANK/RANKL may offer novel therapeutic strategies in oncology.
- Combination therapies, including with immune checkpoint inhibitors, warrant further investigation.
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