A therapeutic patent overview of MDM2/X-targeted therapies (2014-2018)

Lukasz Skalniak1, Ewa Surmiak1, Tad A Holak1

  • 1a Department of Organic Chemistry, Faculty of Chemistry , Jagiellonian University , Krakow , Poland.

Abstract

Insights

MDM2/X antagonists reactivate the p53 tumor suppressor to inhibit cancer growth. Recent patents (2014-2018) show advancements in these drugs, including combination therapies and novel PROTAC technologies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • MDM2 and MDMX proteins inhibit the p53 tumor suppressor, promoting cancer evolution.
  • Blocking MDM2/X-p53 interaction reactivates p53, inhibiting cancer growth in p53 wild-type cells.
  • Numerous chemical entities have been developed to antagonize MDM2/X and reactivate p53 over the past two decades.

Purpose of the Study:

  • To review therapeutic patents for MDM2/X antagonists from 2014-2018.
  • To present patents involving drug combinations with MDM2/X antagonists.
  • To highlight trends and advancements in the field of MDM2/X antagonists for cancer treatment.

Main Methods:

  • Review of therapeutic patents published between 2014 and 2018.
  • Analysis of patents focusing on MDM2/X antagonists and their use in cancer therapy.
  • Identification of patents related to combination treatments and novel technologies like PROTAC.

Main Results:

  • Several known chemical scaffolds for MDM2/X antagonists were further developed.
  • Numerous lead compounds entered clinical trials for cancer patients during this period.
  • Limitations of MDM2 antagonists spurred research into combination strategies and dual-targeting approaches (e.g., PROTAC).

Conclusions:

  • The period 2014-2018 saw significant progress in the development of MDM2/X antagonists.
  • Combination therapies and novel targeting strategies like PROTAC are emerging trends to overcome limitations.
  • Continued research into MDM2/X antagonists holds promise for improved cancer treatment outcomes.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.9K
Therapeutic Drug Monitoring: Overview and Classification01:16

Therapeutic Drug Monitoring: Overview and Classification

Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood at designated intervals to ensure the drug concentration stays within a therapeutic range. This monitoring is crucial for optimizing individual dosage regimens, enhancing therapeutic efficacy, and minimizing drug-related toxicity. TDM is vital for drugs with narrow therapeutic windows, significant variability in pharmacokinetics, and a clear correlation between plasma levels and...
335
Targets for Drug Action: Overview01:26

Targets for Drug Action: Overview

Drugs target macromolecules to modify ongoing cellular processes. Primary drug targets include receptors, ion channels, transporters, and enzymes.
Receptors are either membrane-spanning or intracellular proteins, which upon binding a ligand, get activated and transmit the signal downstream to elicit a response. Drugs bind receptors, either mimicking the action of endogenous ligands or blocking the receptor activity to bring about a modified response. Nearly 35% of approved drugs target the G...
10.2K
Drug Administration and Therapy Phases: Overview01:26

Drug Administration and Therapy Phases: Overview

Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
1.4K
Therapeutic Index01:13

Therapeutic Index

The therapeutic index of a drug is a key parameter in pharmacology that quantifies the relative safety of a drug by calculating the ratio between the dose that causes toxicity in half the population (50%) to the dose that proves to be effective for half the population (50%). It provides a spectrum of doses for a particular drug ranging from effective to potentially toxic. To illustrate, consider an anticoagulant agent like warfarin. It possesses a narrow window within its therapeutic index to...
6.7K
Gene Therapy00:59

Gene Therapy

Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
27.6K