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Updated: Sep 21, 2025

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Can Drug Repurposing Accelerate Precision Oncology?
Luuk J Schipper1,2, Laurien J Zeverijn1,2, Mathew J Garnett3
1Division of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
Abstract:
Ongoing new insights in the field of cancer diagnostics, genomic profiling, and cancer behavior have raised the demand for novel, personalized cancer treatments. As the development of new cancer drugs is a challenging, costly, and time-consuming endeavor, drug repurposing is regarded as an attractive alternative to potentially accelerate this. In this review, we describe strategies for drug repurposing of anticancer agents, translation of preclinical findings in novel trial designs, and associated challenges. Furthermore, we provide suggestions to further utilize the potential of drug repurposing within precision oncology, with a focus on combinatorial approaches.
Significance:
Oncologic drug development is a timely and costly endeavor, with only few compounds progressing to meaningful therapy options. Although repurposing of existing agents for novel, oncologic indications provides an opportunity to accelerate this process, it is not without challenges.
Insights
Drug repurposing offers a faster, cost-effective strategy for developing new cancer treatments by utilizing existing drugs for novel oncologic indications. This review explores drug repurposing strategies and challenges within precision oncology.
Area of Science:
- Oncology
- Pharmacology
- Genomics
Background:
- Advancements in cancer diagnostics and genomic profiling necessitate novel, personalized cancer treatments.
- Developing new anticancer drugs is a complex, expensive, and lengthy process.
- Drug repurposing presents an attractive strategy to accelerate the development of new cancer therapies.
Purpose of the Study:
- To review strategies for repurposing anticancer agents.
- To discuss the translation of preclinical findings into clinical trial designs.
- To highlight challenges and opportunities in drug repurposing for precision oncology.
Main Methods:
- Literature review of drug repurposing strategies in oncology.
- Analysis of preclinical to clinical translation pathways.
- Examination of challenges and future directions in precision oncology drug development.
Main Results:
- Drug repurposing can significantly shorten timelines and reduce costs compared to de novo drug development.
- Successful repurposing requires careful consideration of preclinical data, trial design, and regulatory pathways.
- Combinatorial approaches show promise for enhancing the efficacy of repurposed drugs in precision oncology.
Conclusions:
- Drug repurposing is a viable and efficient approach to accelerate the availability of novel cancer treatments.
- Overcoming challenges in drug repurposing is crucial for maximizing its potential in precision oncology.
- Strategic implementation of drug repurposing, particularly with combination therapies, can advance personalized cancer care.
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