Disarming cancer resistance: FAK as a therapeutic target

Terrance J Haanen1, David D Schlaepfer1

  • 1Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Gynecologic Oncology, University of California, San Diego, Moores Cancer Center, 3855 Health Sciences Drive, MC0803, La Jolla, CA 92093, USA.

Trends in Cancer
|March 9, 2026
PubMed

Insights

Focal adhesion kinase inhibitors (FAKi) show promise in combination therapies for ovarian cancer. Targeting FAK disarms tumor resistance, offering new avenues for treatment against KRAS-mutated cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Development

Background:

  • Focal adhesion kinase (FAK) plays a crucial role in tumor progression and resistance.
  • Recent FDA accelerated approval highlights advancements in FAK inhibitor (FAKi) therapy.
  • FAKi, like defactinib, are being explored in combination treatments for various cancers.

Purpose of the Study:

  • To review the history and development of FAK inhibitors.
  • To summarize ongoing clinical trials involving FAK inhibitors in combination therapies.
  • To discuss the mechanisms of action and potential of FAK targeting in overcoming tumor resistance.

Main Methods:

  • Literature review of FAK inhibitor development and clinical trials.
  • Analysis of studies investigating FAK activation as a signaling hub.
  • Discussion of FAK's role in tumor adaptive changes and resistance mechanisms.

Main Results:

  • FAK inhibitors have evolved from limited single-agent activity to sensitizing tumors to various treatments.
  • FAK activation is identified as a key signaling hub sensitive to chemotherapy and mechanical stress.
  • Targeting FAK demonstrates potential to disarm tumor resistance through multiple pathways.

Conclusions:

  • FAK inhibitors represent a significant advancement in cancer therapy, particularly in combination regimens.
  • Understanding FAK's role in chemo- and mechano-sensitivity provides new biological insights.
  • Future clinical combinations targeting FAK hold promise for improved cancer treatment outcomes.

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