Table 1 Drugs that target amino acid metabolism in clinical trials
Name | Research and development code | Target | Disease | Phase | Trial registration number |
|---|---|---|---|---|---|
AXA1125 | AXA-1125 | Â | NAFLD | Â | NCT04073368 |
| Â | Â | Â | NASH | Phase 2 | NCT04880187 |
| Â | Â | Â | COVID-19 | Phase 2 | NCT05152849 |
BCAT 1 Inhibitor | ERG-24; ERG-245 | Basigin (BSG); Branched Chain Amino Acid Transaminase 1 (BCAT1); Matrix Metallopeptidase 2 (MMP2); Matrix Metallopeptidase 9 (MMP9) | cancer/rheumatoid arthritis | Pre-clinical | Â |
BCAT2 modulator | Â | Branched Chain Amino Acid Transaminase 2 (BCAT2) | organic acidemia/diabetes mellitus | Pre-clinical | Â |
BCKDK inhibitor | Â | Branched Chain Keto Acid Dehydrogenase Kinase (BCKDK) | Insulin resistance; Maple glycosuria; Metabolic disorder; Type 2 diabetes | Pre-clinical | Â |
Nanvuranlat | JPH-203 | L-type amino acid transporter 1 (LAT1) | Biliary tract carcinoma; Skin allergy; Solid tumor | Phase 2 | Â |
4-L-[131I]iodo-phenylalanine | 131I-ACD-101 | L-type amino acid transporter 1 (LAT2) | glioblastoma | Phase 2 | NCT03849105 |
QBS-10072S | QBS-10072S | L-type amino acid transporter 1 (LAT3) | Advanced solid tumor; Astrocytoma; Cholangiocarcinoma; Glioblastoma; Mesothelioma; Metastatic bladder cancer; Metastatic brain tumor; Metastatic breast cancer; Metastatic colorectal cancer; Metastatic esophageal carcinoma; Metastatic head and neck cancer; Metastatic liver cancer; Metastatic lung cancer; Metastatic ovarian cancer; Metastatic pancreatic cancer; Metastatic prostate cancer; Metastatic renal cell carcinoma; Metastatic gastric cancer; Metastatic urinary tract carcinoma; Sarcoma; Stage IV melanoma; Thymus tumor; Tongue disease; Cervical cancer | Phase 2 | NCT04430842 |
O-(2-[18F] fluoroethyl)-L-tyrosine | TLX101-CDx | L-type amino acid transporter 1 (LAT4) | Glioblastoma; glioma | Clinical | NCT05632562; NCT03451123; NCT03216148; NCT02286531; NCT01579253; NCT01443676 |
4-L-[124I] iodo-L-phenylalanine | 124I-ACD-101 | L-type amino acid transporter 1 (LAT5) | Brain tumor | Phase 1 | Â |
astatinated IPA | 211At-TLX-102 | L-type amino acid transporter 1 (LAT6) | Multiple myeloma | Pre-clinical | Â |
R-OKY-034F | OKY-034 | L-type amino acid transporter 1 (LAT7) | Pancreatic tumor | Phase 2 | Â |
[18F] AA-7 | [18 F] NKO-028 | L-type amino acid transporter 1 (LAT8) | Cancer; glioma | Clinical |  |
Crisantaspase | JZP-341 | Asparaginase | Acute lymphoblastic leukemia; Adenocarcinoma; Advanced solid tumor; Hematologic tumor; Metastatic colorectal cancer | Pre-clinical | Â |
L-asparaginase | ERY-001 | Asparaginase | Metastatic breast cancer; Metastatic pancreatic cancer; Ductal adenocarcinoma of pancreas; Solid tumor | Phase 3 | NCT05660473; NCT05631327; NCT05581030; NCT05326984; NCT05326516; NCT04956666; NCT03618238 |
Pegaspargase biosimilar | PF-690 | Asparaginase | Acute lymphoblastic leukemia; hematoma | Pre-clinical | Â |
PJ-017 | PJ-017 | Asparaginase | Advanced solid tumor | Pre-clinical | Â |
Pegargiminase | ADI-PEG-20 | Arginine deiminase (ADI) | Acute myelogenous leukemia; Advanced solid tumor; Glioblastoma; Glioma; Hepatocellular carcinoma; Melanoma; Mesothelioma; Metastatic pancreatic cancer; Non-small cell lung cancer; Prostate tumor; Soft tissue sarcoma; Solid tumor; Uveal melanoma | Phase 3 | NCT05616624; NCT05001828; NCT04587830; NCT03449901 |
Pegzilarginase | AEB-1102 | Arginase 1 (ARG1) | Acute myelogenous leukemia; Amino acid and protein metabolism disorders; Melanoma; Myelodysplastic syndrome; Small cell lung cancer; Uveal melanoma | New drug marketing application | Â |
Eryminase | Â | Arginine deiminase (ADI) | Protein metabolism disorder | Pre-clinical | Â |
PFI-102 | PFI-102 | Peptidyl Arginine Deiminase 4 (PADI4) | Rheumatoid arthritis; Systemic lupus erythematosus | Pre-clinical | Â |
JBI-1044 | JBI-1044 | Peptidyl Arginine Deiminase 4 (PADI4) | Autoimmune disease; Cancer; Novel coronavirus pneumonia infection (COVID-19); Hidradenitis suppurativa; Inflammatory disease; Metastatic liver cancer; Rheumatoid arthritis; vasculitis | Pre-clinical | Â |
Arginine-depleting enzym | NEI-01 | Â | Acute myelogenous leukemia; Advanced solid tumor | Phase 1 | NCT05226468 |
PEGylated arginine degrading enzymes | PJ-016 | Arginase (ARG) | Metastatic carcinoma | Drug discovery | Â |
TNG-462 | TNG-462 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Cholangiocarcinoma; Mesothelioma; Metastatic non-small cell lung cancer; Neuro-tumor; Solid tumor | Pre-clinical | Â |
AMG-193 | AMG-193 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Non-small cell lung cancer | Phase 2 | NCT05094336 |
MRTX-9768 | MRTX-9768 | Protein Arginine Methyltransferase 5 (PRMT5) | cancer | Pre-clinical | Â |
TNG-908 | TNG-908 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Bladder cancer; Cholangiocarcinoma; Glioblastoma; Mesothelioma; Metastatic non-small cell lung cancer; Neuro-tumor; Squamous cell carcinoma | Phase 2 | NCT05275478 |
PRT-543 | PRT-543 | Protein Arginine Methyltransferase 5 (PRMT5) | Acute myelogenous leukemia; Adenomatoid tumor; Advanced solid tumor; Breast tumor; Chronic granular monocytic leukemia; Diffuse large B-cell lymphoma; Hematologic tumor; Mantle cell lymphoma; Myelodysplastic syndrome; Myelofibrosis; Non-small cell lung cancer; Ovarian tumor; Spina bifida; Uveal melanoma | Phase 1 | NCT03886831 |
PRT-811 | PRT-811 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Brain tumor; Glioblastoma; Glioma; myelofibrosis | Phase 1 | NCT04089449 |
MRTX-1719 | MRTX-1719 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor | Phase 2 | NCT05245500 |
Onametostat | JNJ-64619178 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Myelodysplastic syndrome; Non-hodgkin’s lymphoma | Phase 1 | NCT03573310 |
PRMT-5 inhibitors | CTx-0262135 | Protein Arginine Methyltransferase 5 (PRMT5) | Cancer; hematopathy | Drug discovery | Â |
SKL-27969 | SKL-27969 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor | Phase 2 | NCT05388435 |
SYHX-2001 | SYHX-2001 | Protein Arginine Methyltransferase 5 (PRMT5) | Acute myelogenous leukemia; Adenomatoid tumor; Advanced solid tumor; Hematologic tumor; Melanoma; Pancreatic tumor | Phase 1 | NCT05407909 |
GSK-3226593 | GSK-3226593 | Protein Arginine Methyltransferase 5 (PRMT5) | Soft tissue sarcoma | Pre-clinical | Â |
SH-3765 | SH-3765 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Non-hodgkin’s lymphoma | Phase 1 | NCT05015309 |
AM-9747 | AM-9747 | Protein Arginine Methyltransferase 5 (PRMT5) | Cancer | Pre-clinical | Â |
PF-06939999 | PF-06939999 | Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Endometrial carcinoma; Metastatic bladder cancer; Metastatic esophageal carcinoma; Metastatic head and neck cancer; Metastatic non-small cell lung cancer; Squamous cell carcinoma; Cervical cancer | Phase 1 | NCT03854227 |
AGX-323 | AGX-323 | Protein Arginine Methyltransferase 5 (PRMT5) | Cancer | Pre-clinical | Â |
ALG-070043 | ALG-070043 | Protein Arginine Methyltransferase 5 (PRMT5) | Hepatocellular carcinoma; Non-small cell lung cancer | Pre-clinical | Â |
PRT-220 | PRT-220 | Protein Arginine Methyltransferase 5 (PRMT5) | Graft versus host disease | Pre-clinical | Â |
OATD-02 | OATD-02 | Arginase 1 (ARG1); Arginase 2 (ARG2) | Advanced solid tumor; Metastatic colorectal cancer; Metastatic ovarian cancer; Metastatic pancreatic cancer; Metastatic renal cell carcinoma | Phase 1 | NCT05759923 |
IO-112 | IO-112 | Arginase 1 (ARG1) | Solid tumor | Phase 1 | NCT03689192 |
Resminostat | YHI-1001 | Arginase 1 (ARG1); Histone deacetylase (HDAC); Histone Deacetylase 1 (HDAC1); Histone Deacetylase 2 (HDAC2); Histone Deacetylase 3 (HDAC3); Histone Deacetylase 6 (HDAC6) | Biliary tract tumor; Cholangiocarcinoma; Colorectal cancer; Cutaneous T-lymphoblastoma; Gallbladder tumor; Hepatocellular carcinoma; Hodgkin,s lymphoma; Mycosis fungoides; Non-small cell lung cancer; Pancreatic neoplasm; Sezary syndrome; Solid tumor | Phase 2 | NCT02400788 |
CB-280 | CB-280 | Arginase (ARG) | Cystic fibrosis | Phase 1 | NCT04279769 |
Arginase inhibitor | AZD-0011 | Arginase (ARG) | Cancer | Pre-clinical | Â |
Numidargistat | INCB-01158 | Arginase (ARG); T cell receptor gene (TCR) | Advanced solid tumor; Biliary tract carcinoma; Bladder cancer; Cancer; Colorectal cancer; Endometrial carcinoma; Esophageal tumor; Head and neck tumors; Lung tumor; Melanoma; Mesothelioma; Multiple myeloma; Non-small cell lung cancer; Ovarian tumor; Renal cell carcinoma; Squamous cell carcinoma; Gastric tumor; Transitional cell carcinoma | Phase 2 | NCT03314935; NCT02903914 |
OATD-05 | OATD-05 | Arginase (ARG) | Cancer | Drug discovery | Â |
Pegylated, cobalt-replaced human arginase | PT-01 | Arginase (ARG) | Cancer; Metastatic carcinoma; Metastatic liver cancer; Stage III melanoma; Stage IV melanoma | Phase 1 | NCT04136834 |
Bicyclic arginase inhibitors | Â | Arginase 1 (ARG1) | Cancer | Pre-clinical | Â |
C-0021158 | C-0021158 | Arginase 2 (ARG2) | Cancer | Drug discovery | Â |
Pegylated human arginase | PEG-BCT-100 | Arginase (ARG) | Acute lymphoblastic leukemia; Acute myelogenous leukemia; Advanced solid tumor; Cancer; Glioma; Hepatocellular carcinoma; Hormone-resistant prostate cancer; Neuroblastoma; Renal cell carcinoma; Retinopathy; Sarcoma; Stage IV melanoma | Phase 2 | NCT03455140; NCT02899286; NCT02285101; NCT02089633; NCT02089763; NCT01092091; NCT00988195 |
AB-474 | AB-474 | Arginase 1 (ARG1) | Cancer | Pre-clinical | Â |
ZB-49-0010 | ZB-49-0010 | Arginase 2 (ARG2) | Atherosclerosis; Cardiovascular diseases; hypertension | Pre-clinical | Â |
SCR-6920 | SCR-6920 | Methylthioadenosine Phosphorylase (MTAP); protein arginine N-methyltransferase (PRMT); Protein Arginine Methyltransferase 5 (PRMT5) | Advanced solid tumor; Hematologic tumor; Metastatic non-small cell lung cancer; Non-hodgkin,s lymphoma | Phase 1 | NCT05528055 |
Telaglenastat hydrochloride | CB-839 | Glutaminase (GLS) | Cervical cancer | Pre-clinical | Â |
Sirpiglenastat | DRP-104 | Glutaminase (GLS) | Advanced solid tumor; Autoimmune disease; Cancer; AIDS related dementia syndrome; Inflammatory disease; Laryngeal tumor; Lung tumor; Metastatic non-small cell lung cancer; Oral tumor; Throat tumor; Squamous cell carcinoma; Urinary tract tumor | Phase 2 | NCT04471415 |
IPN-60090 | IPN-60090 | Glutaminase (GLS) | Ovarian tumor | Pre-clinical | Â |
Macrocyclic glutaminase 1 | Â | Glutaminase (GLS) | Advanced solid tumor | Pre-clinical | Â |
BPTES | D-JHU-29 | Glutaminase (GLS) | Breast tumor; Hematologic tumor; Pancreatic neoplasm; Rett syndrome | Pre-clinical | Â |
RP-10107 | RP-10107 | Glutaminase (GLS) | Solid tumor | Pre-clinical | Â |
DRP-367 | DRP-367 | Glutaminase (GLS) | Autoimmune disease; Cancer; Inflammatory disease | Drug discovery | Â |
Tiptuximab | Â | Glutaminase (GLS) | Cancer; Non-small cell lung cancer | Pre-clinical | Â |
Kidney mitochondrial glutaminase inhibitors | Â | Glutaminase (GLS) | Cancer | Pre-clinical | Â |
Sirpiglenastat | JHU-083 | Glutaminase (GLS) | Advanced solid tumor; Autoimmune disease; Cancer; AIDS related dementia syndrome; Inflammatory disease; Laryngeal tumor; Lung tumor; Metastatic non-small cell lung cancer; Oral tumor; Throat tumor; Squamous cell carcinoma; Urinary tract tumor | Phase 2 | Â |
xCT inhibitor | Â | Solute Carrier Family 7 Member 11 (SLC7A11) | Ovarian tumor | Pre-clinical | Â |
Florilglutamic acid (18F) | BAY-94–9392 | Solute Carrier Family 7 Member 11 (SLC7A11) | Cancer; Hepatocellular carcinoma | Phase 1 |  |
DC-10 | DC-10 | Solute Carrier Family 7 Member 11 (SLC7A11) | Cancer | Pre-clinical | Â |
AX-09 | AX-09 | Solute Carrier Family 7 Member 11 (SLC7A11) | Colorectal cancer; Metastatic breast cancer; Non-small cell lung cancer | Pre-clinical | Â |
xCT-mAb | AbX-09 | Solute Carrier Family 7 Member 11 (SLC7A11) | Colorectal cancer; Metastatic breast cancer; Non-small cell lung cancer | Pre-clinical | Â |
Cysteine/cystine | PR0–071 | Solute Carrier Family 7 Member 11 (SLC7A11) | Central nervous system diseases; Impulse control disorder; Obsessive compulsive disorder; Schizophrenia; trichotillomania | Phase 2 |  |
MEDI-7247 | MEDI-7247 | Solute Carrier Family 1 Member 5 (SLC1A5) | Hematologic malignancy | Phase 1 | NCT03811652; NCT03106428 |
IDE-397 | IDE-397 | Methionine Adenosyltransferase 2A (MAT2A) | Advanced solid tumor; Metastatic bladder cancer; Metastatic esophageal carcinoma; Metastatic head and neck cancer; Metastatic non-small cell lung cancer; Metastatic pancreatic cancer; Metastatic gastric cancer | Phase 2 | NCT04794699 |
S-95035 | S-95035 | Methionine Adenosyltransferase 2A (MAT2A) | Solid tumor | Pre-clinical | Â |
AG-270 | AG-270 | Methionine Adenosyltransferase 2A (MAT2A) | Advanced solid tumor; Lymphoma; Metastatic non-small cell lung cancer; Ductal adenocarcinoma of pancreas | Phase 1 | NCT03435250 |
SCR-7952 | SCR-7952 | Methionine Adenosyltransferase 2A (MAT2A) | Cancer; Solid tumor | Pre-clinical | Â |
S-095033 | S-095033 | Methionine Adenosyltransferase 2A (MAT2A) | Metastatic esophageal carcinoma; Squamous cell carcinoma | Pre-clinical | Â |
Evexomostat | SDX-7320 | Methionyl Aminopeptidase 2 (METAP2) | Cancer; Hepatocellular carcinoma; Idiopathic pulmonary fibrosis; Metastatic breast cancer; Metastatic colorectal cancer; Metastatic non-small cell lung cancer; Metastatic prostate cancer; Type 2 diabetes mellitus; Prostatic tumor | Phase 2 | NCT05570253; NCT02743637 |
APL-1202 | APL-1202 | Methionyl Aminopeptidase 2 (METAP2) | Bladder cancer | Phase 3 | NCT04813107; NCT04736394; NCT04601766; NCT04498702; NCT04490993; NCT03672240 |
M-8891 | M-8891 | Methionyl Aminopeptidase 2 (METAP2) | Advanced solid tumor; cancer | Phase 1 | Â |
SDX-7195 | SDX-7195 | Methionyl Aminopeptidase 2 (METAP2) | Metabolic disorder | Pre-clinical | NCT04073368 |