Table 2 Clinical trials of various diseases by targeting protein lipidation

From: Protein lipidation in health and disease: molecular basis, physiological function and pathological implication

Lipidation

Drug

Mechanism

Disease or patients

Treatment

Phase

NCT number

N-myristoylation

PCLX-001

Pan-NMT inhibitor

Relapsed/refractory B-cell non-Hodgkin lymphoma and advanced solid malignancies

Monotherapy

I

NCT04836195

Asciminib (ABL001)

Target the myristoyl pocket of the BCR-ABL1 tyrosine kinase

Ph+ ALL or CML

Asciminib in combination with Dasatinib,

Prednisone, and Blinatumomab

I

NCT03595917

CML

Monotherapy of imatinib or combination with asciminib;

combination of asciminib with TKI

II

NCT04216563

CML

Continued treatment of asciminib

IV

NCT04877522

Newly diagnosed CML-CP

Monotherapy or combination with one TKI

II

NCT05143840

Newly diagnosed, previously untreated Ph+ CML-CP

Monotherapy of asciminib or nilotinib; or one selected TKI

III

NCT05456191

NCT04971226

CML-CP previously treated with one prior ATP-binding site TKI

Monotherapy

II

NCT05384587

Relapsed CML previously attempted to discontinue imatinib

Asciminib combination with imatinib

II/ III

NCT05413915

NCT04838041

CML-CP previously treated with two or more TKIs

Monotherapy of asciminib;

or best available treatment;

or bosutinib

II/III

NCT04795427

NCT04948333

NCT03106779

CML-CP without T315I mutation previously treated with two prior TKIs;

CML-CP with T315I mutation with previously treated with at least prior TKIs

Monotherapy

III

NCT04666259

S-prenylation

Pravastatin

Inhibition of FPP and GGPP biosynthesis

HGPS

A combination of zoledronic acid and pravastatin

II

NCT00731016

Zoledronic acid

Inhibition of the FPPS

Progeria; HGPS

A combination of pravastatin and lonafarnib and zoledronic acid

II

NCT00879034

NCT00916747

Lonafarnib

FTase inhibitor

HDV infection

Monotherapy

II 11

NCT01495585

HDV infection

Lonafarnib in combination with ritonavir

II/III

NCT02527707

NCT02511431

NCT05229991

HDV infection

Lonafarnib With or Without Ritonavir

II

NCT02968641

NCT02430181

HDV infection

A combination of Lonafarnib, ritonavir and peginterferon lambda-1a

II

NCT03600714

NCT05953545

BMS-214662

FTase inhibitor

acute leukaemia, MDS, or CML

Monotherapy

I

NCT00006213

Solid tumours

Monotherapy

I

NCT00005973

NCT00004877

Advanced solid tumours

Monotherapy;

BMS-214662 in combination with trastuzumab;

BMS-214662 in combination with paclitaxel

I

NCT00004877

NCT00022529

NCT00006018

S-prenylation

Lonafarnib

FTase inhibitor

HGPS

monotherapy

II

NCT00425607

Progeria

Lonafarnib in combination with and everolimus

I/II

NCT02579044

MDS or CML

Monotherapy

III

NCT00109538

Chronic or accelerated phase CML

Monotherapy;

Lonafarnib in combination with Gleevec

I/II

NCT00038597

NCT00047502

Metastatic breast cancer

Monotherapy

II

NCT00773474

Advanced breast cancer

Lonafarnib in combination with Herceptin Plus Paclitaxel;

anastrozole in combination with lonafarnib or monotherapy of anastrozole

II

NCT00068757

NCT00081510

Recurrent or progressive brain tumours in children

Monotherapy

I

NCT00015899

HNSCC

Monotherapy

I/II

NCT00038584

NCT00073450

Advanced or recurrent HNSCC

Lonafarnib in combination with Fenretinide

I

NCT00102635

Advanced ovarian carcinoma

Monotherapy

II

NCT00281515

Glioblastoma multiforme

Lonafarnib in combination with temozolomide

I

NCT00102648

Recurrent glioblastoma multiforme

Lonafarnib in combination with temozolomide

II

NCT00038493

Recurrent primary supratentorial gliomas

A combination of lonafarnib and temozolomide

I

NCT00083096

Grade 3 & 4 malignant gliomas

Lonafarnib in combination with Temodar

I

NCT00612651

Metastatic colorectal cancer

Monotherapy or conventional surgery

I

NCT00005030

Stage 3b or 4 NSCLC

Lonafarnib in combination with, paclitaxel and carboplatin

III

NCT00050336

Advanced cancer of the urinary tract

Lonafarnib in combination with gemcitabine

II

NCT00006351

Advanced malignancies

Lonafarnib in combination with docetaxel;

Lonafarnib in combination with fluorouracil, and leucovorin

I

NCT00288444

NCT00003956

Tipifarnib

FTase inhibitor

Leukaemia

Monotherapy

I/II

NCT00022451

NCT00004009

NCT02807272

AML

Monotherapy;

Tipifarnib in combination with chemotherapy;

I/II/III

NCT00124644

NCT00027872

NCT01361464

NCT00354146

NCT00093418

NCT00048503

NCT00093990

NCT00093470

Advanced haematologic cancer

Monotherapy

I

NCT00005967

AML

Tipifarnib in combination with Etoposide

I/II

NCT00112853

NCT00005989

CML-CP

Tipifarnib in combination with Imatinib mesylate

I

NCT00040105

Myeloproliferative disorders

Monotherapy

I/II

NCT02210858

NCT02779777

Multiple myeloma

Monotherapy or Tipifarnib in combination with Bortezomib or PS-341

I/II

NCT00012350

NCT00972712

NCT00361088

  1. Ph + Philadelphia chromosome positive, ALL acute lymphoblastic leukaemia, CML-CP chronic myelogenous leukaemia in chronic phase, TKI tyrosine kinase inhibitor, HGPS Hutchinson-Gilford progeria syndrome, MDS myelodysplastic syndrome, HNSCC head and neck squamous cell carcinomas, NSCLC non-small cell lung cancer, HDV hepatitis delta virus