Table 2 Lactylation target drugs in clinical trials.

From: Lactylation in cancer: metabolic mechanism and therapeutic strategies

Drug/Target

Clinicaltrials.gov identifier

Cancer

Type of Trial

Population (N, age)

Intervention

Objective

Primary outcome/endpoint

Status

AZD3965/MCT1

NCT01791595

Advanced solid tumors or lymphomas

Phase 1

53, age ≥ 18

Capsule taken daily

Find out the maximum dose that can be given safely to patients

MTD of AZD3965

Completed (2013-04-23~2020-11-17)

RRx-001/G6PD

NCT01359982

Advanced solid tumors or lymphomas

Phase 1

26, age ≥ 18

Intravenous infusions

Evaluate the safety and pharmacokinetic profile of RRx-001

Number, frequency, and type of adverse events

Completed (2011-09~2015-02)

NCT02096341

Advanced Solid Tumors or lymphoma

Phase 1

2, age ≥ 18

Subcutaneous injections

Investigate the dosage of RRx-001 by the subcutaneous route

Number of Participants with Serious and Non-Serious Adverse Events

Terminated (2014-04~2016-01)

NCT02096354

Advanced or metastatic colorectal cancer

Phase 2

62, age ≥ 18

Intravenous infusions

Compare the safety and activity between RRx-001 against regorafenib followed by irinotecan-based therapies

Overall Survival(OS)

Completed (2014-05-~2018-04-13)

NCT02215512

Participants with brain metastases

Phase 1

29, age ≥ 18

Intravenous infusions

test the safety and activity of whole brain radiation therapy with RRx-001

Number, frequency, and type of adverse events

Completed (2015-02-06-~2016-11-28

NCT02489903

Platinum Refractory/Resistant Small Cell Carcinoma, EGFR TKI Resistant EGFR + T790M Negative Non-Small Cell Lung Cancer, High-Grade Neuroendocrine Tumors and Resistant/Refractory Ovarian Cancer

Phase 2

139, age ≥ 18

Intravenous infusions

Explore the potential of RRx-001 to sensitize patients who previously received and now have failed a platinum-based doublet regimen

OS

Completed (2015-06-~2021-12-06)

NCT02518958

Advanced, malignant, solid tumor(s) or lymphoma

Phase 1

12, age ≥ 18

Intravenous infusions

Determine the feasibility of co-administration of RRx-001 and nivolumab

Number, frequency, and type of adverse events

Completed (2015-07-21~2016-05-17)

NCT02452970

Biliary tract adenocarcinoma/cholangiocarcinoma

Phase 2

4, age ≥ 18

Intravenous infusions

See if RRx-001 can resensitize the tumor(s)

Overall Objective Response (RECIST)

Terminated (2015-07-16~2016-05-10)

NCT02801097

Advanced, malignant, solid tumor(s)

Phase 1

28, age ≥ 18

Intravenous infusion

Evaluate the safety, pharmacodynamics, and clinical activity of RRx-001 administered in combination with irinotecan

Number, frequency, and type of adverse events

Terminated (2016-08-30~2018-11-22)

NCT02871843

High-grade glioma

Phase 1

19, age ≥ 18

Intravenous infusion

Tests The safety, tolerability, and activity of RRx-001, with standard radiation and temozolomide followed by temozolomide + RRx-001 in newly diagnosed GBM.

Number, frequency, and type of adverse events

Completed (2017-02-14~2019-10-11)

NCT03515538

SCC of the oral cavity and oropharynx

Phase 2

48, age≥18

Intravenous infusion

Determine if RRx-001 reduces the duration or length of severe oral mucositis in patients with head and neck cancers

Duration of Severe Oral Mucositis (SOM)

Completed (2018-07-12~2019-10-22)

NCT04525014

Recurrent or progressive malignant (World Health Organization (WHO) grade 3 or 4 tumors) primary brain or spinal cord tumors and solid tumors (excluding lymphomas)

Phase 1

2, age≥18

Intravenous infusion

Tests the experimental drug RRx-001 in combination with irinotecan and temozolomide in patients with cancer.

Recommended phase 2 dose

Terminated (2023-01-26~2024-07-29)

NCT05566041

Small cell cancer (SCC)

Phase 3

292, age ≥ 18

Intravenous infusion

find out whether RRx-001 + platinum chemotherapy is more effective than platinum chemotherapy alone in 3rd line or beyond small cell cancer

Progression Free Survival (PFS) and OS

Recruiting (2022-08-01~2025-12-31)

NCT05966194

SCC of the oral cavity or oropharynx

Phase 2

216, age ≥ 18

Intravenous infusion

Determine if RRx-001 reduces the incidence of severe oral mucositis in patients with head and neck cancers

Incidence of SOM through Intensity-modulated radiation therapy (IMRT)

Recruiting (2024-04-02~2025-07-01)

  1. Detailed information on clinical trials of targeted lactylation drugs, including objectives, population, trial status, and primary endpoints.