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Page 218                                                    Jia et al. Cancer Drug Resist 2019;2:210-24  I  http://dx.doi.org/10.20517/cdr.2018.010

               Table 2. Ongoing trials with known inhibitory activity to centrosome aberrations
                                                                                                   Patient
                NCT number    Start date     Drug            Targets          Cancers      Phases
                                                                                                   number
                NCT03654716   01 2018  ALRN-6924       MDM2 and MDMX    Solid tumor         1        69
                NCT03634228   08 2018  DS-3032b        MDM2             Refractory Acute    2        52
                                                                        Myeloid Leukemia
                NCT02098967   03 2014  RO6839921       MDM2             Neoplasms,          1        68
                                                                        Myelogenous Leukemia,
                                                                        Acute
                NCT03671564   09 2018  Milademetan     MDM2             Acute Myeloid Leukemia  1    24
                NCT03787602   12 2018  KRT-232         MDM2             Merkel Cell Carcinoma  2     27
                NCT03781986   03 2019  APG-115         MDM2             Malignant Salivary Gland   2  62
                                                                        Cancer
                NCT03566485   06 2018  Atezolizumab    PD-L1/MDM2       Metastatic ER + Breast   1+2  92
                                      (an Anti-PD-L1                    Cancer
                                      Monoclonal Antibody)
                                      With Idasanutlin
                NCT01014429   11 2009  NMS-1286937     PLK1             Advanced/Metastatic   1      21
                                                                        Solid Tumors
                NCT01954316   10 2013  CFI-400945      PLK4             Advanced Cancer     1        48
                NCT02187783   11 2014  LEE011          CDK4/6 Pathway   CDK4/6 Pathway      2        106
                                                                        Activated Tumors
                NCT03242382   08 2017  Palbociclib     CDK4 Overexpression  Advanced Sarcomas   2    38
                NCT00536835   09 2007 GSK461364        PLK1             Non-Hodgkins        1        40
                                                                        Lymphoma
                NCT03555877   06 2018  Ribociclib      CDK4/6           Breast Cancer Metastatic  2  150
                NCT01676753   06 2016  Dinacicli +     Cyclin-dependent Kinase advanced breast cance  1  32
                                      pembrolizumab
                NCT01037790   2009    PD-0332991       CDK4 mutation    Solid Tumor         2        205
                NCT03242382   08 2017  Palbociclib     CDK4 Overexpression  Sarcoma         2        38
                NCT03024489   01 2017  Palbociclib + cetuximab CDK4 Overexpression  Head and Neck Cancer  2  33
                NCT03310879   11 2017  Abemaciclib     Abnormality in one of the Breast     2        38
                                                       following genes: CCND1,
                                                       CCND2, CCND3, CDK4,
                                                       or CDK6
                NCT03050398   06 2017  Ribociclib+ letrozole  CDK4/6    breast cancer       3        140
                NCT03096912   06 2016  Ribociclib      CDK4/6           Liposarcoma         2        30
                NCT03054363   11 2017  Palbociclib + letrozole  CDK4 overexpression  Hormone Receptor   1 + 2  40
                                                                        Positive and HER2-
                                                                        positive Metastatic
                                                                        Breast Cancer
               NCT: National Clinical Trial

               clinical trials have been setting up to a variety of human tumors, such as Leukemia, Myeloma, Brain Tumor,
               Solid Tumor and Lymphoma [Table 2].


               As mentioned above, PLK4 is important in centrosome biogenesis and regulates mitotic progression. PLK4
               has, therefore been identified as a candidate anticancer target. With directed virtual screening using a
               ligand-based focused library, several leads have been identified. CFI-400945 was generated through further
               optimization . CFI-400945 is a potent and selective small molecule inhibitor of PLK4 .
                                                                                         [118]
                          [117]
               Monopolar spindle 1 (Mps1/TTK) kinase is essential for safeguarding proper chromosome alignment and
               segregation during mitosis . Its overexpression contributes to more aggressive and drug resistant breast
                                      [119]
               tumors but the reduction of the Mps1 level can sensitize several tumor cells to paclitaxel . In the two
                                                                                             [120]
               ongoing clinical trials, the Mps1 inhibitors are tested along with paclitaxel in triple negative breast cancer
               patients [Table 2, NCT02138812 and NCT03328494].
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