Target Clinical agents Activity
BRAF Vemurafenib, Dabrafenib LGX818 RO5212054 Selectively binds to and inhibits activated BRAF, inhibiting the proliferation of tumor cells with mutated BRAF gene
MEK Trametinib, Selumetinib Pimasertib, TAK-733 MSC2015103B Binds to and inhibits MEK 1 and MEK 2, resulting in inhibition of growth factor-mediated cell signaling and tumor cell proliferation
Cobimetinib Binds to and inhibits the catalytic activity of MEK1, resulting in inhibition of activating ERK2 phosphorylation and tumor cell proliferation
RO4987655 Binds to and inhibits MEK 1, which may result in inhibition of MEK-dependent cell signaling and tumor cell proliferation
Dual MEK-RAF RO5126766 Specifically inhibits kinase activities of Raf and MEK, resulting in inhibition of target gene transcription that promotes malignant cell transformation
Pan-RAF Sorafenib Blocks RAF kinase (regardless of mutation status) and other kinases that control cell division and proliferation
RAF265  Binds and inhibits Raf kinases and VEGFR-2, which may result in reduction of tumor cell growth and proliferation
PI3K BKM120, XL147 ZSTK474 PX-866, GDC-0941 Reversibly binds to class 1 PI3Ks in an ATP-competitive manner, inhibiting the production of PIP3 and activation of the PI3K signaling pathway; this may result in inhibition of tumor cell growth and survival in susceptible tumor cell populations
AKT MK2206, GSK2110183 GDC-0068 Binds to and inhibits AKT in a non-ATP-competitive manner, resulting in inhibition of the PI3K/AKT signaling pathway and tumor cell proliferation and induction of tumor cell apoptosis
mTOR AZD8055 Temsirolimus Ridaforolimus Binds to and inhibits mTOR, resulting in decreased expression of mRNAs necessary for cell cycle progression and arresting cells in the G1 phase of the cell cycle
Sirolimus Binds to FKBP-12 to generate an immunosuppressive complex that binds to and inhibits mTOR, resulting in inhibition of T lymphocyte activation and proliferation that occurs in response to antigenic and cytokine (IL-2, IL-4, and IL-15) stimulation and inhibition of antibody production
Everolimus, OSI-027 Binds to and inhibits both the raptor-mTOR complex 1 (TORC1) and the rictor-mTOR complex 2 (TORC2), resulting in tumor cell apoptosis and inhibition of tumor cell proliferation
Dual PI3K/mTOR XL765/SAR245409      BEZ235, GDC-0980 Inhibits both PI3K kinase and mTOR kinase, which may result in tumor cell apoptosis and growth inhibition in susceptible tumor cell populations.
GSK2126458 Binds to and inhibits PI3K in the PI3K/mTOR signaling pathway, which may trigger the translocation of cytosolic Bax to the mitochondrial outer membrane, increasing mitochondrial membrane permeability and inducing apoptotic cell death
SF1126 Selectively binds to cell surface integrins and, upon cell entry, the agent is hydrolyzed to the active drug SF1101; Inhibits all isoforms PI3K, mTOR and DNA-PK, wich may inhibit tumor cell and tumor endothelial cell proliferation and survival
CDK4/6 LEE011 LY2835219 Palbociclib Specifically inhibits CDK4 and 6, thereby inhibiting Rb protein phosphorylation, that prevents CDK-mediated G1-S phase transition, thereby arresting the cell cycle in the G1 phase, suppressing DNA synthesis and inhibiting cancer cell growth
Src Dasatinib Binds to and inhibits the growth-promoting activities of SRC-family protein-tyrosine kinases
Met Tivantinib Binds to the c-Met protein and disrupts c-Met signal transduction pathways, which may induce cell death in tumor cells overexpressing c-Met protein or expressing consitutively activated c-Met protein
IGF1R Ganitumab Binds to membrane-bound IGF-1R, preventing binding of the ligand IGF-1 and the subsequent triggering of the PI3K/Akt signaling pathway; inhibition of this survival signaling pathway may result in the inhibition of tumor cell proliferation and the induction of tumor cell apoptosis
HSP90 XL888 Specifically binds to Hsp90, inhibiting its chaperone function and promoting the proteasomal degradation of oncogenic signaling proteins involved in tumor cell proliferation and survival; inhibition of tumor cell proliferation may result
CTLA-4 Ipilimumab enhances T-cell activation and blocks B7-1 and B7-2 T-cell co-stimulatory pathways
PD-1 Nivolumab Binds to and blocks the activation of PD-1, an Ig superfamily transmembrane protein, by its ligands PD-L1 and PD-L2, resulting in the activation of T-cells and cell-mediated immune responses against tumor cells or pathogens
PD-L1 MDX-1105 Pembrolizumab MPDL3280A Binds to PD-1, an inhibitory signaling receptor expressed on the surface of activated T cells, and blocks the binding to and activation of PD-1 by its ligands, which results in the activation of T-cell-mediated immune responses against tumor cells
Interleukin-2 Aldesleukin Binds to and activates IL-2 receptor; activation of tyrosine kinase Jak3; and phosphorylation of tyrosine residues on IL-2R beta chain, resulting in an activated receptor complex. may induce T cell-mediated tumor regression in some tumor types
Table 1: Principal targeted therapies in completed or on-going clinical trials.