Jun 2026· European journal of medicinal chemistry· Vol 317, pp.
119102
· 0 citations· 161 references
Medicine
Abstract
Despite being appealing oncological targets, a majority of cancer-driving proteins with high biomedical relevance remain intractable to conventional small-molecule drug design due to several well-documented challenges. Nonetheless, progress in drug design strategies and experimental techniques has produced far-reaching impact on our efforts in harnessing these undruggable, cancer-driving targets. The past few years have witnessed massive achievements in this field, including the approval of KRASG12C inhibitors, and the successful discovery of investigational new drugs and in vivo potent therapeutics. Herein, we comprehensively depict the strategic landscape for tackling the four classes of undruggable oncoproteins: transcription factors, GTPases, scaffolding proteins, and phosphatases, with a focus on the highly sought-after target(s) within each category. It is anticipated that this overview of strategic strides, along with the perspectives, will guide future innovative drug discovery targeting intractable oncoproteins.
This report systematically reviews the structural development, validation pathways, and regulatory mechanisms of next-generation oncology therapeutics and highlights clinical milestones and regulatory approvals from 2025 and 2026, including the landmark PROTAC vepdegestrant.
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These breakthroughs have validated direct KRAS inhibition as an effective therapeutic strategy, however, durable clinical responses remain limited by intrinsic and acquired resistance, pathway reactivation, tumour heterogeneity, and the lack of effective therapies for non-G12C KRAS mutations.
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