First targeted protein degrader hits the clinic
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A first heterobifunctional PROTAC that recruits the androgen receptor to an E3 ligase recently entered the clinic.
“Finally, a first heterobifunctional PROTAC that recruits the androgen receptor to an E3 ligase recently entered the clinic 21 .”
From Targeted protein degradation: expanding the toolbox (2019) · cites this paper as [21]
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Targeted protein degradation: expanding the toolbox
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Ferroptosis surveillance independent of GPX4 and differentially regulated by sex hormones
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“ARV-110 is a clinical stage PROTAC protein degrader selectively targetingAR.(41)Remarkably, bothENZandARV-110 inhibited endogenous MBOAT2 expression in a dose-dependent manner (Figures 5A, 5C, and S5H) and strongly sensitizedmultiple AR PCa cell lines to RSL3-induced ferroptosis, including CRPC line LnAR (Figures 5A–5…”
BackgroundLYTACs that engage the asialoglycoprotein receptor for targeted protein degradation
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Development of targeted protein degradation therapeutics
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“The development of the PROTAC technology for the treatment of cancer has ultimately culminated in the first two degraders (both from Arvinas, undisclosed structures) recently reaching phase 1 clinical trials, where their safety and tolerability are being assessed through dose-escalation [57].”
MethodTargeted protein degradation: advances in drug discovery and clinical practice
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“PROTACs have become a new chemical modality [51] with some companies like Arvinas being pioneers [69] and any other phar aceutical co panies focusing on this approach.”
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Efficient targeted degradation via reversible and irreversible covalent PROTACs
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“Moreover, phase I clinical trials of oral administrated PROTACs (ARV-110 and ARV-471) targeting androgen and estrogen receptors are ongoing, respectively tested for prostate and breast cancer (Neklesa et al., 2017; Flanagan et al., 2019; Mullard, 2019).”
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“Intra-cellular degradation approaches using proteolysis-targetingchimeras(PROTACs) ( 1 , 2 ) or molecular glues ( 3 , 4 ), both of which recruit E3 ligases to promote ubiquitination of target proteins, have already demonstrated clinicalimpact ( 5 , 6 ).”
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A Nimbolide-Based Kinase Degrader Preferentially Degrades Oncogenic BCR-ABL
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Snapshots and ensembles of BTK and cIAP1 protein degrader ternary complexes
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Aptamer-Based Targeted Protein Degradation
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“…chain formation will facilitate the development of bifunctional small molecules, known as PROTACs (Sakamoto et al., 2002), that re-program a particular ligase to mark a pathogenic target protein for degradation – a powerful concept that has recently entered clinical trials (Mullard, 2019).”
BackgroundTarget protein localization and its impact on PROTAC-mediated degradation
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“with large shallow surfaces as well as extracellular proteins [10,33-35].”
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“IMiDs are already clinically approved drugs, and PROTACs are currently undergoing clinical trials (Mullard, 2019).”
BackgroundSelective Degradation of GSPT1 by Cereblon Modulators Identified via a Focused Combinatorial Library
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Discovery of a Highly Potent and Selective Dual PROTAC Degrader of CDK12 and CDK13
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RIBOTACs: Small Molecules Target RNA for Degradation
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“(CT, USA) [18,19] is a milestone in the field of PROTAC-mediated target protein degradation, propelling a fast-growing PROTAC field in the coming years.”
BackgroundInfluentialClickRNA-PROTAC for Tumor-Selective Protein Degradation and Targeted Cancer Therapy
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PROTAC degraders with ligands recruiting MDM2 E3 ubiquitin ligase: an updated perspective
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“Currently, several orally administered PROTAC drugs are in clinical trials for cancer treatment [19, 21, 22, 118, 119].”
BackgroundTargeted deubiquitination rescues distinct trafficking-deficient ion channelopathies
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Targeting androgen receptor degradation with PROTACs from bench to bedside
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“, 2019), which, in addition to PROteolysis-TArgeting chimeras (PROTACS) (Mullard, 2019), are paving the way to explore the Ub system in drug discovery development programs by modulating the turnover of key targets in the context of cancer, dementia, and inflammation (Pinto-Fernandez and Kessler, 2016; Harrigan et al.”
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“While classical 54 degraders have been successful (Mullard, 2019), this approach is ultimately limited to cytosolic 55 targets and therefore 1/3 of the protein-coding genes representing the membrane proteome is not 56 accessible by this approach (Thul et al.”
AKT kinases as therapeutic targets
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E3 ligase ligand optimization of Clinical PROTACs
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“Arvinas is the first company to clinically implement two PROTAC degraders, the androgen receptor (AR) degrader ARV-110 and the estrogen receptor (ER) degrader ARV-471 (Mullard, 2019).”
BackgroundInfluentialDrug design targeting active posttranslational modification protein isoforms
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“Recently, two protein degradation drugs ARV‐110 and ARV‐471 derived from PROTAC have been approved for clinical studies for metastatic castration‐resistant prostate cancer.(243)”
BackgroundApplications of Bacterial Degrons and Degraders — Toward Targeted Protein Degradation in Bacteria
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“In 2019, the first PROTAC was approved for clinical trials in prostate cancer treatment (Mullard, 2019) and more degraders are soon going to be tested in patients (Mullard, 2021).”
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“Given the recent development and clinical use of bifunctional drugs that direct specific protein targets for ubiquitin-mediated proteolysis (13, 48), the ability to identify proteins that, when cleared, increase cell viability and specifically direct them to the proteasome using small molecules presents an attractive…”
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“One of the AR degraders utilizing PROTAC technology is in a phase I clinical trial (51).”
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“PROTACs have recently proven effective in the clinic with androgen and estrogen receptor targeting PROTACs for cancer (Mullard, 2019).”
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“Proteolysis-targeting chimaeras (PROTACs), which are bispecific binders, have recently gained much attention, with the first one reaching clinical studies [112, 113].”
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“These compounds either by employing cere-blon (CRBN)- (ARV-110, TD-802, ARD-2128) or von Hippel-Lindau (VHL)- (ARCC4, ARD-266, ARD-69, ARD-61) mediated degradation, effectively inhibit tumor proliferation in both androgen-dependent as well as CRPC models.”
Regulation of large and small G proteins by ubiquitination
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“This novel technology has led to first ‘degrading’ drug that is targeted to the androgen receptor for prostate cancer treatment, and is now in phase 1 clinical trials [reviewed in (98,99)].”
BackgroundPROTAC: targeted drug strategy. Principles and limitations
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“, 2020), and, in 2019, two oral PROTACs, ARV-471 (NCT04072952) and ARV-110 (NCT03888612), have advanced into clinical trials for the treatment of metastatic breast cancer and prostate cancer, respectively (Mullard, 2019; Wang Y. et al., 2020).”
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“In 2019 and 2020, clinical trials of PROTACs were established for two cancer targets: estrogen (ER) and androgen (AR) receptors [141,142].”
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Ubiquitination, Biotech Startups, and the Future of TRIM Family Proteins: A TRIM-Endous Opportunity
Bhaduri, U., & Merla, G. (2021) · Cells · doi:10.3390/cells10051015 · Cited by 25 · see citing works
“Meanwhile, in 2019, for the first time, PROTAC degraders ARV-110 and ARV-471 entered phase 1 clinical trials for the treatment of prostate cancer and breast cancer, respectively [18].”
BackgroundRecent Progress in DNA Damage Response-Targeting PROTAC Degraders
Cheng, B., Fei, X., Ding, Z., Peng, X., Su, Z., Pan, W., & Chen, J. (2024) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.4c00015 · Cited by 27 · see citing works
Targeted protein degradation in antibacterial drug discovery?
Gopal, P., & Dick, T. (2019) · Progress in Biophysics and Molecular Biology · doi:10.1016/j.pbiomolbio.2019.11.005 · Cited by 24 · see citing works
“…Lab in 2008, which could bind and induce degradation of the androgen receptor (AR) to the first PROTAC molecule (ARV-110) to enter the clinic with a Phase I trial for prostate cancer earlier this year, this field has rapidly grown and gained attention from the scientific community (Mullard, 2019).”
BackgroundStructure driven compound optimization in targeted protein degradation
Leissing, T. M., Luh, L. M., & Cromm, P. M. (2020) · Drug Discovery Today Technologies · doi:10.1016/j.ddtec.2020.11.005 · Cited by 21 · see citing works
Reversible Covalent PROTACs: Novel and Efficient Targeted Degradation Strategy
Yuan, M., Chu, Y., & Duan, Y. (2021) · Frontiers in Chemistry · doi:10.3389/fchem.2021.691093 · Cited by 27 · see citing works
“This drug design strategy has increasingly attracted attention, especially upon the first PROTAC entering clinical trials in 2019 (Mullard, 2019).”
BackgroundElectrophilic Natural Products as Drug Discovery Tools
Gehrtz, P., & London, N. (2021) · Trends in Pharmacological Sciences · doi:10.1016/j.tips.2021.03.008 · Cited by 24 · see citing works
Design of PROTACs utilizing the E3 ligase GID4 for targeted protein degradation
Li, Y., Bao, K., Sun, J., Ge, R., Zhang, Q., Zhang, B., Yan, X., Li, J., Shi, F., Zhang, M., et al. (2025) · Nature Structural & Molecular Biology · doi:10.1038/s41594-025-01537-1 · Cited by 24 · see citing works
“Here we show that the E3 ligase GID4 (glucose-induced degradation deficient complex 4) can be leveraged for targeted protein degradation using a noncovalent small molecule.”
Manda, S., Lee, N. K., Oh, D., & Lee, J. (2020) · Molecules · doi:10.3390/molecules25081948 · Cited by 22 · see citing works
Cui, Q., Huang, C., Liu, J., & Zhang, J. (2023) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.3c01130 · Cited by 23 · see citing works
Targeted Protein Degradation: An Emerging Therapeutic Strategy in Cancer
Barghout, S. H. (2020) · Anti-Cancer Agents in Medicinal Chemistry · doi:10.2174/1871520620666200410082652 · Cited by 21 · see citing works
Development of DNA Aptamer-Based PROTACs That Degrade the Estrogen Receptor
Tsujimura, H., Naganuma, M., Ohoka, N., Inoué, T., Naito, M., Tsuji, G., & Demizu, Y. (2023) · ACS Medicinal Chemistry Letters · doi:10.1021/acsmedchemlett.3c00126 · Cited by 24 · see citing works
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Induced proximity at the cell surface
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“PROTACs and molecular glues were the original launch point of the TPD field, and several such molecules are undergoing clinical evaluation 13,14 .”
Synthetic biology approaches for targeted protein degradation
Chen, R. P., Gaynor, A. S., & Chen, W. (2019) · Biotechnology Advances · doi:10.1016/j.biotechadv.2019.107446 · Cited by 18 · see citing works
“However, their ease of delivery makes them a powerful drug treatment option, and PROTACS have begun to enter clinical trials this year (Mullard, 2019).”
BackgroundTernary complex dissociation kinetics contribute to mutant-selective EGFR degradation
Rosenberg, S., Shanahan, F., Yamazoe, S., Kschonsak, M., Zeng, Y. J., Lee, J., Plise, E. G., Yen, I., Rose, C. M., Quinn, J. G., et al. (2023) · Cell chemical biology · doi:10.1016/j.chembiol.2023.01.007 · Cited by 18 · see citing works
He, X., Zeng, S., Wen, Y., Yang, T., Huang, C., Li, Y.-F., Zhang, Z., Ding, K., Liu, T., Tan, Y., et al. (2025) · Journal of the American Chemical Society · doi:10.1021/jacs.4c18083 · Cited by 18 · see citing works
Proteostasis Dysregulation in Pancreatic Cancer
Arpalahti, L., Haglund, C., & Holmberg, C. I. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-38266-7_4 · Cited by 17 · see citing works
Molecular basis and dual ligand regulation of tetrameric estrogen receptor α/14-3-3ζ protein complex
Somsen, B. A., Sijbesma, E., Leysen, S., Honzejková, K., Visser, E. J., Cossar, P. J., Obšil, T., Brunsveld, L., & Ottmann, C. (2023) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2023.104855 · Cited by 17 · see citing works
New Targets and Emergent Therapies for Osteoporosis
Brommage, R. (2019) · Handbook of experimental pharmacology · doi:10.1007/164_2019_329 · Cited by 18 · see citing works
Monovalent protein-degraders – Insights and future perspectives
Cornella‐Taracido, I., & Garcı́a-Echeverrı́a, C. (2020) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/j.bmcl.2020.127202 · Cited by 18 · see citing works
Photoactive Bifunctional Degraders: Precision Tools To Regulate Protein Stability
Kounde, C. S., & Tate, E. W. (2020) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.0c01542 · Cited by 17 · see citing works
- Authors
- Mullard, A.
- Corresponding author
- Mullard, Asher
- Venue
- Nature Reviews Drug Discovery
- Published
- 2019-03-06
- Volume
- 18
- Issue
- 4
- Pages
- 237-239
- ISSN
- 1474-1776 (ISSN-L)
- 1474-1784
- OpenAlex
- W2920736663
- Cited by
- 146
- References
- 0
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 15 · 2023: 18 · 2022: 16 · 2021: 28 · 2020: 32 · 2019: 20
- Type
- other
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature Reviews Drug Discovery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ubiquitin and proteasome pathways
- Keywords
- targeted protein degradation, PROTACs, clinical trials, protein degraders, anticancer agents, E3 ubiquitin ligase, drug development
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