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DRUG CLASS:

Protease inhibitor

1d
Ulinastatin relieves sepsis-associated dysmotility via IL-1β-related enteric neuroprotection. (PubMed, Eur J Pharmacol)
UTI confers broad and integrated protection of the intestine during sepsis. These findings suggest that IL-1β-mediated inflammatory signaling plays a key role in UTI-induced enteric neuroprotection and restoration of intestinal motility.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CLDN1 (Claudin 1) • IL1B (Interleukin 1, beta)
10d
NIBAN2/FLII/RREB1 Axis Drives Glioma Stem Cell Malignancy via TLR3 Pathway Activation. (PubMed, Adv Sci (Weinh))
Drug screening identified the HIV protease inhibitor nelfinavir as a specific disruptor of the NIBAN2-FLII complex...Collectively, this study, for the first time, reveals that NIBAN2 maintains GSCs stemness by activating FLII-RREB1 axis and TLR3 signaling, thereby establishing a feed-forward signaling-transcription-metabolism axis. This finding provides a novel strategy and potential targets for precise therapeutic intervention against glioma stemness.
Journal • IO biomarker
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LDHA (Lactate dehydrogenase A) • CD44 (CD44 Molecule) • SOX2 • TLR3 (Toll Like Receptor 3) • RREB1 (Ras Responsive Element Binding Protein 1)
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Viracept (nelfinavir)
11d
NELCER: Radiosensitizing Effect of Nelfinavir in Locally Advanced Carcinoma of Cervix (clinicaltrials.gov)
P3, N=348, Completed, Tata Memorial Hospital | Active, not recruiting --> Completed
Trial completion
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cisplatin • Viracept (nelfinavir) • ondansetron intravenous
15d
Potency-enhancing mutations in E3-19K and i-leader increase the cytolytic activity of the PH20/SPAM1-armed oncolytic adenovirus Ad5Δ24RGD. (PubMed, Mol Ther Oncol)
In some cell lines, the fiber modification F5RGD10(2C) or verapamil treatment further improves actual spread efficiency. Nelfinavir inhibits spread and plaque formation of oncolytic adenoviruses with the 19KSS-iLQ125Ter modifications, irrespective of adenovirus death protein (ADP) expression...We identified an insertion site downstream of the L3-23K region that supports relatively high hPH20 activity while preserving the enhanced oncolytic potency of the virus. Combining 19KSS-iLQ125Ter with hPH20 expression may potentially improve therapeutic benefit in glioma.
Journal
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SPAM1 (Sperm Adhesion Molecule 1)
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Viracept (nelfinavir)
21d
Saquinavir induces pyroptosis through the OTUD5-JAK1-GSDME axis in hepatocellular carcinoma. (PubMed, Free Radic Biol Med)
Pyroptosis is a newly defined form of programmed cell death characterized by plasma membrane perforation, release of cellular contents, and a robust inflammatory response, thereby sensitizing tumors to existing anticancer therapies. Furthermore, the combination of SAQ with sorafenib, a first-line therapeutic agent for HCC, exhibited synergistic antitumor activity both in vitro and in the nude mouse model. These findings not only identify SAQ as a novel pyroptosis-inducer, but also clarify the critical role of the OTUD5-JAK1-GSDME axis in resisting pyroptosis, which may further provide experimental evidence and potential new strategies for treating HCC.
Journal
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JAK1 (Janus Kinase 1) • CASP3 (Caspase 3) • GSDME (Gasdermin E)
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sorafenib
23d
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CRP (C-reactive protein)
30d
NELCER: Radiosensitizing Effect of Nelfinavir in Locally Advanced Carcinoma of Cervix (clinicaltrials.gov)
P3, N=348, Active, not recruiting, Tata Memorial Hospital | Trial completion date: Jan 2026 --> Apr 2026
Trial completion date
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cisplatin • Viracept (nelfinavir) • ondansetron intravenous
1m
Immune homeostasis regulatory therapy in elderly sepsis patients: A multicenter, randomized, double-blind Pilot study (ChiCTR2500114959)
P2, N=60, Not yet recruiting, The First Affiliated Hospital, Sun Yat-sen University; The First affiliated hospital, sun yat-sen university
New P2 trial
2ms
NELCER: Radiosensitizing Effect of Nelfinavir in Locally Advanced Carcinoma of Cervix (clinicaltrials.gov)
P3, N=348, Active, not recruiting, Tata Memorial Hospital | Trial completion date: Sep 2025 --> Jan 2026
Trial completion date
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cisplatin • Viracept (nelfinavir) • ondansetron intravenous
2ms
GLS4 Induces the Interferon Signaling Pathway During Hepatitis B Virus (HBV) Infection. (PubMed, J Med Virol)
Besides, combination treatment with GLS4 and ritonavir elevates the frequencies of both peripheral blood IFNγ + NK cells and liver-resident IFNγ + CD8+ T cells in the pAAV/HBV1.2 hydrodynamic injection (HDI) model. Furthermore, GLS4 partially restores innate and adaptive immunity in vivo. This signifies a potentially effective strategy for achieving a functional cure for HBV infection.
Journal
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CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma)
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ritonavir
2ms
Evaluation of CYT-108, A Recombinant Protease Inhibitor, for Treatment of Mild To Moderate Primary Osteoarthritis Of The Knee (clinicaltrials.gov)
P1, N=19, Completed, Cytonics Corporation | Not yet recruiting --> Completed | Trial completion date: Dec 2024 --> Oct 2025
Trial completion • Trial completion date
2ms
Autophagy Maintenance (AUTOMAIN) (clinicaltrials.gov)
P2, N=38, Recruiting, Medical University of South Carolina | Not yet recruiting --> Recruiting | N=20 --> 38 | Trial completion date: Dec 2027 --> Jun 2029 | Trial primary completion date: Dec 2026 --> Jun 2028
Enrollment open • Enrollment change • Trial completion date • Trial primary completion date
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Avastin (bevacizumab) • hydroxychloroquine • Viracept (nelfinavir)