Discovering Potential in Non-Cancer Medications: A Promising Breakthrough for Multiple Myeloma Patients

Simple Summary Multiple myeloma (MM) is a type of cancer that affects the blood and bone marrow. Each individual diagnosed with MM will inevitably experience a relapse or develop resistance to the prescribed treatment. The development of new pharmaceuticals is an expensive and time-consuming process, which requires the investigation of more efficient approaches. This review article explores the potential of repurposing current drugs, originally designed for other conditions, for the treatment of MM. This approach is more efficient and economical in comparison to the process of developing new drugs from scratch. For instance, thalidomide, initially used for several medical ailments, has shown effectiveness in treating MM. This study emphasizes the potential of repurposing common drugs, such as aspirin and statins, for the treatment of MM. This approach not only speeds up the availability of new treatments but also offers hope for better outcomes for patients with MM. Future investigations will give priority to determining the most effective dosages and integrating these repurposed drugs with traditional therapy to improve their effectiveness. Abstract MM is a common type of cancer that unfortunately leads to a significant number of deaths each year. The majority of the reported MM cases are detected in the advanced stages, posing significant challenges for treatment. Additionally, all MM patients eventually develop resistance or experience relapse; therefore, advances in treatment are needed. However, developing new anti-cancer drugs, especially for MM, requires significant financial investment and a lengthy development process. The study of drug repurposing involves exploring the potential of existing drugs for new therapeutic uses. This can significantly reduce both time and costs, which are typically a major concern for MM patients. The utilization of pre-existing non-cancer drugs for various myeloma treatments presents a highly efficient and cost-effective strategy, considering their prior preclinical and clinical development. The drugs have shown promising potential in targeting key pathways associated with MM progression and resistance. Thalidomide exemplifies the success that can be achieved through this strategy. This review delves into the current trends, the challenges faced by conventional therapies for MM, and the importance of repurposing drugs for MM. This review highlights a noncomprehensive list of conventional therapies that have potentially significant anti-myeloma properties and anti-neoplastic effects. Additionally, we offer valuable insights into the resources that can help streamline and accelerate drug repurposing efforts in the field of MM.

[1]  Shulian Wang,et al.  Disparities in mortality risk after diagnosis of hematological malignancies in 185 countries: A global data analysis. , 2024, Cancer letters.

[2]  F. Buadi,et al.  An Open-Label Phase I Study of Metformin and Nelfinavir in Combination With Bortezomib in Patients With Relapsed and Refractory Multiple Myeloma. , 2024, Clinical lymphoma, myeloma & leukemia.

[3]  D. Fruman,et al.  Statin-induced Mitochondrial Priming Sensitizes Multiple Myeloma Cells to BCL2 and MCL-1 Inhibitors , 2023, Cancer research communications.

[4]  G. Macpherson,et al.  Thalidomide , 2022, Reactions Weekly.

[5]  J. Bartek,et al.  A drug repurposing strategy for overcoming human multiple myeloma resistance to standard-of-care treatment , 2022, Cell Death & Disease.

[6]  D. Greaves,et al.  Epithelial Mesenchymal Transition (EMT) and Associated Invasive Adhesions in Solid and Haematological Tumours , 2022, Cells.

[7]  W. Gao,et al.  [Effects of Artesunate Combined with Arsenious Acid on Proliferation and Apoptosis of Multiple Myeloma Cells via PI3K/AKT Signaling Pathway]. , 2021, Zhongguo shi yan xue ye xue za zhi.

[8]  Q. Dou,et al.  Recent Advances in Repurposing Disulfiram and Disulfiram Derivatives as Copper-Dependent Anticancer Agents , 2021, Frontiers in Molecular Biosciences.

[9]  Mao Ye,et al.  Albendazole inhibits NF-κB signaling pathway to overcome tumor stemness and bortezomib resistance in multiple myeloma. , 2021, Cancer letters.

[10]  B. Aggarwal,et al.  Mcl-1 Inhibition: Managing Malignancy in Multiple Myeloma , 2021, Frontiers in Pharmacology.

[11]  Xiaojuan Xiao,et al.  Identification and Characterization of Multiple Myeloma Stem Cell-Like Cells , 2021, Cancers.

[12]  J. Chai,et al.  Albendazole and Mebendazole as Anti-Parasitic and Anti-Cancer Agents: an Update , 2021, The Korean journal of parasitology.

[13]  N. Puig,et al.  Lenalidomide and dexamethasone with or without clarithromycin in patients with multiple myeloma ineligible for autologous transplant: a randomized trial , 2021, Blood Cancer Journal.

[14]  Patient Bone Marrow Aspiration to Explore the Cyclooxygenases (COXs) Involvement in Multiple Myeloma , 2021, Journal of Cancer Research and Therapeutic Oncology.

[15]  Yu Liang,et al.  Diethyldithiocarbamate-copper complex (CuET) inhibits colorectal cancer progression via miR-16-5p and 15b-5p/ALDH1A3/PKM2 axis-mediated aerobic glycolysis pathway , 2021, Oncogenesis.

[16]  Shaji K. Kumar,et al.  Multiple myeloma current treatment algorithms , 2020, Blood Cancer Journal.

[17]  M. Saio,et al.  Possible mechanisms of action of clarithromycin and its clinical application as a repurposing drug for treating multiple myeloma , 2020, Ecancermedicalscience.

[18]  B. Gage,et al.  Statins Reduce Mortality in Multiple Myeloma: A Population-Based US Study. , 2020, Clinical lymphoma, myeloma & leukemia.

[19]  Trevor J Pugh,et al.  The mevalonate pathway is an actionable vulnerability of t(4;14)-positive multiple myeloma , 2020, Leukemia.

[20]  A. Jadhav,et al.  Drug Repurposing (DR): An Emerging Approach in Drug Discovery , 2020, Drug Repurposing - Hypothesis, Molecular Aspects and Therapeutic Applications.

[21]  Pengcheng Zhang,et al.  Statin use and the risk of multiple myeloma: a PRISMA-compliant meta-analysis , 2020, Annals of Hematology.

[22]  Zhi-hua Zhang,et al.  Valproic Acid Increased Autophagic Flux in human Multiple Myeloma Cells in Vitro. , 2020, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[23]  A. Krishnan,et al.  Repurposing leflunomide for relapsed/refractory multiple myeloma: a phase 1 study , 2020, Leukemia & lymphoma.

[24]  B. Birmann,et al.  Statin use is associated with improved survival in multiple myeloma: A Swedish population‐based study of 4315 patients , 2020, American journal of hematology.

[25]  K. Pramanik,et al.  Old Drugs, New Uses: Drug Repurposing in Hematological Malignancies. , 2020, Seminars in cancer biology.

[26]  Hongchun Liu,et al.  Aspirin exerts anti-tumor effect through inhibiting Blimp1 and activating ATF4/CHOP pathway in multiple myeloma. , 2020, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[27]  M. Vidal,et al.  A genome-wide positioning systems network algorithm for in silico drug repurposing , 2019, Nature Communications.

[28]  Hyunjung Shin,et al.  Drug repurposing with network reinforcement , 2019, BMC Bioinformatics.

[29]  D. Dingli,et al.  Metformin inhibits IL-6 signaling by decreasing IL-6R expression on multiple myeloma cells , 2019, Leukemia.

[30]  Y. Chou,et al.  Non‐mitotic effect of albendazole triggers apoptosis of human leukemia cells via SIRT3/ROS/p38 MAPK/TTP axis‐mediated TNF‐&agr; upregulation , 2019, Biochemical pharmacology.

[31]  W. Miltyk,et al.  Celecoxib in Cancer Therapy and Prevention - Review. , 2019, Current drug targets.

[32]  G. Colditz,et al.  Aspirin Use and Survival in Multiple Myeloma Patients , 2018, Blood.

[33]  Y. Tai,et al.  Osteoclast Immunosuppressive Effects in Multiple Myeloma: Role of Programmed Cell Death Ligand 1 , 2018, Front. Immunol..

[34]  Nan Jin,et al.  Disulfiram/copper targets stem cell‐like ALDH+ population of multiple myeloma by inhibition of ALDH1A1 and Hedgehog pathway , 2018, Journal of cellular biochemistry.

[35]  Z. Cai,et al.  Metformin and FTY720 Synergistically Induce Apoptosis in Multiple Myeloma Cells , 2018, Cellular Physiology and Biochemistry.

[36]  Albert-László Barabási,et al.  Network-based approach to prediction and population-based validation of in silico drug repurposing , 2018, Nature Communications.

[37]  S. Basak,et al.  The NF-κB Activating Pathways in Multiple Myeloma , 2018, Biomedicines.

[38]  M. Azad,et al.  Various Signaling Pathways in Multiple Myeloma Cells and Effects of Treatment on These Pathways , 2018, Clinical lymphoma, myeloma & leukemia.

[39]  Sorin Draghici,et al.  A novel computational approach for drug repurposing using systems biology , 2018, Bioinform..

[40]  B. Druker,et al.  Metformin exerts multitarget antileukemia activity in JAK2V617F-positive myeloproliferative neoplasms , 2018, Cell Death & Disease.

[41]  Michael Pryszlak,et al.  Giving Drugs a Second Chance: Overcoming Regulatory and Financial Hurdles in Repurposing Approved Drugs As Cancer Therapeutics , 2017, Front. Oncol..

[42]  A. Wakkach,et al.  Emerging Roles of Osteoclasts in the Modulation of Bone Microenvironment and Immune Suppression in Multiple Myeloma , 2017, Front. Immunol..

[43]  H. Feigelson,et al.  Statin use and risk of multiple myeloma: An analysis from the cancer research network , 2017, International journal of cancer.

[44]  Yun Liu,et al.  High Expression of Phosphorylated Extracellular Signal-Regulated Kinase (ERK1/2) is Associated with Poor Prognosis in Newly Diagnosed Patients with Multiple Myeloma , 2017, Medical science monitor : international medical journal of experimental and clinical research.

[45]  Yu-Xiao Yang,et al.  Impact of metformin on the progression of MGUS to multiple myeloma , 2017, Leukemia & lymphoma.

[46]  Ragini Pandey,et al.  HAPPI-2: a Comprehensive and High-quality Map of Human Annotated and Predicted Protein Interactions , 2017, BMC Genomics.

[47]  Rong Chen,et al.  Systematic analyses of drugs and disease indications in RepurposeDB reveal pharmacological, biological and epidemiological factors influencing drug repositioning , 2017, Briefings Bioinform..

[48]  Kai Hung Tiong,et al.  DeSigN: connecting gene expression with therapeutics for drug repurposing and development , 2017, BMC Genomics.

[49]  Minoru Kanehisa,et al.  KEGG: new perspectives on genomes, pathways, diseases and drugs , 2016, Nucleic Acids Res..

[50]  Junichi Ishida,et al.  Repurposing of approved cardiovascular drugs , 2016, Journal of Translational Medicine.

[51]  B. Gage,et al.  Statins Are Associated With Reduced Mortality in Multiple Myeloma. , 2016, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[52]  Nicola Nosengo Can you teach old drugs new tricks? , 2016, Nature.

[53]  Jing Yang,et al.  DNetDB: The human disease network database based on dysfunctional regulation mechanism , 2016, BMC Systems Biology.

[54]  R. W. Hansen,et al.  Innovation in the pharmaceutical industry: New estimates of R&D costs. , 2016, Journal of health economics.

[55]  A. del Sol,et al.  Prediction of disease–gene–drug relationships following a differential network analysis , 2016, Cell Death and Disease.

[56]  Robert Preissner,et al.  WITHDRAWN—a resource for withdrawn and discontinued drugs , 2015, Nucleic Acids Res..

[57]  Peer Bork,et al.  The SIDER database of drugs and side effects , 2015, Nucleic Acids Res..

[58]  V. Sukhatme,et al.  Repurposing Drugs in Oncology (ReDO)—nitroglycerin as an anti-cancer agent , 2015, Ecancermedicalscience.

[59]  K. Anderson,et al.  Pharmacologic screens reveal metformin that suppresses GRP78-dependent autophagy to enhance the anti-myeloma effect of bortezomib , 2015, Leukemia.

[60]  R. M. Owen,et al.  An analysis of the attrition of drug candidates from four major pharmaceutical companies , 2015, Nature Reviews Drug Discovery.

[61]  Anikó Vég,et al.  Evaluation of usage patterns and user perception of the drug-drug interaction database SFINX , 2015, Int. J. Medical Informatics.

[62]  P. Hruz,et al.  In Silico Modeling-based Identification of Glucose Transporter 4 (GLUT4)-selective Inhibitors for Cancer Therapy* , 2015, The Journal of Biological Chemistry.

[63]  C. la Vecchia,et al.  Statins use and the risk of all and subtype hematological malignancies: a meta-analysis of observational studies , 2015, Cancer medicine.

[64]  T. Koltai Nelfinavir and other protease inhibitors in cancer: mechanisms involved in anticancer activity , 2015, F1000Research.

[65]  Pan Pantziarka,et al.  Repurposing Drugs in Oncology (ReDO)—clarithromycin as an anti-cancer agent , 2015, Ecancermedicalscience.

[66]  K. Aldape,et al.  Randomized phase II adjuvant factorial study of dose-dense temozolomide alone and in combination with isotretinoin, celecoxib, and/or thalidomide for glioblastoma. , 2015, Neuro-oncology.

[67]  G. von Heijne,et al.  Tissue-based map of the human proteome , 2015, Science.

[68]  A. Lipman Drug Repurposing and Repositioning: Workshop Summary , 2015 .

[69]  S. Singhal,et al.  Targeting the Metabolic Plasticity of Multiple Myeloma with FDA-Approved Ritonavir and Metformin , 2014, Clinical Cancer Research.

[70]  A. Gotoh,et al.  Targeting the integrated networks of aggresome formation, proteasome, and autophagy potentiates ER stress-mediated cell death in multiple myeloma cells , 2014, International journal of oncology.

[71]  Davide Heller,et al.  STRING v10: protein–protein interaction networks, integrated over the tree of life , 2014, Nucleic Acids Res..

[72]  K. Anderson,et al.  Outcomes in patients with relapsed or refractory multiple myeloma in a phase I study of everolimus in combination with lenalidomide , 2014, British journal of haematology.

[73]  Caleb K. Stein,et al.  Artesunate overcomes drug resistance in multiple myeloma by inducing mitochondrial stress and non-caspase apoptosis , 2014, Oncotarget.

[74]  S. Ely,et al.  Thalidomide, clarithromycin, lenalidomide and dexamethasone therapy in newly diagnosed, symptomatic multiple myeloma , 2014, Leukemia & lymphoma.

[75]  W. Jia,et al.  Statin Use Is Associated with Reduced Risk of Haematological Malignancies: Evidence from a Meta-Analysis , 2014, PloS one.

[76]  G. Colditz,et al.  Regular Aspirin Use and Risk of Multiple Myeloma: A Prospective Analysis in the Health Professionals Follow-up Study and Nurses' Health Study , 2013, Cancer Prevention Research.

[77]  David S. Wishart,et al.  DrugBank 4.0: shedding new light on drug metabolism , 2013, Nucleic Acids Res..

[78]  A. Waage,et al.  Lymphoma and myeloma cells are highly sensitive to growth arrest and apoptosis induced by artesunate , 2013, European journal of haematology.

[79]  Sahdeo Prasad,et al.  Cancer drug discovery by repurposing: teaching new tricks to old dogs. , 2013, Trends in pharmacological sciences.

[80]  Verena Jendrossek,et al.  Targeting apoptosis pathways by Celecoxib in cancer. , 2013, Cancer letters.

[81]  P. Sanseau,et al.  Computational Drug Repositioning: From Data to Therapeutics , 2013, Clinical pharmacology and therapeutics.

[82]  H. Overkleeft,et al.  Nelfinavir augments proteasome inhibition by bortezomib in myeloma cells and overcomes bortezomib and carfilzomib resistance , 2013, Blood Cancer Journal.

[83]  Christie S. Chang,et al.  The BioGRID interaction database: 2013 update , 2012, Nucleic Acids Res..

[84]  A. Qayyum,et al.  Low-dose thalidomide in patients with metastatic renal cell carcinoma. , 2012, JPMA. The Journal of the Pakistan Medical Association.

[85]  J. LoPiccolo,et al.  Synergistic effects of nelfinavir and bortezomib on proteotoxic death of NSCLC and multiple myeloma cells , 2012, Cell Death and Disease.

[86]  L. Galicier,et al.  The human immunodeficiency virus-1 protease inhibitor nelfinavir impairs proteasome activity and inhibits the proliferation of multiple myeloma cells in vitro and in vivo , 2012, Haematologica.

[87]  Tetsuro Tsujimoto,et al.  Cancer Risk in Diabetic Patients Treated with Metformin: A Systematic Review and Meta-analysis , 2012, PloS one.

[88]  S. Ramaswamy,et al.  Systematic identification of genomic markers of drug sensitivity in cancer cells , 2012, Nature.

[89]  Adam A. Margolin,et al.  The Cancer Cell Line Encyclopedia enables predictive modeling of anticancer drug sensitivity , 2012, Nature.

[90]  J. Scannell,et al.  Diagnosing the decline in pharmaceutical R&D efficiency , 2012, Nature Reviews Drug Discovery.

[91]  W. Dubois,et al.  Global gene expression profiling in mouse plasma cell tumor precursor and bystander cells reveals potential intervention targets for plasma cell neoplasia. , 2012, Blood.

[92]  S. Chhibber,et al.  Thalidomide: An Old Drug with New Action , 2011, Journal of chemotherapy.

[93]  B. Martín-Castillo,et al.  Metformin: Multi-faceted protection against cancer , 2011, Oncotarget.

[94]  Damian Szklarczyk,et al.  STITCH 3: zooming in on protein–chemical interactions , 2011, Nucleic Acids Res..

[95]  J. Gera,et al.  The mammalian target of rapamycin pathway as a therapeutic target in multiple myeloma , 2011, Leukemia & lymphoma.

[96]  J. Berenson Antitumor effects of bisphosphonates: from the laboratory to the clinic , 2011, Current opinion in supportive and palliative care.

[97]  F. Pammolli,et al.  The productivity crisis in pharmaceutical R&D , 2011, Nature Reviews Drug Discovery.

[98]  E. Lundberg,et al.  Towards a knowledge-based Human Protein Atlas , 2010, Nature Biotechnology.

[99]  Lincoln Stein,et al.  Reactome: a database of reactions, pathways and biological processes , 2010, Nucleic Acids Res..

[100]  Y. Furukawa,et al.  Histone deacetylases are critical targets of bortezomib-induced cytotoxicity in multiple myeloma. , 2010, Blood.

[101]  B. Viollet,et al.  Metformin, independent of AMPK, inhibits mTORC1 in a rag GTPase-dependent manner. , 2010, Cell metabolism.

[102]  S. Krähenbühl,et al.  Long-Term Metformin Use Is Associated With Decreased Risk of Breast Cancer , 2010, Diabetes Care.

[103]  Charles C. Persinger,et al.  How to improve R&D productivity: the pharmaceutical industry's grand challenge , 2010, Nature Reviews Drug Discovery.

[104]  D. Sabatini,et al.  mTOR signaling at a glance , 2009, Journal of Cell Science.

[105]  Michael J. Keiser,et al.  Predicting new molecular targets for known drugs , 2009, Nature.

[106]  Bhavesh Borate,et al.  Searching Online Mendelian Inheritance in Man (OMIM) for Information on Genetic Loci Involved in Human Disease , 2009, Current protocols in bioinformatics.

[107]  Shi-hui Li,et al.  Effect of artesunate on inhibiting proliferation and inducing apoptosis of SP2/0 myeloma cells through affecting NFκB p65 , 2009, International journal of hematology.

[108]  Guanghui Hu,et al.  Human Disease-Drug Network Based on Genomic Expression Profiles , 2009, PloS one.

[109]  S. Steinberg,et al.  A double-blind randomized crossover study of oral thalidomide versus placebo for androgen dependent prostate cancer treated with intermittent androgen ablation. , 2009, The Journal of urology.

[110]  P. Baumann,et al.  Dihydroorotate dehydrogenase inhibitor A771726 (leflunomide) induces apoptosis and diminishes proliferation of multiple myeloma cells , 2009, Molecular Cancer Therapeutics.

[111]  Toshio Matsumoto,et al.  Valproic acid exerts anti-tumor as well as anti-angiogenic effects on myeloma , 2009, International journal of hematology.

[112]  P. Kettle,et al.  Clarithromycin with low dose dexamethasone and thalidomide is effective therapy in relapsed/refractory myeloma , 2008, British journal of haematology.

[113]  D. Roberts,et al.  A phase II study of thalidomide and irinotecan for treatment of glioblastoma multiforme , 2008, Journal of Neuro-Oncology.

[114]  P. Sime,et al.  Targeting cyclooxygenase-2 in hematological malignancies: rationale and promise. , 2008, Current pharmaceutical design.

[115]  F. Mulcahy,et al.  Thalidomide therapy for the treatment of hypertrophic herpes simplex virus-related genitalis in HIV-infected individuals. , 2007, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[116]  A. Barabasi,et al.  The human disease network , 2007, Proceedings of the National Academy of Sciences.

[117]  T. Golub,et al.  Gene expression signature-based chemical genomic prediction identifies a novel class of HSP90 pathway modulators. , 2006, Cancer cell.

[118]  Paul A Clemons,et al.  The Connectivity Map: Using Gene-Expression Signatures to Connect Small Molecules, Genes, and Disease , 2006, Science.

[119]  G. Mechtersheimer,et al.  Clinical significance of cyclooxygenase-2 (COX-2) in multiple myeloma. , 2006, Swiss medical weekly.

[120]  Jesse J. Suh,et al.  The Status of Disulfiram: A Half of a Century Later , 2006, Journal of clinical psychopharmacology.

[121]  Rafael Fonseca,et al.  Phase III clinical trial of thalidomide plus dexamethasone compared with dexamethasone alone in newly diagnosed multiple myeloma: a clinical trial coordinated by the Eastern Cooperative Oncology Group. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[122]  Thomas C. Chen,et al.  Multitarget inhibition of drug-resistant multiple myeloma cell lines by dimethyl-celecoxib (DMC), a non-COX-2 inhibitory analog of celecoxib. , 2005, Blood.

[123]  Erik K. Malm,et al.  A Human Protein Atlas for Normal and Cancer Tissues Based on Antibody Proteomics* , 2005, Molecular & Cellular Proteomics.

[124]  M. Çetin,et al.  Overexpression of cyclooxygenase‐2 in multiple myeloma: Association with reduced survival , 2005, American journal of hematology.

[125]  Y. Ohtsuki,et al.  HIV‐1 protease inhibitor induces growth arrest and apoptosis of human prostate cancer LNCaP cells in vitro and in vivo in conjunction with blockade of androgen receptor STAT3 and AKT signaling , 2005, Cancer science.

[126]  Marina Ruggeri,et al.  Cyclooxygenase-2 (COX-2) is frequently expressed in multiple myeloma and is an independent predictor of poor outcome. , 2005, Blood.

[127]  Paul Richardson,et al.  Combination of the mTOR inhibitor rapamycin and CC-5013 has synergistic activity in multiple myeloma. , 2004, Blood.

[128]  T. Ashburn,et al.  Drug repositioning: identifying and developing new uses for existing drugs , 2004, Nature Reviews Drug Discovery.

[129]  K. Nilsson,et al.  Rapamycin sensitizes multiple myeloma cells to apoptosis induced by dexamethasone. , 2004, Blood.

[130]  M. Lishner,et al.  Simvastatin induces apoptosis of B-CLL cells by activation of mitochondrial caspase 9. , 2003, Experimental hematology.

[131]  P. Goggin,et al.  Thalidomide and its derivatives: emerging from the wilderness , 2003, Postgraduate medical journal.

[132]  N. Munshi,et al.  NF-κB as a Therapeutic Target in Multiple Myeloma* , 2002, The Journal of Biological Chemistry.

[133]  S. Rajkumar,et al.  Thalidomide as an anti‐cancer agent , 2002, Journal of cellular and molecular medicine.

[134]  S. Singhal,et al.  Thalidomide in Cancer , 2002, BioDrugs.

[135]  J. Leonard,et al.  BLT-D (Clarithromycin [Biaxin], Low-Dose Thalidomide, and Dexamethasone) for the Treatment of Myeloma and Waldenström's Macroglobulinemia , 2002, Leukemia & lymphoma.

[136]  R. Locksley,et al.  The TNF and TNF Receptor Superfamilies Integrating Mammalian Biology , 2001, Cell.

[137]  B. Levin,et al.  The effect of celecoxib, a cyclooxygenase-2 inhibitor, in familial adenomatous polyposis. , 2000, The New England journal of medicine.

[138]  J. Grover,et al.  Thalidomide: a re-look. , 2000, The National medical journal of India.

[139]  Takashi Ichiyama,et al.  Sodium valproate inhibits production of TNF-α and IL-6 and activation of NF-κB , 2000, Brain Research.

[140]  B. Barlogie,et al.  Antitumor activity of thalidomide in refractory multiple myeloma. , 1999, The New England journal of medicine.

[141]  S. Trudel,et al.  Lack of response to short-term use of clarithromycin (BIAXIN) in multiple myeloma. , 1999, Blood.

[142]  R. Bataille,et al.  Lack of efficacy of clarithromycin in advanced multiple myeloma , 1999, Leukemia.

[143]  J. Remington,et al.  Effect of clarithromycin and azithromycin on production of cytokines by human monocytes. , 1999, International journal of antimicrobial agents.

[144]  N. Narita,et al.  [Effect of clarithromycin treatment of natural killer cell activity in patients with advanced non-small cell lung cancer]. , 1998, Gan to kagaku ryoho. Cancer & chemotherapy.

[145]  R. Tedder,et al.  Regression of AIDS-related Kaposi's sarcoma during therapy with thalidomide. , 1996, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[146]  B. Klein,et al.  Interleukin-6 in human multiple myeloma. , 1995, Blood.

[147]  S. Sehgal,et al.  Rapamycin (AY-22,989), a new antifungal antibiotic. II. Fermentation, isolation and characterization.:II. FERMENTATION, ISOLATION AND CHARACTERIZATION , 1975 .

[148]  V. Dawson,et al.  Themed Section: Inventing New Therapies Without Reinventing the Wheel: The Power of Drug Repurposing , 2018 .

[149]  Jean Claude Zenklusen,et al.  A Practical Guide to The Cancer Genome Atlas (TCGA) , 2016, Statistical Genomics.

[150]  G. Colditz,et al.  Association between metformin use and progression of monoclonal gammopathy of undetermined significance to multiple myeloma in US veterans with diabetes mellitus: a population-based retrospective cohort study. , 2015, The Lancet. Haematology.

[151]  P. Roberson,et al.  Giant osteoclast formation and long-term oral bisphosphonate therapy. , 2009, The New England journal of medicine.

[152]  Justin Lamb,et al.  The Connectivity Map: a new tool for biomedical research , 2007, Nature Reviews Cancer.

[153]  S. Hsu,et al.  A review of thalidomide's history and current dermatological applications. , 2003, Dermatology online journal.

[154]  S. Rajkumar,et al.  Management of thalidomide toxicity. , 2003, The journal of supportive oncology.

[155]  P. Musto,et al.  Inefficacy of clarithromycin in advanced multiple myeloma: a definitive report. , 2002, Haematologica.

[156]  T. C. Morris,et al.  Phase II trial of clarithromycin and pamidronate therapy in myeloma , 2001, Medical oncology.

[157]  M. Metcalfe,et al.  Rapamycin in transplantation: a review of the evidence. , 2001, Kidney international.

[158]  S. Holland Cytokine therapy of mycobacterial infections. , 2000, Advances in internal medicine.

[159]  M. Miller,et al.  Thalidomide embryopathy: a model for the study of congenital incomitant horizontal strabismus. , 1991, Transactions of the American Ophthalmological Society.

[160]  Therapeutic Drug Repurposing, Repositioning and Rescue , 2022 .