Drug Repurposing in Oncology: Pharmaceutical Strategies and Translational Advances

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Clinical Pharmaceutics".

Deadline for manuscript submissions: 20 August 2026 | Viewed by 1184

Editors


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Guest Editor
Institute of Clinical Physiology (IFC), National Research Council of Italy (CNR), Via Fiorentina 1, 53100 Siena, Italy
Interests: epigenetics; drug delivery; MAPKs signaling; cancer
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Institute of Clinical Physiology (IFC), National Research Council of Italy (CNR), Via Fiorentina 1, 53100 Siena, Italy
Interests: neuroscience; drug delivery; cancer; preclinical studies
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Drug repurposing or repositioning has emerged as a major driver of innovation in contemporary oncology research. This approach does not signify scientific involution, nor does it merely rely on the reutilization of so-called “golden oldies.” Rather, it represents a robust and forward-looking strategy in which rapidly advancing scientific capabilities—including molecular and phenotypic profiling, computational and systems-based methodologies, and data-driven discovery platforms—are applied to a vast and well-consolidated body of oncological knowledge. By capitalizing on existing pharmacological, formulation, and clinical data, drug repurposing enables the identification of novel anticancer indications, previously unrecognized mechanisms of action, and rational therapeutic combinations, while significantly accelerating translational development and clinical implementation.

In oncology, where attrition rates in de novo drug development remain high and unmet clinical needs persist, repurposing strategies offer a pragmatic and cost-effective pathway to therapeutic innovation. Importantly, advances in pharmaceutical sciences—ranging from drug delivery systems and formulation technologies to pharmacokinetic optimization—have expanded the potential of repurposed agents, allowing established drugs to overcome historical limitations related to bioavailability, targeting, or toxicity.

This Special Issue of Pharmaceutics aims to provide a comprehensive platform for original research articles and authoritative reviews addressing innovative drug repurposing strategies in oncology, with particular emphasis on pharmaceutical technologies, translational formulation approaches, drug delivery systems, and pharmacokinetic considerations. Contributions that deepen mechanistic understanding and effectively bridge the gap between discovery and clinical application are especially encouraged. We invite researchers to submit original articles or reviews describing established, approved drugs being explored for new oncological indications, as well as familiar therapeutics investigated through innovative delivery strategies or guided by well-characterized molecular markers that now point toward previously unrecognized disease applications.

Dr. Monia Taranta
Dr. Lisa Gherardini
Guest Editors

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Keywords

  • drug repurposing
  • therapeutic strategies
  • translational formulations
  • drug delivery
  • bioavailability

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Published Papers (1 paper)

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Research

14 pages, 2043 KB  
Article
Time-Resolved Transcriptomic Profiling of Surgical Wounds Identifies Stage-Specific Therapeutic Targets for Residual Ovarian Cancer
by Seongyun Lim, Young-Jae Cho, Myeong-Seon Kim, Jung-Joo Choi, Ji-Yoon Ryu, Jae Ryoung Hwang, Ju-Yeon Choi, Mahesh Chandra Patra, Mohamed El-Agamy Farh, Insuk Sohn, Jeong-Won Lee and Yoo-Young Lee
Pharmaceutics 2026, 18(4), 413; https://doi.org/10.3390/pharmaceutics18040413 - 28 Mar 2026
Viewed by 821
Abstract
Background: The optimal timing of adjuvant chemotherapy after cytoreductive surgery in epithelial ovarian cancer remains uncertain, and perioperative wound-healing responses may transiently create a pro-tumorigenic and drug-resistant microenvironment. This study aimed to characterize time-dependent wound-induced transcriptomic alterations and to identify pharmacologic agents capable [...] Read more.
Background: The optimal timing of adjuvant chemotherapy after cytoreductive surgery in epithelial ovarian cancer remains uncertain, and perioperative wound-healing responses may transiently create a pro-tumorigenic and drug-resistant microenvironment. This study aimed to characterize time-dependent wound-induced transcriptomic alterations and to identify pharmacologic agents capable of reversing these responses. Methods: An ID8 murine ovarian cancer model was used to compare no treatment, anesthesia alone, and anesthesia plus surgical wounding mimicking futile laparotomy. Tumors were collected at baseline, 1 day (T1), 1 week (T2), and 2 weeks (T3) after intervention. RNA sequencing was performed, and wound-specific differentially expressed genes (WsDEGs) were defined by excluding anesthesia- and progression-related signatures. Functional enrichment analyses were conducted, followed by transcriptome-based drug repurposing using the REMEDY platform to identify compounds predicted to reverse wound-induced gene expression profiles. Results: Surgical wounding significantly increased tumor burden at T1. Transcriptomic analyses revealed distinct, time-dependent wound-associated programs. At T1, WsDEGs were enriched in inflammatory signaling, coagulation, angiogenesis, and immune cell migration, with Vorinostat and Homoharringtonine identified as top candidates to counteract these signatures. At T2, pathways related to cell survival, adhesion, and morphogenesis predominated, with LY-2090314, Artesunate, and Birinapant emerging as potential modulators. At T3, cell-cycle regulation and lipid metabolic pathways were dominant, and Fulvestrant, Atorvastatin, Imatinib, and ABT-737 were predicted to inhibit these processes. Conclusions: Perioperative surgical wounding induces dynamic, stage-specific transcriptomic programs that may promote ovarian cancer progression and alter drug responsiveness. These findings support time-adapted perioperative pharmacologic strategies to optimize postoperative cancer therapy. Full article
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