Figures (4)  Tables (2)
    • Figure 1. 

      Schematic showing the redundant signaling pathway employed by tumor cells for survival. In the diagram, extracellular matrix, GPCR, growth factors, etc. activate FAK, triggering a series of intrinsic adaptive regulatory mechanisms such as intracellular signal transduction, which in turn regulate processes like cell survival, proliferation, and migration.

    • Figure 2. 

      Schematic showing gut microbiota as a signaling hub in the bidirectional crosstalk between the gut and brain. Gut microbiota: Interacts with factors (diet, probiotics, antibiotics) to impact composition, byproducts, metabolism, and immunity. Immune system: uses immune cells (T cells, B cells, and plasma cells) and cytokines to mediate gut-body communication. Endocrine and nervous systems: enable gut-brain communication via the hypothalamus-pituitary-adrenal (HPA) axis and neural pathways, influencing gut and neural functions.

    • Figure 3. 

      Schematic illucidation of the relationship between targetome and polypharmacology. Within the triangular systems-level drug discovery framework, 'targetome' represents a much broader concept in comparison with polypharmacology (multitarget drug action, e.g., aspirin on COX-1/2), both of which fit into the system-level strategies in dissecting the disease pathway networks, and holistic drug development.

    • Figure 4. 

      Proposal of three stages in the discovery and development of combination drugs. Step 1: combinations of clinical drugs and herbal medicine are adopted for the exploration of combination therapies. Step 2: original drugs are combined with approved ones. Step 3: de novo discovery of combination drugs is carried out based on targetome and phenotype screening.

    • Trade name Time to market
      (FDA approval)
      Ingredient Indication Targets
      Widaplik 2025 Telmisartan, Tmlodipine, Indapamide Hypertension Angiotensin II receptor, L-type calcium channel, NCC
      Cobenfy 2024 Xanomeline, Trospium chloride Schizophrenia M1, M4
      Inavolisib 2024 Palbociclib, Fulvestrant Breast cancer PI3Kα, hormone receptor, HER2
      Opdualag 2022 Nivolumab, Relatlimab Metastatic melanoma PD-1, LAG-3
      Entresto 2015 Sacubitril, Valsartan Heart failure Neprilysin, AT1
      Evotaz 2015 Atazanavir, Cobicistat HIV-1 HIV protease
      Namzaric 2014 Memantine hydrochloride,
      Donepezil hydrochloride
      Alzheimer's disease AChE, NMDA receptor
      Dapagliflozin/metformin 2014 Dapagliflozin, Metformin hydrochloride Type 2 diabetes mellitus SGLT2, AMPK
      Symbicort 2006 Budesonide, Formoterol fumarate COPD, Asthma GR, β2-AR

      Table 1. 

      Summary of clinically approved combination drugs.

    • Name Time to market
      (FDA approval)
      Launch year Indication Targets Ref.
      Letrozole 1997 2025 Alzheimer's disease APOE, SYT1, TREM2, GFAP [75]
      Irinotecan 1996
      Prazosin 1976 2023 Traumatic
      brain injury
      α1, α2, β1, β2 [54]
      Atipamezole 1966
      Propranolol 1967
      Rapamycin 1999 2024 Neuroblastoma mTOR,
      BCR-ABL, Topoisomerase I
      [28]
      Dasatinib 2006
      Irinotecan 1996
      Temozolomide 1999
      Navitoclax / 2024 lymphoblastic leukemia MDM2, Bcl-2, Bcl-xL, Bcl-w [9]
      Idasanutlin /
      Durvalumab 2017 2024 NSCLC CTLA4, PD-L1 [130]
      Tremelimumab 2022
      Azacitidine 2004 2024 Peripheral T
      cell lymphomas (PTCLs)
      DNMT, HDAC [33]
      Chidamide /
      Ipilimumab 2011 2025 Non-clear
      cell renal cell cancers (nccRCCs)
      CTLA-4, PD-1 [10]
      Nivolumab 2014
      Ibrutinib 2013 2025 CNS lymphoma PD-1, BTK [23]
      Nivolumab 2014

      Table 2. 

      Representative example of combination drugs under clinical trial (2023–2025).