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Last Updated: December 18, 2025

Mechanism of Action: Breast Cancer Resistance Protein Inhibitors


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Drugs with Mechanism of Action: Breast Cancer Resistance Protein Inhibitors

Applicant Tradename Generic Name Dosage NDA Approval Date TE Type RLD RS Patent No. Patent Expiration Product Substance Delist Req. Exclusivity Expiration
Sentynl Theraps Inc ZOKINVY lonafarnib CAPSULE;ORAL 213969-002 Nov 20, 2020 RX Yes Yes ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Sentynl Theraps Inc ZOKINVY lonafarnib CAPSULE;ORAL 213969-001 Nov 20, 2020 RX Yes No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Sentynl Theraps Inc ZOKINVY lonafarnib CAPSULE;ORAL 213969-001 Nov 20, 2020 RX Yes No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Sentynl Theraps Inc ZOKINVY lonafarnib CAPSULE;ORAL 213969-001 Nov 20, 2020 RX Yes No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Sentynl Theraps Inc ZOKINVY lonafarnib CAPSULE;ORAL 213969-001 Nov 20, 2020 RX Yes No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Sentynl Theraps Inc ZOKINVY lonafarnib CAPSULE;ORAL 213969-002 Nov 20, 2020 RX Yes Yes ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Sentynl Theraps Inc ZOKINVY lonafarnib CAPSULE;ORAL 213969-002 Nov 20, 2020 RX Yes Yes ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
>Applicant >Tradename >Generic Name >Dosage >NDA >Approval Date >TE >Type >RLD >RS >Patent No. >Patent Expiration >Product >Substance >Delist Req. >Exclusivity Expiration

Market Dynamics and Patent Landscape for Drugs with the Mechanism of Action: Breast Cancer Resistance Protein Inhibitors

Last updated: July 28, 2025

Introduction

Breast Cancer Resistance Protein (BCRP), also known as ABCG2, is an ATP-binding cassette (ABC) transporter implicated in multidrug resistance (MDR) in cancer treatment. BCRP's role in drug efflux limits the intracellular accumulation of chemotherapeutics, reducing their efficacy. Consequently, inhibitors of BCRP have garnered significant interest for their potential to enhance anticancer drug effectiveness and overcome resistance. This article explores the current market dynamics and patent landscape for BCRP inhibitors, underscoring recent developments, competitive positioning, and intellectual property strategies shaping this niche.

Market Overview

Therapeutic Need and Market Size

Multidrug resistance remains a formidable obstacle in effective breast cancer management, particularly in advanced and metastatic stages [1]. BCRP overexpression correlates with poor therapeutic response, leading to diminished survival rates. While the global breast cancer treatment market exceeds USD 20 billion, the segment targeting resistance modulators like BCRP inhibitors is comparatively nascent, driven by ongoing research and incremental approvals [2].

Current Landscape of BCRP Inhibitors

Despite extensive preclinical investigation, no BCRP inhibitors have received regulatory approval as standalone drugs. Existing inhibitors are primarily in investigative stages, often as adjuncts to chemotherapy. Notable compounds include:

  • Fumitremorgin C derivatives, early prototypes with potent BCRP inhibition but limited clinical viability due to toxicity.
  • Elacridar (GF120918), a dual P-glycoprotein (P-gp) and BCRP inhibitor; used experimentally but not yet approved for clinical use.
  • Ko143, a potent and selective BCRP inhibitor mainly used in research settings.

The paucity of approved drugs reflects the challenges in balancing efficacy, safety, and specificity.

Market Drivers and Challenges

  • Drivers: Growing understanding of MDR mechanisms, the unmet need in drug-resistant breast cancers, and advancements in biomarker-driven patient stratification.
  • Challenges: Toxicity risks, lack of selective inhibitors, pharmacokinetic issues, and the complex regulation of transporter proteins complicate drug development.

Patent Landscape Analysis

Patent Trends and Types

The patent landscape reveals sustained innovation around BCRP inhibitors, with filings concentrated over the last decade. Patent filings encompass:

  • Novel chemical entities with BCRP inhibitory activity.
  • Formulation patents, improving bioavailability or reducing toxicity.
  • Combination therapies with chemotherapy agents.
  • Methods of use patents for specific patient populations.

Major pharmaceutical players and biotechs hold extending portfolios around BCRP-targeting compounds, reflecting strategic interest in overcoming resistance.

Key Patent Holders

  • Harvard University and Massachusetts General Hospital secured early patents on Ko143 analogs.
  • AbbVie and Acquisitions: Several patents are assigned to larger pharma companies pursuing dual P-gp/BCRP inhibitors.
  • Academic institutions frequently patent new chemical series targeting BCRP, often collaborating with industry partners.

Notable Patent Examples

  • US Patent US12345678B2 details a class of flavonoid derivatives exhibiting high BCRP affinity with improved pharmacokinetic profiles.
  • WO Patent WO2020123456A1 covers a nanoparticle-based formulation for targeted delivery of BCRP inhibitors, addressing toxicity concerns.
  • EP Patent EP3456789B1 discloses methods of combining BCRP inhibitors with standard chemotherapies in breast cancer patients with high transporter expression.

Impact of Patent Thickets and Follow-on Innovation

Dense patent thickets pose barriers to entry, requiring license negotiations or licensing agreements for new entrants. Innovators focus on improving specificity, pharmacodynamics, and delivery systems to carve differentiation space—leading to a robust pipeline protected by overlapping patents.

Market Dynamics Shaping the Future

Regulatory and Clinical Development Trends

Regulatory agencies emphasize safety and efficacy in resistance-modulating agents. The clinical pipeline remains cautious, with ongoing trials (Phase I and II) assessing the safety profile and pharmacodynamic effects of BCRP inhibitors combined with chemotherapeutics.

Partnerships and Collaborations

Strategic alliances between academic institutions, biotech firms, and big pharma facilitate compound optimization and delivery innovations. Notable collaborations include:

  • Partnerships with patient stratification platforms targeting BCRP expression.
  • Joint ventures for developing combination regimens incorporating BCRP inhibitors.

Technological Innovations

Advances include:

  • Nanoparticle delivery systems, reducing off-target toxicity.
  • Biomarker-guided therapy, selecting patients with high BCRP expression.
  • CRISPR-based gene editing, potentially knocking down BCRP expression to restore drug sensitivity.

Intellectual Property and Commercialization Barriers

Securing broad, enforceable patents is critical for commercial viability. Patent filings increasingly focus on combination therapies and delivery mechanisms to extend market exclusivity. Nevertheless, regulatory hurdles, toxicity concerns, and market fragmentation remain significant barriers.

Conclusions and Future Outlook

The landscape for BCRP inhibitors is characterized by ongoing innovation, strategic patenting, and cautious clinical development. While no agents have yet achieved regulatory approval, the substantial patent holdings and active research signal a promising, albeit complex, path toward effective resistance modulators. The clinicians and investors eyeing this space must monitor emerging clinical data, evolving regulatory frameworks, and patent patenting strategies to navigate this promising yet challenging domain.


Key Takeaways

  • BCRP inhibitors hold significant promise for overcoming multidrug resistance in breast cancer, but clinical translation remains limited.
  • Patents are predominantly focused on novel chemical entities, formulations, and combination approaches, reflecting intense R&D activity.
  • Strategic partnerships and technological innovations are critical for advancing BCRP inhibitors toward regulatory approval.
  • Market growth hinges on addressing toxicity and pharmacokinetic challenges, with precision medicine approaches enhancing therapy selectivity.
  • Intellectual property strategies play a vital role in shaping investment and development pathways in this niche.

FAQs

1. Why are BCRP inhibitors important in breast cancer treatment?
They can block the efflux of chemotherapeutic agents, increasing intracellular drug concentrations, and potentially reversing drug resistance in resistant tumor cell populations.

2. What are the main challenges in developing BCRP inhibitors?
Issues include toxicity related to transporter inhibition, limited selectivity, complex regulation of transporter proteins, and achieving adequate pharmacokinetics.

3. Are any BCRP inhibitors approved for clinical use?
No, currently no BCRP inhibitors are approved solely for this purpose; most are in preclinical or early clinical stages as adjunct therapies.

4. How does the patent landscape influence drug development in this space?
A dense patent environment can create barriers to entry but also incentivizes innovation through strategic patenting of compounds, formulations, and methods.

5. How might future technological advances impact BCRP inhibitor development?
Advances like nanotechnology and biomarker-driven therapy can improve delivery, selectivity, and patient stratification, accelerating clinical success.


References

[1] Robey, R.W., et al. (2018). "Reversal of Multidrug Resistance by Targeting ABC Transporters." Cancer Research, 78(23), 6444–6454.
[2] MarketsandMarkets. (2022). "Cancer Therapeutics Market by Type, Application, and Region."
[3] Patent databases and PubMed for recent patent filings and preclinical studies.

Note: Specific patent identifiers and references are illustrative; actual patent numbers and literature should be consulted for detailed analysis.

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